Saturday, July 27, 2019
The Future of India's Economy Research Paper Example | Topics and Well Written Essays - 750 words - 3
The Future of India's Economy - Research Paper Example Most countries in the western world are facing declining proportion of working-age population due to aging; however, there is not going to be much change in the proportion of a working-age population of India in the years ahead. Aging population proportion is increasing every year across most developed economies and reasons attributed to the phenomenon are a reduction in fertility rates and gains in overall longevity of men and women. Only India and South Africa will have a higher share of the working-age population. In 2011, the working-age population in India, age 15-64, is estimated at nearly 65 % of the total population that will increase further to around 68% in 2030. Though it will decline slightly in 2060 in proportion to the total population, it will still be higher in percentage terms when compared with its level of 2011. This is important because most of the developed economies including Japan, the US, and China, the proportion of this working class would have reduced to le ss than 60 percent (Johansson et al. p14). From the table, it is amply clear that its annual population growth rate would be even lower than the US; however, it will be higher than China, which shows a negative growth rate in 2060. By 2060, India will be the top country in terms of population in the world. Crude death rate per thousand will be lesser than the US and China perhaps due to a relatively younger population in comparison to these countries. The infant mortality rate is an important indicator of health policies that prevail in the country, and on that count, it will still remain significantly higher than both the countries in comparison. Life expectancy for male and female both would have reached at the decent levels by then.
Friday, July 26, 2019
Choosing the right personal to work with the elderly and handicap in Essay
Choosing the right personal to work with the elderly and handicap in Assisted Living Facilities - Essay Example It is for this reason that the processes that go into the selection of people to take up the task of taking care of the elderly and handicap in our various care homes and institutions need to be done with a very high level of precision, effectiveness and mastery. The process must never be done with the aim of just filling up vacancies. If this happens, square pegs shall be used to fill round holes and this will cause a lot of inconvenience. Research has shown that the effect of wrong placement into vacancies for personal to work with the elderly and handicap results in a lot of repelling effect and creates a viscous cycle. For instance the personal become prone to high levels of employee turnover because they find themselves unfitting to the task. The elderly and handicap also become affected in the sense that they become deprived from the basic care and support that they need and this may affect their health and longevity. Administrators and managers of various home cares also suffe r the consequences of employee turnover. 1.1 Problem Statement There is the specific need for the selection of personal to the position of elderly and handicap care givers to be well scrutinized, structured and monitored. The problem at hand therefore has to do with effective recruitment and selection for care givers to take up the social responsibility of taking care of the elderly and handicap. In the opinion of the researcher, a well managed recruitment and selection exercise for personal as care givers would need to improved health and general longevity for the elderly and handicap in society and make such people more useful to society. It is for this need that the present problem is very important to be studied. 1.2 Rationale for the Research The present study will seek to eliminate all forms of incompetence and ineptitude in the social work department, especially those that has to do with the care of the elderly and handicap. The rationale that was used to determine the import ance of this study was inspired by recent reports on the impact that knowledge, skills and experience has on care giving for the elderly and handicap. In recent times, reports have been made of how the need to create employment has resulted in the recruitment of graduates into care homes when those graduates actually studied nothing about that field in school (Altman, 2001).). These researches have also outlined the dying consequences of such acts. It is with the need to eliminate all these inadequacies that the researcher finds the current research very useful and important to undertake. By every indication, such as research would not just benefit the inmates of care homes who will be assured of the best of care from competent professionals but the society in general shall benefit because these elderly and handicap shall become very useful integrated members of society. 1.3 Statement of the Research Objectives There is a general aim of improving recruitment and selection of persona l to work with the elderly and handicap. To achieve this general aim however, it is important that certain specific objectives be set. The achievement of these specific objectives would constitute the eventual achievement of the research aim. The objectives are: 1. To identify specific inappropriate practices that go on as far as the recruitment and
Thursday, July 25, 2019
Teaching Special Groups Coursework Example | Topics and Well Written Essays - 2000 words
Teaching Special Groups - Coursework Example Tutor Signature: Date: Table of Contents Table of Contents 3 Task 1 4 Task 2 5 Task 3 6 Task 4 7 Task 5 8 Task 6 9 Task 7 11 References 12 Task 1 List the different categories of beginner students, giving a brief explanation of each: Answer 1: There are different categories of beginners students, this includes: The absolute beginnerââ¬â¢s students are those who do not have any knowledge of English language. This may include the small childrenââ¬â¢s, students from abroad or people speaking language other than English (Davison and Dowson 2003). The false beginners are those who have a little knowledge of the English language as they were previously thought English, but do not have proper knowledge. As they are only able to make few simple structures in English language. The adult beginners are those who can have made their own decision related to learning English language and are highly motivated for learning it (Davison and Dowson 2003). The young beginners are those who are una ware of the benefits of learning English and also lack motivation as they just have made the choice to learn the subject. These learners are fast and grab the language more easily than the adult beginners. Beginners devoid of Roman alphabet: These students need a lot of personal attention and also need a lot of initial working on their basic skills related to the literacy. They also require a lot of reading and writing exercises for making them learn the language (Davison and Dowson 2003). Task 2 How would you as a teacher adapt your approach to beginner students? Answer 2: As a teacher for the beginner students the needs of students will be initially identified as why the learning of the language is important for them and make clear and realistic aims for them. I will adopt the methodology to that will suit the situation the most for the students. The classroom will be arranged in a manner that will highly benefit them in learning English language using many visual which will aid t hem in learning (Davison and Dowson 2003). I will also take care of the board work which includes the justification of simple and clear instructions. The lessons to be given to them will be of appropriate pace in order to make them comfortable in learning. The practices provided will also be repeated in appropriate interval in order to make them learn the practices. Lots of questions will be asked to them in order to clear all their doubts and also to make them remember the learningââ¬â¢s (Osborne 2005). The students will also be encouraged to speak English in class in order to make them familiar with the language and make them revise the lessons in a proper interval. The students will also be assigned with appropriate homeworkââ¬â¢s which will assist them in learning the language on a continuous basis and make them learn the language perfectly. Task 3 How can teaching individual students differ from teaching groups? Answer 3: There is a large difference in between teaching in dividual students and teaching students in groups. Teaching individual students have a number of advantages and disadvantages as compared to group teachings. As in the individual teaching the students are highly motivated as compared to students in groups, and the needs of individual students can also be easily defined as compared to the groups. In individual learning the teacher builds up a close relationship with the student as compared to the groupââ¬â¢s teachings (Osborne 2005).
Wednesday, July 24, 2019
High return stocks, low return stocks, and Essay
High return stocks, low return stocks, and - Essay Example The smaller companies do not have significant level of brand power at their disposal so they have to create confidence in the shareholders by following traditional and ethical practices in business. They know that the investors will leave them at the first sign of trouble so they attempt to under-promise and over-deliver. The larger multinationals have an advantage regarding economies of scale (Fry, 1990), and therefore, their rates of return appear to be significantly attractive than those of smaller companies. The excessive money supply moves into the deep pockets of the multinationals because investors expect to reap higher returns from them without doing market research of their own. The larger companies made wise investment decisions in order to reach their current level of organizational growth, and therefore, it is usually a safe bet to entrust them with oneââ¬â¢s money. The companies pay returns in the shape of dividends, and one can analyze the corresponding payout ratios to calculate his or her earnings. The investors must keep their money with those companies that are paying dividends on a frequent basis with lower level of risk
Tuesday, July 23, 2019
Five Drivers of Globalization and the International Forces Research Paper
Five Drivers of Globalization and the International Forces - Research Paper Example According to the standard theory, international trade theory leads to the share of resources being consistent with the corporate advantage. This further leads to specialization thereby enhancing the output. The quick progress in the capital market is because of the globalization. Along with the benefits offered by globalization, there are major concerns related to it. The first concern is related to the fact that globalization leads to a more immoral dispersion of income among the countries and within the countries. The second concern is related to loss of national autonomy and the countries are finding it highly complex to pursue independent domestic policies (Rangarajan, 2006). Dell Corporation has been analyzed for the purpose of this study. Since last 26 years, Dell has been capable of authorizing countries, communities, customers as well as people all over the globe to make use of the technology so that they can realize their dreams. The company tends to value its customers and thus aims at delivering the products and the services according to the needs and the wants of the customers (Dell, 2012). The five main kinds of drivers that are forcing international firms to the globalization of operations are political, technological, market, cost, and competition (Indian Institute of Material Management, 2012). Political Forces There is a trend towards the association and socialization of the global community. Both North American Free Trade Agreement (NAFTA) and the European Union present major marketing opportunities for the companies. If the government can reduce barriers to trade as well as foreign investment and can privatize most of the industries in formerly communist nations then globalization can be fostered (Acemoglu & Yared, 2010). Technological Forces With the progress in computers as well as communication technology ideas information can flow across borders. The small companies are capable of competing all over the globe because of the internet as we ll as communication technology. By making use of the internet for the purpose of business exchanges, Business-to-Business (B2B) transaction is providing major savings. Market Forces When the companies tend to globalize, they become global customers. In order to retain their presence in the global markets and expand the consumer base, organizations endeavor to set their trail towards global shores. When the home market saturates, companies seek to operate globally. Cost Forces The management goal is to make use of the economies of scale so that it can reduce unit cost. It is vital for the companies to globalize the product lines so that it can successively attain economies of scale. Production houses can be located in those countries where the cost of production is observed to be less.Ã
Monday, July 22, 2019
Illuminati and New World Order Essay Example for Free
Illuminati and New World Order Essay Conspiracy theories have been around forever, but today there seems thousands of them. These theories are developed over time, by looking at past and current events throughout time. When we look at these events, we reanalyze them and question whether or not there is more to the story. This is done because we like to create ideas and seek the truth. One of the most well known conspiracy theories is the secret group known as the Illuminati. The Illuminati in modern times is thought of as a secret group, whose members are made of the worlds most influential and famous. These members include world leaders such as presidents, prime ministers and dictators. Even many celebrities are mentioned, mostly being well known song artist. The goal of the Illuminati is to control the economy and use mind control to establish a new world order. All the members involved are rumored to be self-seeking opportunist who perform satanic rituals to bring harm to the masses for their own spiteful desires. Even though This might be just another bogus theory, it is important to be aware of it, otherwise we are doomed because We cant allow ourselves to be blind to the truth and the rich will take advantage of us. Since the Illuminati has control over world finance, politics and media they control a lot of the way we live, but not how we live. Ive looked into the Illuminati for almost five years now and its crazy how much of a stir this idea has caused and how many people talk about it. To me this just gives the theory strength and once an idea has enough believers to back it up, thats when the threnody is no longer just a thought, its a reality. With an idea like this becoming so powerful, its common sense we need to keep our eye open especially with crazy people who will try to attack influential people whom page they believe to be members of the Illuminati. Either way its always nice to be open minded and aware in your approach to life. Now as for the legitimacy of the Illuminati, its real and refers to a very old group called the Bavarian Illuminati, founded by Adam Weishaupt. The term Illuminati comes from the Latin word illuminatus, meaning ââ¬Å"enlightenedâ⬠. The members of the group were known as the enlightened ones. The Illuminati in the 1700s had a goal to eradicate superstition and the Roman churches domination over science and philosophy. Even though the group only gathered 2,000 members within the span of ten years, keep in mind it was the 1700s and all the members where very influential people. Those influential people were literary men who were attracted to the group because of they faced the same opposition. Eventually Karl Theodore became ruler of Bavaria and he decided to put a ban on all secret groups like the Illuminate, due to his ties with religion. This is where the original Illuminati was supposed to have been disbanded, but throughout time former members who spread their influence and rose back to power. This is where the conspiracy theory starts and the modern day Illuminati begins to rise to power. How they kept communication is widely argued about, the only thing that is consistent is that the old members that were cast out from the original group scattered out and recruited new influential members across the globe from Napoleon Bonaparte to George Washington. Eventually the American Revolution happens and America gains its independence. With George Washington leading this new born nation, this country was being guided by a man who pledged his allegiance to Lucifer in order to gain wealth and fame, at the cost of the suffering of others. With so much power the Illuminati began to rise and never stopped, due to how great a nation America became. Today America is arguably the lone super power nation, filled with the most diverse population and greatest minds from everywhere, we have found a home. The only problem is the Illuminati is a guest in our home and will make it their own if were not aware. Most people would say if secret page organizations like this were so powerful, it would be obvious to spot out and destroy it. This is half true, they are powerful, but with media distracting us everywhere we go, its easy to blend in. The Illuminati will remain hidden until they want to make their big move for world domination. In order to survive we must keep track of its active members and try to limit their growth as much as we can. This theory has been going around ever since the first group broke up in the 1700s and the theory has only continued to grown due to its infamy and signs of credibility. The theory has been presented from everyone all over the world. With a theory as big as this one has become, there are going to be a lot of issues and there needs to be some proof to back its claim. Now its time to show all the symbolism the Illuminati uses to communicate with each other right under the publics nose. They control the currency and the bills we use in America. On the one dollar bill there are so many coincidences. The main one being the eye in the pyramid on the back of the dollar bill. The Illuminatis main symbol the all seeing eye staying true to their original symbol back in the 1700s. Now this may seem like an extremely far fetched coincidence, but theres more. The latin words above and below the pyramid. Above the pyramid it says Annuit Caecares, in latin this means annoucing the birth. then below the pyramid it says nuevos ordo seclorum meaning New world order. Announcing the birth of a new world order seems fitting because America gained its independence, but the next part is where you start to question whats really going on. Below the pyramid is a date May 1st, 1776. The birth of the original Illuminati, not America. It doesnt stop there even the Eagle holding 13 olive branches and 13 arrows. This goes along with 13 stripes on the American flag and the 13 stars above the eagles head. Finally another latin phrase above the eagles head E plubus unum meaning one out of many because thats exactly who controls the worlds money, the 1%. The eagle itself isnt based on the bald eagle, its based on a phoenix. The 1782 seal depicts a Phoenix holding arrows and an olive branch. The same seal the original Illuminati used. Theres just too many obvious signs that some thing is going on with American power in relation to the Illuminati. page Another Illuminati symbol is the owl because of its the symbol of Mivera, the goddess of wisdom. The owl is shown as well in the upper right corner of the face on the one dollar bill. Supposedly many US presidents have bowed down to a giant Owl statue locatin at the bohemian grove. The Bohemian Grove located in Monte Rio, California is a major planning and meeting place of the secret group. The manhattan project was rumored to have been planned there. Also Nixon and Reagan decided who would run for president in that spot as well-(herbs 21). Symbolism is a very important thing when it comes to the illuminati to stay alert of its presence. Especially when it comes to the media and people we look up to.
Transhiatal Approach Essay Example for Free
Transhiatal Approach Essay Abstract: Tethered cord syndrome (TCS) is a stretch-induced functional disorder of the spinal cord, which is directly related to filum fixation. Classic surgical approaches to the filum involve open surgery and include varying amounts of spinal bone removal. In an effort to reduce the morbidity and mortality of these procedures, we explored a less invasive method. We evaluated the ability, safety and feasibility for extradural endoscopic dissection of the filum terminale by performing upward orientated navigation in the sacral spinal canal through the sacral hiatus using a rigid endoscope. Four adult, phenol-formalin embalmed cadavers were used for extradural endoscopic dissection of the filum at the tip of thecal sac. After preparing the anatomical area of sacral hiatus, a rigid endoscope (Storz, of 3.8 mm external diameter with one working channel) was inserted into the sacral spinal canal and the filum was identified and cut easily. In all cases, it was possible to manipulate the rigid endoscope and inspect the full length of the extradural sacral spinal canal, especially at the S1-S2 level. Our results indicate that the tested transhiatal approach for upward orientated extradural endoscopy represents a minimally invasive procedure that provides an appropriate and feasible route to the extradural sacral spinal canal. Furthermore it is an attractive alternative for filum dissection in cases where tethered cord syndrome is not accompanied by any other pathology. Introduction Physicians and scientists have explored the clinical usefulness of spinal endoscopy over six decades. Endoscopic spinal surgery represents a major advance in the treatment of spinal disorders. It involves the use of small incisions that preserve normal tissues while allowing the spinal pathology to be fully treated. This technique carries interesting clinical benefits, and its utility continues to expand as technology advances. Tethered cord syndrome (TCS) is a manifestation of spina bifida occulta and can occur as a complication of surgically closed spina bifida aperta. The mechanical cause of TCS is an inelastic structure anchoring the caudal end of the spinal cord and preventing cephalad movements of the lumbosacral cord. Stretching of the spinal cord occurs in patients either when the spinal column grows faster than the spinal cord or when the spinal cord undergoes forcible flexion and extension. Symptomatic TCS can occur in adults as well as in children, manifesting with various clinical symptoms (Dachling, 1982; Kaplan, 1980; Klekamp et al. 1994), such as pain, neurological deficits, and bowel and bladder dysfunction. Further studies have shown that early surgical correction in adults is recommended because of the high risk for irreversible neurological deficits (Bermans et al. 2001). In recent years, further research efforts of scientists have ranged from full-fledged neurosurgery to minimally invasive approaches and have involved the use of flexible and rigid endoscopes for diagnosis and treatment of certain pathological entities (Heavner et al. 1991; Sabreski Kitahata, 1995 1996; Warnke et al. 2001, I, II; Warnke et al. 2003). Encouraging results from the performance of co-axial downward orientated thecaloscopic procedures, with flexible steerable endoscopes in the lumbar subarachnoid space in living humans (Warnke et al. 2003), prompted us to study further thecaloscopic procedures for filum terminale dissection by using a rigid endoscope. This procedure usually offers a better optical view of the studied anatomic structures. The aim of the present anatomic study was not only to determine if the tip of thecal sac could be clearly visualized. Based on the fact that epidural endoscopy through sacral hiatus was proved to be safe and possible (Sabreski Kitahata, 1995 1996; Sabreski Gerens, 1998), it also sought to explore the possibility of using a rigid endoscope to untether prefixed filum terminale. Materials and Methods For this study, four adult phenol-formalin embalmed male cadavers from the Anatomy Department of the Medical School of the University of Athens were dissected using microsurgical and endoscopic techniques. Neurosurgicalà technique Fig.2Insertion-of-the-rig Fig.1Sacral-Hiatus Cadavers were placed in the prone position. A midline skin incision was centered over the sacral hiatus [fig. 1]. After anatomical preparation, the rigid endoscope [fig.2] was inserted through the sacral hiatus and directed into the sacral spinal canal cephalad. It was angled in that manner in order that it would face the tip of thecal sac. The filum, which was holding thecal sac, was identified and dissected [fig.3]. The rigid endoscope used was a Storz with a 3.8mm external diameter and one working channel. For the documentation, a video-tape (Fuji VHS) was used and digital photographs were taken using a Fuji AS-205. à Results With the help of a rigid endoscope, it is possible to visualize directly the tip of thecal sac and to perform a dissection of the filum terminale. A rigid endoscope was inserted into the sacral spinal canal and, with the benefit of the visibility it granted, was advanced cephalad with relative ease. The rigid endoscope provided a large field of view, which enabled the anatomical structures to be seen. The filum can be easily identified in fine detail, as it is the only structure adherent to the tip of thecal sac at the S1-S2 level. This procedure represents a minimally invasive method for direct visualization of the tip of thecal sac and dissection of filum terminale. Discussion Diseases of the spine predispose persons to chronic complaints ranging from mild discomfort to intense pain. Endoscopy of the anatomic structures contained within the spine makes possible thorough examinations for existing pathology and facilitates the application of appropriate methods of therapy (Warnke et al. 2003; Sabreski Kitahata, 1996). Use of neuroendoscopy has become widespread in spinal surgery for conditions ranging from degenerative disease to deformity correction (Heavner et al. 1991; Sabreski Gerens, 1998; Sabreski Kitahata, 1995 1996). The growth in the number of minimally invasive spine surgical procedures being performed has been spurred by both technical advances and by its associated reduction in operative morbidity (1998; 1995; 1996). However, minimally invasive techniques are primarily employed in extradural procedures. Transhiatal extradural filum untethering provides the ability to untether a prefixed filum in a minimally invasive way. When referred to a neurosurgical clinic, adult patients with tethered cord syndrome tend to show significant progressive neurological deficits (Klekamp et al. 1994; Dachling, 1982). à Some authors (van Leeuwen, et al. 2001) have advocated prophylactic surgical treatment for the prevention of progressive neurological symptoms, which is, in this case, related to low morbidity. As an alternative to the risky open surgical treatment procedure, we evaluated the extradural endoscopic procedure for untethering of filum in cadavers. Extradural filum untethering could be indicated in cases of prefixed filum without other accompanying pathology such as meningomyelocele, CSF fistula, or arachnoidal cysts. It could also be performed before a surgical intervention, which generally include dura opening and removal of various amounts of spinal bone. During inspection of the sacral spinal canal with the rigid endoscope, the declination of the sacral spinal canal did not bring difficulties for the upward manipulation of the endoscope. Following the physical inclination of the sacral spinal canal, the filum could be approached and dissected before reaching the lumbosacral angle. In some instances, it was difficult to dissect the filum because of its elasticity. However, the minimally invasive nature of neuroendoscopy provided by this procedure, and by the employment of the rigid endoscope, allows for a larger field of view at the sacral spinal canal through a smaller incision. This access and the ability to perform extradural inspection and filum dissection using this transhiatal approach are comparable with other therapeutic interventions used in neurosurgery, such as the endoscopic epidural placement of catheters in anaesthesiology. Conclusions This method of extradural endoscopic dissection of the filum terminale minimizes surgical trauma and provides excellent visualization of and access to the extradural sacral spinal canal. Furthermore, it enables the filum to be identified and thus provides a minimally invasive alternative to current open surgical procedures indicated for filum untethering. Utilization of this procedure could: (1) facilitate untethering of prefixed filum terminale without opening the dura and (2) minimize patient morbidity thereby presenting an overall attractive alternative to current methods of filum dissection. At present, neuroendoscopy is most widely used in minimally invasive spine surgery, but novel uses continue to emerge in the literature. As technology evolves and more experience is obtained, neuroendoscopy will likely achieve additional roles as a mainstay in spinal surgery. References Heavner JF, Cholkhavatia S, Kizelsheeyn G. (1991). 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(1995) Direct visualization of the lumbosacral epidural à à à à à à à space through the sacral hiatus. Anest. Anal. 60: 839-840. Sabreski LR, Kitahata LM. (1996) Persistent radiculopathy diagnosed and treated withà à à à à à à à à à à à à epidural endoscopy. J. Anesth. 10: 292-295. Warnke JP, Tschabitscher M, Nobles A. (2001). Thecaloscopy Part I.: The endoscopy of à à à à à à à à à à the lumbar subarachnoid space: Historical review and own cadaver studies.à à à Minim. Invas. Neurosurg. 42: 61-64 Warnke JP, Mourgela S, Tschabitscher M, Dzelzitis J. (2001) Thecaloscopy Part II: à à à à à à Anatomical Landmarks. Minim. Invas. Neurosurg 44:181-185. Warnke JP, Kà ¶ppert H, Bensch-Schreiter B, Dzelzitis J, Tschabitscher M. (2003) à à à à à à à à à à Thecaloscopy Part III: First Clinical Application. Minim. Invas. Neurosurg à à à à à à à à à 46:94-99.
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