Wednesday, October 30, 2019
Globalization and Global Strategic Planning SLP 1 (401) Essay - 1
Globalization and Global Strategic Planning SLP 1 (401) - Essay Example The companyââ¬â¢s retail division (called Primark in UK and Penneyââ¬â¢s in Ireland) has a global presence with over 215 stores covering a total area of 6.9 million square feet (ABF, 2010). The retail divisionââ¬â¢s outlets are located in Belgium, Germany, Ireland, the Netherlands, Portugal, Spain and the UK (ABF, 2010). In 1963, the company acquired the British supermarket giant, Fine Fare which it sold later in 1986 in order to acquire British sugar (ABF, 2010). As of 2009, British Sugar fulfills the sugar (ABF, 2010). The company provides employment to more than 97,000 people and operates in more than 44 countries (ABF, 2010)The Companyââ¬â¢s profits by geographic region are such that the company derives 53% of its profits from U.K and rest from international sales. Amongst the international regions it targets are Europe , Africa, America and Asia Pacific with Europe and Africa contributing the most and Asia Pacific contributing the least (ABF, 2010). The mode of market entry employed by ABF has been diversification of both products and markets (Whittington & Mayer, 2002). It has been observed at times, that diversification into new markets has been the result of product diversification; that is, the company has entered into new markets simply because those markets had demand for the product that the company had newly introduced. This was the case with sugar. ABF diversified into the food business because of its intention to provide one-stop convenience shopping to customers; the company had realized that customer buying habits and trends were changing (Whittington & Mayer, 2002). One of the most important reasons however was the instability of earnings from sugar sector due to its seasonal nature, coupled with the anticipated EU reform (Bertin, 2002). By the early 1900ââ¬â¢s, ABF diversified into the tea and coffee segment (through acquisition of Twinings and Jackson), the biscuits and chips bread business (through acquisition of Burtons
Sunday, October 27, 2019
Dermatoglyphic Patterns with Rampant Caries
Dermatoglyphic Patterns with Rampant Caries A Twin City Study Correlating the Dermatoglyphic patterns with Rampant Caries and Early Childhood Caries Abstract : Background and Aim : This study was undertaken to investigate and analyze the correlation between dermatoglyphic pattern and caries prevalence in young children in twin cities of Pune and Mumbai. Materials and methods : Two centers were selected in Pune and Mumbai . A total of 300 patients (150 patients in each center) were included in this study. The mean age ranged from 3-5 years. The samples were divided into two groups; Group I: Caries and Group II: caries-free groups.Group I was further divided into children with early childhood caries and children with rampant caries Dental caries were detected clinically using mouth mirror and probe(only to remove debris not probed into the fissures) in daylight or suitable light source. Fingerprints were obtained by the conventional ink method .Statistical analysis using the students t-test was used to determine mean values and gender differences in the findings using SPSS version 11.0 Results : The evaluation and comparison of patterns in children with caries and caries-free children in both right and left hands showed increase in the number of whorls in children with rampant caries as compared to children with early childhood caries. However , this was not statistically significant. Conclusion : The present study showed a definite variation in dermatoglyphics between the ECC ; rampant caries and caries-free group .However the rampant caries group showed more number of whorls as compared to the earl childhood caries group but they were statistically insignificant .Dermatoglyphics has proven to be an extremely useful, non-invasive and cost-effective tool for preliminary investigations into conditions with a suspected genetic base like dental caries. Keywords : Dermatoglyphics , rampant caries , early childhood caries. INTRODUCTION : The word dermatoglyphics comes from two Greek words (derma, skin and glyphe, carve) and refers to the friction ridge formations which appear on the palms of the hands and soles of the feet .(1) Dermatoglyphics is the scientific study of fingerprints. Since each personââ¬â¢s fingerprints are unique, we can understand oneââ¬â¢s innate potential, personality, and preferences by analyzing dermatoglyphics. Dermatoglyphic patterns are highly variable from person to person, while genetic aberrations generally produce consistent phenotypes. A twin-city survey was conducted in Mumbai and Pune reviewing a total of 300 children. Twin citiesare a special case of twocitiesor urban centres that are founded in close geographic proximity and then grow into each other over time, losing most of their mutual buffer zone.Cities twinned by proximity do not necessarily match demographically, economically, or politically . The main focus of dermatoglyphic study is in the papillary ridges, the small markings that make up your fingerprints and exist on all primates skin. The formation of these papillary ridges occurs during a short window of development (2), and is influenced by a combination of genetics and the environment in utero. Being affected by the environment at such a time means thatmonozygotic twinswould have different dermatoglyphic markings .(3,4,5) The ridges do not change over post-natal life, which lends itself into forensic uses. The twin city survey was undertaken to evaluate the fingerprint patterns of children with dental caries ( Study groups-rampant caries versus early childhood caries ) and caries free individual (control group). Materials and Methods : Two centers were selected in Pune and Mumbai . A total of 300 patients (150 patients in each center) were included in this study. The mean age ranged from 3-5 years The samples were divided into two groups; Group I: Caries and Group II: caries-free groups.Group I was further divided into children with early childhood caries and children with rampant caries. Dental caries were detected clinically using mouth mirror and probe(only to remove debris not probed into the fissures)6 in daylight or suitable light source. Finger and palm prints were recorded using the ink method described by Cummins and Midlo.1The hands of the children included in this study were washed with soap and water to remove dirt and oil from the ridged skin and blot dried to improve the quality of the prints . Statistical analysis using the students t-test was used to determine mean values in the findings using SPSS version 11.0 Recording Interpretation of Dermatoglyphic patterns : Fingerprints : The fingerprints of all subjects were recorded using black duplicating ink ,the fingers were uniformly pressed on the ink pad after which the digits were pressed firmly against the white paper by the operator to avoid bias . The fingerprints obtained were checked for their clarity with a magnifying glass (Ãâ"2) . INTERPRETATION OF HANDPRINTS The handprints were observed in a sequential manner under a magnifying glass with Ãâ"2 power, from the left hand 4 th digit until the thumb followed by the thumb of right hand until the 4 th digit. This study included qualitative analysis that is the fingertip patterns (Loops, whorls,arches) The frequency of true patterns of loops, whorls, and arches was counted on the fingertips of all the 10 digits of children in all the groups. They were assessed for increase or decrease in mean frequencies. QUALITATIVE DERMATOGLYPHIC ANALYSIS Type of dermatoglyphic pattern Different types of dermal patterns were identified .(7) A loop is recognized as a series of ridges that enter the pattern area on one side of digit, recurves abruptly and leaves the pattern area on the same side. A single triradius is present, which is located laterally on the fingertip, where the loop is closed. If the ridge opens on ulnar side it is called as ulnar loop and if it opens toward the radial side it is called as radial loop. A whorl differs from the loop in the aspect of concentric arrangement of ridges, with two or more triradii in the latter. A whorl may be spiral, symmetrical, double looped, central-pocketed or accidental, depending upon the internal structure of the whorl pattern. In all the dermatoglyphic patterns seen, arches show the simplest ridge pattern, which is formed by the succession of one or more parallel ridges, which cross the finger from one side to the other without recurving. These patterns usually do not show the presence of triradii, except when the tented arch is present that will have a triradii point near its midline. RESULTS : Statistical results were obtained by one-way analysis of variance (ANOVA) with Post-Hoc Tukeyââ¬â¢s correction for multiple group comparisons . The average no. of loops did not differ significantly between ECC and Rampant caries group (P-value>0.05). The average no. of loops is significantly higher in control group compared to ECC and Rampant caries group (P-value0.05). The average no. of whorls is significantly higher in ECC and Rampant caries group compared to Control group (P-value0.05 for all). Table 1) The intergroup comparison of finger print pattern. Values are Mean à ± Standard Deviation. P-values by one-way analysis of variance (ANOVA) with Post-Hoc Tukeyââ¬â¢s correction for multiple group comparisons. P-value Figure 1 The intergroup distribution of finger print pattern (Right+Left). DISCUSSION : Widespread interest in epidermal ridges developed only in the last several decades when it became apparent that many patients with chromosomal aberrations had unusual ridge formations 10. Dermatoglyphic patterns make good material for genetic studies, because unlike stature, intelligence, and body weight, they are not significantly influenced by age or by postnatal environmental factors. 8,9,10 Dermatoglyphics have the advantage of remaining stable throughout life and therefore can be compared among individuals of different ages. The basis of considering dermatoglyphic pattern as genetic marker for dental caries is that the epithelium of finger buds as well as enamel which is the most susceptible dental tissue to dental caries have ectodermal origin and both develop at the same time of IU life.12 In this study , the evaluation and comparison of patterns in children with caries and caries-free children in both right and left hands showed increase in the number of whorls in children with rampant caries as compared to children with early childhood caries. However , this was not statistically significant. These results were substantiated by Atasu et al. who found an increased frequency of ulnar loops in caries-free children and an increased frequency of whorls in children with dental caries. The majority of whorl patterns in the control group were spiral while the caries group showed spiral, central pocket and double loop . Arches were least common patterns in both the groups.13,14 A definite correlation in the dermatoglyphic patterns between children with caries and caries-free children can be seen in this study. Thus, recording the dermatoglyphic patterns of children at an early age, during their first dental visit will be handy in predicting whether the child belongs to the high risk group or the low risk group and thereby can aid in planning a definitive preventive and treatment strategies. CONCLUSION : The dermatoglyphic patterns may be utilized effectively to study the genetic basis of dental caries. In a developing country like India , it might prove to be a non invasive , inexpensive and effective tool for screening . These patterns may represent the genetic make up of an individual and therefore it suggests an individual s predisposition to certain diseases . Since dermatoglyphics is still an counterfactual and imprecise science at the present time, it requires further extensive research to ascertain the significance of these variations in the dermatoglyphic features of children with dental caries . REFERENCES : Schaumann B, Alter M. Dermatolglyphics in Medical Disorders. New York, Heidel Berg, Berlin: Springer-Verlage; 1976. p. 14-75 Uchida JA, Solton HC. Evaluation of dermatoglyphics in medical genetics. Pediatr Clin North Am 1963;10:409-22. Pons J. Genetics of the A-B ridge count on the human palm. Ann Hum Genet 1964;27:273-7. 8. Venkatesh E, Bagewadi A, Keluskar V,Shetti A. Palmar dermatoglyphics in oralleukoplakia and oral squamous cell carcinoma patients. Journal of IndianAcademy of Oral Medicine and Radiology 2008;20:94-9. Hirsch W, Schweichel JU. Morphological evidence concerning the problem of skin ridge formation. J Ment defic research 1973;17:58-72. Penrose LS. Fingerprints, palms and chromosomes. 1963;197:933-8. Cummins. Revised methods of interpretation and formulation of palmar dermatoglyphics. Am J Phy Anthr 1929;12:415-502 Cummins. Study of error in interpretation and formulation of palmar dermatoglyphics. Am J Phy Anthr 1928;11:501-21 Okajima M. Development of dermal ridges in the fetus. J Med Genet 1975;12:243-50. Carter CO. Genetics of common disorders. Brit Med Bull 1969;25:2-57 Matsunaga E. Hereditary factors in congenital malformations. Igakunoayumi 1977;103:910-5 11. Verbov J. Clinical signifi cance and genetics of epidermal ridges-A review of dermatoglyphics. J Invest Dermatol 1970;54:261-71. 12. Madan N, Rathnam A, Bajaj N. Palmistry: A tool for dental caries prediction Indian J Dent Res 2011;22:213-8. 13. Atasu M. Dermatoglyphic fi ndings in dental caries: A preliminary report. J Clin Pediatr Dent 1998;22:147-9. 14. Ahmed RH, Mohammed I. Aref, Rania M Hassan and Noura R Mohammed. Dermatoglyphic study on patients with dental caries restored with dental fi llings and its correlation to apoptosis induced by dental fi llings. Nat Sci 2010;8:54-7.
Friday, October 25, 2019
Essay --
There are several interactions that happen between species. They include competition, mutualism, predation, parasitism, and disease. Each one of these can affect organisms either in a positive or negative way. These are all important for organisms to evolve and become the best fit of their species. Without these interactions species would never change and would die out very easily when faced with tough environments. Competition is always over the supply of a limited resource. There are two types of competition: intraspecific and interspecific. Intraspecific is competition between the same species. This is usually beneficial to the species as a whole because it results in the best fit organism. Interspecific is competition between different species and is known to be detrimental to both species. There are three principles that apply to competition. Competition exclusion principle is when two species live together and occupy the same niche and eventually one species will out compete the other and replace it in that environment. The second principle is niche overlap which means that when two species live together over a large area one species will replace the other in part of that area. The last principle, character displacement, is when two species live together and initially occupy the same niche they may evolve to become different over time in order to avoid competition. When more than one spec ies occupy the same niche and are very similar it is common for one of them to become specialized in that area. For example if two birds are eating the same food one may develop a different beak over time in order to hunt for a different food. Mutualism is another important species interaction. Mutualism is a relationship that is benefi... ... but similar areas. They put some in isolation and some went into a mixture of other species. It was discovered that the species in the mixture evolved more diversely than those that were in isolation. They also discovered that the mixture of species changed the way they used resources. This showed that the species that evolved together were more productive than the species in isolation. The final conclusion was that ââ¬Å"species interactions can have a major effect on evolutionary dynamics, which can in turn influence ecosystems functioningâ⬠(Timothy G Barraclough). I found the academic journals to be the most helpful. They provided a lot of information. Academic journals are the most reliable source when writing a paper because they are peer reviewed and are accurate in a specified field. All my articles stated the same information so there were no inconsistences.
Thursday, October 24, 2019
Family Values Paper
Family is a term that can be interpreted differently by every individual, as it defines itself by oneââ¬â¢s personal experiences and expectations. In health care, one would define a family as a support system to an individual in a state of compromised health. The family role in the health care setting can vary based on the patientââ¬â¢s condition. In the intensive care unit the families play a large role especially, for those individuals whom lose his or her ability to provide self-care and make self-care decisions.As a health care provider it is important to understand the role of family system, family concept, and the application of an appropriate family nursing theory. Family System/Concept of Family For a family system to have a positive role in the intensive care unit the family must serve as a system in support of the individual family member. The family often plays a role in the plan of care, as the individual suffering the illness cannot serve as the sole provider of se lf-care.In some cases the ill individual cannot play a role in self-care. The family can play a role in the individualââ¬â¢s recovery by coming together as one to support healing, or simply identifying, and achieving individual health goals. All individuals in the intensive care unit develop a plan of care with the assistance of a multi-disciplinary team, including nursing, physicians, social work, and case management. In some cases end-of-life ecisions must be made primarily based on known individual wishes or documents, and the support of the family. Even when a patient in the intensive care unit has an opportunity for a positive outcome there are difficult decisions, difficult messages, and difficult conversations to be had. According to a study completed by Caroline Williams; the family plays a larger role than providing information about the individual; including emotional support to the patient, and a positive psychological effect (Williams, 2005).In the situation which a f amily members health is compromised to the level that they need to be in the intensive care unit, not only does the family need to come together to serve as a support for the patient, but also a support for one another. As health care providers one must serve a role in this process as well. According to Damboise and Cardin, the familyââ¬â¢s needs include; information, reassurance, support, and the need to be near the patient (2003).Family Nursing Theory. Oremââ¬â¢s Self Care Model of Nursing involves the understanding that patients not only have the ability, but also the right, and responsibility to care for themselves (Clark, 1986). One believes that Oremââ¬â¢s model is important in the intensive care setting, often-times we rely too heavily on the families and support personnel, and forget to rely on the theoretical framework to encourage and guide the individual to provide self-care and make self-care decisions (Orem, 2001).When an individual is cannot provide self-care, as often is the case in the critical care setting it is important for the family to approach oneself needs as a system. One believes it is important for the family to understand the complexity of the self-care needs. Decisions for plan of care can be based on what the family perceives as the individual needs, which can be a deception of reality if nursing and health care personnel are solely providing such care needs. Many families visit the hospital and see the best of the patients day.The health care professional provide all self-care; they never see the patient struggle to take a bite of food, be cleaned up from numerous incidents of incontinence, or the struggle to get he or she into the chair prior to his or her visit. When this happens, the familiesââ¬â¢ reality of taking the individual home does not seem so unreachable. It is when the family plays an active role in such activities that they see the reality of providing care to an individual with debilitating health condit ions. By managing ones hospital stay be Oremââ¬â¢s Self Care Model, a family can make educated decisions on the plan of care.Conclusion Anytime an individual is in the hospital no matter what level of care the emotional stress on the individual and family can be very overwhelming. By supporting the individual with the concept of the family as a system, one is on track for the best outcomes. In some cases the best possible outcome is making a difficult decision to maintain the integrity of the individual involved. By practicing nursing care based on theories such as Oremââ¬â¢s we can ensure that one has done everything he or she can do to support positive individual outcomes.
Wednesday, October 23, 2019
Physiology
You recorded the data in Chart 1 on page 35. E the data to produce a Graph that will clearly show how the effects Ion the resting membrane potential when the KEF concentration of Is high and when the KEF concentration of An+ is low. Hint: take in consideration that independent variable is not a numeric but a category. (4 points) The following questions will require you to do some Web search. 2. Loading Is a commonly used anesthetic. What is the molecular composition of Loading. (type of macromolecule and formula) (2 points). 3. List three specific usages of loading (1 points each = 3 points) 1. 3. 4.Provide the name of two vendors of loading and four (4) brand names for this anesthetic (1 points each) Vendors Brand Names 1 OFF 5. Explain the precise mechanism behind Loading effect on action potential in nerves. Indicate to what type of integral proteins Loading binds to, the effect on such proteins and what will be the effect on the generation of an action potential and on the transm ission of the action potential. (4 points) 6. Loading is commonly administrated topically to anesthetize the nerve endings in the dermis that are activated by noxious stimulus resulting in the nerve conduction f impulses that are perceived as ââ¬Å"painâ⬠.Draw a figure of the transverse section of the Shinto show the layers of the epidermis and structures of the dermis (do not forget to include the nerve endings). Use the Diagram to indicate all the layers of cells the Loading has to go through to reach the nerve endings. (Figures copied and pasted form the internet will not be accepted, you have to draw your own version of a figure) (5 points). 7. What cell membrane transport do you suspect moves Loading from the surface of the epidermis all the way down the nerve endings. (1 point)
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