Adopting Telemedicine in developing countries Free Essays

ICTs are advancements that have spread broadly and are less expensive for use by the overall population. Despite the fact that data and correspondence advances could handle a portion of the heath care difficulties that face the cutting edge society, the use of ICTs is looked by various difficulties for social just as authentic changes that are related with other regular rights. The case isn't distinctive in the field of telemedicine. We will compose a custom article test on Receiving Telemedicine in creating nations or on the other hand any comparable theme just for you Request Now Telemedicine is a case of ICT that has been utilized on the planet for more than forty years. Present day telemedicine applications utilize excellent picture and video notwithstanding sound limits. These advances run structure magnificent goals despite everything pictures to complex video chatting mechanical assembly. Late advancements in ICT are empowering and they incorporate the utilization of web, remote ICT dispersion, and the trading of clinical data electronically notwithstanding remote counsels. Foundation factures that affect the results of telemedicine include: the national ICT framework notwithstanding the legislatures readiness, approach, just as strategies towards data and correspondence innovation. In fact complex telemedicine applications are right now utilized over a wide scope of social insurance settings. This innovation permits clinical work force to transmit pictures through cell phones and complex remote gadgets (Martã ­nez, Villarroel, Seoane, and Pozo 2005, p. 1). 3.1.2 E-Health Policies Different investors of the telemedicine division have various chances to turn out to be profoundly engaged with the advancement strategies that influence the business. Investors of this area incorporate merchants of data innovation, producers of clinical gadgets, human services experts, chiefs and the legislature. E-wellbeing arrangements are set so as to improve organize limit, upgrade capacity of rising above geo-political, social, monetary and social snags. Arrangements ought to be set so as to permit teleconsultation past national fringes. Patients notwithstanding clinical consideration experts ought to be offered with an opportunity of looking for proof based supposition just as treatment from abroad through teleconsultation (Lee, Mun, Levine and Ro 2000, p. 28). 3.3 Capabilities of wellbeing segment organization The cutting edge human services framework has experienced various alterations so as to meet the regularly expanding heath needs of the populace. One of the adjustments is the usage of media transmission in human services. All adjustments in the medicinal services segment are completed with the patient being the focal point of core interest. Telemedicine and telecommunication are probably the latest media transmission methodologies that have been joined in the medicinal services segment. At present, advanced pictures of a patient can be sent over a remote gadget to a clinical staff and clinical discussions completed over the web (Tanriverdi and Iacon, 1998, p, 40). 3.4 Analysis of Telemedicine contextual investigations in creating nations The rise to telemedicine is related with the quest for correspondence situated answers for make it simple for country populaces to get to clinical administrations. Telemedicine is considered as one of the most suitable routes through which contemporary clinical administrations can come to the underserved districts (Lee, Mun, Levine, and Ro 2000, p. 16). Reality has be that as it may, changed course. Broad examinations with telemedicine in creating countries have not yet exhibited the capability of telemedicine. There are various variables that should be executed all together that telemedicine benefits in provincial zones become supportable. A profoundly powerful authoritative procedure should be executed, a radio based framework ought to be raised and assets used appropriately; remote support frameworks ought to be actualized; a high innovative base ought to be built up; and all data and correspondence ought to be fulfilled through basic and simultaneous frameworks (Kifle, Salmon, Okoli, and Mbarika 2008, p. 5). Regardless of the various advantages related with telemedicine, the program has been delayed to come into routine use in both provincial and urban zones. 4. Assessment of the current circumstance of Telemedicine in provincial and urban zone Telemedicine holds an extraordinary trust in social insurance and clinical focuses both in provincial regions and urban focuses. Country regions specifically have for since a long time ago been looked by deficiency of clinical work force, shortage of methods for transportation notwithstanding different access issues, for example, ominous climate conditions. Telemedicine takes into account teleconsultation that use an assortment of mechanical headways, for example, voice over web, advanced pictures, computerized video remotely coordinating, notwithstanding other crisis administrations (Martã ­nez, Villarroel, Seoane, and Pozo 2005, p. 70). In any case, there are different issues that influence the usage of telemedicine in provincial territories. These include: poor framework, restricted transfer speed accessibility in arrange frameworks, and shortage of internet services. Telemedicine isn't just about the arrangement of clinical consideration in the country territories, however it is exceptionally gainful in connecting rural, urban and downtown clinical offices in a system offering concentrated clinical consideration administrations (Richard 2001, p. 3). 4.1 Advantages of utilizing Telemedicine advancements An expanded utilization of telemedicine would achieve various advantages extending from upgraded clinical consideration, better usage of wellbeing experts, expanded patients consistence, to improved conveyance of clinical consideration benefits outside facilities and medical clinic setting and in rustic just as the underserved areas. Telemedicine takes into account visit observing of crucial sign data as opposed to utilizing intermittent visit by doctors. It additionally improves care of the older, truly crippled just as the home bound patients, since it diminishes emergency clinic visits subsequently expanding accommodation and consistence for weakened patients. Therefore it improves general strength of the network and populace since it diminishes introduction to different diseases from different patients. It additionally enables patients corresponding to their own wellbeing. It is a wellspring of imaginative and inventive work in the human services framework. It is a noteworthy system of handling likely future shortage of clinical personnel.â It cuts down the pace of death, wounds and contaminations because of clinical mistakes because of erroneous patient data. Nearness of telemedicine programs in rustic territories improves care by diminishing transportation costs; conveying clinical experts and masters; and through giving clinical consideration conveyance paying little heed to geological boundaries (Hein 2009, p. 9). 4.2 Challenges of adjusting Telemedicine There are various difficulties to producing trustworthy proof concerning the impacts of the utilization of telemedicine. Investigation is once in a while completed as a major piece of usage, and thus assets are not totally committed to assessment. Be that as it may, there are times when assets are devoted to investigation after execution, in this way forthcoming social event of gauge information is unimaginable. Review social event of clinical information is looked by various obstacles as far as suitable source ID notwithstanding assortment procedures. These issues make troublesome the investigation of different intercessions, even as the real idea of assessment of telemedicine presents further challenges (Brear 2006, p. 24). Other than assessment, different difficulties that face telemedicine, as demonstrated by Paul, Pearlson and McDaniel (1999, p 281), include: different social, social, monetary, specialized and hierarchical obstacles that human services frameworks must arrangement with before accomplishing the full advantages of telemedicine. Different elements that wreck the usage of telemedicine in creating nations are: poor media transmission and electric force framework; mastery notwithstanding significant expense of internet providers; absence of government inclusion; troubles in continuing execution of telemedicine; unsatisfactory hierarchical techniques; and client discontentâ with low band-width just as deferred reaction. Patients, clinical experts and leaders need fundamental information on telemedicine benefits just as their potential for clinical consideration. Absence of legitimate subsidizing is the other test that faces telemedicine. In spite of its suggestion by the world wellbeing association telemedicine is yet to be acknowledged as a specialized assistance in numerous national services of wellbeing (Kifle, Salmon, Okoli, and Mbarika n.d, p. 3). 5. Ends It can subsequently be reasoned that telemedicine is one of the most huge current clinical methodologies that can be utilized in handling the various medicinal services difficulties that face populaces living in both urban and rustic areas.â Various advantages of telemedicine include: improvement of patient consideration, decrease of patient exchanges to tertiary wellbeing habitats and giving doctors a decent access to tertiary meeting. Telemedicine improves the general soundness of the network since it lessens open to different sicknesses from different patients through decrease of clinic visits. There are in any case, different difficulties that are related with usage of telemedicine and these include: assessment challenges, poor media transmission, error of data, and absence of mindfulness and duty by the legislature and leaders. Telemedicine is looked by different issues including data innovation strategies, E-Health approaches, and information security arrangements. Despite the fact that there are various advantages related with telemedicine, the program has been delayed to come into routine practice both in provincial and urban zones.

Free Essays on Columbus Day

An Extra Day Off Sounds Nice â€Å"It is just radical or right now unfashionable thoughts that the writings forget about it is all thoughts, including those of their heroes.† (FitzGerald) USF doesn't perceive a significant occasion. A great deal of schools don't perceive this occasion. This bombshells and frustrates me. The occasion that I am talking about is Columbus Day. My hair salon isn't open, nor is my preferred alcohol store. For what reason is my school despite everything open? The explanation is essentially in light of the fact that numerous individuals consider Christopher To be as a despot and don't figure we ought to watch this occasion. On the off chance that we will observe Presidents Day and Independence Day, at that point why not observe Columbus Day. Our nation can murder and it is advocated, and Columbus slaughtered at this point it is some how disliked. I accept we have to regard and demonstrate on account of the man that lead to our establishing as nation. Christopher Columbus set sail for the East Indies in the year 1492. â€Å"Columbus equipped three desolately little ships, the Nina, the Pinta, and the Santa Maria, and set out from Spain.† (Lowen 39) This shows Columbus didn't set off on a simple journey. It shows that we have to take a gander at the hardships he experienced to carry the new world to Spain. Regardless of whether he executed, assaulted, and looted the individuals he ran over in the new world he despite everything made it there and took the news back to Spain. That is reason enough to regard and offer gratitude to him for me. I surely would not have the guts to head out into the obscure to discover something that I probably won't receive the full rewards of. Some state, â€Å"Columbus didn't know for certain where he was going. Proof says he was looking for Japan, India, and Indonesia.† (Loewn 55) This doesn't make a difference. Who cares where he thought he was going. He found another land that had not been found and that land is where millions live. Individuals state if Columbus didn't take this news back to Spain another person would have. That I concur mind... Free Essays on Columbus Day Free Essays on Columbus Day An Extra Day Off Sounds Nice â€Å"It is just radical or at present unfashionable thoughts that the writings forget about it is all thoughts, including those of their heroes.† (FitzGerald) USF doesn't perceive a significant occasion. A great deal of schools don't perceive this occasion. This miracles and disillusions me. The occasion that I am talking about is Columbus Day. My hairstyling parlor isn't open, nor is my preferred alcohol store. For what reason is my school despite everything open? The explanation is just in light of the fact that numerous individuals consider Christopher To be as a dictator and don't figure we ought to watch this occasion. On the off chance that we will observe Presidents Day and Independence Day, at that point why not observe Columbus Day. Our nation can murder and it is advocated, and Columbus executed at this point it is some how disliked. I accept we have to regard and demonstrate because of the man that lead to our establishing as nation. Christopher Columbus set sail for the East Indies in the year 1492. â€Å"Columbus furnished three desolately little ships, the Nina, the Pinta, and the Santa Maria, and set out from Spain.† (Lowen 39) This shows Columbus didn't set off on a simple journey. It shows that we have to take a gander at the hardships he experienced to carry the new world to Spain. Regardless of whether he murdered, assaulted, and looted the individuals he ran over in the new world he despite everything made it there and took the news back to Spain. That is reason enough to regard and express gratefulness to him for me. I absolutely would not have the guts to head out into the obscure to discover something that I probably won't receive the full rewards of. Some state, â€Å"Columbus didn't know for certain where he was going. Proof says he was looking for Japan, India, and Indonesia.† (Loewn 55) This doesn't make a difference. Who cares where he thought he was going. He found another land that had not been found and that land is where millions dwell. Individuals state if Columbus didn't take this news back to Spain another person would have. That I concur mind...

Antidepressant Withdrawal Symptoms, Timeline, & Treatment

Antidepressant Withdrawal Symptoms, Timeline, & Treatment In This Article Table of Contents Expand Overview Signs & Symptoms Coping & Relief Warnings Long-Term Treatment Also called discontinuation syndrome, antidepressant withdrawal is pretty common. Roughly 20% of people who suddenly stop or drastically reduce their dose after regularly taking antidepressants for at least a month experience withdrawal symptoms.?? Some drugs have higher rates of withdrawal than others, but it can happen to anyone and with any type of antidepressant. Overview Antidepressant withdrawal can make you feel edgy and out of sorts. You may feel like you have the flu (sluggish with a headache and nausea), have trouble sleeping and concentrating, and experience anxiety and even thoughts of suicide.?? For some, the symptoms can be very similar to the ones that prompted them to take an antidepressant in the first place. These physical and mental symptoms are caused by the sudden decrease of the brain chemical serotonin in some newer forms of antidepressants, which regulate the levels of serotonin in your brain to boost your mood. So naturally, when you stop taking them these levels take a dive. Other antidepressants work by altering levels of neurotransmitters in the brain, which may also cause discomfort once you stop taking these medications.?? Antidepressants are not considered addictive by doctors, however, it is possible to develop a physical dependence on these medications. In rare cases, those whove reported abuse of antidepressants were motivated by the drugs psychostimulant qualities and effects.?? Signs Symptoms Some of the symptoms that have been reported by people with depression who have stopped taking their antidepressants could include the following:?? Flu-like symptoms, such as dizziness, headache, nausea, weakness, lack of energyDifficulty sleepingAgitation, anxiety, or restlessnessParesthesias or feelings of tingling or pins and needlesTachycardia or increased heart rate??Hypertension or increased blood pressure  SweatingTremors or unintentional trembling or shakingNausea, vomiting, or abdominal crampingMuscle spasmsDifficulty urinating In most cases, withdrawal symptoms are fairly mild in the first one to three days and may intensify on the fourth or fifth day before they subside and may persist for up to three weeks. If youre having a relapse of your depression, however, the symptoms may get worse. The experience of antidepressant withdrawal varies greatly depending on the person, the type of antidepressant, as well as the dosage and length of time the drug had been taken.?? You will likely experience withdrawal symptoms if you suddenly stop taking your antidepressants, but can ease some of the discomfort by gradually reducing your medication instead. Coping Relief The best way to cope with antidepressant withdrawal is to prevent it in the first place by making sure to never stop or adjust the dosage of your medication without first talking to your doctor or mental health care professional. Your doctor can help you devise a plan for discontinuing your medication while limiting or avoiding the negative effects of withdrawal.?? Here are a few more ways to prevent or cope with antidepressant withdrawal. Ask Yourself: Why Am I Quitting? This question could be important if you need further treatment during withdrawal, or afterward.  Do you feel you are over your depression? Do you dislike the side effects of the medication? Are you unable to maintain the cost of your medication? These are all very different reasons that have important implications for what your experience of withdrawal could be like. Remember, depression is a serious and potentially life-threatening illness if it is not properly treated. Its important to consider all of your options and work with your healthcare provider to make the best choice for you. Taper Off Slowly Tapering off your antidepressant can help minimize some of the side effects of withdrawal. There’s no one tapering schedule that works for everyoneâ€"and it may change depending on how you respond. In most cases, your doctor will decide how rapidly or slowly you wean off the drug based on the following factors: Your symptomsThe type of antidepressant you’re takingHow long you’ve been taking the medicationYour dosageThe drug’s half-life (how long it takes for half of the medication to leave your body)?? How to Taper Off Your Antidepressant Explore an Alternative There are several different types of antidepressant medication  that work differently in the brain, have different side effects, and may create different withdrawal experiences for the people who take and discontinue them. The types include tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and atypical antidepressants.?? If you dont like how your medication makes you feel, its possible that you have been misdiagnosed. For example, you may have been diagnosed with major depression when you actually have bipolar disorder, which requires a different type of medication).?? Its also possible that your symptoms will respond more positively to a different medication from the one you were originally prescribed. Responses to antidepressants are very individual, so talk to your doctor about how the medication you have been prescribed is affecting you. For example, you may feel better emotionally on antidepressants but dislike the side effects, or you may do better with psychotherapy or lifestyle changes. Or you may be having trouble with your antidepressant due to alcohol use or the use of other psychoactive drugs.?? All of these possibilities are best discussed with a family doctor, psychiatrist, or psychologist, who will help you figure out an alternative treatment plan. Talk to Your Doctor About Medication While antidepressants like Prozac (fluoxetine) have a longer half-life, they may still cause symptoms of withdrawal.?? If you need support in managing your antidepressant withdrawal symptoms, over-the-counter antihistamines or sleep aids can help minimize some of that discomfort. These medications do produce sedative effects, however, and may add to any feelings of sluggishness. Start Moving A lack of energy and depressed mood will likely make exercise the last thing you want to do, but its important to give it a try. Exercise can help keep depression at bay by helping to release feel-good endorphins and provide a positive outlet for stress.?? How Exercise Improves Mood Warnings Although rare, it should be noted that occasionally people have experienced very severe reactions to discontinuing antidepressant medications.?? If you or someone you know has had any of the following symptoms in response to reducing or discontinuing antidepressants, seek medical help immediately. While these extreme reactions can be frightening to the person experiencing them, and to those around them, they are well-recognized medical symptoms that can be treated.?? Delirium: Sudden disorientation in time and place, confusion, restlessness, agitation, and difficulties with working memory (remembering aspects of a current line of thought)Psychosis: Disconnection from reality, particularly involving delusions and/or hallucinationsSuicidal feelings: While many people with depression report occasional or frequent suicidal feelings, its important to seek help immediately if these feelings occur during antidepressant withdrawal. Untreated depression is a major risk factor for suicide. If youre having suicidal thoughts, call your mental healthcare provider or contact the National Suicide Prevention Lifeline at 1-800-273-8255  to talk to a trained counselor. Beyond mild and potentially serious side effects, there are several other dangers that can occur from abruptly stopping your medication. For one, stopping your medication can set you back in your treatment, increasing the time it will take to start feeling like yourself again. Relapse is another danger to consider. Relapse Research shows that anxiety and pain that can occur alongside depression may increase the risk of relapse to depression after discontinuing an antidepressant.?? If you have problems with anxiety or chronic pain, you should be particular careful about discontinuing medication as you may be more likely to relapse. Your antidepressant may also help with your symptoms of anxiety or pain, which may feel worse after you stop taking the medication. Long-Term Treatment Although a diagnosis of depression is by no means a life sentence, its important to consider your long-term well-being when thinking about your medication. Over half of the people who experience depression will experience it again at some point in their lives, often more than once.?? Research looking into what makes relapse likely for adults with major depressive disorder (MDD) shows that antidepressants help during the acute stages of depression, and reduce the chances of relapse, but studies of people who felt better after taking antidepressants have indicated that there are no established, validated markers of individual relapse risk after stopping taking antidepressants.?? Some people even relapse while on antidepressant medication.?? Therefore, it is especially important to work with your doctor to figure out what is the best course of treatment for you. Does Depression Go Away on Its Own With Time? A Word From Verywell Although antidepressants can have troubling side effects and dont always help right away, many people are helped by these medications. An antidepressant isnt a magic pill and it doesnt replace the need for psychological support and therapy, but with patience, you and your doctor may be able the find a medication that relieves your symptoms of depression. Though finding the right medication can often take time, patience, and perseverance, it can vastly improve the quality of life for many people with depression.?? It is important not to try and manage your medication alone. If it isnt working, or you dont like the side effects, dont just quit on your own. You, your doctor, and your support team can work together to keep you safe and comfortable while you figure out the right approach to treatment. Never hesitate to reach our if you feel in despair, and dont try and self-medicate. Help is just a phone call away. Call 911 if you need to.

Antidepressant Withdrawal Symptoms, Timeline, & Treatment

Antidepressant Withdrawal Symptoms, Timeline, & Treatment In This Article Table of Contents Expand Overview Signs & Symptoms Coping & Relief Warnings Long-Term Treatment Also called discontinuation syndrome, antidepressant withdrawal is pretty common. Roughly 20% of people who suddenly stop or drastically reduce their dose after regularly taking antidepressants for at least a month experience withdrawal symptoms.?? Some drugs have higher rates of withdrawal than others, but it can happen to anyone and with any type of antidepressant. Overview Antidepressant withdrawal can make you feel edgy and out of sorts. You may feel like you have the flu (sluggish with a headache and nausea), have trouble sleeping and concentrating, and experience anxiety and even thoughts of suicide.?? For some, the symptoms can be very similar to the ones that prompted them to take an antidepressant in the first place. These physical and mental symptoms are caused by the sudden decrease of the brain chemical serotonin in some newer forms of antidepressants, which regulate the levels of serotonin in your brain to boost your mood. So naturally, when you stop taking them these levels take a dive. Other antidepressants work by altering levels of neurotransmitters in the brain, which may also cause discomfort once you stop taking these medications.?? Antidepressants are not considered addictive by doctors, however, it is possible to develop a physical dependence on these medications. In rare cases, those whove reported abuse of antidepressants were motivated by the drugs psychostimulant qualities and effects.?? Signs Symptoms Some of the symptoms that have been reported by people with depression who have stopped taking their antidepressants could include the following:?? Flu-like symptoms, such as dizziness, headache, nausea, weakness, lack of energyDifficulty sleepingAgitation, anxiety, or restlessnessParesthesias or feelings of tingling or pins and needlesTachycardia or increased heart rate??Hypertension or increased blood pressure  SweatingTremors or unintentional trembling or shakingNausea, vomiting, or abdominal crampingMuscle spasmsDifficulty urinating In most cases, withdrawal symptoms are fairly mild in the first one to three days and may intensify on the fourth or fifth day before they subside and may persist for up to three weeks. If youre having a relapse of your depression, however, the symptoms may get worse. The experience of antidepressant withdrawal varies greatly depending on the person, the type of antidepressant, as well as the dosage and length of time the drug had been taken.?? You will likely experience withdrawal symptoms if you suddenly stop taking your antidepressants, but can ease some of the discomfort by gradually reducing your medication instead. Coping Relief The best way to cope with antidepressant withdrawal is to prevent it in the first place by making sure to never stop or adjust the dosage of your medication without first talking to your doctor or mental health care professional. Your doctor can help you devise a plan for discontinuing your medication while limiting or avoiding the negative effects of withdrawal.?? Here are a few more ways to prevent or cope with antidepressant withdrawal. Ask Yourself: Why Am I Quitting? This question could be important if you need further treatment during withdrawal, or afterward.  Do you feel you are over your depression? Do you dislike the side effects of the medication? Are you unable to maintain the cost of your medication? These are all very different reasons that have important implications for what your experience of withdrawal could be like. Remember, depression is a serious and potentially life-threatening illness if it is not properly treated. Its important to consider all of your options and work with your healthcare provider to make the best choice for you. Taper Off Slowly Tapering off your antidepressant can help minimize some of the side effects of withdrawal. There’s no one tapering schedule that works for everyoneâ€"and it may change depending on how you respond. In most cases, your doctor will decide how rapidly or slowly you wean off the drug based on the following factors: Your symptomsThe type of antidepressant you’re takingHow long you’ve been taking the medicationYour dosageThe drug’s half-life (how long it takes for half of the medication to leave your body)?? How to Taper Off Your Antidepressant Explore an Alternative There are several different types of antidepressant medication  that work differently in the brain, have different side effects, and may create different withdrawal experiences for the people who take and discontinue them. The types include tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and atypical antidepressants.?? If you dont like how your medication makes you feel, its possible that you have been misdiagnosed. For example, you may have been diagnosed with major depression when you actually have bipolar disorder, which requires a different type of medication).?? Its also possible that your symptoms will respond more positively to a different medication from the one you were originally prescribed. Responses to antidepressants are very individual, so talk to your doctor about how the medication you have been prescribed is affecting you. For example, you may feel better emotionally on antidepressants but dislike the side effects, or you may do better with psychotherapy or lifestyle changes. Or you may be having trouble with your antidepressant due to alcohol use or the use of other psychoactive drugs.?? All of these possibilities are best discussed with a family doctor, psychiatrist, or psychologist, who will help you figure out an alternative treatment plan. Talk to Your Doctor About Medication While antidepressants like Prozac (fluoxetine) have a longer half-life, they may still cause symptoms of withdrawal.?? If you need support in managing your antidepressant withdrawal symptoms, over-the-counter antihistamines or sleep aids can help minimize some of that discomfort. These medications do produce sedative effects, however, and may add to any feelings of sluggishness. Start Moving A lack of energy and depressed mood will likely make exercise the last thing you want to do, but its important to give it a try. Exercise can help keep depression at bay by helping to release feel-good endorphins and provide a positive outlet for stress.?? How Exercise Improves Mood Warnings Although rare, it should be noted that occasionally people have experienced very severe reactions to discontinuing antidepressant medications.?? If you or someone you know has had any of the following symptoms in response to reducing or discontinuing antidepressants, seek medical help immediately. While these extreme reactions can be frightening to the person experiencing them, and to those around them, they are well-recognized medical symptoms that can be treated.?? Delirium: Sudden disorientation in time and place, confusion, restlessness, agitation, and difficulties with working memory (remembering aspects of a current line of thought)Psychosis: Disconnection from reality, particularly involving delusions and/or hallucinationsSuicidal feelings: While many people with depression report occasional or frequent suicidal feelings, its important to seek help immediately if these feelings occur during antidepressant withdrawal. Untreated depression is a major risk factor for suicide. If youre having suicidal thoughts, call your mental healthcare provider or contact the National Suicide Prevention Lifeline at 1-800-273-8255  to talk to a trained counselor. Beyond mild and potentially serious side effects, there are several other dangers that can occur from abruptly stopping your medication. For one, stopping your medication can set you back in your treatment, increasing the time it will take to start feeling like yourself again. Relapse is another danger to consider. Relapse Research shows that anxiety and pain that can occur alongside depression may increase the risk of relapse to depression after discontinuing an antidepressant.?? If you have problems with anxiety or chronic pain, you should be particular careful about discontinuing medication as you may be more likely to relapse. Your antidepressant may also help with your symptoms of anxiety or pain, which may feel worse after you stop taking the medication. Long-Term Treatment Although a diagnosis of depression is by no means a life sentence, its important to consider your long-term well-being when thinking about your medication. Over half of the people who experience depression will experience it again at some point in their lives, often more than once.?? Research looking into what makes relapse likely for adults with major depressive disorder (MDD) shows that antidepressants help during the acute stages of depression, and reduce the chances of relapse, but studies of people who felt better after taking antidepressants have indicated that there are no established, validated markers of individual relapse risk after stopping taking antidepressants.?? Some people even relapse while on antidepressant medication.?? Therefore, it is especially important to work with your doctor to figure out what is the best course of treatment for you. Does Depression Go Away on Its Own With Time? A Word From Verywell Although antidepressants can have troubling side effects and dont always help right away, many people are helped by these medications. An antidepressant isnt a magic pill and it doesnt replace the need for psychological support and therapy, but with patience, you and your doctor may be able the find a medication that relieves your symptoms of depression. Though finding the right medication can often take time, patience, and perseverance, it can vastly improve the quality of life for many people with depression.?? It is important not to try and manage your medication alone. If it isnt working, or you dont like the side effects, dont just quit on your own. You, your doctor, and your support team can work together to keep you safe and comfortable while you figure out the right approach to treatment. Never hesitate to reach our if you feel in despair, and dont try and self-medicate. Help is just a phone call away. Call 911 if you need to.

Japans Genpei War, 1180 - 1185

Date: 1180-1185 Location: Honshu and Kyushu, Japan Outcome: Minamoto clan prevails and almost wipes out Taira; Heian era ends and Kamakura shogunate begins The Genpei War (also romanized as Gempei War) in Japan was the first conflict between large samurai factions.  Although it happened nearly 1,000 years ago, people today still remember the names and accomplishments of some of the great warriors who fought in this civil war. Sometimes compared with Englands War of the Roses, the Genpei War featured two families fighting for power.  White was the clan color of the Minamoto, like the House of York, while the Taira used red like the Lancasters.  However, the Genpei War predated the Wars of the Roses by three hundred years.  In addition, the Minamoto and Taira were not fighting to take the throne of Japan; instead, each wanted to control the imperial succession. Lead-up to the War The Taira and Minamoto clans were rival powers behind the throne. They sought to control the emperors by having their own favorite candidates take the throne.  In the Hogen Disturbance of 1156 and the Heiji Disturbance of 1160, though, it was the Taira who came out on top.   Both families had daughters who had married into the imperial line.  However, after the Taira victories in the disturbances, Taira no Kiyomori became the Minister of State; as a result, he was able to ensure that his daughters three-year-old son became the next emperor in March of 1180.  It was the enthronement of little Emperor Antoku that led the Minamoto to revolt. War Breaks Out On May 5, 1180, Minamoto Yoritomo and his favored candidate for the throne, Prince Mochihito, sent out a call to war.  They rallied samurai families related to or allied with the Minamoto, as well as warrior monks from various Buddhist monasteries.  By June 15, Minister Kiyomori had issued a warrant for his arrest, so Prince Mochihito was forced to flee Kyoto and seek refuge in the monastery of Mii-dera.  With thousands of Taira troops marching toward the monastery, the prince and 300 Minamoto warriors raced south toward Nara, where additional warrior monks would reinforce them. The exhausted prince had to stop to rest, however, so the Minamoto forces took refuge with the monks at the easily defensible monastery of Byodo-in.  They hoped that monks from Nara would arrive to reinforce them before the Taira army did.  Just in case, however, they tore the planks from the only bridge across the river to Byodo-in. At first light the next day, June 20, the Taira army marched quietly up to Byodo-in, hidden by thick fog.  The Minamoto suddenly heard the Taira war-cry  and replied with their own.  A fierce battle followed, with monks and samurai firing arrows through the mist at one another.  Soldiers from the Tairas allies, the Ashikaga, forded the river and pressed the attack.  Prince Mochihito tried to escape to Nara in the chaos, but the Taira caught up with him and executed him.  The Nara monks marching toward Byodo-in heard that they were too late to help the Minamoto, and turned back.  Minamoto Yorimasa, meanwhile, committed the first classical seppuku in history, writing a death poem on his war-fan, and then cutting open his own abdomen. It seemed that the Minamoto revolt and thus the Genpei War had come to an abrupt end.  In vengeance, the Taira sacked and burned the monasteries that had offered aid to the Minamoto, slaughtering thousands of monks and burning Kofuku-ji and Todai-ji in Nara to the ground. Yoritomo Takes Over The leadership of the Minamoto clan passed to the 33-year-old Minamoto no Yoritomo, who was living as a hostage in the home of a Taira-allied family.  Yoritomo soon learned that there was a bounty on his head.  He organized some local Minamoto allies, and escaped from the Taira, but lost most of his small army in the Battle of Ishibashiyama on September 14.  Yoritomo escaped with his life, fleeing into the woods with Taira pursuers close behind.   Yoritomo made it to the town of Kamakura, which was solidly Minamoto territory.  He called in reinforcements from all of the allied families in the area.  On November 9, 1180, at the so-called Battle of the Fujigawa (Fuji River), the Minamoto and allies faced an over-extended Taira army.  With poor leadership and long supply lines, the Taira decided to withdraw back to Kyoto without offering a fight.   A hilarious and likely exaggerated account of the events at Fujigawa in the Heiki Monogatari claims that a flock of water-fowl on the river marshes was started into flight in the middle of the night.  Hearing the thunder of their wings, the Taira soldiers panicked and fled, grabbing bows without arrows or taking their arrows but leaving their bows.  The record even claims that Taira troops were mounting tethered animals and whipping them up so that they galloped round and round the post to which they were tied. Whatever the true cause of the Taira retreat, there followed a two-year lull in the fighting.  Japan faced a series of droughts and floods that destroyed the rice and barley crops in 1180 and 1181.  Famine and disease ravaged the countryside; an estimated 100,000 died.  Many people blamed the Taira, who had slaughtered monks and burned down temples.  They believed that the Taira had brought down the wrath of the gods with their impious actions, and noted that Minamoto lands did not suffer as badly as those controlled by the Taira. Fighting began again in July of 1182, and the Minamoto had a new champion called Yoshinaka, a rough-hewn cousin of Yoritomos, but an excellent general.  As Minamoto Yoshinaka won skirmishes against the Taira  and considered marching on Kyoto, Yoritomo grew increasingly concerned about his cousins ambitions.  He sent an army against Yoshinaka in the spring of 1183, but the two sides managed to negotiate a settlement rather than fighting one another. Fortunately for them, the Taira were in disarray.  They had conscripted a huge army, marching forth on May 10, 1183, but were so disorganized that their food ran out just nine miles east of Kyoto.  The officers ordered the conscripts to plunder food as they passed from their own provinces, which were just recovering from the famine.  This prompted mass desertions. As they entered Minamoto territory, the Taira divided their army into two forces.  Minamoto Yoshinaka managed to lure the larger section into a narrow valley; at the Battle of Kurikara, according to the epics, Seventy thousand horsemen of the Taira perish[ed], buried in this one deep valley; the mountain streams ran with their blood... This would prove the turning point in the Genpei War. Minamoto In-Fighting Kyoto erupted in panic at the news of the Taira defeat in Kurikara.  On August 14, 1183, the Taira fled the capital.  They took along most of the imperial family, including the child emperor, and the crown jewels.  Three days later, Yoshinakas branch of the Minamoto army marched into Kyoto, accompanied by the former Emperor Go-Shirakawa. Yoritomo was nearly as panicked as the Taira were by his cousins triumphal march.  However, Yoshinaka soon earned the hatred of the citizens of Kyoto, allowing his troops to pillage and rob people regardless of their political affiliation.  In February of 1184, Yoshinaka heard that Yoritomos army was coming to the capital to expel him, led by another cousin, Yoritomos courtly younger brother Minamoto Yoshitsune.  Yoshitsunes men quickly dispatched Yoshinakas army.  Yoshinakas wife, the famous female samurai Tomoe Gozen, is said to have escaped after taking a head as a trophy.  Yoshinaka himself was beheaded while trying to escape on February 21, 1184. End of the War and Aftermath: What remained of the Taira loyalist army retreated into their heartland.  It took the Minamoto some time to mop them up.  Almost a year after Yoshitsune ousted his cousin from Kyoto, in February of 1185, the Minamoto seized the Taira fortress and make-shift capital at Yashima.   On March 24, 1185, the final major battle of the Genpei War took place.  It was a naval battle in the Shimonoseki Strait, a half-day fight called the Battle of Dan-no-ura. Minamoto no Yoshitsune commanded his clans fleet of 800 ships, while Taira no Munemori led the Taira fleet, 500 strong.  The Taira were more familiar with the tides and currents in the area, so initially were able to surround the larger Minamoto fleet and pin them down with long-range archery shots.  The fleets closed in for hand-to-hand combat, with samurai leaping aboard their opponents ships and fighting with long and short swords.  As the battle wore on, the turning tide forced the Taira ships up against the rocky coastline, pursued by the Minamoto fleet. When the tides of battle turned against them, so to speak, many of the Taira samurai jumped into the sea to drown rather than being killed by the Minamoto.  The seven-year-old Emperor Antoku and his grandmother also jumped in and perished.  Local people believe that small crabs that live in the Shimonoseki Strait are possessed by the ghosts of the Taira samurai; the crabs have a pattern on their shells that looks like a samurais face. After the Genpei War, Minamoto Yoritomo formed the first bakufu and ruled as Japans first shogun from his capital at Kamakura.  The Kamakura shogunate was the first of various bakufu that would rule the country until 1868  when the Meiji Restoration returned political power to the emperors. Ironically, within thirty years of the Minamoto victory in the Genpei War, political power would be usurped from them by regents (shikken) from the Hojo clan.  And who were they?  Well, the Hojo were a branch of the Taira family. Sources Arnn, Barbara L.  Local Legends of the Genpei War: Reflections of Medieval Japanese History, Asian Folklore Studies, 38:2 (1979), pp. 1-10. Conlan, Thomas.  The Nature of Warfare in Fourteenth-Century Japan: The Record of Nomoto Tomoyuki, Journal for Japanese Studies, 25:2 (1999), pp. 299-330. Hall, John W.  The Cambridge History of Japan, Vol. 3, Cambridge: Cambridge University Press (1990). Turnbull, Stephen.  The Samurai: A Military History, Oxford: Routledge (2013).

The Media Plays a Hand in Anorexia Essay - 1181 Words

What causes anorexia nervosa, a terrible mental disease which leads victims to starve themselves, sometimes to death? The message to be thin is transmitted to adolescents at an early age. The media is a strong supporter of this image, the thought that thin is desirable is shown through the advertisements that consumers are exposed to everyday. People constantly hear that thin is desirable and are shown this very fact through advertisements and videos. The media may not be the sole cause of anorexia but the effect that the media has on children can not be over looked. There are multiple factors that can contribute to the desire to be thin; the media is one factor in the equation that can not be so easily overlooked. Anorexia and Bulimia†¦show more content†¦Women were, and still are willing, to sacrifice comfort and endure a large amount of pain in order to obtain this ideal image. During the 19th century women with tiny waist and large bustles became highly desired. In order to obtain this ideal image many women had a rib removed in order to decrease their waist size. By doing this there was an extreme chance that they could become sick, in many cases it could lead to a shortness of breath and lead to pneumonia. The beginning of the 20th century sparked the trend of women cutting their hair short and taking up boyish actions. It was seen as fashionable to be angular, thin, and boyish looking (Derenne, Jennifer). This image quickly grew due to the constant advertisement of the flapper. The image of the flappers grew rapidly through the 1920’s. Current Media Influence Women are faced with unrealistic expectations almost every time they are presented with a form of advertisement. This idea is expressed through advertisements that feature a naked woman’s body tempting viewers to buy an electronic organizer, partially exposed woman’s breast being used to sell fishing line, or a woman’s rear being used to pitch a new running shoe (Heldman, 2008, p.1). 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First Marxists would argue allRead MoreEating Disorders and Western Culture845 Words   |  3 Pagesscoffed earlier. Two of the most common eating disorders are anorexia nervosa and bulimia nervosa. The regular description of a patient with either disease would be a youthful white female, with an upper social standing in a predictably socially competitive environment. At present, these eating disorders have an effect on roughly 25 million Americans, of which almost 25% are of the male gender. Out of all the psychological disorders, anorexia has the highest mortality rate. The whys and wherefores includeRead MoreAnorexia Nervosa (Phychology)1084 Words   |  5 Pagesas a mental disorder is Anorexia Nervosa. The main characteristics of this disorder are weight loss. It is less than 85% of what it should be for the person’s age, height and build. The person is always anxious about getting fat, even if they are underweight. They have a distorted body image- always feeling fat when they are thin. Absence of menstrual periods in female sufferers depending on ages can indicate anorexia. Several causes have been suggested for anorexia. The biological approachRead MoreDiagnostic And Statistical Manual Of Mental Disorders1631 Words   |  7 PagesIntroduction The fifth edition of the Diagnostic and statistical manual of mental disorders (2013) or DSM-5 outlines the four feeding and eating disorders as, Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder, and Other Specified Feeding and Eating Disorder (OSFED). These are complex and highly devastating disorders that cause health, emotional, and relationship problems (NEDA, 2016). 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The United States Department Of Defense - 2228 Words

The headquarters for the United States Department of Defense has twice the number of bathrooms needed for a building its size. Known more commonly as â€Å"the Pentagon† after its unique, five walled frame, the defense building was constructed during the early 1940’s in Virginia, where a code of regulations dubbed the â€Å"Jim Crow laws† required people of color to use separate facilities from white citizens. The Jim Crow laws segregated schools, transportation and public places. Although they claimed to make colored and Caucasian citizens â€Å"separate but equal† they typically left African Americans with inferior conditions and facilities; their libraries only carried secondhand books, their schools were overcrowded and underfunded, and they†¦show more content†¦The story is told from the perspective of two children, Jean Louise (Scout) Finch and her brother Jeremy (Jem) Finch, growing up in Maycomb, Alabama, a small, sleepy town in the Ameri can South during the early 1930’s. As Jem and Scout mature, people in Maycomb, like a poor classmate, their elusive neighbor and a wrongly convicted African American, teach them the immorality of discrimination and the inaccuracy of stereotypes. One of the characters affected most dramatically by stereotyping in To Kill a Mockingbird is Walter Cunningham, a poor farmer’s son, who is discriminated against because of his status in society. When Scout is rude to Walter after she and her brother invite him to their house for lunch. Scout tells her cook, Calpurnia, She does not have to be polite to Walter because,â€Å"he ain’t company... he’s just a Cunningham† (Lee 24). Although Scout does not know Walter very well at the time of her statement, her opinion of him has been prematurely influenced by Walters place in society. Scout claims â€Å"he ain’t company† (24) because he belongs to a poor, low class family, the Cunninghams. She believes that Walter’s supposed commonality means he does not need to be treated with the same courtesy she shows other guests. Even at a young age, Scout has been influenced by the corrupt belief that some people are born better or more important than others, and stereotypes Walter as someone unimportant. However, as time wears on Scout comes to know Walter better and view

Relevance of Chaucers Canterbury Tales for Today free essay sample

This paper is a discussion of three characters from the Canterbury Tales and relates them to a modern audience. This paper discusses The Canterbury Tales and the character of the Parson, who is a perfect example and holds every quality a devout church leader is expected to have. His life is contrasted with that of Monk and Friar who are the exact opposites of the Parson as their lives consist of greed, gluttony and lustfulness. The current church leadership, and Mother Teresa are used as modern day examples of goodness and greed. The First way the Canterbury Tales is relevant to a modern audience is through the powerful characterization of the Parson. He is a perfect example and holds every quality a devout church leader is expected to have. The purpose for his journey to Canterbury is to enhance his own spirituality, the ideal reason for going on this pilgrimage. The Parson is an educated man and, unlike many of the others, he is very honorable. We will write a custom essay sample on Relevance of Chaucers Canterbury Tales for Today or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He practices what he preaches and knows that he is an example for others to follow.

Michelangelo Essays (1626 words) - Sistine Chapel, Painted Ceilings

Michelangelo Michelangelo was pessimistic in his poetry and an optimist in his artwork. Michelangelo's artwork consisted of paintings and sculptures that showed humanity in it's natural state. Michelangelo's poetry was pessimistic in his response to Strazzi even though he was complementing him. Michelangelo's sculpture brought out his optimism. Michelangelo was optimistic in completing The Tomb of Pope Julius II and persevered through it's many revisions trying to complete his vision. Sculpture was Michelangelo's main goal and the love of his life. Since his art portrayed both optimism and pessimism, Michelangelo was in touch with his positive and negative sides, showing that he had a great and stable personality. Michelangelo's artwork consisted of paintings and sculptures that showed humanity in it's natural state. Michelangelo Buonarroti was called to Rome in 1505 by Pope Julius II to create for him a monumental tomb. We have no clear sense of what the tomb was to look like, since over the years it went through at least five conceptual revisions. The tomb was to have three levels; the bottom level was to have sculpted figures representing Victory and bond slaves. The second level was to have statues of Moses and Saint Paul as well as symbolic figures of the active and contemplative life-representative of the human striving for, and reception of, knowledge. The third level, it is assumed, was to have an effigy of the deceased pope. The tomb of Pope Julius II was never finished. What was finished of the tomb represents a twenty-year span of frustrating delays and revised schemes. Michelangelo had hardly begun work on the pope's tomb when Julius commanded him to fresco the ceiling of the Sisti ne Chapel to complete the work done in the previous century under Sixtus IV. The overall organization consists of four large triangles at the corner; a series of eight triangular spaces on the outer border; an intermediate series of figures; and nine central panels, all bound together with architectural motifs and nude male figures. The corner triangles depict heroic action in the Old Testament, while the other eight triangles depict the biblical ancestors of Jesus Christ. Michelangelo conceived and executed this huge work as a single unit. It's overall meaning is a problem. The issue has engaged historians of art for generations without satisfactory resolution. The paintings that were done by Michelangelo had been painted with the brightest colors that just bloomed the whole ceiling as one entered to look. The ceiling had been completed just a little after the Pope had died. The Sistine Chapel is the best fresco ever done. Michelangelo embodied many characteristic qualities of the Renaissance. An individualistic, highly competitive genius (sometimes to the point of eccentricity). Michelangelo was not afraid to show humanity in it's natural state - nakedness; even in front of the Pope and the other religious leaders. Michelangelo portrayed life as it is, even with it's troubles. Michelangelo wanted to express his own artistic ideas. The most puzzling thing about Michelangelo's ceiling design is the great number of seemingly irrelevant nude figures that he included in his gigantic fresco. Four youths frame most of the Genesis scenes. We know from historical records that various church officials objected to the many nudes, but Pope Julius gave Michelangelo artistic freedom, and eventually ruled the chapel off limits to anyone save himself, until the painting was completed. The many nude figures are referred to as Ignudi. They are naked humans, perhaps representing the naked truth. More likely, I think the y represent Michelangelo's concept of the human potential for perfection. Michelangelo himself said, "Whoever strives for perfection is striving for something divine." In painting nude humans, he is suggesting the unfinished human; each of us is born nude with a mind and a body, in Neoplatonic thought, with the power to be our own shapers. Michelangelo has a very great personality for his time. In Rome, in 1536, Michelangelo was at work on the Last Judgment for the altar wall of the Sistine Chapel, which he finished in 1541. The largest fresco of the Renaissance, it depicts Judgment Day. Christ, with a clap of thunder, puts into motion the inevitable separation, with the saved ascending on the left side of the painting and

7 Religious Christmas Quotes About Jesus

7 Religious Christmas Quotes About Jesus Christmas reminds us of  the trials and tribulations of Jesus Christ, and what better way to remember the reason for the season than religious quotes  that focus on the life of the savior.  The remarks that follow, both from the Bible and from prominent Christians,  serve as a reminder that good always triumphs over evil. D. James Kennedy, Christmas Stories for the Heart The star of Bethlehem was a star of hope that led the wise men to the fulfillment of their expectations, the success of their expedition. Nothing in this world is more fundamental for success in life than hope, and this star pointed to our only source for true hope: Jesus Christ. Samuel Johnson The Church does not superstitiously observe days, merely as days, but as memorials of important facts. Christmas might be kept as well upon one day of the year as another; but there should be a stated day for commemorating the birth of our Saviour, because there is danger that what may be done on any day, will be neglected. Luke 2:9-14 And, lo, the angel of the Lord came upon them, and the glory of the Lord shone round about them: and they were so  afraid. And the angel said unto them, Fear not: for, behold, I bring you good tidings of great joy, which shall be to all people. For unto you is born this day in the city of David a Savior, which is Christ the Lord. And this shall be a sign unto you; Ye shall find the babe wrapped in swaddling clothes, lying in a manger. And suddenly there was with the angel a multitude of the heavenly host praising God, and saying, Glory to God in the highest, and on earth peace, good will toward men. George W. Truett Christ was born in the first century, yet he belongs to all centuries. He was born a Jew, yet He belongs to all races. He was born in Bethlehem, yet He belongs to all countries. Matthew 2:1-2 Now when Jesus was born in Bethlehem of Judea in the days of Herod the king, behold, there came wise men from the east to Jerusalem, saying, where is he that is born King of the Jews? For we have seen his star in the east, and are come to worship him. Larry Libby, Christmas Stories for the Heart Late on a sleepy, star-spangled night, those angels peeled back the sky just like you would tear open a sparkling Christmas present. Then, with light and joy pouring out of Heaven like water through a broken dam, they began to shout and sing the message that baby Jesus had been born. The world had a Savior! The angels called it Good News, and it was. Matthew 1:21 And she will bear a Son, and you shall call His name Jesus, for it is He who will save His people from their sins.

Change in Employee Relations in United Kingdom Essay

Change in Employee Relations in United Kingdom - Essay Example Majority of the employees give preference to work in a better work atmosphere than working in a poor work atmosphere with higher pay. Globalization and other changes that took place in the world caused a drastic change in the employee relation. Huge difference can be seen in between the present form of employee relation and traditional way of employee relation. This paper makes an attempt to evaluate the changes in the employee relation in last 30 years and its importance in the future developments in the context of United Kingdom. Though there may be some variations in employee relation or industrial relations practices in various countries, changes are taking place in various countries in almost similar manner. Decades back, each country may have its own industrial practice, but now due to globalization and advancement of technology majority of the countries' employee relation practices are more or less similar. Today the industrial relation is very important and a widely discussed subject and has a great significance in the growth of industries. The terms labour relation and industrial relation are interchangeably used (Bean, 1994). A good industrial relation has a significant role in the success of any kind of business. Appalachian State University defines employee relations as "it involves the body of work concerned with maintaining employer-employee relationships that contribute to satisfactory productivity, motivation, and morale" (Staff-employee relations, n. d.). Disputes are common at work places. If there is a better labour relation this disputes can be minimized. If the employer is interacting with the employees in a better way it can increase the loyalty of the employees, thereby increasing the productivity of the organisation. Overview of different issues of employee relation Here are different issues related to the employee relation that requires detailed discussion and is always a topic of debate for the experts in this field. Some of the issues are employee grievances, employee wellness, employee compensation, employee discrimination, employee promotion...etc. The management especially human resource management team should be efficient enough to maintain an efficient employee relation in an organisation. 1. Employee grievances handling: Employee grievances are common at work place. If the management t failed properly solves the grievances of employee s o it may cause serious problems to the organization including losing of efficient employees. Employees would not be ready to work in organization where their grievances are not properly solved. There are no industrial concerns which are working smoothly at all times. In some concern employee have complaints against employers. In some other cases employers may have complaints against employees. This is happening mainly due to lack of better employee relation. These grievances may be real, imaginary, valid, invalid, genuine, not genuine etc. Generally speaking complaints affecting one or more employees may be treated as grievances. Grievance is a feeling of discontent or dissatisfaction among workers regarding anything concerned with the company (Som, n. d.). Causes of grievances: There may be variety of reasons for grievance. Some of them are explained below. a. Difference in opinion: The management and

Strategic leadership Case Study Example | Topics and Well Written Essays - 2000 words

Strategic leadership - Case Study Example Moreover franchise allows companies to enjoy the operating economies of scale in advertisement of the product and also in purchasing the raw materials needed for manufacturing the product. With the expansion and maturity of the franchise the chain managements often buy them or became interested in opening own stores for themselves which help in gaining a better understanding and controlling of the operations. And with increasing control and understanding the franchising fees get supplemented by profits. Secondly the decision to choose the town, the neighborhood and even which side of the street as the region of the location is an important key factor of success. A difference in the location of the store can make a huge difference between the success and the failure. Thus the importance of ‘scale economies’ is to be recognized at the store level because the fixed cost of the outlets are very high and so to meet the cost, the small returns per unit sells and the traffic vo lume is very crucial. Efficiency in store management is also an important factor of profitability within the industry. Since the opportunities of waste, inefficiency and shrinkage are many there is a requirement of an efficient management system. Thirdly the efficiency of the store managers in building relations with the local public, developing goodwill with the customers, maintenance of the morality of the employees and keeping an eye on the competing chains are important for ensuring the short term profits. Fourthly with the development of the industry a clear overall market image of the chain is very important. There is a need of maintaining consistency and reliability of the product line throughout the chain. Introducing more innovative recipes often becomes risky as it may deviate from the basic and core theme of the industry. (Bartlett and Rangan, 2) Answer of Question no 2:- Dick Mayer emphasizes on Strategic planning. According to him strategic planning can bring effective changes in the way of marketing and brings accountability in the function. Every product and their pricing proposals require analysis and review by the management to evaluate their ability to meet long term strategies. He focused mainly on the subsidiary in Japan as it was one of the fastest growing units with the highest potentiality also a challenge for the entire international operations. Mayer was aware of the issues related to the resistance of the headquarters administrative control over the entire international operations. The office of the international operations felt that the lack of organized and effective planning and control for the overseas expansions resulted in the financial constraints, the inconsistency in the strategies taken and the ‘stalled expansion’ in the overseas market. Accordingly increasing efforts made by the staffs of the head quarters aiming at increasing support to the overseas staff and providing them with the resource and the experience of the parent company would help them in achieving optimality. The subsidiaries were helped from the headquarters in developing new marketing skills. New techniques of market research and advertising in television to introduce the products to the customers and to enhance the brand awareness were introduced among the subsidiaries through seminars. According to him the head quarter cannot turn a blind eye on the subsidiaries submission of approval forms after the plan already implemented and not submitting proper reporting to the head quarters for analysis. Moreover manager’s proposals of new market entry and the details of their strategies should be properly evaluated for setting financial and operational expectations in the changing world of

Analysis of the Gulf of Mexico Oil Spill

Analysis of the Gulf of Mexico Oil Spill The world witnessed the largest oil spill in its history in April 2010 in the Gulf of Mexico. The explosion occurred in an oil well of British Petroleum and it is estimated that almost 4.9 billion barrels of oil was leaked to the Atlantic Ocean during the first three months since the incident. The oil spill had devastating effects of the economy and environment of America and the company had to face severe criticism from across the world community. Macro-environmental factors affecting BP Political Environment British Petroleum has held back its dividend payout to its prime stakeholders as they had been under pressure from the United States government regarding the oil spill that had occurred in the Gulf of Mexico. The company had agreed to sell of 30 billion worth of assets to pay off its clean-up bills. The company will resume its prime stakeholder dividend payout at 7 cents/share. British Petroleum is looking forward to sell two of its key refineries in the United States. United States have threatened to replace BP from the project to seal the exploded well in the deepwater horizon. Obama acknowledged that the Gulf of Mexico contributes a major of its domestic production; he added that offshore oil drilling can be pursued only with an assurance that devastating incidents like the British Petroleum oil spill will not occur in future. Economic Environment British Petroleum oil spill has resulted in huge lose in terms of Share price fall and it is estimated to be around $25 bn. Out of this huge amount almost 15 bn is account under facilitating hygienic water supply for the needy people around. To understand the size of amount brought in it is essential to look at what exactly the global online giant Google makes annually ($20 bn). Apart from this an additional cost is likely to incur, BP will be forced to spend an approx amount of $300 mn to cap the pill and one more thing this does not count the cleanup cost. This would be equivalent to cost of buying fuel to drive a SUV around the globe for 60,237 times British Petroleum has seen a value erosion of  £8 billion following the announcement made by the president himself that the company has to pay the cleanup costs of the massive oil spill. The company saw a fall of 11 % since the blast. British Petroleum has ended with a loss of $4.9bn ( £3.1bn) during 2010, this is for the first time the company is incurring loss since 1992. Social Environment British Petroleum was condemned for not being a socially responsible. Pax World, who is considered to be a smart investor, sold out its 8,000 shares of British Petroleum to show its response toward the disaster. Many other investors already sold their shares even before the oil spill because they were sure that the company is not following proper safety regulations as well as social responsibility. After the spill large number of shareholders especially corporate investors sold off their shares as holding back their shares in BP would affect their image also. Thousands of people who lived along the coastline lost their livelihoods due to the spill. Death of aquatic life left the fishermen families with no earnings. Similarly many people who worked in sea food industries also lost their jobs. The spill also causes severe health issues among the people who are associated with removing the chemical dispersants. The most prominent issue is that it causes internal hemorrhage which results in gradual death. This way the oil spill can also prove fatal for human beings. Technological Environment The oil spill made the company to come up with many technological innovations that could help it to solve or at least neutralize some of the effects. The company invented a number of devices for stopping the oil flow. The capping stack was the most prominent device which served this purpose. BP developed a radio repeater system which extends from Florida Panhandle to Louisiana. This system is useful for workers within the network to communicate among themselves and solve the queries quickly. This will improve the efficiency of problem handling system thereby reducing the chances of error. The company also designed specialized tools that are capable of working beneath water surface even at a depth of 5000 feet. Many un-experimented techniques were used after the oil spill. The Macondo prospect tried to shear the damaged riser pipes which had inch-thick walls even at depth of 50,000 feet. Environmental Effects The most devastating effect of the oil spill was on the environment. The company heard severe criticism for the ecological impacts of the oil spill. The environment of Gulf of Mexico was completely damaged from the spill. Tons of species are being affected by the spill out of which ten are in the verge of extinction. Some of them include dolphins, pelicans, planktons, oysters etc. Since oysters and shrimps form an important part of the sea food industry, the spill in large way affects the American sea food market also. The American state of Louisiana which is nearest to the oil well is the most affected by the incident. As per the state officials, around 400 km long coastline of Louisiana is polluted by the oil leaked from the oil wells. In the first six weeks after the explosion, around 491 birds, 227 turtles and 27 mammals, including dolphins, have been found dead along the US Gulf coast. Most of them in this list were already in the endangered species list. Since most of the sea animals belong to the primary level of food chain, any effect on them would affect the complete food chain. This way it could bring genetic effects even to human beings. The undersea aquatic life is not the only area which is being affected. The oil leaked from the wells washed up the coastal wetlands which were already facing devastation from the overdevelopment, pollution and remaining effects of hurricane Katrina. Strategic Decisions for Future British Petroleum had to devise a strategic plan that would help them to solve the issues that were caused by the oil spill as well as increase the company image. As a part of this process, the company will have to introduce a number of strategies in different areas. The first strategy must be in sealing the oil well and preventing any further leak. The cleaning up of the oil slick must also be done perfectly so that critics cannot come up with any more blames. The company had already performed well sealing in a good way and as per BP officials; this issue was tackled by July 2010. BP also must take extra care in order to avoid any such issue in the future because even a small error would put all the pain taken till now in vain. The greatest concern after the oil spill was on the effect it had on environment. It is a herculean task for the company to solve the effects on environment as many of them are irreparable. But as a part of the process, the company must focus on different areas related to environment that were severely affected. The beaches and the shorelines that were besieged by oil must be cleaned as an initial step since public can witness the condition of these places. So any flaw in their cleaning would bring in wide spread criticism from the public. Similarly measures must be taken to reduce the damage caused to environment, wildlife as well as ecological system. The claims and complaints of people who were directly or indirectly affected by the oil spill must also be dealt with. This will be quite helpful in reducing the public anger towards the company. The investors will also be satisfied by this measure. The livelihoods of many people like the fishermen and those who worked in the sea food factories were lost due to the spill. The company must take measures to restore their lives back by providing them with employment opportunities or other means of living. These ways the company must come closer to the society and rebuild their image. Entering into social initiatives would keep up their name as a socially responsible company which will bring in more investors also. Marketing plan to recover from the disaster and to regain people confidence It is essential that the company pursue a more customer centric marketing plan because company need restore it brand value. British Petroleum response toward the environmental issue comes to a point just below fatuous. It is time to go beyond and find an alternative solution to the environmental issues faced by the British Petroleum Sharing Concern British Petroleums Chief Executives are making frequent media appearances not to show his individual apprehension but to convey the message that the company is actively responding to the environmental issue. It will help the company to portrait itself to be more cautiously responding to the environmental issue. The company understands the impact of tragic shock on customers and that on high priority Casualty aid The company had taken measure to support the families of the despaired and injured. Financial aids are in place for the people who lost their job because of this disaster. It takes leadership in encouraging other companies in the same sector to flow new safety measures and policies to avoid further incidents like this. BP should also create more employment opportunity to help the local residents who relied on marine sources to earn their daily bread. Restoring the loss British Petroleum should join hand with NFWF (National Fish and Wild Life Foundation) by providing assistance to preserve the species mostly affected by the oil spill in the deepwater incident and because of this incident some of these species like shorebirds, water fowls, marsh birds, sea turtles and other marine vertebrates living at this part of ocean got merely extinct. Taking this point into consideration, British Petroleum should liaison with marine and wild life conservative organizations to replenish the lost population of those marine species. The company should also appreciate other external bodies and volunteers who wish to be a part of this restoration program. Combined Effort BP should take steps to make customer aware, through there retail outlets to the extent of companys efforts in restoration from the environmental disaster and encourage the customer to share their valuable feedback in developing new safety procedures or to promote the willing customers to render their share of inputs in mitigating the time involved to restore things back to their normal state. Online Measures An online discussion on this matter will give everyone around the world to talk about their opinion into it. While creating an online blog or community on this issue asking for valuable suggestion would definitely bring up some serious feed back from people related to this field and also of the general public. When public gets aware of the fact that BP is using such a polite way to ask for suggestions from even a common man, there is a mere chance of regaining the goodwill of the general public. Forming Research foundation Bp could exploit this situation to bring in more industrial support, and corroborate with other organization in the same field and with the government to device custom made solutions which could fit in with the situational requirements. BP could bring up a research foundation mostly oriented to solve future incidents like the one happened in the Gulf of Mexico, the best solutions can be shared with the government authorities and the environmental regulators to bring up new safety norms which can be put into action in the near future. Recovery strategy British Petroleum is now in a midst of a critical situation where it is losing its brand value in terms of market share and people support. It has made a severe impact on its macro environment, so it needs to deal with all economical, social, political and technological failures. Hence one single solution cannot address all these issues and an open strategy need to be adopted that provides custom solutions to every aspect of its macro environment. Thus it should be an integrated approach that adds more value to it at each point of recovery attempt. Here is some recovery methodology which could be implemented by the British Petroleum: Safety measures: BP needs to come up with better safety techniques that could prevent future incidents like this. They could spend more money on procuring good quality equipments and proper equipments maintenance. They could also develop a way to improve communication by creating better response team, who shall be trained for generating a quick reaction to any future adversities, by mitigating the impact of a huge event like what has occurred in the Gulf of Mexico. Eco friendly Drilling Techniques and waste disposal BP needs to do a bit research in developing a Eco Friendly Drilling Methods (EFDM) that address: Least impacting drilling technology that reduces the mark of drilling activities Less heavier driller rigs that has low carbon emission system On-Spot waste disposal techniques The prime goal behind this initiative would be to recognize, build and test inventive technologies which could eliminate the environmental effects on oil and gas which could result adversely on sensitive environmental locations. BP can look forward in building its global tie-ups in developing partnership programs that enable technology transfer and develop fresh attempt that would deals with environmental worries. Highly trained and qualified professionals BP needs to recruit better trained and highly skilled professional who are capable to handle adverse situations effectively and efficiently. The advantage of employing trained ones could help in detecting the problem prone areas in the earlier stages so that preventive measures could be adopted. Charitable initiatives Oil spill has destroyed the goodwill holdings and company should do the needful to restore it in a very short duration to avoid further loss. The focus should be placed on more social engagements that would keep the brand close to public. More charitable endeavors need to given priority to calm down the agitated groups that raise voice against and tamper the recovery moves that the company undertakes. Celebrity endorsement and ad campaigns Company could also use media to have celebrity endorsements and creative ad campaign to keep the customer focus on to the final product quality. More importance should be given toward product differentiation and product placement. Tourism and Seafood Promotion Oil spill has impact the lively hood of the local fisherman community and the regional tourism adversely. Hence it the added responsibility of the company to restore everything back in place. Either they should make necessary arrangement to compensate the loss or make provisions to boost the morale and join hand with the people in bringing things back to normal. Company could initiate adventure sports activities/organize international seafood festival that stands out with high quality tested seafoods.

Holes :: essays research papers

Holes is a book about a boy named Stanley Yelnats who is convicted of stealing a famous basketball player’s shoes. His punishment for stealing a basketball player’s shoes is going to detention camp. Stanley believes that this all happened because of an ancient family curse or fate. This is true because both bad luck and fate led to detention camp where he turned his bad luck around once and for all. In the book Holes Stanley Yelnats gets sent to a detention camp because of bad luck. His bad luck was that he was standing under a bridge when a stolen pair of a famous basketball player’s shoes got dropped on his head. He was in the wrong place at the wrong time because of an ancient family curse. The curse put on his family was set because of Stanley’s pig stealing great-great grandfather who disrespected one of the ancestors of Zero, the boy who committed the crime that Stanley was convicted of. Zero, who was also in the camp, told Stanley that his ancestor had told Stanley’s great-great grandfather how to get rid of the family curse but that he never got rid of it. This is the first time that Stanley realized that the curse could be broken. This curse is taken away at the end of the book. Stanley’s fate and bad luck were changed because he did something that his great-great grandfather was supposed to do.   Ã‚  Ã‚  Ã‚  Ã‚  While at detention camp, Stanley is forced dig a hole at extremely specific regulations. Stanley’s holes get dug but not as fast as he’d like them to. Stanley doesn’t know this but the holes are a big part of his fate. The warden says that they dig these holes because it builds character, but the real reason is hidden. The real reason for the digging of the holes is so that the warden can find a legendary treasure. Stanley’s â€Å"hole digging fate† was all changed when he found out that Kate Barlow had buried treasure there.   Ã‚  Ã‚  Ã‚  Ã‚  Stanley’s whole family’s luck was horrible all throughout life because of something his pig stealing great-great grandfather did. This would be a nasty fate to have because everything you ever did would turn out badly because of someone else’s actions.

Online hotel reservation Essay

1. Introduction Currently the World is going to be come in once. The introduction of modern computers since 1940’s changing the way people live, learning their environment and the way they gather information, process, and store data and communicate accurate and timely information in their daily activities.  Therefore without using recently technological products especially computers, it is impossible to think about social, cultural and economically development. So in this century using information and communication technology especially the sophisticated and amusing machine known as computer and modern information handling in any aspect is a question of survival. The group member will try the best way to make the complicated process of Online Yeha Hotel as simple as possible using Structured & Modular technique & Menu oriented interface. The members are going to design the software in such a way that user may not have any difficulty in using this package & further expansion is possible with out much effort. Even though the group members cannot claim that this work to be entirely exhaustive, the main purpose of our exercise is perform each employee’s activity in computerized way rather than manually which is time consuming. 1.2 BACKGROUND OF THE ORGANIZATION Yeha Hotel is one of the business units managed and controlled by BT Digital Business Bridge PLC. It was established in 1993 G.C at Tigray Regional State, Aksum town. The Hotel is a three star hotel located in the outskirts of the city of Aksum on the historic route. 1.3. STATEMENT OF THE PROBLEM Currently the management system of Yeha Hotel is computerized. But, the system is not well developed .It doesn’t include all function like; from where the customer comes, amount of payment for reservation ,what they are doing currently .It the hotel is under several problems that negatively affects the reliability, performance, efficiency and effectiveness of day to day activities. Some of the major problems are:- User cannot reserve things (bed rooms on line) well that they want. The hotel cannot well advertise the service that they give. Users cannot access hotel information. Difficult to insertion& retrieve data faster. Difficult to generate report. Delay of information in collecting & processing of customers’ data. To solve the above problems the group members are going to develop a  computerized system to manage the hotel service effectively and efficiently. 1.4. OBJECTIVE OF THE PROJECT 1.4. 1. GENERAL OBJECTIVE The general objective of this project is to solve the above problems by designing and developing an automated dynamic website that can enhance online in case of Yeha hotel. 1.4.2. SPECIFIC OBJECTIVE To change the manual file handling system in to advanced method of computerized system To reserve bed rooms and other services online To access the hotel information To solve complicated problems that faced to record the manual system To solve the time, cost and man power needed to job performance To provide efficient service to the new customers To solve data redundancy To keep data security and reliability To need fast data insertion & retrieval 1.5. Methodology 1.5.1. SYSTEM DEVLOPMENT METHODOLOGY The team members use waterfall approach since it provide great opportunity for user to participate in the development process, has extensibility feature. Programming tools HTML (Macromedia Dreamweaver 8) JSP (Net Beans IDE 7.1.1) Microsoft Office Notepad Microsoft windows7 Different browsers (e.g. Mozilla Firefox, Google chrome and internet explorer) HARDWARE USED Computer Digital camera Flash disc 1.5.2. FACT FINDING METHOD During information gathering the group members have used a number of  techniques that helps us to get full information about the system. These techniques are:- 1.5.2.1. OBSERVATION The team members have observed physically by going to the place. Also the team has seen that there was no any well-developed computerized system in the hotel and also information about the hotel and the service that the hotel provides were not available easily. The team also observes that reservation is only by face to face or by using phone. 1.5.2.2. INTERVIEW The other most important method that helps us to get most important and critical information about the general view of the hotel is by interviewing manager of the hotel and receptionist of the hotel. (Example:-how do you work currently? 1.5.2.3. DOCUMENT ANALYSIS The form that is used currently has significant importance in crating easiest way of analyzing the newly developed system. 1.6. SCOPE OF THE PROJECT Yeha hotel gives several services like, generate report, employee payment, making reservation, and give guaranty for the customer property, food order, and employee selection, introduce hotel service, security for the garden, check availability. But for now we only focuses on making reservation, Check availability, and reserved, room information, introduce hotel service and register customer. LIMITATION OF THE PROJECT Due to different reasons like shortage of time, lack of materials (hardware and software), and others, our project do not implement the whole services. These services are: Employee selection Don’t include branch hotels Employee payment 1.8. OUTPUT OF THE PROJECT After finishing the project it will give a lot of advantages for the hotel as well as the customer and the society. Those advantages include the following things:- Well organized documentation for the hotel Well-developed web site 1.9. OUTCOME OF THE PROJECT The outcome of the project can be seen in many directions as: – The society able to get fast and better service Well organized administration Easy to access information from the hotel Introduce the hotel as internationally Avoiding conflict between workers 1.10 PROJECT MANAGEMENT 1.10.1 ECONOMIC FEASIBILITY Our project is feasible because there is no lose of collections of data To reduce number of employee or worker in the system as result it reduces the outcome (money) in the system.

Healthy Choice A Brand Of Conagra Foods, Inc. - 1180 Words

In today’s fast paced life style, quick and convenient has become the norm. Due to our busy lifestyles, gone are the days of families at the dinner table at 6:00 pm. Although people want quick and convenient, there is still a preference for healthy and affordable. With 94% of U.S. households owning at least one microwave low-calorie frozen meals are on the rise (CNSnews.com). Health Freeze is low-calorie, frozen, microwaveable meal company providing single serve and family meals. Our leading competitors are Healthy Choice and Kashi. Healthy Choice a brand of ConAgra Foods, Inc., became a lifestyle of the former CEO after having a heart attack. â€Å"The brand has pioneered a long list of delicious products and continues to innovate new and exciting way to prepare the tastiest, healthiest food in the category† (healthychoice.com). Healthy Choice offers a wide variety including baked, steamed gluten free, whole grain pasta and vegetarian. The single serve meals range from $1.00 - $4.00, frequently offering coupons and special deals. Healthy Choice steaming entrees received the Gold Award for Consumer Packaged Goods in 2011. This award is based on â€Å"Marketplace Innovation, Marketplace Success, Technological Innovation, market Structure Innovation, Societal Impact and Design Innovation† (Financial News). In addition to frozen meals, Kashi, a Kellogg’s brand company, offers, cold and hot cereal, snack bars, and cookies. Kellogg’s is well known in households across the globe.Show MoreRelatedConagra Foods, Inc. Cag ) Research Paper2950 Words   |  12 PagesConAgra Foods, Inc (CAG) Research Paper A Project Report Presented to the Faculty of MidAmerica Nazarene University In partial fulfillment of the requirements for the degree of Masters in Business Administration By Dion J. Lewis II Professor Mary Murphy MBA 57 18 February 2014 I. Introduction For the analysis the packaged food company ConAgra Foods, Inc (CAG) was chosen. 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