Competitive Operational Strategy Case Study Example | Topics and Well Written Essays - 3000 words

Serious Operational Strategy - Case Study Example The organization has local workplaces in Malaysia, South Africa and Poland to satisfy the needs in Asia, Africa and Europe. The organization was privatized in the year 1986. The significant purposes behind the choice to change the product offering are the vulnerability in military agreements because of political changes and wastefulness in the administration framework. The non military personnel airplane industry was additionally confronting emergency the same number of firms in the line wrapped up their activities because of high rivalry and variance sought after because of the passage of recycled airplanes in the field. Along these lines there existed a vulnerability in the non military personnel and military airplane division. So the organization chose to lay higher accentuation on mechanical items. 2. As the interest for mechanical items will be more in creating nations of India and China with a colossal customer base the need of moving the administrative center from Europe to Asia must be genuinely thought of. One of the serious issues looked by the organization is the high completed merchandise and work in progress. Regardless of it additional time is provided to execute orders at short notification. This is a conundrum. The explanation given by the creation division is that they can make just in bunches and can't take into account the variety sought after. The execution of requests at short notification include after some time and once in a while high dismissal. ... Despite it extra time is provided to execute orders at short notification. This is a Catch 22. The explanation given by the creation office is that they can produce just in bunches and can't take into account the variety sought after. The execution of requests at short notification include after some time and now and again high dismissal. The buy division is of the conclusion that a crude material stock must be developed to satisfy the fluctuating need. Albeit at least crude material, work in progress and completed merchandise stock must be kept up, to keep up continuous creation and to fulfill unforeseen need. To conquer this, an ABC examination is required to stock least amount of high worth things. Despite the fact that the organization has these issues it has an effective supervisory crew that is gifted in dynamic at the suitable time. They have a client center and talk about uninhibitedly the everyday issues among themselves and show up at an accord. The top supervisory crew depicts higher administration characteristics in its activity. Powerful correspondence is one of the apparatuses utilized by the organization to improve its initiative. The vision and crucial the organization is shared by all the representatives in the association. Compelling authority is one key component in the achievement of a gathering and for all intents and purposes anybody can figure out how to be a powerful pioneer. (Effective administration. 2001). The two providers and clients are viewed as accomplices of the organization. At present the organization has its product offerings in three portions specifically military tasks, common activities and business tasks. In spite of the fact that the organization has business activities in its product offerings it is less settled contrasted with the other two. Programmable Logic Controllers frameworks and the related programming are the primary items

The Myth of Exodus Essay -- Holy Bible Essays

The Myth of Exodus There are numerous subjects going through the Old Testament legend of Exodus †servitude, salvage and recovery, direction, precepts on the best way to live, the production of a country, and God’s control over different divine beings. In this paper I will investigate what seems, by all accounts, to be the head thinking behind the formation of the Exodus fantasy †the clarification of the making of a monotheistic religion and the likenesses of the Exodus legend to the antiquated fantasies, just as how one should move toward the perusing of the fantasy. As a matter of first importance, we have to comprehend what a fantasy is. William Bascom says in his paper, â€Å"The Forms of Folklore: Prose Narratives†, â€Å"Myths are composition stories which, in the general public wherein they are told, are viewed as honest records of what occurred in the remote past† (Dundes 9). Attempting to demonstrate the components in the fantasy as truthful are in opposition to the very presence of the legend. In perusing Old Testament Bible fantasy, the topic of celestial motivation versus recorded truth is frequently discussed. â€Å"A fantasy offers a substantial expression about the sources of the world, of society and of its foundations, about the divine beings and their relationship with humans, to put it plainly, about everything on which human presence depends† (Graf 3). Further, the setting where the legend was composed must be considered when perusing the story. Bronislaw Malinowski in his exposition â€Å"The Role of Myth in Life† says that â€Å"The content, obviously, is critical, however without the setting it remains lifeless† (Malinowski 201). The setting that should be tended to when perusing the fantasy are the social and sociological segments that encompass a legendary book. This specific situation, comprising of the comprehension of the way of life wherein the fantasy exte... ...guide of appropriate conduct for the new society that has been freed from subjection. Inside the setting of history, the legend offers people in the future a brief look at another religions beginnings. As the new code of laws is set into place, another and all the more remarkable god rises †a divine force of extraordinary quality, a divine being that overrides every single other god, one god over all others. Works Cited Coogan, Michael D., ed. The New Oxford Annotated Bible, third Ed. New York: Oxford University Press, 1991. Dalley, Stephanie. Legends from Mesopotamia. New York: Oxford University Press, 1989. Dundes, Alan, ed. Consecrated Narrative: Readings in the Theory of Myth. LA: University of California Press, 1984. Graf, Fritz. Greek Mythology: An Introduction. Maryland: The Johns Hopkins University Press, 1987. Segal, Robert A. Guessing About Myth. Amherst: University of Massachusetts Press, 1999.

Property Manager Resume Examples, Template Complete Guide

Property Manager Resume Examples, Template Complete Guide Being a property manager may seem like the simplest job in the world, don’t you think? Well, all you do is advertise vacancies, and negotiate with interested parties, isn’t that so?You see them smiling and shaking hands with happy and satisfied tenants, handing over the keys and leaving with plenty of money, and you naturally think- I can do this, what’s so complicated about it?This can indeed become a dream job and it can be so smooth, but plenty of efforts need to be put.For the beginning, what matters the most is that you are given a chance to prove that you are born for this job.You have surely noticed that competition is getting crowder and crowder at the speed of light.But, don’t let that discourage you, because YOU can get your chance and get that job.What you need is a jaw-dropping resume for a property manager that will show you deserve the position.You probably have a rough picture of what does it take to be suitable for this job, but we have some cool tips and tric ks that will help you express those the best way possible.Because, when you get the job, you need to justify it by showing that all the skills and experience you listed are not just empty words.So, you have to be honest, that’s right, no lies, but you have to know the right way to articulate it.What makes the situation even more challenging we will tell you that the majority of companies use some application or program that automatically filters all the CVs.So, who knows how many resumes get eliminated even before a real person gets the chance to read them.Only because a machine decided it’s inadequate.But, even that shouldn’t discourage you because we have what it takes to create a “filter-friendly” CV for the property manager and boost your chances to beat the competition.  Commercial Property Manager Resume Example Right Senior Property Manager Resume Example Right Create your own resumeNow that you have some practical examples of how your CV should look like when youre applying for the position we can give you some extra direction which would make your resume for property manager look even better.Sometimes it’s a single word or expression that makes the difference and minimizes or maximizes the chances.Now that you know all the details most HRs pay attention to, you are already a halfway to getting the desired position. To maximize the chances, we shall now go through each section a bit deeper.We kindly invite you to use our resume templates, not just because we think they are the best (but they are!), but because they are quite convenient, practical and reader-friendly.They are very flexible and adjustable, so you can change or add any section you want so that it meets the demands for the specific job advertisement.Your journey to the ideal job doesn’t have to be stressful, because our tools are there to relax you and your confidence.THE CV IS NOT A DIARY- OR HOW TO WRITE THE PERSONAL INFO SECTION ON YOUR PROPERTY MANAGER RESUMEThe beginning of every resume is more or less the same. Those are usually your personal information.But when writing a property manager resume, no one wants to know what is your favorite color or do you like rain.Those are usually basics about you, such as full name, phone number, e-mail, and address.These data are among the most common requirements for any CV regardless of the position you apply to.As for additional information, it’s entirely up to you to decide if you want or not to include those in your resume as well.Do not list anything that can make you feel uncomfortable or things such as bank ID, or some too personal information.One of the things to pay special attention to is the e-mail address you include in your resume.Stick with something formal and ordinary, avoid everything that sounds embarrassing, inappropriate or silly.Even if that can make the recruiter smile or so, those can only diminish your chances to be among the selected candidates. If you haven’t got the one for business purposes, it takes a minute to create it.Here are the good and bad examples:angela.howard@gmail.com RightAngie_Howdy_777@gmail.com WrongRecruiters want to know the real name of their future colleague, so that’s exactly what your resume should have.Nicknames, alias names, and pseudonyms come afterward when you get the job and familiarize with the community. Your real, full name is what matters, at least for purpose of CV.Angela Howard Right Angie Angel Howard WrongHave in mind that when you’re listing your profession, avoid generic and broad expression. It’s important to be specific, whenever possible.The first option is to choose to write your actual profession, the subject you’ve graduated on or the topic of your master thesis. The second is to write your previous job title if you’ve changed professions during your career.However, if this is your first-ever p osition of a property manager and you haven’t got previous experience, it’s okay to write just that, or perhaps adding junior would make it sound even better. In case you have worked in a specific niche, it’s always much better to be as precise as possible.Commercial property manager RightProperty manager WrongAdding Linkedin on your resume can boost chances to get the job. (Remember the details we mentioned, the ones that make a significant difference? Linkedin is the one!).This site can be useful if potential employers want to get more information about you. This is like an extension to your CV if it already drew their attention.If you include this information, make sure it’s up to date, otherwise, the effect will be the opposite.If the recruiter sees that you haven’t updated it (or even worse, you forgot to include the experience you listed in your resume), it won’t leave much of the impression on him/her.The information from your resume and profile have to correspo nd to each other.Don’t forget to double-check it before you apply for the job.HERE’S HOW TO ACE THE SUMMARY SECTION FOR THE PROPERTY MANAGERAs for the Summary section, the goal is to impress the recruiter by highlighting the hottest points from your work experience, education, and skills.Be precise and concise so that HRs can get a clear picture of you, even before they continue reading your resume.But, don’t brag about yourself, even if you were the number one property manager in the previous company and deal with the most challenging duties. You should point that out, of course, but with the right words.This is a compilation of the best details from your resume, so do your best to make it sound effective and engaging.So, this section should contain the same information from your CV, but it’s okay to express it in slightly different words.When writing the Summary pay attention to the following:Be precise â€" Like we already mentioned, the summary should contain the same dat a that can be found in the rest of your resume. It shouldn’t be something new because it can confuse the recruiter.Be reasonable â€" Even if you were the best student in your class, it doesn’t guarantee that you will get the job if someone with 10+ years of experience also applies. So, yes, you can represent yourself like an expert in the summary, but if you don’t have the actual work experience as a property manager or set of skills to support that, the competition will bet you.Make it sound engaging â€"Imagine a recruiter falling asleep while reading your CV. Nightmare, isn’t it?   No one says that it has to be pure poetry, but make sure it doesn’t sound boring so that the recruiter would lose the attention while reading it. Make it sound exciting but focus on being honest as well.Believe it or not, we even have the ingredients for the ideal summary! Jokes aside, but we do have the right formula on how to make it sound great. It should consist of two or three sentences d escribing your skillsets and experience.If you haven’t got much experience, you can list the place you graduated from and as well as the reason why you are applying for this job. Whatever you choose to include, the point is to catch attention.Here’s how it should and shouldn’t sound:SummaryA senior commercial property manager with 7+ years of experience, including supervision of multimillion-dollar properties. Determined leader, mentor, and coordinator with a history of providing support and analysis for complex projects including operational revisions, detailed financial examination, and recommendations for change. Skilled at cultivating and supporting cooperation with tenants, resulting in high occupancy rates, minimum turnover, and renewal of long-term rentals. RightSummaryExperienced property manager. Performed financial analysis. Good communication with tenants.   WrongWhen comparing these two examples, you see a big difference. The right one is longer than the wrong on e, but still not too long. It contains major points that can help the recruiter get the picture about the qualification of the candidate, whereas the second example sounds too generic and can be applied even to different positions.After all, if a property manager needs to have excellent communication skills, one of the ways to show so is using the right words to describe it in the resume. Keep it to the point but spice it up just enough to make it look and sound personal and engaging.You can even put yourself in the recruiter’s position, and answer the question, which of the two candidates would you invite for an interview for the property manager job based on the summary? The “right” one or the “wrong” one?FIND OUT HOW TOP-CLASS PROPERTY MANAGERS WRITE EXPERIENCE SECTION ON RESUMENow that you know how to ace the Summary, let’s get down to the next crucial section on your CV.This aspect provides essential information about your previous experience as a property manager a nd shows if you are qualified for the position.Furthermore, this section helps recruiters evaluate in which way you can contribute to the company.If you have the required skill set to contribute to the company youre applying to and you’ve already proved yourself as a good and reliable employee in previous companies youve worked for, it’s highly likely that you will get the job.Chances can get even bigger if you know how to express and arrange those, and we will show you the right way.When listing previous positions and experience, including the period you worked for that company.That way that the future employer the information of for how long have you’ve been employed and unemployed.Sometimes recruiters won’t take even consider the candidates who don’t have at least 2 or 3 years of experienceThen again, no one cares if you have worked in café for 5 years because even though that is 5-year experience, it has no relevance for the property manager position.Moreover, having in mind that there are many different positions of property managers, giving the precise company name can show which niche you exactly worked in.Sometimes there’s a candidate with an excellent set of skills, but who has just graduated, and hasn’t worked anywhere.The competition is merciless, so entry-level and inexperienced candidates usually have minimal chances but they should still try.At least for the sake of breaking the ice.Even though the experience usually prevails, because it confirms how you utilize the skills you have, you never know.Add 3 or 4 bullets about how you’ve contributed to the company when listing the previous position(s), Numbers and percentages, if possible, are secret ingredients which enchant the recruiters, as they represent the “precise measure” of your experience!Silly but it works.Those serve to convince the recruiter that you’ve made a positive impact in the previous company.However, putting numbers and percentage just because we told you t hey work won’t take you anywhere, if those are not meaningfully used.Those cannot be used in every profession, so don’t push things.The goal is to make a reader-friendly and honest CV, not a fairy-tale. Right WrongThe rule “the more the merrier” does not make sense here. What we are trying to say that when writing about your previous experiences, include only the purposeful ones in your CV.The only jobs and experience you should list are those which are somehow related to the profession you’re applying for.If you were selling newspapers for a year before your real career began or you were a baby-sitter during the college, it’s fine, but those data are not for the CV.Even though those are sweet and they show that you are a hard-working person, those experiences are completely irrelevant for the job.LEARN HOW TO ARRANGE THE EDUCATION IN PROPERTY MANAGER RESUMEEven though one may think that this segment is not as important as the Experience it can make a lot of difference in the situation when a recruiter has two candidates with equal experience and skill set.You never know if you can be in such a situation, so you need to arrange it as best as possible.Again, if you have numerous certificates and achievements that are not connected with property manager job, there’s no reason to list them, because they mean nothing to the recruiter.Again, they show that you are willing to work on yourself, upgrade and educate, but if they cannot be applied on the job you are interested in, there’s no need to mention those.Here’s what you can highlight in the Education section:The college, academy or online course you’ve graduated from.GPA scores (if it is very high).Papers youve written, projects youve taken part in and seminars youve visited (if relevant to the job).Organizations and clubs you’ve joined (if relevant for the job).To give you a practical example, if you visited some seminars on how to improve interpersonal communication, or you volunteered in a tourist agency, that is connected with the property manager profession.On the other hand, if you have a certificate for scuba diving, that’s cool, but that won’t help you rent more apartments to potential tenants, isn’t that so?WHICH ARE THE BEST SKILLS TO LIST IN A PROPERTY MANAGER RESUME?There are several types of the position of a property manager, so the skillset varies depending on that.Those duties and obligations may sound ordinary and not so important to list them, but if you put yourself in the recruiter’s position, you’ll see that they are very meaningful.Even though things like communication with tenants, handling financial reports and similar are everyday duties you perform, the recruiter gets the insight into your capacities and qualifications if you name those precisely.You need to find a way to describe them as less generic as possible. It may sound challenging, but there’s a little trick on how to make them sound dynamic.When listing skills, for example for a commercial property manager and residential property manager, try to think of what are the specific requirements and duties for each of these positions.Based on that, think of adequate skills and describ e them well and precise.Try to list mediocre skills which everyone who applies for this position usually list.Here’s a practical example to illustrate so: Right WrongSide note: Don’t list skills which have nothing to do with the position you are applying for. The fact that you are “famous for delicious coffee you make” or “a great singer” sounds cool, do not show how well you communicate with tenants. Even though if some of the skills can be applied to multiple positions, they still need to be relevant.HOTTEST TIPS AND TRICKS TO MAKE YOUR PROPERTY MANAGER RESUME EVEN BETTER Resume length â€"Keep in mind that employers haven’t got much time to check out all the resumes, so you need to maintain an optimal length. Add what’s necessary, avoid redundancies. The ideal length is around one page, two is still okay if you have so much precious experience. Beyond that is simply too long to maintain the attention.Proofreading â€" Double-check what and how you wrote your resume. Grammar errors, typos and similar are simply forbidden. Don’t let a grammatical error damage your credibility and be the eliminatory factor. Feel free to send your CV to a proofreader if you are not sure or have some doubts about the correctness. After all, the fact that you are top-class property manager doesn’t mean that you have a top-class knowledge on every single grammar rule.Reviewing â€" Review your CV with due care. When you finish, do it once again. Getting a second opinion is also a great option to make sure that everything’s spick and span. If you have a friend who works as a recruiter, ask him/ her to revise your CV. Independent opinion is always valuable and can get you a useful insight from some new perspective.Articulate â€" Be clear and precise. The ability to articulate the data you provide on your CV is a crucial thing. You don’t want to end up being interpreted the wrong way.Adapting your CV â€" In an ideal world, you should write a different resume every time you apply for some job. But sometimes you either haven’t got time or inspiration to do so, so at least try to adjust the resume based on the position you are applying for. It has to match the specific requirements. Not all jobs require the same skills and that’s why it important to personalize your resume based on the demands.Bulleting â€"Bullet points make your resume look easy-to-read, as they focus someone’s attention to key aspects from that section. Use them to make your resume look well-organized and boost the chances that the potential employer spots you.Highlighting â€" An extra way to emphasize keywords is to mix highlights with bullet points. However, avoid making a colorful and dotted party invitation. When using these tools and options, use them meaningful and purposeful.Font â€" The handwritten-like fonts look stylish and pretty, but are not appropriate for a resume. Stick with the ordinary and well-readable and neutral fonts like Cambria, Helvetica, Calibri, Times New Roman, and similar common choices for various formal documents.Formatting â€" Provide a CV in different formats such as PDF and TXT. Moreover, make s ure have a copy of your resume both in physical and digital form. Be prepared for the most unexpected scenarios, which include the power or internet outage as well.E-Mail â€" Check your E-Mail regularly, or you may miss the invitation to the interview. Back then it was quite common to get a phone call directly from your boss telling you that you are among the selected candidates. E-mails are a faster way to reach the candidates, so don’t risk missing the chance.Resume template â€" We have an excellent tool which is very flexible and suitable for various profiles of jobs. It’s highly likely that you will find just the right resume template for your profession because we covered numerous fields. It will save you a lot of your precious time, as it’s extremely easy to use it. Add the sections you need, exclude the ones you don’t, and much more than that. Give it a chance, you won’t regret it!CONCLUSIONThank you for being with us through our thorough guide on how to write a res ume for a property manager. With our detailed and useful steps, you can boost the chances to get the desired job.We showed you how to list your skill set, education, and experience properly. We also highlighted the points to stress out in each of the section. So, what are you waiting for, get down to the job and ace that resume!As the final token of appreciation, we have a special tool that will help you arrange those tons of information that need to be implemented in your CV.Check out our resume template builder and you will see that creating a perfect property manager resume is a piece of cake!Good luck finding and getting your dream job! Create your own resume

How Did America Become America - 1628 Words

How did America become America? The North America that is here today went through a struggle to get where it is now. Exploration, expansion, fighting, and purchases were slowly piecing America together. America up north started our first and carried the upper class people who were in need of something new; the south was the hotspot for all the slaves and low lives that just farmed for Europe; and the west came to be by a population boom that needed to be resolved, and people just going out to explore and escaping the troubles of the east. As the seventeenth century started, just about a hundred years after Columbus’s famous discovery, the face of much of the New World had already been profoundly transformed. European crops and livestock had begun to alter the very landscape, touching off an ecological revolution that would echo for centuries to come. Disease and armed conquest had cruelly disrupted the natives. Several hundred thousand enslaved Africans toiled on Caribbean and Brazilian sugar plantations. From Florida and New Mexico southward, most of the New World lay firmly within the grip of Imperial Spain. But European powers planted three primitive outposts in three distant corners of the continent: the Spanish at Santa Fà ©, the French in Quà ©bec, and the English at Jamestown, Virginia. The settlement in Jamestown was the start of it all for the thirteen colonies, but the colonies began differently in the north, middle, and south. The colonies built the north and southShow MoreRelatedThe Great War And How Did America Become Involved?1324 Words   |  6 Pages Elizabeth, Kiselev â€Å"What was the Great War and how did America become involved?† The Great War was a global war originating in Europe that began in July 28th 1914, and ended November 11th 1918. 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Analysis Of The Movie Interstellar - 758 Words

â€Å"Interstellar† (Obst, Thomas Nolan, 2014) a great science fiction story with so various elements. Escorts us traveling through wormholes, into planets in other galaxies, and black holes. The characters keep colliding into the effects of relativity, which thoroughly explained in numerous scenarios. A story about love and family, but there happens to be a villain, whose actions result in shocking consequences for the other characters. There’s a great deal of emotion expressed by the character, which makes a great impact on how the film’s viewed. The movie will take place sometime in the future where the earth is slowly becoming uninhabitable for the reason of a global crop plague in addition to a second dust bowl occurring. The science†¦show more content†¦Imagine leaving your young child and coming back after an interstellar expedition trip and your child, now aged and lying in a hospital bed. While it only seemed only a couple days for the parent, the child waited a life time. That’s what Cooper, the main actor of the movie, and Murphy, the daughter of Cooper, went through. The emotional scene when Murphy was lying on a hospital bed, Cooper asked Murphy how did she know he was coming back. Murphy replied, â€Å"Because my father promised me he would.† He replied, â€Å"I’m here now, I’m here† and she ends it by saying, â€Å"No, no parent should have to watch their own child die (Obst, Thomas Nolan, 2014).† That’s how â€Å"Interstellar† (Obst, Thomas Nolan, 2014) was trying to express how astrophysics works also how time is when traveling from galaxy to galaxy. Finally, heading back to why this entire trip happened in the first place. Earth was slowly dying, crops were not making it through the seasons along with a dust bowl existing during the time. NASA no longer exists, all but for one space station. The Earth is in an unhealthy condition and the people were the cause of it. 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Ancient China’s Web Quest Free Essays

|   | Ancient China Web Quest| | Use the following links to answer your questions. Write your answers on your worksheet. | 1. We will write a custom essay sample on Ancient China’s Web Quest or any similar topic only for you Order Now | China is located on the continent of _____China is entirely located on the continent of Asia___________________. http://www. rcps. org/mch/worksheets/ancient_china/where_is_china_located. htm | 2. | The capital of China is ____Beijing____________________________. http://www. rcps. org/mch/worksheets/ancient_china/capitalofchina. htm | 3. | There are 3 major rivers in China. Two of those rivers start with the letter â€Å"Y†. They are the _______Yangtze River, the Yellow River, and the Pearl River. _______________ http://www. rcps. org/mch/worksheets/ancient_china/geography_china. htm | 4. | The Himalayas are the highest mountain range in the world. The name of the highest peak (mountain) in that range is ______The highest point (mountain) in China is Mount Everest (8,850 meters tall)_____ _________________. http://www. rcps. org/mch/worksheets/ancient_china/geography_china. htm | 5. The longest structure ever built by man, covering about 4000 miles, is the ___Great Wall _________ ______________ _______ ____________. http://www. rcps. org/mch/worksheets/ancient_china/gw_China. htm | 6. | Gunpowder was invented by the Chinese. The first fireworks were probably made by stuffing _____gunpowder__________ into some _______ bamboo _______ sticks. http://www. rcps. org/mch/worksheets/ancient_china/fireworks. htm | 7. | Another invention from China is sil k. Silk is made from _____China___________________. ttp://www. rcps. org/mch/worksheets/ancient_china/silk. htm | 8. | Ancient Chinese and even some Chinese shopkeepers of today use this object to do math like we use a calculator. It is the ___Abacus___________. http://www. rcps. org/mch/worksheets/ancient_china/abacus. htm | 9| Something the Chinese invented to show direction is the ___Compass____________. http://www. rcps. org/mch/worksheets/ancient_china/compass. htm | 10. | On windy days, these things will fly. They are ______Kites______________. Some Chinese kites are designed as animals and they can roll their _____eyes_________. http://www. rcps. org/mch/worksheets/ancient_china/kites. htm | 11. | Name two more Chinese inventions. __________paper__________________  Ã‚  Ã‚  Ã‚   _______________ movable type printing _________________ http://www. rcps. org/mch/worksheets/ancient_china/inventions. htm | 12. | The Chinese use characters or little pictures to write. Another word for this type of writing is _____ Calligraphy _________________. http://www. rcps. org/mch/worksheets/ancient_china/calligraphy. htm| How to cite Ancient China’s Web Quest, Essay examples

Pathophysiology Of Clinical Manifestations-Myassignmenthelp.Com

Question: Discuss About The Pathophysiology Of Clinical Manifestations? Answer: Introducation In patients with diabetes type 1, the ability of the pancreas to synthesize insulin is lost. This happens when the immune system attacks and kills the -cells of the islets of Langerhans by mistakenly attacking these insulin producing cells of the pancreas. Genetic susceptibility plays a role in type 1 diabetes, but the fact that that not all susceptible people progress to the disease indicates that some environmental factors are involved. These environmental factors could include viral and bacterial infections and provide an exogenous antigen that triggers the autoimmune attack of immune cells on the beta-cells(Knip Simell, 2012). Researchers have found evidence that A1beta-casein from cow's milk causes the primary trigger in some cases of type 1 diabetes (Chia, et al., 2017). In the absence of insulin, the ability of the body to utilize the blood glucose for production of energy in the cells is lost. As a result the blood glucose begins to rise and hyperglycemia occurs. Hyperglycem ia is said to have occurred when the blood glucose levels reach 180 mg/dl or more. It is possible for patients of type 1 diabetes to control hyperglycemia by taking insulin injections in the required dosage (diabetes.co.uk, polyuria.html). Glucose in the urine was checked to diagnose diabetes before blood glucose tests became common. The presence of glucose in urine is termed glucosuria. The glucose in urine shows up when blood glucose levels are high. This happens because the renal tubules are unable to reabsorb the glucose due to its high levels. Glucosuria may be accompanied by symptoms, such as infections, prolonged time for wound healing, issues with vision, excessive thirst, increased frequency of urination, unexplained weight loss, and tingling sensation in hands and feet. Usually glucose appears in the urine when diabetes is poorly managed. Increased urination occurs in patients of type 1 diabetes if the diabetes is undiagnosed or if the blood sugar levels have risen high. It is one of the main symptoms of diabetes. Typically, passage of more than three liters of urine in a day is termed polyuria. Too much water lost in this way could cause dehydration and if polyuria remains prolonged, it can affect kidney function. Due to high blood sugar, the kidneys are not able to reabsorb all the sugar. The presence of sugar in the urine draws out more water and so polyuria occurs (diabetes.co.uk). Increased thirst is a consequence of loss of excess water through increased urine output, it is another important symptom of high blood sugar that occurs due to high blood sugar or hyperglycemia and is termed polydipsia. Since diabetes type 1 occurs in children, the most common symptoms that help in diagnosis are polyuria, polydipsia and weightloss. Increased appetite or polyphagia occurs in type 1 diabetes patients due to low energy. The inability of glucose to enter cells due to lack of insulin results in a demand for energy and the body responds with a signal of increased appetite. This leads to hunger and increased intake of food and a higher blood sugar level. The insulin injections lower the blood glucose levels due to transport of glucose into cells for energy production and the symptom of polyphagia does not appear in patients after levels of blood glucose are controlled. Ketones in the blood and urine may occur in patients suffering from type 1 diabetes because of elevated blood glucose levels for a prolonged period. Ketones are the alternative fuel that the body uses when glucose cannot be used as a source of energy. The lack of insulin prevents cells from utilizing blood glucose as a source of energy. The body responds by breaking down fats and muscle for generation of energy. This occurs during periods of fasting when insulin levels are low but glucagon and epinephrine are there in normal levels. This causes release of fats from fat cells which reach the liver through the circulating blood. In the liver the fats are metabolized which results in the formation of ketones. The ketones, through the blood stream travel to different tissues and cells and can be used as an alternative source of energy (Ucsf). Unexplained weight loss often occurs in individuals who are diagnosed with type 1 diabetes which is often unintentional and the patient has not been on an exercise or diet regime to lose weight. The high blood glucose is a consequence of the inability of the body to utilize the glucose as a source of energy because it cannot be transported to the cells in the absence of insulin. In order to meet the energy demands of the body, the body responds by oxidising the fats and muscles of the body. Muscle loss is usually accompanied by weight loss and is observed more often in patients with type 1 diabetes. Some patients of type 2 diabetes may also experience unexplained weight loss (diabetes.co.uk, /symptoms/unexplained-weight-loss.html). Nursing considerations related to the administration of NovoRapid Before administration It is important to check several times whether the correct type of insulin is being administered. A correct dosage should be prepared and it is better to ask a colleague to double check for the type of insulin being administered. The correct syringe calibrated with units should be used. The site of previous injections should be checked and a different site should be prepared for subcutaneous administration of the insulin. Repeated injections on the same site can cause necrosis (brooksidepress.org). The prefilled insulin should be rolled between the hands in order to mix the contents so that a uniform mixture is visible. It is important to ensure that each patient is given the right dose of insulin. The nurse should remain watchful and observe the patient carefully for any sign of hypoglycemia or hyperglycemia. Since fast acting insulin begins to act and lowers blood glucose level soon after the subcutaneous injection is given it is important to check blood glucose before the administ ration and the patient should be given a reminder about having a meal soon after (nhslanarkshire) Just before the injection the nurse should check whether the patient has not been administered the dose by another nurse. During administration the nurse should ensure that the site of subcutaneous injection is cleaned thoroughly, however an alcohol swab may not be used because the astringent action of the alcohol can make the subcutaneous injection painful. Nurse's hands should be washed with soap and water and gloves should be worn. Complete dosage of the insulin should be injected subcutaneously by raising the skin and rotating the needle. The injection should be held at the site up to a count of ten to ensure that the insulin disperses from the site of the injection. After administration of insulin the sharps should be discarded in the sharp box. The time, dosage and date of the administration should be recorded on the chart right after the administration and the entry should be initialled. In the instance that the site of injection bleeds or there is a visible spot of insulin or if the patient complains of pain, it should be reported to a senior colleague. It should be ensured that the insulin is stored at the recommended temperature in the refrigerator between 20C to 80C. Patient's blood glucose level should be checked every hour until two consecutive readings are within the normal range, two hour testing should be done until two consecutive readings are in the normal range and then a four hourly schedule should be maintained. Parents of a child who has been recently diagnosed with type 1 diabetes may experience a significant amount of stress. It is a life-threatening disorder and the constant challenge of having to deal with episodes of hypoglycemia or hyperglycemia can be emotionally exhausting for the parents. In Briana's case, she is a young child and dealing with giving the child insulin injections everyday could prove to be a daunting task. The parents may perceive it as harming the child with her getting upset at the prospect of feeling the pain. Parents of children have been assessed to be suffering from post traumatic stress disorder (Landolt, et al., 2002). Until the family gets used to the routine of frequent blood glucose checks, watching out for symptoms of hypoglycemia, making a schedule for food intake and sticking to it are difficult additions to an already busy life. That the disease, though manageable, will trouble Briana throughout her life is an added cause of worry. The child may prote st and may have behvioural issues the because the constant restrictions on diet can make the child irritable. In case of Briana's parents, they have the responsibility of her two year old sibling. The parents work full time and juggling the responsibilities of work, home and the kids can be physically exhausting. Managing the child's needs of medication, care, diet and physical exercise within their routines can prove to be physically exhausting. So many pressures can make them struggle with time and their own energy levels. Keeping up with emotional, physical and financial demands causes considerable distress to the parents. Ensuring that Briana's father is able to understand the illness of his daughter and the complex requirements of care-giving is important for achieving good health outcomes. As a nurse it is important to play a proactive role in helping her intellectually disabled father to understand the illness. With the help of educational tools, it is possible to make the father understand the requirements of monitoring the child's blood glucose levels, giving her insulin injections, training in how to recognize hypo- or hyper-glycemia, the importance of adherence to diet and exercise and the risk of long-term complications. Since the father was overwhelmed at the time of diagnosis, it is important to keep him calm and understand how he can help the child's mother in giving care to the child. It is possible to engage social workers who deal in training intellectually disabled parents(Getz, 2011). In Briana's case her father is concerned and most likely to understand the care needs in dealing with his child's illness. References brooksidepress.org. (n.d.). /1-72-nursing-implications-for-administration-of-insulin/. Retrieved from https://brooksidepress.org/: https://brooksidepress.org/giu/lessons/lesson-1-nursing-care-related-to-the-gastrointestinal-system/section-viii-diabetes/1-72-nursing-implications-for-administration-of-insulin/ Chia, J. S., McRae, J. L., Kukuljan, S., Woodford, K., Elliott, R. B., Swinburn, B., Dwyer, K. M. (2017). A1 beta-casein milk protein and other environmental pre-disposing factors for type 1 diabetes. Nutrition Diabetes, 7(5), e274. diabetes.co.uk. (n.d.). /polyuria.html. Retrieved from https://www.diabetes.co.uk: https://www.diabetes.co.uk/symptoms/polyuria.html diabetes.co.uk. (n.d.). /symptoms/unexplained-weight-loss.html. Retrieved from https://www.diabetes.co.uk: https://www.diabetes.co.uk/symptoms/unexplained-weight-loss.html diabetes.co.uk. (n.d.). polyuria.html. Retrieved from https://www.diabetes.co.uk: https://www.diabetes.co.uk/symptoms/polyuria.html diaTribe. (n.d.). type-1-diabetes. Retrieved from https://diatribe.org: https://diatribe.org/type-1-diabetes Getz, L. (2011, December). 111511p14.shtml. Retrieved from https://www.socialworktoday.com: https://www.socialworktoday.com/archive/111511p14.shtml Knip, M., Simell, O. (2012). Environmental Triggers of Type 1 Diabetes. Cold Spring Harbor Perspectives in Medicine , 2(7), a007690. https://doi.org/10.1101/cshperspect.a007690. Landolt, M., Ribi, K., Laimbacher, J., Vollrath, M., Gnehm, H., Sennhauser, F. (2002). Brief Report: Posttraumatic Stress Disorder in Parents of Children With Newly Diagnosed Type 1 Diabetes . Journal of Pediatric Psychology, 27(7):647-652. nhslanarkshire. (n.d.). Guideline%20for%20the%20Administration%20of%20Insulin%20by%20Nursing%20Staff%20final%20May14.pdf. Retrieved from https://www.nhslanarkshire.org.uk: https://www.nhslanarkshire.org.uk/Services/Diabetes/Diabetes%20Clinical%20Guidelines/Documents/fGuideline%20for%20the%20Administration%20of%20Insulin%20by%20Nursing%20Staff%20final%20May14.pdf Ucsf. (n.d.). /ketones/. Retrieved from https://dtc.ucsf.edu: https://dtc.ucsf.edu/types-of-diabetes/type1/understanding-type-1-diabetes/how-the-body-processes-sugar/ketones/ webmd.com. (n.d.). /diabetic-ketoacidosis-dka-topic-overview#1. Retrieved from https://www.webmd.com: https://www.webmd.com/diabetes/tc/diabetic-ketoacidosis-dka-topic-overview#1