Saturday, August 22, 2020

North Korea faces an ongoing food and humanitarian crisis. As a State Essay

North Korea faces a continuous food and compassionate emergency. As a State Department organizer, diagram the political advantages and disadvantages - Essay Example Ideally this will give a sign to the system that the American government has a personal stake in the government assistance of the individuals paying little heed to the political contrasts and the connection between the two nations. Help to North Korea can over the long haul take out the danger of atomic force by the nation. The February 2007 understanding between the USA and North Korea in the denuclearization procedure inside the six-party system should offer some hint of something better over the horizon to the USA. The prizes given to North Korea, for example, guarantees of food and vitality backing should move in the direction of a possible change in conduct. Albeit North Korea is as yet proceeding with their atomic program the six-party talks and substantial help and guarantees ought to be steady. In January 2009 North Korea implied that it would abridge its atomic program if there was a foundation of formal political relations with the USA, among different specifications. A definitive goal of help to North Korea ought to be for the essential human rights reasons. Compassionate guide ought to be focused at the enduring populace instead of attempting to make an impact on the political pioneers. Help is important from the western perspective of human rights yet ought not be relied upon to change the approaches of Kim Jong While from one perspective helpful guide will and should profit the individuals, it can likewise tragically make some preferred position for the decision system. The extremist idea of the system makes it workable for any global body to have an immediate duty on the dissemination of help. Contingent upon the kind of help this can be controlled by the political directorate and invigorating them more and force as opposed to giving alleviation to the populace. History has indicated that an expansion of compassionate guide to the nation has not discouraged the threats and assaults on human privileges of the residents. The

Wednesday, July 15, 2020

Is It Your Fault That Youre Depressed

Is It Your Fault That You're Depressed Depression Causes Print Is It Your Fault That Youre Depressed? By Nancy Schimelpfening Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be. Learn about our editorial policy Nancy Schimelpfening Medically reviewed by Medically reviewed by Steven Gans, MD on April 25, 2015 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on February 04, 2020 Depression Overview Types Symptoms Causes & Risk Factors Diagnosis Treatment Coping ADA & Your Rights Depression in Kids hsyncoban / Getty Images If you struggle with depression, you may have encountered a friend or family member who insists that youll feel better if you just got out of your room more often and tried to change your life. These notions are not only untrue for many people with depression, but they can be harmful. Its very important for you to realize that depression is not your fault.  It is believed that depression occurs because of an imbalance of important mood-regulating chemicals in your brain called neurotransmitters.??  Just like a person with diabetes can not try harder to make their pancreas produce more insulin, a person with depression cannot will their brain to produce more neurotransmitters. There are many misconceptions surrounding depression, but suggesting that it is a choice is particularly damaging. In a 2017 viral Twitter thread, comedian Andy Richter discussed his experiences with depression and criticized the notion that people who have depression can overcome this if you just try hard enough.  His comments struck a chord, with many people commenting that depression, just like other physical illnesses, is not a choice and cannot be cured by staying positive. Self-Help for Depression For someone who does not live with clinical depression, a friend or family members recommendation that you just do x, y, or z may actually be helpful.  Those with mild or situational depression may be able to snap themselves out it by simply getting out more or making some easy changes in their lives.   Research has found that lifestyle modifications such as exercise, diet changes, relaxation, sleep, and increased social interaction can have both a protective and alleviating effect on symptoms of depression.?? For milder symptoms or situation-related symptoms, making these kinds of lifestyle changes may be enough to help a person feel better. While there is power in knowing what changes you can make on your own to support your mental health, its also important to remember that making these lifestyle changes can be difficult for someone who is feeling depressed. It can be hard to find the energy to exercise each day, for example, when you feel like you barely have the energy to get out of bed. When to Seek Outside Help If you are feeling depressed or you no longer experience pleasure in things you once enjoyed and these feelings have been going on continually for more than two weeks, it is very possible that you will need to seek professional help to get yourself on an even keel again, especially if you have several other symptoms of depression, such as: Changes in weight or appetiteProblems with sleepTiredness or lack of energyFeelings of guilt or worthlessnessProblems with thinking or concentrationThoughts of death or suicide Talk to your doctor if you are experiencing symptoms of depression. Call 911 or the National Suicide Prevention Lifeline at 1-800-273-8255 anytime to talk to a trained counselor and connect with mental health resources in your area. What Can Help One of the ways a mental health professional can help you is by prescribing antidepressants.  Antidepressants can alleviate depression by raising the levels of various neurotransmittersâ€"such as serotonin, norepinephrine, and dopamineâ€"available in the brain for use.  Different antidepressants affect neurotransmitters in different ways, so certain antidepressants may be more effective than others for any given individual.?? Another popular treatment option, either on its own or in combination with antidepressant medications, is psychotherapy.  Psychotherapy,?? also known as talk therapy, can be useful in helping depression because it teaches people to recognize how their thoughts and behaviors may be contributing to their depression.  When combined with medications, this may be the most effective approach to prevent a recurrence of depression. Treatment Options for Depression How to Cope Depression is not your fault, and it is certainly not a choice. Evidence-based treatment options including medications and psychotherapy can be helpful in reducing symptoms of depression. There are also lifestyle modifications that you can make that can help you cope and provide some relief. Doing these things wont cure your depression, but they can complement your other treatments and perhaps make it easier to manage your symptoms. Eat a healthy diet. Research has shown that there may be a connection between some nutritional deficiencies and depression,?? although it is not clear if one causes the other or vice versa. Try to get the daily recommended amounts of amino acids, minerals, fatty acids, and complex carbohydrates.Try to get enough rest. Depression can lead to sleep disturbances, either sleeping too little or too much. Focus on establishing good sleep habits, such as going to bed at the same time each night, not using electronic devices before bed, and creating a relaxing bedtime routine.Try to exercise. Its often hard to find the motivation to exercise when you are depressed, but it may not take much to have an impact. Research has shown that regular moderate exercise can not only help prevent depression, it can also be an effective treatment.?? One study found that as little as one hour of exercise per week could help stave off symptoms of depression.?? Of course, this research does not suggest that if you had just eaten healthy, slept well, or gotten enough exercise that you could have prevented your depression. Depression is a complex condition that involves many variables and risk factors including your family history, unique genetic makeup, and brain chemistry, among other things. Making lifestyle changes might help, but they arent a cure-all and there is no single approach that is right for everyone. What to Say to Someone With Depression If you have a friend or loved one who is depressed, there are ways that you can offer support without blaming or shaming the individual for their condition. Acknowledge their pain. Dont be dismissive of the symptoms of depression. Let them know that you recognize that what they are going through is very real and very hard, and then let them know that you are there to offer support.Ask what you can do. Depression can make it hard to accomplish even basic daily tasks. Household duties like making dinner or doing the laundry can seem almost impossible. Even small things like bringing them dinner or picking up the dry cleaning can be helpful.Dont offer cures or solutions. It might seem helpful to recommend solutions but in many cases, those have you tried this statements come off as non-empathetic at best or judgmental at worst.Let them know that you care. Tell the person directly that they are important to you and that you value them. Depression can make people feel worthless, so finding social support is critical. What to Say When Someone Is Depressed A Word From Verywell Sometimes the guilt and feelings of worthlessness that go along with depression can make it very easy to blame ourselves for how we are feelingâ€"especially if our friends and family are blaming us already. But this doesnt mean that its your fault.  Depression is a real illness just like any other and there are effective treatments that can help you feel better.  You dont have to suffer in silence or feel guilty that you arent trying hard enough to get well.  Sometimes just making it through the day is the best that we can do when we are feeling depressed. The Best Online Help Resources for Depression

Thursday, May 21, 2020

Complications, Complication Rates, And 90 Day Readmission...

Abstract With the recent focus on dramatic cuts and escalating healthcare costs in the United States, a new center of attention has been placed upon postoperative readmission and reimbursement. Although sacral fractures constitute a large component of all pelvic fractures, there is relatively little data investigating differences in the postoperative length of stay (LOS), the complication rates, and the 90-day readmissions for these patients. The purpose of this paper was to investigate differences in postoperative length of stay, complication rates, and 90-day readmission rates for patients with operative isolated sacral fractures. All patients who presented to a large tertiary care center with isolated sacral fractures in an 11 year†¦show more content†¦This significant difference in LOS between ORIF vs. percutaneous fixation of sacral injuries leading to an average difference of $13,590 in average inpatient cost highlights predicative information to potentially reduce perioperati ve costs related to sacral fractures for orthopaedic surgeons. INTRODUCTION 45% of all pelvic fractures are sacral injuries [1]. They can occur in high energy collisions, with motor vehicle accidents making up 57% of these crush injuries [2]. Traumatic force can lead to compression, which then precipitates neurological complications [3]. For this reason, these fractures are musculoskeletal injuries requiring emergent action at trauma centers to reduce the risk of complications. While open reduction and internal fixation (ORIF) methods permits direct visualization of the injured pelvis, there are highly variable wound complication rates ranging from 3.9% to 27% [4]. Critics of ORIF are concerned about the extremely high risk of infection post-operatively, which can increase from 18% to 27% for fractures treated early and late, respectively [5]. It is reasonable to consider a more minimally invasive technique such as percutaneous fixation, which uses screws to mechanically stabilize an unstable sacrum [6]. Percutaneous fixation with iliosacral screws, for example, have led to decreases in surgical time, exposure related hazards, and soft-tissue disruption [7]. With the recent focus on dramatic cuts and

Wednesday, May 6, 2020

Entrepreneurship - 1228 Words

Similarities and differences between a manager, a business owner and an entrepreneur Date: 12/8/2011 Version: 1.0 Student Number: 110369257 Module: BUS1004 Similarities and differences between a manager, a business owner and an entrepreneur By Henry Amm Introduction The public perception of entrepreneurs today is almost legendary. They seem to seamlessly start up small businesses and make them grow and develop themselves almost overnight to big successes. (Beaver, 2005) This essay will briefly cover the differences and similarities between managers, business owners and entrepreneurs. Differences and similarities between managers, owners and entrepreneurs Back in the 19th century being a businessman, in other words being an†¦show more content†¦Therefore he often runs a lifestyle firm that is based on trade or craft which, however, will not grow to any considerable size. The entrepreneur in turn is opportunistic, innovative, self-confident and acts proactive and decisive. He is highly self-motivated by his vision and is therefore willing to take even greater risks and can live with a high uncertainty. That is why the entrepreneur has a growth firm and is pursuing growth and personal wealth. Lastly the manager is administrating, or in other words managing, an entity that does not belong to him. His ‘purpose’ is to build up the organisation, by means that are similar to larger firms. (Burns, 2007) However there are some exceptions from that generalization: An owner-manager of course can have a growing business, while an entrepreneur could manage a business he owns together with a business associate and therefore ha s not complete control over the capital. (Burns, 2007) As Fraja (1996) suggests every firm can be assigned to either one of the following types: Either it is an entrepreneurial firm, where the owner-manager or entrepreneur is in exclusive control, organizes production, borrows funds and retains any residual returns from his work. Or it is a managerial firm, where the individual that has the right to residual returns remains outside the company and the individual that has theShow MoreRelatedEntrepreneurship1111 Words   |  5 PagesEntrepreneurship Entrepreneurship is the act of being an entrepreneur or one who undertakes innovations, finance and business acumen in an effort to transform innovations into economic goods. This may result in new organizations or may be part of revitalizing mature organizations in response to a perceived opportunity. The most obvious form of entrepreneurship is that of starting new businesses (referred as Startup Company); however, in recent years, the term has been extended to include socialRead MoreEntrepreneurship1326 Words   |  6 Pages‘Critically evaluate the key theoretical developments of the term Entrepreneurship’. Student Name : Jonalee B. 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Coca-Cola Market Opportunity Free Essays

The Coca-Cola Company has long been a worldwide business. The first soda fountain sales to Canada and Mexico were recorded in 1897 with the first international bottler established in Panama in 1906. Coca-Cola entered China in 1927 and the 100th country, Sierra Leone, in 1957. We will write a custom essay sample on Coca-Cola Market Opportunity or any similar topic only for you Order Now Today, the Coca-Cola Company is the largest beverage company with the most extensive distribution system in the world. In the first two decades of the twentieth century, the international growth of Coca-Cola had been rather haphazard. It began in 1900, when Charles Howard Candler, eldest son of Asa Candler, took a jug of syrup with him on vacation to England. A modest order for five gallons of syrup was mailed back to Atlanta. The same year, Coca-Cola travelled to Cuba and Puerto Rico, and it wasn’t long before the international distribution of syrup began. Through the early 1900s, bottling operations were built in Cuba, Panama, Canada, Puerto Rico, the Philippines, and Guam (western Pacific island). In 1920, a bottling company began operating in France as the first bottler of Coca-Cola on the European continent. In 1926, Robert W. Woodruff, chief executive officer and chairman of the board, committed the company to organized international expansion by establishing the Foreign Department, which in 1930 became a subsidiary known as the Coca-Cola Export Corporation. By that time, the number of countries with bottling operations had almost quadrupled, and the company had initiated a partnership with the Olympic Games that transcended cultural boundaries. Coca-Cola and the Olympic Games began their association in the summer of 1928, when an American freighter arrived in Amsterdam carrying the United States Olympic team and 1,000 cases of Coca-Cola. Forty thousand spectators filled the stadium to witness two firsts: the first lighting of the Olympic flame and the first sale of Coke at an Olympiad. Dressed in caps and coats bearing the Coca-Cola trademark, vendors satisfied the fans’ thirst, while outside the stadium, refreshment stands, cafes, restaurants, and small shops called ‘winkles’ served Coke in bottles and from soda fountains. The company began a major push to establish bottling operations outside the USA. Plants were opened in France, Guatemala, Honduras, Mexico, Belgium, Italy, and South Africa. By the time the Second World War began, Coca-Cola was being bottled in forty-four countries, including those on both sides of the conflict. Far from devastating the business, the war simply presented a new set of challenges and opportunities for the entire Coca-Cola system. The entry of the United States into the war brought an order from Robert Woodruff in 1941 ‘to see that every man in uniform gets a bottle of Coca-Cola for 5 cents, wherever he is and whatever it costs the Company. This effort to supply the armed forces with Coke was being launched when an urgent cablegram arrived from General Dwight Eisenhower’s Allied Headquarters in North Africa. Dated 29 June 1943, it requested shipment of materials and equipment for ten bottling plants. Prefaced by the directive that the shipments were not to replace other military cargo, the cablegram also requested shipment of 3 million filled bottles of Coca-Cola, along with supplies for producing the same quantity twice monthl y. Within six months, a company engineer had flown to Algiers and opened the first plant, the forerunner of sixty four bottling plants shipped abroad during the Second World War. The plants were set up as close as possible to combat areas in Europe and the Pacific. More than 5 billion bottles of Coke were consumed by military service personnel during the war, in addition to countless servings through dispensers and mobile, self-contained units in battle areas. But the presence of Coca-Cola did more than just lift the morale of the troops. In many areas, it gave local people their first taste of Coca-Cola. When peace returned, the Coca-Cola system was poised for unprecedented worldwide growth. From the mid-1940s until 1960, the number of countries with bottling operations nearly doubled. As the world emerged from a time of conflict, Coca-Cola emerged as a worldwide symbol of friendship and refreshment. The Coca-Cola Company is now operating in more than 200 countries and producing nearly 400 brands; the Coca-Cola system has successfully applied a simple formula on a global scale: provide a moment of refreshment for a very small amount of money-a billion times a day. The Coca-Cola Company and its network of bottlers comprise the most sophisticated and pervasive production and distribution system in the world. From Boston to Beijing, from Montreal to Moscow, Coca-Cola, more than any other consumer product, has brought pleasure to thirsty consumers around the globe. 1. Trace the Internationalisation / Globalisation model of coco cola. 2. What were the Triggers Motives for coco cola to global? 3. Why do you think coco cola was so successful despite the fact that ‘food drinks’ preferences are highly local like in case of tea/ coffee? How to cite Coca-Cola Market Opportunity, Papers

Friday, April 24, 2020

SOM Assignment Essay Example

SOM Assignment Essay Question no. 1 Which of the eight elements of the service marketing mix are addressed in this case? Give examples of each â€Å"P† you identify. Answer. Product Element: Beckett’s core product is dentistry services in a quality environment. All facilitating supplementary services increase the value of her core product. She tries to differentiate her core product from her competitors in terms of quality. Place Element: Place is the Dr. Beckett’s Dental Office. Time can be the working hours of the office. Process Element: Patient is the direct recipient of dental service, so it is a people processing service. Patients must be physically present to receive the service. We will write a custom essay sample on SOM Assignment specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on SOM Assignment specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on SOM Assignment specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Productivity Element: She wants to differentiate her service in terms of the quality. She moved a new office to provide an efficient environment for employees. People Element: Dr. Beckett employees are her people. She motivates her staff with training, vacations. She gives importance to her staff’s suggestions and staff‘s motivation increases. Physical Environment: Dr. Beckett’s new office is modern and attractive. Her  staff wears uniforms which match with the decoration of office. Price Elements: Price is higher than other competitors. Other than financial costs, patients have non-financial costs which can be listed as: physical, psychological and time expenditures. Promotion Element: There is no advertising. Main tool is â€Å"word of mouth†. They use VCR to show the dental processes. Also a literature is available for the patients about after treatment procedures. Question no. 2 Why do people dislike going to dentist? Do you feel Dr. Beckett has addressed this problem effectively? Answer  Patients can have nonfinancial costs in dental service. These are psychological, physical and time cost. Yes, I think Dr. Beckett has addressed this problem effectively. She knows that patient must have a dental treatment and tries to do the best job and make them as comfortable as possible. Question no. 3 How do Beckett and her staff educate patients about the service they are receiving? What else could they do? Answer  Ã‚  Dr. Beckett and her staffs provide videos about the dental operation to educate patients. They can have before and after treatment photo album for new patients and this may be reduce their fear. Also brochures can be useful to educate patients. Apart from educating the customer, maybe she can have a dentist partner to balance the excess demand. Question no. 4 What supplementary services are offered? How do they enhance service delivery? Answer   Both facilitating and enhancing supplementary services are offered. Facilitating supplementary services: Beckett’s patients know dental procedures before the treatment. (Information) When patients make an appointment for dental care (order taking) Enhancing supplementary services: There was a small conference room with toys for children. They can play with toys when their parent’s receiving dental service (safekeeping) Before and after treatment, Dr. Beckett and her employees consult with patients. They consult them about how to maximize their treatment outcomes. (Consultation) Dr Beckett’s office provides a comfortable and modern environment to patients. Patients can listen classical music, drink a cup of coffee, and sit on comfortable chairs. Also employees make follow-up calls to patients  after treatment which is a competitive advantage in service Question no. 5 Contrast your own dental care experiences with those offered by Beckett’s practice. What differences do you see? Based on your review of this case, what advice would you give (a) to your current or former dentist and (b) to Dr Beckett? Answer My dental care experience is absolutely different from Beckett’s practice. My dentist office is poorly designed and there is no rescheduling option. She always makes me wait more than 30minutes. There is no headphone, classical music or abundant of flowers. She has what she needs. But her dental practice is perfect; I feel no pain when I have operations. a)Although if she redesigns her office and provide more f acilitating and enhancing supplementary services, I will be more happy. It is clear that there is a tradeoff between the cheap cost and expensive cost. If you want to be in a comfortable environment, you should pay more money. b)From my point of view, Dr. Beckett provides her service in a quality environment. May be she can offer pet care for patients who have pets. Also a parking place can be a good idea.