Tuesday, October 29, 2019

Expectations of Current Economy Essay Example for Free

Expectations of Current Economy Essay The U. S. economy in 2013 has a projected growth increased to an annual rate of 2. 5 percent in the first quarter, but not enough to meet the expectations made by the economists (Aljazeera 2013). The reason why all of these projections came to be was because of disappointments that came about; plans did not follow through, or because of accident and uncontrollable events. For example, part of the acceleration in activity reflected farmers filling up silos after a drought in the summer decimated their crops output, but the growth rate was a halfhearted 1. percent (Aljazeera 2013). Because of this event that transpired, the economy did need to compensate in other areas for this event not to be an overall bust. To help with the compensation would be all the other fields of the economy such as the spending of the consumer. The consumer spending, accounting for more than two-thirds of US economic activity, increased at a 3. 2 percent. It grew at a 1. 8 percent rate in the fourth quarter of last year (Aljazeera 2013). However consumer spending was not enough to compensate for other downfalls. Households cut back on saving to fund their purchases after their incomes dropped at a 5. 3 percent rate in the first quarter (Aljazeera 2013). The saving rate fell to 2. 6 percent from 4. 7 percent in the fourth quarter of 2012(Aljazeera 2013). But now, based on projections, housing is showing positive signs and can be expected to keep improving over the next year The spending of the government fell to a 4. 1 percent annual rate and most of the increase in the first-quarter spending came from car purchases and outlays for utilities (Aljazeera 2013). But with this good news, the purchase of equipment and software by businesses slowed sharply. But it picked back up at only three percent rate after a brisk 11. 8 percent pace in the fourth quarter (Aljazeera 2013). The forces needed for a quickening US recovery are already in place, but they are going to occur slowly but surely. The balances of items that are or could be affecting the US consumer spending have turned positive (IHS 2012). Also seen is that US businesses are likely to spend and hire more, which means that growth will average around 2% next year (HIS 2012).

Sunday, October 27, 2019

Ultrasound-guided Interscalene Block for Dislocated Shoulder

Ultrasound-guided Interscalene Block for Dislocated Shoulder Preliminary results of ultrasound-guided interscalene block for dislocated shoulder: Abstract Background Traditionally, patients with a dislocated shoulder joint will be subjected to general anesthesia for closed reduction, if this procedure cannot be managed with light intravenous sedation and opioid analgesia. Successful interscalene blockade of the brachial plexus allows painfree reduction of the dislocated shoulder. However, the interscalene blockade for a dislocated shoulder is usually performed in the emergency room and to optimize patient safety it is desirable to minimize the dose of local anesthetic using ultrasound-guidance. The objective of this cohort study was to determine the clinical feasibility of ultrasound-guided interscalene brachial plexus blockade using a safe dose of just 10 mL of lidocaine 1% in producing sufficient and effective muscle relaxation, allowing painfree reduction of a dislocated glenohumeral joint. Methods We performed ultrasound-guided interscalene brachial plexus blockade with 10 mL of lidocaine 1% in a cohort of 10 patients with dislocated glenohumeral joints presenting in the emergency room, where the shoulder could not be reduced following intravenous sedation and analgesia. Results The success rate of closed reduction of the dislocated shoulders was 100% with complete pain control and muscle relaxation during the reducting procedure. Median patient satisfaction (VAS, Visual Analogue Scale 0-10) after completion of the procedure was 10 (range 8-10). Conclusion Ultrasound-guided interscalene brachial plexus blockade using merely 10 mL of lidocaine 1% effectively produces muscle relaxation allowing pain free reduction of the dislocated glenohumeral joint with a success rate of 100% and high patient satisfaction. Keywords dislocation, shoulder, glenohumeral joint, ultrasound Introduction Dislocation of the gleno-humeral joint is associated with severe pain and is frequently presented in the emergency room (ER). Reduction of a shoulderdislocationrequiresalleviation of the pain and musclerelaxation. Traditionally, this is obtained using general anesthesia (GA) with rapid sequence induction, when initial attempts of reduction using light oral and/or intravenous sedation and opioid analgesia are not successful. However, GA is associated with the risk of aspiration and requires an anesthetist, access to the operating theatre and postoperative observation in the Post Anesthesia Care Unit (PACU). Interscalene blockade (ISB) of the brachial plexus (BP) will achieve the desired effect of muscle relaxation and pain alleviation and eliminates the risks of GA cost-effectively. ISB of the BP usingelicitation of paresthesia to locate the target nerves wasemployedalready in 1973 to obtainanalgesia and musclerelaxationallowingreduction of a dislocatedshoulder joint 1. ISB of the BP using electrical nerve stimulation to allow reduction of a dislocated shoulder joint was later reported 2, 3. However, the motor response due to the electrical stimulation can be very painful in patients with dislocated shoulder joints. Some authors have reported location of the BP using ultrasound-guided regional anesthesia instead of electrical nerve stimulation 4, 5. Blaivas and Lyon (2006) used in-plane (IP) approach and 30 mL of either lidocaine 1% or bupivacaine 0.25%. The success rate of pain free joint reduction was 100% in four patients. Bhoi et al. (2010) used out-of-plane approach and 6-15 mLlidocaine 2% and had a success rate of a 100% in three patients. The current report describes an ultrasound-guided approach to ISB of the BP using IP approach and 10 mL of lidocaine 1% for reduction of the gleno-humeral joint in a preliminary cohort of patients with dislocated shoulder where reduction in the ER had been attempted with light sedation and analgesia without success. Methods The requirement for approval of the protocol and for written informed consent, was waived by the Central Denmark Regional Committees on Biomedical Research Ethics,due to the fact that the ultrasound-guided ISB of the BP for reduction of dislocated shoulders is an established method in our departments. Following informed consent 10 consecutive patients scheduled for reduction of dislocated gleno-humeral joint were included in the study (Table 1). We have only included patients with dislocation of the gleno-humeral joint where reduction has been attempted in the ER without success. Following establishment of venous access, the patient was placed in the supine position with the head turned contralateral to the side to be blocked. Vital signs monitoring was opted out during the procedure in the ER provided that all of the following criteria were fulfilled: (1) the block was performed by a consultant anesthetist who performs ultrasound guided peripheral nerve blocks on a daily basis and ( 2) the block was performed with uninterrupted, direct real time visualization of the needle tip during the entire procedure and (3) using parasagittal from-posterior-to-anterior IP approach and (4) with visualization of the spread of a 1 mL test dose of saline alongside the nerve roots of C5-C6 prior to injection of lidocaine and (5) real time visualization of the spread of lidocaine during the entire injection and (6) no supplementary lidocaine in addition to 100 mg was injected (7) in a fully awake and alert patient. If the above criteria 1-7 were not fulfilled, then the procedure was aborted immediately and not resumed until full vital signs monitorering had been applied. . Needle path and injection of local anesthetics Using an aseptic technique the needle was inserted from the posterior end of the ultrasound transducer and thereafter advanced IP in an anterior direction until the needle tip was seen in close proximity to the C5 and C6 nerve roots (Fig. 1). Hydrolocation was per formed with 1 mL of saline confirming the appropriate location of the needle tip and the spread of the injectate prior to injection of local anesthetic (10 mL of lidocaine 1%). The endpoint of the injection manoeuvre was to observe that the local anesthetic spread alongside the C5 and C6 nerve roots as assessed by real-time ultrasound. The dose of lidocaine was injected incrementally with intermittent aspiration. If the spread of local anesthetic was deemed inadequate the needle tip was repositioned as necessary with direct real time visualization using solely ultrasonographic guidance. Equipment The ultrasound scanning was performed with an M-Turbo ultrasound machine (Sonosite, Bothell, WA) using a 6-13 MHz linear transducer (HFL38, Sonosite ®, Bothell, WA, USA) covered by a sterile sleeve. Definition of successful ISB Successful ISB was defined as reduction of the dislocated shoulder joint with no need for conversion to general anesthesia. Study design and data collection The study was planned as a prospective cohort study to determine the clinical feasibility of the low-dose IP ISB to allow reduction of a dislocated shoulder joint . Thus, no formal power analysis or statistical test analysis was performed. Results A total of 10 patients were enrolled. Nine patients had an anterior dislocation of the gleno-humeral joint and one had a posterior dislocation. Demographic data are presented in table 1. The success rate of reduction of the dislocated shoulders was 100% with complete pain control and muscle relaxation during the reducting procedure. Median patient satisfaction (VAS, Visual Analogue Scale 0-10) after completion of the procedure was 10 (range 8-10). Median time from completed block performance to shoulder reduction was five minutes (range 3-10 minutes). The median pain VAS score immediately prior to the performance of the interscalene block was 10 (range 7-10), and all patients were awake and fully alert during the procedure. All procedures were completed in accordance with the criteria 1-7 (see Methods). Outcome data are presented in table 2. Discussion Our preliminary data demonstrate that a dislocated shoulder can be reduced effectively without pain, and with good muscle relaxation using ultrasound-guided interscalene brachial plexus blockade with a small dose of lidocaine. By application of this technique, deep sedation and opioids and/or general anesthesia with fast track induction is avoided in a population of typically non-fasting patients. Ultrasound-guided ISB of the BP is applicable also in patients with severe cardiac co-morbidity, where GA would not be attractive. Ultrasound-guided ISB of the BP is also a simple and low-cost technique compared to general anesthesia and does not occupy the capacity of the surgical ward or the PACU. Application of a safe and innocuous dose of a local anesthetic with a broad therapeutic range is critically important, when peripheral nerve blocks are performed in the ER outside the primary venue of anesthesia. The standard dose of 100 mg lidocaine optimizes patient safety, as accidental intra venous injection of this magnitude of lidocaine would be virtually harmless. However, intravenous injection using ultrasound-guidance is practically impossible when appropriately performed in accordance with the criteria listed in the Methods section. The theoretical risk of an accidental intraarterial or intraspinal injection is considered non-existent obeying the above mentioned criteria 1-7. Resuscitation equipment is readily accessible in the settings of the ER. However, any dose of any local anesthetic employed for peripheral nerve blocks without full vital signs monitoring remains a controversial issue. If the reader cannot honour all the criteria 1-7, the advice of the authors is to apply full vital signs monitoring during and after the performance of the nerve block even when using a small dose of a local anesthetic with a broad therapeutic range. Our preliminary data suggest that the patients experience maximum satisfaction with this technique (median VAS score 10). We hav e no data to compare patient satisfaction to nerve stimulation guidance for interscalene blockade or general anesthesia. There are some important limitations to our study. First, the study is non-randomized, un-blinded and it does not include a control group. Second, the sensory and motor quality of the interscalene blocks was not tested and the effect was just documented by clinical success. Third, lidocaine pharmacokinetics was not calculated and serum-lidocaine was not measured. Fourth, the choice of dose of local anesthetic was arbitrary and not based on titration. Fifth, the study included only a small sample of patients. However, the clinical success rate of reduction was 100% and the patient satisfaction very high despite the fact that our data were sampled in a population of patients where the primary attempt for a closed reduction of the dislocated shoulder supported by sedatives and opioids failed. This strongly indicates the feasibility of the described technique and reduced dosing of local anesthetic. Future randomized controlled trials have to clarify the usefulness of a broader indication for ultrasound guided interscalene nerve blockade for patients with dislocated shoulders. Conclusion This preliminary cohort study demonstrates that ultrasound guided interscalene BP blockade using merely 10 mL of lidocaine 1% effectively produces muscle relaxation allowing pain free reduction of the dislocated glenohumeral joint with a success rate of 100% and maximum patient satisfaction.

Friday, October 25, 2019

Abduction and Hypothesis Withdrawal in Science Essay examples -- Scien

Abduction and Hypothesis Withdrawal in Science ABSTRACT: This paper introduces an epistemological model of scientific reasoning which can be described in terms of abduction, deduction and induction. The aim is to emphasize the significance of abduction in order to illustrate the problem-solving process and to propose a unified epistemological model of scientific discovery. The model first describes the different meanings of the word abduction (creative, selective, to the best explanation, visual) in order to clarify their significance for epistemology and artificial intelligence. In different theoretical changes in theoretical systems we witness different kinds of discovery processes operating. Discovery methods are "data-driven," "explanation-driven" (abductive), and "coherence-driven" (formed to overwhelm contradictions). Sometimes there is a mixture of such methods: for example, an hypothesis devoted to overcome a contradiction is found by abduction. Contradiction, far from damaging a system, help to indicate regions in which it can be changed and improved. I will also consider a kind of "weak" hypothesis that is hard to negate and the ways for making it easy. In these cases the subject can "rationally" decide to withdraw his or her hypotheses even in contexts where it is "impossible" to find "explicit" contradictions and anomalies. Here, the use of negation as failure (an interesting technique for negating hypotheses and accessing new ones suggested by artificial intelligence and cognitive scientists) is illuminating I. Abduction and Scientific Discovery Philosophers of science in the twentieth century have traditionally distinguished between the logic of discovery and the logic of justification. Most have conclude... ...s based on set covering model, International Journal on Man-Machine Studies, 19, pp. 443-460. C. Shelley, 1996, Visual abductive reasoning in archaeology, Philosophy of Science, 63(2), pp. 278-301. J. C. Shepherdson, 1984, Negation as failure: a comparison of Clark's completed data base and Reiter's closed world assumption, Journal of Logic Programming, 1(1), 1984, 51-79. ________, 1988, Negation in logic programming, in J. Minker (ed.), Foundations of Deductive Databases, Morgan Kaufmann, Los Altos, CA, pp. 19-88. P. Thagard, 1988, Computational Philosophy of Science, Cambridge, MA, The MIT Press. ________, 1992, Conceptual Revolutions, Princeton, NJ, Princeton University Press. ________ and C. Shelley, 1994, Limitations of current formal models of abductive reasoning, Department of Philosophy, University of Waterloo, Ontario, Canada, forthcoming.

Thursday, October 24, 2019

Administrative Management Critical Analysis

Adam Bartoshesky November 17, 2012 MAN 3025 Writing Assignment #4 Critical Analysis The University of North Florida’s Academic Integrity Code gives students and faculty members in-depth descriptions of what exactly the code is, the ways in which the code can be broken, and the actions and consequences which result from breaking it. The code’s purpose is, â€Å"to protect the integrity of the teaching and learning process† (â€Å"Academic integrity code,†). This document lacks a persuasive tone and thus is essentially free from any biases.It uses strong language and concision in order to outline what students and faculty members should do in an instance of academic dishonesty. The code’s unbiased nature and clarity combine to make it a reliable document that can be referred to by both UNF students and faculty members in order to maintain foster learning. UNF’s Academic Integrity Code’s strengths are its detail and clarity, its openness, and its good intentions. It is impossible for the document to better explain the overall process of cheating, how it is handled, and the appeal process.Another strong point of the code is that it gives the student’s teacher freedom in how they want to handle the situation. There are five different forms of apprehension listed in the code that the teacher can choose from which range in seriousness. The teacher can do anything from lower the student’s grade for the single exercise they broke the academic code on, to giving the student an unforgivable ‘F’ for the course. It is evident that a third strength of the document is that its sole purpose is to create a better teaching and learning environment.UNF has not established this code in order to reprimand students, but rather to enhance their education by clearly stating what they should avoid while enrolled at UNF. Although the Academic Integrity Code has many strengths, it also has weakness. The main weak ness that I located in the code is that the overall process of reprimanding and appealing academic dishonesty can be time consuming. There are numerous steps that each have an allotted amount of days to be completed. Also read: Advantages and Disadvantages of Administrative ManagementThese steps include the student appealing the teacher’s initial actions, and then waiting for a new faculty member to review it and come to a new conclusion; in which case the student can appeal it once more. This process can continue up the UNF administration hierarchy until the case finally reaches the UNF President. The president has the final say in the matter. If each step is taken and the maximum amount of days to complete each step is used, the case can be under review for 205 days. That is an absurd amount of time to decide the outcome of a student’s academic misconduct.By the time it is settled, the student could have already finished one semester and been well on his or her way to completing another. At this point, I think it is unfair to give the student a consequence like being expelled from the school because they have already dedicated much of their time to another semester’s course load. After examining and evaluating The University of North Florida’s Academic Integrity Code, I have concluded that its strengths far outweigh its weaknesses. I could only find one weakness in the document whereas I was able to locate many strengths.Also, after further review, even though the process of appealing can take up to 205 days; it is unlikely that this will occur. I concur that this code is a very effective source without any significant biases, and should be referred to frequently by all UNF students and faculty members in order to maintain an effective learning environment. Works Cited Education, (n. d. ). Academic integrity code and academic misconduct policies. Retrieved from The University of North Florida website: http://www. unf. edu/uploadedFiles/aa/enrollment/onestop/registrar/MisconductPolicy. pdf

Tuesday, October 22, 2019

Applied Concept Paper Essay

Executive Summary The purpose of this paper is to help me to fully understand and expand my knowledge of the concepts four in our textbook. By performing research about recent business world activities, I will be able to link the terms learned in the lecture in order to get the full picture. Although I chose terms that are found in both chapter 6 and chapter 7, most of my terms come from chapter 7, which talks about corporate strategy. Our textbook Strategic Management and Business Policy textbook by Thomas L. Wheelen and J. David Hunger is a great source of information for anyone interested in learning more about business. According to our textbook, the three key issues that corporate strategy deals with are: 1. Directional Strategy – The firm’s overall orientation toward growth, stability, or retrenchment. 2. Portfolio analysis – The industries or markets in which the firm competes through its products and business units. 3. Parenting strategy – The manner in which management coordinates activities and transfers resources and cultivates capabilities among product lines and business units. From the readings, I chose the terms that I found most interesting. The concepts that I chose from my readings are acquisition, joint venture, licensing agreements, long-term contracts, and strategic alliance. After doing extensive research, I came upon recent articles that have helped me to understand the book and help me to incorporate the knowledge that I have gained in this class with the real world. In this paper I fully explain how the terms learned in the textbook relate to recent articles. Abstracts 1. Delphi Automotive closes on FCI unit acquisition, by the Associated Press, Published on Friday October 26, 2012 This article announces the completion of an acquisition deal that was announced in May of 2012 by the company Delphi Automotive. This deal was for the acquisition of FCI motorized vehicles unit, which manufactures auto connection systems. The deal cost Delphi Automotive 765 million euros ($987.5 million). Delphi Automotive has its headquarters in Troy, Michigan. It was saved by the United States Government in 2005. Since then, the company has recuperated; however, it has done so by decreasing its costs, such as, massive layoffs and downsizing its manufacturing business. With this merger, Delphi expects to increase its future earnings gain an approximate $0.24 per share. 2. Clariant AG : Clariant and Wilmar establish Joint Venture for amines and selected amines derivatives, by Thompson Reuters ONE, Published on Friday, October 26, 2012 This article announces the joint ven ture between two well established companies: Clariant Ltd. and Wilmar International Limited. Clariant Ltd. is a specialty Chemicals Company based out of Swtizerland. It is the parent company to over 100 companies worldwide. As of December 2011, the company had an approximate 22,100 employees. Clariant specializes in growing its business by partnering or acquiring a variety of firms that will help the company maintain profitability and create a steady growth. Wilmar International Limited is a leading competitor in the agribusiness field of Asia. The company was formed in 1991 and it is based out of Singapore. Some of Wilmar’s business activities include, oil palm cultivation, oilseeds crushing, edible oils. In addition, the article goes into detail of how the companies will both benefit from this joint venture. Further detail will be discussed later in this paper. 3. Hyrax Energy and WARF enter into licensing agreement, by Bret Williams, Published on October 26, 2012. This article explains the licensing agreement deal between Hyrax Energy and the Wisconsin Alumni Research Foundation (WARF). This licensing agreement is geared toward finding alternative fuel choices for consumers. Researchers from both Hyrax Energy and WARF have already found new technology that can be used to produce alternative clean fuels and plastic materials. Furthermore, this licensing agreement allows WARF and Hyrax Energy to commercialize the new alternative fuel and generate profits not only domestically but also in the global market in the near future. In addition, the development of this new technology shows that the economy of the United States can be affected positively with the creation of new jobs and also with increased consumer demand for clean biofuels. 4. CareFirst BlueCross BlueShield, Healthways Announce Extension of Contract for Disease Management Services Through 2015, by Business Wire, Published on October 17, 2012 This article is in regards to the extension of a long-term contract between the companies CareFirst Blue Cross Blue Shield and Healthways. The companies have been working together for a few years and they have been serving about 600,000 members. The extension of this contract signifies that together these two companies are able to partner to offer their clients better healthcare services and preventative disease solutions. CareFirst Blue Cross Blue Shield has been in business for 75 years and Healthways is a company dedicated to create healthier human beings. It also serves about 40 million customers in four continents. 5. PepsiCo and Suntory Agree to Form Strategic Beverage Alliance in Vietnam, by Pepsi Co., Published on October 22, 2012 This article discusses the strategic alliance formed by PepsiCo and Suntory Holdings Limited. This strategic alliance will help PepsiCo increase its business in Vietnam. Although both companies have both experienced success in this country, their strategic alliance will catapult both companies to new heights. PepsiCo will be in charge of marketing its strong products which include Pepsi-Cola, 7-UP, Sting, Mirinda, Tropicana Twister, Lipton and Aquafina. At the same time, Suntory will be in charge of bringing its ability to successfully meet the demands of its Asian customers. These companies have successfully worked in the past in other countries, such as, the United States, Japan, and New Zealand. PepsiCo has been able to grow in the Vietnamese market since entering it in 1994. For Suntory, it is hoping to achieve one of its long-range plans, which is to expand in to Vietnam. Concepts 1. Acquisition According to Wheelen and Hunger an acquisition is a growth strategy that occurs when a company absorbs another (usually smaller) company as an operating subsidiary or division of the acquiring corporation. Acquisitions usually take place with companies of different sizes and they can be hostile or friendly. Acquisitions can also be a good way to grow into an international market. For example, a domestic company can purchase another company that is already established and operating in a different country. This benefits the purchasing company by reducing the amount of time and money it needs to spend on acquiring documentation to enter into such country. 2. Joint Venture A joint venture is one type of horizontal growth strategy that companies use in order to penetrate international markets. This usually takes place between a domestic company and a foreign corporation. Joint ventures are created when companies wish to combine their resources in order to create new products and/or technologies. Joint ventures can be made among companies or companies with a government agency. By forming a joint venture, companies usually save themselves the possibility of expropriation in a new country by its government. In addition, a joint venture can also help companies penetrate countries that do not allow foreign vendors. (Wheelen & Hunger, 2012) . 3. Licensing agreements A licensing agreement is another growth strategy that companies use in order to increase their profitability. According to Wheelen, under a licensing agreement, the licensing firm grants rights to another firm in the host country to produce and/or sell a certain product. The licensee pays the licensing firm in return for technical expertise. This strategy is particularly beneficial when the licensing company is well-established but lacks the resources to enter a new market in a different country. 4. Long-term contracts According to our textbook, long-term contracts are a type of vertical integration strategy by the formation of agreements between two firms to provide agreed-upon goods and services to each other for a specified period of time. In order to be considered a type of vertical integration, long-term contracts must specify that the contract is mutually exclusive and that neither firm can enter into the same or a similar contract with a third party. 5. Strategic Alliance Long-term cooperative arrangements between two or more independent firms or business units that engage in business activities for mutual economic gain. In order to keep up with the continuing growth and demand from consumers, strategic alliances have become a part of modern business. The length of strategic alliances may vary from a few months to a few years. Although companies benefit mutually from these alliances, conflicts often arise over the companies’ objectives and control issues. This conflict therefore leads for about 50% of strategic alliances to fail in both domestic and international markets (Wheelen & Hunger, 2012). Analysis 1. Acquisition In the article â€Å"Delphi Automotive closes on FCI unit acquisition,† I learned how an actual acquisition takes place in the business world. One company, in this case Delphi Automotive, which is larger than FCI Group, acquired and completely absorbed FCI Group’s motorized vehicle unit. This friendly takeover will allow Delphi to expand its global reach and its ability to make electronic connectors for vehicles. In addition, this acquisition will also help Delphi Automotive increase its earnings per share in the coming year. 2. Joint Venture In the article â€Å"Clariant AG: Clariant and Wilmar establish Joint Venture for amines and selected amines derivatives,† we see an example of a joint venture. From our textbook we have learned that a joint venture is a type of international entry option for horizontal growth of a company. Both Clariant and Wilmar are well established companies. With the formation of this joint venture, they will influence each other with each company’s individual strengths in order to increase their growth opportunites. Furthermore, the benefits that Clariant will bring to the joint venture are: â€Å"its Industrial & Consumer Specialties (ICS) Business Unit’s sales activities of relevant amines and defined derivatives to the joint venture as well as its amines plant in Germany and production output from its amines plant in Brazil.† At the same time, Wilmar will contribute the venture with the use of its plant in China and also the company’s expertise in oleochemicals and renewable raw materials. The article ends by stating the following: â€Å"Due to its strong roots in Asia combined with plans to expand the business globally, Wilmar is an excellent partner for Clariant to support our customer base in all parts of the world†, said Michael Willome, Head of Business Unit ICS. 3. Licensing agreements This article explains that the companies Hyrax Energy and WARF have entered into a licensing agreement. According to our textbook, companies enter into licensing agreements both domestically and internationally. In this case, the licensing agreement is domestically. Hyrax is a company that emerged from Department of Energy funded Great Lakes BioEnergy Research Center (GLBRC) and has now entered into a licensing agreement with Wisconsin Alumni Research Foundation (WARF) (Hyrax Energy, Inc., 2012). Hyrax’s strategy is to be able to use the latest technologies in order to develop alternative biofuels. In addition, Hyrax hopes that the licensing agreement helps it commercialize its biofuels in the United States and with the long term goal of expansion into the global markets. 4. Long-term contracts According to the article â€Å"CareFirst BlueCross BlueShield, Healthways Announce Extension of Contract for Disease Management Services Through 2015,† the companies mentioned decided to extend their already prosperous long-term contract. This was an agreement previously made by both firms. This allowed them to provide each company’s goods and services to their customers. This way, the companies are successful at reaching more customers and providing better services while reducing their costs. Since the cost of healthcare is rising, the companies are interested in offering preventative solutions in order to minimize future high healthcare costs. Although our book states that recently, companies have moved away from long-term contracts, which is a form of vertical growth strategy, in this case both companies benefit from having contracts since they offer different services to their customers, however, such services complement one another. CareFirst BlueCross BlueShield offers health insurance while Healthways offers its consumers preventative ways to stay healthy and thus helps keep the costs minimum for CareFirst BlueCross BlueShield . 5. Strategic Alliance In the article, â€Å"PepsiCo and Suntory Agree to Form Strategic Beverage Alliance in Vietnam,† we learn how two successful companies decide to join their resources to form a strategic alliance in order to gain market share and mutual economic gain. This strategic alliance will help PepsiCo build on its current position in the Vietnam market, while utilizing Suntory’s strong brands and recognizable ability to cater to the Asian market. The strategic alliance by these two companies in Vietnam is expected to have a positive effect for both companies and will help them increase their profits. Alone each company is already successful; however, together they expect to grow their business exponentially. Conclusion Research and reading the book have taught me to better understand strategies and different techniques that companies use in order to expand their businesses. Companies are in business to create profits; they do this by thinking outside the box. Through the articles, I learned that a variety of companies in today’s market are constantly searching for ways to succeed. In addition, they must seek new ventures in order to enter both domestic and international markets. Where companies choose to join their competitors in a strategic alliance, or a joint venture, long-term contract, or simply by signing a licensing agreement, these are good options for companies to try in order to succeed in the market and avoid a potential acquisition by their biggest competitor. References Associated Press. (2012, October 26). News. Retrieved from Yahoo Finance: http://finance.yahoo.com/news/delphi-automotive-closes-fci-unit-123219090.html Business Wire. (2012, October 17). CareFirst BlueCross BlueShield, Healthways Announce Extension of Contract for Disease Management Services Through 2015. Rock Hill, South Carolina, Unite States. Hyrax Energy, Inc. (2012, October 27). About. Retrieved from Hyrax Energy: http://hyraxenergy.com/ Pepsi Co., I. (2012, October 22). Media – Press Release. Retrieved from Pepsico: http://www.pepsico.com/PressRelease/PepsiCo-and-Suntory-Agree-to-Form-Strategic-Beverage-Alliance-in-Vietnam10222012.html Press Release. (2012, October 26). Clariant AG : Clariant and Wilmar establish Joint Venture for amines and selected amines derivatives. Muttenz, Singapore. Wheelen, T., & Hunger, D. (2012). Strategic Management and Business Policy Toward Global Sustainability. Upper Saddle River, New Jersey: Pearson. Williams, B. (2012, October 26). Alte rnative Energy. Retrieved from Hydrogen Fuel News: http://www.hydrogenfuelnews.com/hyrax-energy-and-warf-enter-into-licensing-agreement/856496/

Virginia Apgar Biography, Creator of Key Newborn Test

Virginia Apgar Biography, Creator of Key Newborn Test Virginia Agpar  (1909-1974) was a physician, educator, and medical researcher who developed the Apgar Newborn Scoring System, which increased infant survival rates. She famously warned that use of some anesthetics during childbirth negatively affected infants and was a pioneer in anesthesiology, helping to raise the respect for the discipline. As an educator at the March of Dimes, she helped refocus the organization from polio to birth defects. Early Life and Education Virginia Apgar was born in Westfield, New Jersey. Coming from a family of amateur musicians, Apgar played violin and other instruments, and became a skilled musician, performing with the Teaneck Symphony. In 1929, Virginia Apgar graduated from Mount Holyoke College, where she studied zoology and a premed curriculum. During her college years, she supported herself by working as a librarian and waitress. She also played in the orchestra, earned an athletic letter, and wrote for the school paper. In 1933, Virginia Apgar graduated fourth in her class from Columbia University College of Physicians and Surgeons, and became the fifth woman to hold a surgical internship at Columbia Presbyterian Hospital, New York. In 1935, at the end of the internship, she realized that there were few opportunities for a female surgeon. In the middle of the Great Depression, few male surgeons were finding positions and bias against female surgeons was high. Career Apgar transferred to the relatively new medical field of anesthesiology, and spent 1935-37 as a resident in anesthesiology at Columbia University, the University of Wisconsin, and Bellevue Hospital, New York. In 1937, Virginia Apgar became the 50th physician in the US certified in anesthesiology. In 1938, Apgar was appointed Director of the Department of Anesthesiology, Columbia-Presbyterian Medical Center - the first woman to head a department at that institution. From 1949-1959, Virginia Apgar served as professor of anesthesiology at Columbia University College of Physicians and Surgeons. In that position she was also the first female full professor at that University and the first full professor of anesthesiology at any institution. The Agpar Score System In 1949, Virginia Apgar developed the Apgar Score System (presented in 1952 and published in 1953), a simple five-category observation-based assessment of newborn health in the delivery room, which became widely used in the United States and elsewhere. Before the  use of this system, delivery room attention was largely focused on the mothers condition, not the infants, unless the infant was in obvious distress. The Apgar Score looks at five categories, using Apgars name as a mnemonic: Appearance (skin color)Pulse (heart rate)Grimace (reflex irritability)Activity (muscle tone)Respiration (breathing) While researching the systems effectiveness, Apgar noted that cyclopropane as an anesthetic for the mother had a negative effect on the infant, and as a result, its use in labor was discontinued. In 1959, Apgar left Columbia for Johns Hopkins, where she earned a doctorate in public health, and decided to change her career. From 1959-67, Apgar served as head of division of congenital malformations National Foundation - the March of Dimes organization - , which she helped refocus from polio to birth defects. From 1969-72, she was the director of basic research for the National Foundation, a job that included lecturing for public education. From 1965-71, Apgar served on the board of trustees at  Mount Holyoke College. She also served during those years as a lecturer at Cornell University, the first such medical professor in the United States to specialize in birth defects. Personal Life and Legacy In 1972, Virginia Apgar published Is My Baby All Right?, co-written with Joan Beck, which became a popular parenting book. In 1973, Apgar lectured at Johns Hopkins University, and from 1973-74, she was the senior vice president for medical affairs, National Foundation. In 1974, Virginia Apgar died in New York City. She never married, saying I havent found a man who can cook. Apgars hobbies included music (violin, viola, and cello), making musical instruments, flying (after age 50), fishing, photography, gardening, and golf. Awards and Accolades Four honorary degrees (1964-1967)Ralph Walders Medal, American Society of AnesthesiologistsGold Medal of Columbia UniversityWoman of the Year, 1973, Ladies Home JournalAmerican Academy of Pediatrics prize named after  herMount Holyoke College created an academic chair in her name

Sunday, October 20, 2019

Marsiglia final essay

Marsiglia final essay Ryan RusaMrs. MarsigliaScifi and fantasy/Period 4May 20, 2013Why an Apocalypse?Why do people feel the need to prepare for an improbable zombie apocalypse? Many apocalyptic/ post-apocalyptic media has influenced us today. People watch too much movies about the apocalypse. They watch doomsday movies, zombie movies, aliens, etc. Some examples include 2012, I am Legend, Walking Dead, Terminator, Judgment day, etc. Does this kind of media have a good or bad influence on us? People need to focus more on preparing for real-life disasters, rather than try to live in a fantasy world. This includes tsunamis, earthquakes, economic depressions, and any other form of disaster that will force you to survive.Apocalyptic movies have affected us both in a good way and a bad way. People always say that the apocalypse is near and come up with a ridiculous date that the world is going to end.Apocalypse?Do you know what has happened on those days that were predicted? Absolutely nothing. When their theori es are proven wrong, they try to convince people with their theories again once another person predicts another day that the world is going to end. There is an article called, 5 people who will be disappointed the world didn't end today, by Luis Prada. There was a man in the article that had apparently built a $14,000 ark to protect him and his family during the apocalypse. All the kids probably laughed at him on December 22, 2012. There was another lady who was completely ridiculous. This woman's name is Nancy Lieder and she is crazy. In 1995, she had introduced the "Planet X Theory." The theory was that a planet was going to sneak up on us and hit Earth, destroying life on Earth. She predicted the world would end in...