Wednesday, November 27, 2019

Emerging Market MNC Analysis Essays

Emerging Market MNC Analysis Essays Emerging Market MNC Analysis Paper Emerging Market MNC Analysis Paper Some of these firms were very successful and some had to withdraw back to their country of origin. In OTOH scenarios, those companies adopted to different business models, strategies analyze two different Macs, TCL and Acre, which fall in the category of electronic firms from emerging markets, in order to come out with a better understanding of their globalize process. TCL Overview TCL is one of the largest consumer electronics NC in the world. It was founded by Mr.. Lie Donnishness, the Current CEO, in 1981 in China. The company produces a wide diverse of electronic products such as TV, mobile phone and Internet access devices; in addition, it is one of the leading companies and was ranked sixth in the global TV arrest in terms of market share (TCL Annual Report, 2011), which is the main business for TCL. See figure 2. The company has a worldwide presence; it has more than 40 sales offices, 18 R centers, and 20 manufacturing bases (TCL Introduction, 2011). Many critics attribute the companys success to focusing on innovation as well as quality; as a result, TCL suppressed many leading companies such as Samsung and Sony. Acre Overview Originally known as Multitude, the Taiwanese company was founded by Stan Shih in 1976, which grew to become the fourth largest PC producer in the world and has a worldwide presence (Acre Overview, 2013). Moreover, Acre considered being one of the largest original equipment manufacturer (MEMO). The company was able to achieve this by having one of the most distinguish integrated operations, between parent company in Taiwan and subsidiaries, as well as between one subsidiary and another. Remarkably, in its globalize process, Acre took more flexible approach which differs from the control based American, European or Japanese models. Acre has a long term mission which is breaking barriers between people and technology (Acre Brands, 2013). Also, the company targets many different customer segments by having multi-brand strategy; it has 4 different brands which are: Acre, Gateway, machines, and Packard Bell (Acre Brands, 2013). 2 Market Presence (Question 1) TCL Market Presence TCL has a worldwide presence in terms of sales, manufacturing and operations. The company was able to have a big presence in all six continents through Joint venture and acquisitions (Donnishness, Lie, 2011). It distributes its products through more than 40 sales offices and agencies worldwide. Moreover, the company has 18 R centers in China, USA, France, Germany and Singapore. The company also owns 20 manufacturing bases globally, in China, Poland, Mexico, Thailand and Vietnam. (Donnishness, Lie, 2011). See figure 3. The geographic growing patterns will be discussed in the following topic. Acre Market Presence Acre also has a worldwide presence in terms of sales, manufacturing and operations. Through its acquisitions, Greenfield investments, and multi-brand strategy, Acre was able to penetrate in all six continents and excel. It has four regional business units (Rabbis) in US, Europe, Singapore, and Taiwan. The main functions of those business units to sell, market and provide after sale services. Each one of those units has branches in many countries. See figure 5. 3 Patterns of Growing (Question 2) TCL Growing We can divide the company growth into four main phases. First phase (1981-1997), order to expand its business in the PRE market (Sandra Bell, 2010). Second Phase(1998-1999), expanding to neighboring country, which was having a Joint venture with Taiwan C.V. base, TCL-C.V. Computer Co. Was established (CAB, 1998). Third phase (2000-2004), expanding to the developed countries mainly in Europe; TCL had many international investment such as acquiring Schneider Electronics GAG in Germany (TCL Annual Report, 2002), a JP with Locate (Murals, D. , 2011), and a JP with Thomson (Elaine Quarterback, 2009), in this phase TCL focused on loss companies, hopefully they can turnaround those losses. However, almost all investments faced huge losses due to several reasons such as management style and the misjudged of its power to turnaround a loss company (Sandra Bell, 2010). Fourth phase (2005- present), in this phase TCL acquired partners shares in Jobs; for instance, TCL acquired Locate shares in the JP (Helen Yuan, 2005), as well as, Thomson shares in the JP (Sandra Bell, 2010). Further, they focused on building a global brand name through partnering with key distributes such KEA and Carefree. See figure 6. Acre Growing For Acre we can divide the company growth into four main phases. First phase (1976-1977), which includes the establishment of the company, and start selling to the local market (Milestones Innovations, 2013). Second phase (1978-1984), in the beginning of this phase the company started to target small neighboring markets such as Indonesia, Thailand, Malaysia, and Singapore. Later on, it expanded its exporting to reach the US and some parts of Europe. This phase was remarkable in Acres life and considered to be the take-off (The Wall Street, 2007). Third phase (1985-2000), in this phase Acre started to invest worldwide (Milestones Innovations, 2013), they made a lot of acquisitions, Joint ventures, and green field investments such as the acquisition of Altos Computers Systems, a JP with Computed from Mexico to form Acre Computed Latin America (UCLA), and establishing Acre America Corporation in the US. This phase considered to be critical in the life of Acre, it went global, big losses were made, and the company was restructured more than three mimes. To summarize, the cost of learning in this period was high. Fourth phase (2001- Present), which represents the changing from manufacturing company to a service company, in another words, the company outsourcer manufacturing, and the main activities became sales, marketing, and after sales services , which is similar to NIKKEI business model (The Wall Street, 2007). See figure 6. 4 Entry Modes (Question 3) TCL Entry Modes TCL had two types of foreign direct investments; Joint venture and acquisition. They had Jobs with Taiwan C.V. base, Thomson (French company), and Locate (French many). However, the acquisitions were by acquiring Schneider Electronics GAG in Germany, Thomson shares in the JP, and Locate shares in the JP as well. Recently, they made some agreements and cooperation with Samsung (outsourcing agreement) (Marie Han, 2008), KEA (Anna Rainstorm, 2011) and Carefree (Sandra Bell, 2010). See figure 1. The Joint venture with Thomson was remarkable in terms of amount, nature and outcome. Both companies put together ?450 million (cash and assets), where TCL and Thomson shares were 67% and 33% respectively (TCL Annual 20,000 sales outlets. On the other hand, Thomson brought to the deal its factories in Poland, Thailand, and Mexico (Elaine Quarterback, 2009). The JP was not profitable and carried out losses for both companies. As a result, both companies came to an agreement, and TCL bought Thomson shares in the JP. Furthermore, the acquisition included Thomson TV plants in Mexico, Thailand and Poland, RD centers in USA, Germany and Singapore, and worldwide sales networks (Sandra Bell, 2010). Acre Entry Modes Acre had three types of foreign direct investments; green field, Joint venture and acquisition. The green field investments were mainly to establish regional operation units (in Europe, USA, Asia, etc ) which have sub-branches in many countries. The main functions for these units to sell, market and provide after sale services (Ping Lie Peter, 1998). The company also did some Jobs such as a JP with Texas Instruments to form TTL-Acre DRAM, as well as a JP with Computed to form Acre Computed Latin America (UCLA) (Ping Lie Peter, 1998). See figure 1 . Acres acquisition goals were mainly to achieve multi-brand strategy. The company acquired Gateway, machines, Packard Bell, E-ten and agree. These acquisitions enhanced Acres global presence, and made it able to target different customer segments (Acre Overview, 2013). 5 Factors for Investing Abroad (Question 4) TCL Factors for investing abroad In general, there are many factors that led Chinese companies to seek global market. For TCL there were 5 main factors: In 2000, competition inside the PRE electronics market was aggressive which led to a price war and industry margin was shrinking (Sandra Bell, 2010). In 2001, China became a WTFO member which helped a lot of Chinese companies to partner with companies from developed countries, as TCL had any agreements and Jobs. Lie Donnishness, CEO of the company, was thinking about going global since the Asian crisis in the late sasss, taking advantage of the Chinese stable economy to build a brand which was the company competitive advantage in his vision. The company also did some international investments to overcome trade barriers, such as the anti-dumping European policy (The Financial Times Limited, 2003). The company also overestimated its power to turnaround a loss company, which was a main drive for some acquisitions such as acquiring Schneider Electronics GAG in Germany (Sandra Bell, 2010). Acquiring Schneider Electronics GAG in Germany is a clear example for the last two factors. Acre Factors for investing abroad For Acre the main reason for expanding is that the market size at that time, early sasss, was small. They targeted small neighboring countries, however, as Shih stated the combination of many small markets is not small, also there was a potential since those small markets were becoming bigger. The following are some reasons for investing abroad and expanding operations to reach more regions: The industry became mature rapidly which led to an aggressive competition, price war, and giggling of the margin. As a result, all companies in the industry started to expand to less competitive regions (Acre Inc. History, 2008). The Taiwanese dollar became stronger, which made difficult to the company to make profit since its product became more expensive abroad (Acre Inc. History, 2008). Major Operational TCL Operational Difficulties It seems that all international investments made by TCL were unsuccessful and turned huge losses. This was due by many issues on the managerial and operational level, which will be discussed in the following paragraph. The main problem for TCL s that they underestimate the difficulties of managing global operation, and they also overestimate their ability to turn around a loss company, which represents a broader dilemma for Chinese companies Justine Ala, 2006). As Vincent Yang, SCOFF of ATE and TCL stated in the past three months of operations, we found out the challenges and difficulties are deeper than we thought. (Even Armadas, 2004). Furthermore, the desperate to go global and use acquisitions as a shortcut without evaluating partners and investments were a main drive for those wrongful investments, for instants, Schneider Electronics GAG, Thomson and Locate were cording losses, moreover, Schneider Electronics GAG were viewed as an old fashion brand in Europe (Sandra Bell, 2010). Moreover, TCL was slow to react to the market changes Justine Ala, 2006) lack of market know-how, lack of transparency, and lack to culture adaptation when they changed the German manager of Schneider Electronics GAG with a Chinese noel (Sandra Bell, 2010). TCL has no brand positioning issues since it managed this aspect in a very professional way, for instants, they were able to position the brand TCL to a high end clientele very successfully by sponsoring Golf ornaments three years in a row in China(Sandra Bell, 2010) , which represent the target market. The company also has many brand names such as TCL, ROW, and RCA, as well as some agreements to use others brand names such as Thomson and Locate, which serve different customer segments. Acre Operational Difficulties Acre started with 13 employees including Shih and his wife, and in ten years that number grew to reach 1000, and continued to grow. This fast growing led to create a big gap between available capabilities and capabilities needed, further, it also led to a shortage in qualified managers. As a result, Acre started to recruit many top-level and mid-level managers, where some were not qualified enough, such as Leonard Lie, former senior IBM executive who led the company to a disastrous situations. Another problem caused by the fast growing is that the company was restructured more than three times which led to more failed operations (The Wall Street, 2007). Chris Foster, an analyst at Technology Business Research in Hampton, stated The bottom line is Acre has a more volatile business model than HP or Dell (The Wall Street, 2007). Other difficulties such as changing the company name from Multitude o Acre after more than 10 years of building brand name (The Wall Street, 2007), aggressive competition which reduced the profit margin, and the shortening product life cycle, among other factors which led to more operational and managerial difficulties. However, the company in many scenarios managed those obstacles very well. The following are examples for successful managerial strategies and operations. Dependent innovation which made Acre beat IBM and offer 32-bit PC first. Employee ownership, delegated accountability, and management frugality helped in the fast growing. Overcoming the shortening of the product life cycle by developing a strategy transit. They also developed the 2-3-1 System. Two months for product introduction, three months for selling, and one month for phase-out (Ping Lie Peter, 1998). Multi- brand strategy which helped the company to target different customer segments, therefore, the company does not have any brand or positioning issues (Acre Brands, 2013). 7 Comparison Conclusion Both companies have a lot in common. Both of them started to invest in neighboring countries and later on expanded to other parts of the world. They also depend a lot n acquisitions and Jobs to penetrate international markets, which reflects their weaknesses to build an international brand and have a successful international operations. Last but not least, both of them have a worldwide presence and mainly targeted developed countries. See figure 6. It seems that Macs from emerging markets recognize brand/country image as primary problem; as a result they have used strategies to overcome this obstacle such as multi-brand strategy and global brand strategy.

Saturday, November 23, 2019

Homemade Dry Ice Recipe

Homemade Dry Ice Recipe Dry ice is the solid form of carbon dioxide. Its extremely cold and sublimates into carbon dioxide gas, so its useful for a wide variety of projects. While its almost certainly less expensive to get dry ice from a store, its possible to make it yourself using a CO2 fire extinguisher or pressurized carbon dioxide in a tank or cartridge. You can get carbon dioxide at several types of stores (sporting good stores and some cookware stores), or you can order it online. Homemade Dry Ice Materials CO2 fire extinguisher or carbon dioxide tank.Cloth bagHeavy-duty gloves.Duct tape (optional) Carbon dioxide fire extinguishers are labeled as such. If a fire extinguisher doesnt specify carbon dioxide assume it contains something else and wont work for this project. Make Dry Ice All you have to do is release the pressure on the gas and collect the dry ice. The reason you use a cloth bag is that it will allow carbon dioxide gas to escape, leaving just the dry ice. Put on the heavy-duty gloves. You dont want to get frostbite from the dry ice!Place the nozzle for the fire extinguisher or the CO2 tank inside the cloth bag.Either clamp your gloved hand around the mouth of the bag or else tape the bag onto the nozzle. Keep your gloved hand clear of the nozzle.Discharge the fire extinguisher or, if you are using a CO2 canister, partially open the valve. Dry ice will immediately begin forming in the bag.Turn off the fire extinguisher or close the valve.Gently shake the bag to dislodge dry ice from the nozzle. You can remove the bag and use your dry ice.Dry ice sublimates quickly, but you can extend how long it lasts by storing the bag in the freezer. Safety Precautions Dry ice freezes skin on contact. Be particularly careful to keep your hand away from the mouth of the fire extinguisher or outlet of the CO2 tank.Dont eat dry ice. If you use the dry ice to cool drinks, be careful not to get it in your mouth. Dry ice is not edible.Dry ice generates pressure as it sublimates. Dont store dry ice in a sealed container or it may burst.

Thursday, November 21, 2019

Who's to blame for homelessness Essay Example | Topics and Well Written Essays - 2250 words

Who's to blame for homelessness - Essay Example We will also try to find the answer of the most fundamental question i.e. should help be provided to these homeless people? Who should provide this help government or nonprofit organization? Although there exists, alternative views about providing help to these homeless people I strongly support all help that is provided either by federal or nonprofit organizations. Homelessness Over the last twenty years a sharp rise in the no. of homeless people was observed. This can be attributed to many factors such as poverty, unemployment, family crises, sociopolitical conditions, family disintegration, violence, mental health and other catastrophes. In order to fully understand homelessness we first need to establish what exactly is termed as homelessness. Given below is the definition of homelessness as defined by Homeless Assistance Act 1987. A homeless person is can be described as â€Å"one who has no fixed, regular, and adequate place to spend the night time or an individual who lives i n a refuge, welfare hotel, transitional program or place not ordinarily used as normal sleeping accommodations, such as streets, cars, movie theatres, abandoned buildings, etc† (Chesnay).This definition does not include temporary residence with friends and family. Some people believe that this definition of homelessness is too narrow. They are of the opinion that to tackle homelessness properly we need to concentrate on its definition because that in turn will define the size of the homeless population and will determine our policy to the situation. O’Sullivan has outlined three categories of homelessness they are visible homelessness, hidden homelessness and at risk of homelessness. If we make use of all three categories it will help us tackle and prevent homelessness. Prevention Strategies Effective prevention depends on the two variables they are Identifying what we are trying to prevent Demonstration of result i.e. actually stopping or reducing frequency of occurren ce of the event. According to the public health model developed by Klein and Goldston, there are three types of prevention which are Primary Prevention Secondary Prevention Tertiary Prevention Primary Prevention Primary prevention strategy is a proactive step which is designed to prevent the action from happening for the first time or happening at all. From the perspective of our issue at hand it prevents homelessness from happening for the first time. Various issues leads to homelessness such as less income, family violence, physical and mental health and release from institutions or transitions from the social welfare program. Our primary strategy here for homeless prevention is to target these factors which involve community decisions and hence design our prevention strategies accordingly. (Martha R Burt) Secondary Prevention Through secondary prevention we focus on the early intervention so that before it becomes a severe problem risks can be identified. Secondary prevention in case of our issue at hand i.e. homelessness means diverting and focusing our attention to those people who have become homeless for the first time. The aim is to resolve their issues and help them getting out of this situation and taking measures which prevent it from happening again. The

Tuesday, November 19, 2019

Operation Market Garden Essay Example | Topics and Well Written Essays - 250 words

Operation Market Garden - Essay Example The basis of the attack was the stunning and unanticipated victory of Operation Overboard of June 1944 as well as in the battle for Normandy. General Eisenhower the absolute allied commander, had evaluated the combat power of the German forces and approved the operation, risky as it was. The allies’ alleged that the German forces were so demoralized and jumbled, thus could not withstand further attacks. Eisenhower strategized to attack the German forces along the whole front and eventually end the war (Schultz 20). The operation Market Garden failed mainly due to planners assumptions. The Allies got into a near dilemma in Normandy after the great success as they were exhausted and required some time to reorganize themselves. Deficiency of material supplies nearly brought the operation to a halt. Another setback was when the allies they anticipated collapse of the German forces. They therefore, predicted the war was coming into a conclusion. Many commandants now put their focus on the probable promotions they would get due to this achievement. Another reason was that the Germans had reorganized themselves by early September. German forces had an advantage since the terrain they had to defend was small which enhanced communication (Schultz 26). The consequences of the failure of the Operation Market Garden were include, it demoralized the allies, which prolonged the war. In addition, the allies suffered losses where 10% officers were killed and 50% captured while several others were critically injured. Eisenhower and Montenegro also suffered public scrutiny (Schultz

Sunday, November 17, 2019

The Nature vs. Nurture Debate Essay Example for Free

The Nature vs. Nurture Debate Essay The nature versus nurture debate is of constant discussion amongst psychologists today. In the 17th century the French philosopher Rene Descartes set out views which held that people possess certain inborn ideas that enduringly underpin peoples approach to the world (Bee, p.3). On the other hand, the British philosopher John Locke took a more empirical approach emphasizing the role of experience as fully contributing to behavioral development (Bee, p.3). Since the days of Descartes and Locke, the empirical nurture approach has possibly tended to have the best of the argument but the debate is far from being settled. Nature is our genetic gift; it determines our basic physical layout, hair and eye color. It determines the types of emotions and motivations we can experience like happiness, sadness, and fear. A person maintains his mental ability only based on what he is born with genetically on the nature side of the debate; therefore stating the environment plays no role in determining his mental aptitude. Nurture is the experience during our lifetime; the assumption that what makes children turn out the way they do, aside from their genes, the environmental part of child development, is the experiences they have at home in particular the experiences they have with their parents and society. This side argues that the environment and surroundings of a person affect their mental ability and are influential in the development of that person. A nature-nurture debate is concerned with what causes something to develop. The debates of nature vs. nurture tend to be historical rather than current. Today, most psychologists see development differently: they believe biological predispositions guide development in certain directions, but experience as influencing how that development manifests itself. The two sources are seen as interconnected, not as opposing alternatives, and it is the way that they interact which is the focus of interest.

Thursday, November 14, 2019

The Rock :: Essays Papers

The Rock He is a three-time world wrestling federation champion and a two time intercontinental champion. He was born on May 2, 1972 is 6’5 and weighs 275 pounds. He goes by the name Dwayne Johnson, calls himself the â€Å"People’s Champion† and otherwise known as â€Å"The Rock.† Other than having the pretty face that Hollywood was looking for, The Rock had to go through many steps as an â€Å"actor† before he became well known. However, the rock graduated from the University of Miami as an all -American Football player. Right away, he was entered into the realm of entertainment. This in turn was called a secondary effect because The Rock being a football player was entertainment and attracted the media’s attention. He was as Gabler states, â€Å"a performing artist.† (Gabler pg. 4) He was ready to enter the world of a celebrity and a star. Inside Wrestler magazine says that The Rock has the â€Å"same ‘X’ factor† as the Phantom of the Opera, â€Å"able to choreograph a rowdy mass of wrestling fans with a simple catch phrase, a dramatic pause, or a little lift of the eyebrow†(March 2001). The public considers the Rock to be a celebrity being that he has gone from music, to commercials, to sports, and journalism. He has starred on Saturday Night Live, That 70’s Show, and will soon be featured in the sequel to â€Å"The Mummy† as the Scorpion King. He is an entertainer who loves performing for the crowd. As he himself said, â€Å"Always entertaining the fans and knowing that I’m entertaining them-that’s the goal, to entertain the fans and nothing compares to that.† Each time he appears somewhere knew it adds to his popularity more and more. You start to conform to this so- called â€Å"reality.† The Rock plays many different roles and has many different names, that one might wonder which he really is. When he is wrestling, he is the Rock and when you research about him, as we did for this paper, we found out his birth name being Dwayne Johnson, and then of course, what he likes to refer to himself as, the â€Å"People’s Champion. These are just a few examples. He takes upon the role of an â€Å"actor† in so many different aspects that he himself becomes comfortable with what he is playing, and eventually this in turn takes over parts of him as a person.

Tuesday, November 12, 2019

My Bio

My name is Latisha Anderson 33 year old native from Raleigh, North Carolina. I graduated from East Carolina University College of Nursing in Greenville, North Carolina in May 2009 with a Bachelors of Science in Nursing. Many say that I am a unique nurse due to the fact I am the first African American woman to complete a nursing program from a wheelchair. At the age of 17 years old I was shot in the neck and paralyzed from breast on down. I do have a success story on line. If you type my full name Latisha Anderson in Google search engine and I think on the second search page you will find a link with my name and it has the pulse magazine link which is ECU CON alumni magazine and on page 6 you can read my success story and see me in my standing wheelchair. I landed my first job at a private psychiatric/chemical detox program hospital that treats patient ranging from ages 5 years old on up. I started out PRN; therefore I had the advantage of working on all the different units with the different age groups. After about three months of diligent working my ADON offered me a permanent position on the acute inpatient psych unit which housed twelve acute patients. I worked third shift and was the charge nurse and the only nurse that worked that unit. I decided to pursue my passion of wanting to serve those who have served my country. efore I became disabled i wanted to join the marine corps and I was 37 days away from my 18th birthday and being enlisted but I became paralyzed that did not stop me i just had to pursue my goal from a different angle. I currently work with the Veteran’s Administration in Augusta, GA. I want to pursue my Masters in Nursing with an Emphasis in Leadership because i want to obtain a leadership role. Nurses are in roles where they can have a major impact with creating policies, laws and advocating for their consumer in the healthcare aspect in politics.

Sunday, November 10, 2019

A Model of Christian Charity & Letter to Philip Sidney

Winthrop, as mentioned before Is a dedicated Puritan, which are English colleens who believed that the Church of England was corrupt and needed to be â€Å"purified,† During this time period many Puritans and those of other religions were ridiculed and discriminated because of their faith. Many restrictions were placed on them, and additional taxes were added tot their Income. Winthrop believed the only way to purify the church was to leave England now and begin a new way of life. In his essay describes his perfect society as the inhabitants begin one with God and each other.He implies that a move now is the best way to begin purification. Hastily, and English writer and geographer saw many benefits form the colonization of the New World. With his background in geography he knew that North America would be filled with various types of raw materials and wild life. His letter gave examples of this variety mentioning the different types of wood such as cedar, oak, walnut and sund ry. He explained how these resources would not only benefit the colonies but also benefit England.He believed the resources available loud be able to be divided equally among the colonies and England. He also saw the financial benefits that they could come from colonization. Money was the most important reason for his proportions to colonize. Money was big factor in his argument. In these essays both Winthrop and Hastily emphasized that the best way to receive their desired outcome was to go now. To Hastily going now would be the best way to receive the maximum benefits from the North American raw materials.Winthrop believed leaving now was the only way to purify the church, saying that thing could be done for the church in England. Also stating the by leaving now would make the purification process to go faster. They also shared the ground on which they settled which was Massachusetts. They each believed a colony near the coast would help the more economically. A Model of Christian Charity & Letter to Philip Sidney By larders published an essay to inform his followers of his solution to the problem if the corrupt Church of England.This solution in fact was moving to the New World. Richard Hastily, in 1582, sent a letter to Philip Sidney to inform of the great believed the solution to their issues was to go and colonized North America. Winthrop, as mentioned before is a dedicated Puritan, which are English citizens who believed that the Church of England was corrupt and needed to be â€Å"purified. † During this time period many Puritans and those of other religions were ridiculed additional taxes were added tot their income. Winthrop believed the only way to coast would help the more economically.

Thursday, November 7, 2019

MR250 Unit 7 Reading Essay

MR250 Unit 7 Reading Essay MR250 Unit 7 Reading Essay MR250 Unit 7 Reading-Chapter 8 Cardiology and Hematology The cardiovascular or circulatory system consists of the heart and the blood vessels (arteries, capillaries, veins) (see Figures 8-1 and 8-2). The purpose of the system is to provide rapid delivery to the tissues of oxygen from the lungs; nutrients, minerals, vitamins, and water from the digestive system; hormones from glands; and white blood cells from bone marrow and lymphoid tissue, while removing waste products and delivering them to the lungs (carbon dioxide), liver (broken-down red blood cells), and kidney (surplus water, nitrogenous wastes) for excretion. Anatomy in Brief The heart is a pump- actually two synchronized pumps, each handling a different segment of the circulating blood at any given moment. The right atrium(antechamber) and the right ventricle receive venous blood from the systemic circulation and pump it into the lungs for gas exchange. The left atrium andleft ventricle receive freshly oxygenated blood from the lungs and pump it through the arteries into the systemic circulation. The contraction of a heart chamber is called systole; relaxation and refilling is called diastole. Valves in the heart (one for each of the four chambers) prevent back-flow of blood from a chamber during systole. The heart is encased in a protective sac called the pericardium. The names of the coronary arteries and branches are frequently mentioned in angiographic and surgical reports. The major vessels are the left main coronary artery, the left anterior descending (LAD) coronary artery, the right coronary artery (RCA), and the circumflex coronary artery. Names of branches of these take on additional terms, such as the left anterior descending diagonal (LADD). Other vessels to remember are the circumflex marginal, distal branches, and the posterior descendings. The major conduits are the aorta and pulmonary artery. The valves are aortic, mitral, pulmonary, and tricuspid. Terminology Review anemia Deficiency of red blood cells. arrhythmia Irregular rhythm of the heartbeat, with or without an abnormally slow or fast rate. ascites Swelling of the abdomen due to effusion of fluid into the peritoneal cavity. auscultation of the heart The physician notes the quality and loudness of heart sounds heard through a stethoscope at the four valve areas. bradyarrhythmia A pulse that is both irregular and abnormally slow. bradycardia Abnormal slowness of the heartbeat (pulse less than 60/min). bruit A rough vascular sound, synchronous with the heartbeat, heard on auscultation over a narrowing in an artery. cardiomegaly Enlargement of the heart. clubbing Club-shaped deformity of fingertips, seen in chronic pulmonary disease. cor pulmonale Dilatation, hypertrophy, or failure of the right ventricle due to acute or chronic pulmonary disease. crepitant rale A fine crackling rale. dependent edema Edema of the lower extremities, aggravated by the dependent (downward hangi ng) position. diaphoresis Sweating. dyspnea Shortness of breath. edema Swelling due to the presence of fluid in tissue spaces. effusion An abnormal accumulation of fluid in a body cavity, such as the pericardium. ejection fraction (EF) The percentage of the blood contained in a ventricle at the end of diastole that is ejected from the heart during the succeeding systole, normally 65% or higher. embolism Obstruction of a blood vessel by a detached blood clot, air, fat, or injected material. exudate A material deposited in or on tissues as a result of inflammation or degeneration and consisting of protein-rich fluid, inflammatory cells, and tissue debris. fibrillation Rapid, random, ineffectual twitching of cardiac muscle, instead of normal regular systolic contractions, due usually to metabolic or coronary vascular disease. Whereas atrial fibrillation can continue for years without serious impairment of health, ventricular fibrillation is rapidly fatal. gallop rhythm A cardiac rhythm that simulates the sound of a galloping

Tuesday, November 5, 2019

Does Your Brain Need More Positivity Theres Hope.

Does Your Brain Need More Positivity Theres Hope. Stinking Thinking. I was introduced to the concept of â€Å"Stinking Thinking† (ST), first coined by Dr. Albert Ellis in the 1950s, through the Wright Foundation for the Realization of Human Potential. As you might guess, stinking thinking is the stream of negative thoughts that runs through pretty much every human being’s head as they go through life. Last Tuesday, Election Day, I noticed quite a bit of stinking thinking flying around. I wanted to address that in some way, without taking sides, more in the spirit of the speeches Hillary and Donald delivered following the results that created a positive vision for the future. How to Identify Stinking Thinking Here are some categories of stinking thinking, along with an example of each: Overgeneralization: All men are [insert favorite term]! All or Nothing: If I can’t win, I quit. Magnification: I gained 5 pounds. I’m a whale. Cant/Wont: I cant do it! Always/Never: You never take out the garbage. Jumping to Conclusions: He said he was busy this weekend, so he must not want to see me. Mind Reading: She hates me. I know it. Fortune Telling: If Trump wins the election, [insert conclusion here]. Projection: You are all judging me! You must think I’m a total idiot. Prejudice: I could tell he was a thief just by looking at him. Dismissing the Positives: 10 good things happened, but it’s the one bad thing that counts. Magical Thinking: I am sure it will all work out somehow. Helpless/Hopeless: No matter what I do it wont make a difference. Emotional Reasoning: I feel bad, so I must be bad. Should Statements: I should have thought of that. I need to do better. Blame and Shame: Its your fault we can’t pay the bills. Looped Thinking/Obsession/Perseveration: I can’t believe I did that again. What was I thinking? I’m stupid. I can’t believe I did that again. Do any of these sound familiar? I know I’m really great at a lot of these categories, as are most humans. This might be a depressing thought for some (watch your stinking thinking about stinking thinking!) but there are up sides too. What are the positives of stinking thinking? I’m encouraged that once we acknowledge we all have stinky thoughts, we can feel less alone and judgmental of ourselves when we have them. We can watch out for them in ourselves and others, actually noticing them instead of having them run us entirely. And once we realize we’re engaging in ST, we can come up with more fragrant thinking to replace it. What if you were to choose thoughts that are more reflective of what is actually happening, outside of the ST in your head? They would likely be humorous, compassionate or forgiving. For example: Sometimes things go wrong. It’s human. I wonder what he meant by that. Ill ask him. The soup didnt turn out, but the rest of the meal was great. I will keep an open mind. I can do it. I feel upset, but that doesnt make me a bad person. I am excited to learn from this mistake. I can see how this will turn out OK. This second set of possible thoughts leaves a lot more room for possibility, doesn’t it? Pick one†¦ or two†¦ Perhaps there’s an area in your life where you’ve noticed some stinking thinking? Maybe it’s the election, a relationship, your work or career, your family, or even the way someone looked at you when you walked down the street today. Notice the thoughts you’re having, and notice that those are just thoughts. They are not the truth. If you identify the category of thought you’re engaged in then maybe, just maybe, you’ll be able to come up with a new thought to replace the stinky one. Regardless of political preferences, I think that’s what our country needs right now. And I’m grateful to all the speech writers and leaders who are focusing on the relationships and future we want. It takes wisdom and vulnerability to move away from stinking thinking, and I’m hoping we can do it. Perhaps thats magical thinking on my part, but I really do believe that this can all turn out OK. Click here for more on the categories of ST. - And here’s a quote that inspired me this week – free of odorous thoughts. I’ll leave you with this inspiring message from a wise Buddhist teacher: This is part of the magic of turbulent times: if we feel our tenderness, we will discover our deep strength. This allows for bravery Rather than cower, we have the courage to join with others in responding from the heart and mind of goodness. – Sakyong Mipham Rinpoche Save Save Save Save

Sunday, November 3, 2019

Fluid management in dialysis patient Essay Example | Topics and Well Written Essays - 6000 words

Fluid management in dialysis patient - Essay Example When a patient is on dialysis, circulation of the blood is on one side of a semipermeable membrane, while, on the other side, a special dialysis fluid is circulated. Blood composition must be closely matched by the dialysis fluid. Urea and creatinin, metabolic waste products, are diffused through the dialysis fluid membrane and discarded, while necessary substance diffusion is prevented by its presence in the dialysis fluid. (Answers.com). Dialysis treatment is demanding for the patient, as they must spend four hours during thrice weekly sessions hooked up to these machines. (Sonnier, 2000, p. 5). Because patients must observe strict dietary and fluid restrictions, there is a great mortality rate that is directly related to non-adherence with the dietary and fluid restriction protocol. Patients must self-care when they are on dialysis, and must comply with their prescribed regimen that is assigned to them when they start dialysis for the first time. Self-care and compliance are different, yet related, terms. There are reasons why patients do not self-care or comply correctly with their prescribed health regimen, and there are solutions that have been put forth. The solutions include increased education about the necessity of self-care, empowerment through education regarding how to self-care and behavioural modification. Self-care is defined as é  he patients deliberate actions regulating his/her functioning and development for health and well-being.(Ricka, et al., 2002, p. 329). Self-care is pertinent to the patients survival and well-being. Compliance is a related term, what that focuses mainly on the correlation between medically prescribed therapeutic regimen compliance and the outcome behaviours. (Ricka, et al., 2002, p. 331). Dietary factors that require compliance include regulating protein intake; limiting electrolytes, such as potassium and sodium; taking vitamin supplements; and lowering fluid

Friday, November 1, 2019

The Developing Manager Assignment Example | Topics and Well Written Essays - 3250 words

The Developing Manager - Assignment Example This essay discusses that delegation involves assigning duties to workers so that they can complete them on behalf of the manager. Delegation enables managers to assign duties to employees who have the right skills; this enables companies to achieve their targets because workers complete numerous duties simultaneously. The author of the report has the skills of determining the workers who are suitable to complete certain tasks because he matches their skills with those required to carry out certain duties. If the organization lacks workers who can complete certain tasks efficiently, he organizes for them on the job trainings that fill their skills gaps.From the report it is clear that  leadership involves showing individuals the right way to follow when they are completing their tasks. Managers should possess this skill because they cannot manage successfully if they are not efficient leaders.  Problem-solving skills enable managers to solve conflicts that arise in their organiza tions successfully. The author uses his problem-solving skills to resolve conflicts among workers and departmental managers in the organization. He finds solutions that end the conflicts in a way that satisfies all the parties who are involved in the problem. This increases the satisfaction of workers and it motivates them to work hard for the organization.  Team management is a skill that enables leaders to organize various players in a company so that they can work in union. The author manages teams by first determining the workers who should work in a team.