Consultation free essay sample

The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past 10 years she has been treated with methotrexate quite successfully. Her dosage has varied somewhere between 20 and 25 mg per week. About the beginning of this year her dosage was decreased from 25 mg to 20 mg but because of a flare of the rheumatoid arthritis, it was increased to 22. 5 mg per week. She has had no problems with the methotrexate as far as she knows; she also took a NSAID about a month ago that was recently discontinued because of the ulcerations in her mouth. About 2 weeks ago, just about the time the stomatitis began, she was placed on an antibiotic for a suspected upper respiratory infection. She does not remember the name of the antibiotic, although she claims she remembers taking this type of medication in the past without any problems. We will write a custom essay sample on Consultation or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page She was on that medication, 3 pills a day, for 3 to 4 days. She notes no other problems with her skin. She remembers no allergic reactions to medications. She has no previous history of fever blisters. PHYSICAL Reveals superficial erosions along the legs, particularly in the lower leg, the posterior buccal mucosa, along the sides of the tongue, and also some superficial erosions along the upper and lower gingiva. Her posterior pharynx was difficult to visualize, but I saw no erosions on the areas today. There did however, appears to be one small erosion on the soft pallet. Examination of the rest of her skin revealed no areas of dermatitis or blistering. There were some macular hyperpigmentation on the right arm where she had had a previous burn, plus the deformities from her rheumatoid arthritis on her hands and feet, as well as scars on her knees from total joint replacement surgeries. Erosive stomatitis, probably secondary to methotrexate. Even though the medication has been used for 10 years without any problems, methotrexate may produce an erosive stomatitis and enteritis after such a use. The patient also may have a enteritis that at this point may have become more quiescent, as she notes that she did have some diarrhea about the time her mouth problem developed.

Causes world war 1 Essay Example For Students

Causes world war 1 Essay It can be said that the First world war was caused by the alliance system, which has a very weak argument, the alliance system had very little to do with the first world war, it did to some extent cause the size of the war, but its argument in my opinion is very weak. Many other causes lean towards the side against the alliance system causing the first world war, which I believe is credible. The alliance system did cause the size of the war as it caused countries to be pulled in. First made in the Franco- Prussian war. Alliances held countries to some sort of standard and normally required something of each participant. The triple alliance signed by Germany, Austria-Hungary and Italy bound each country to give military support in a case of war or if any one member of the alliance was at war with any two great powers other members would come to aid. When the entente was made it did not intend for reciprocal arrangements for support, though it did allow wide variety of arrangements negotiations to take place, one negotiation would have been of support in war. But by 1911 A.J.P Taylor said the entente was in the process of disintegration. and was not seen as strong, because of the triple alliance Germany came to Austrias aid willingly, which plunged Germany into war. When Germany declared war on France and Russia, Austria- Hungary was pulled into that battle to fulfill their part of the alliance. This had four major powers fighting. Alliances pulled countries into war because if they were not followed a threat of retaliation would be expected. On the other hand. Other causes include Nationalists wanting freedom, causing the Slavs to ultimately assassinate the duke and causing hate towards to Austrian empire. Nationalism was also a major cause of war, it caused problems especially in Austria- Hungary and France. This same nationalism had brought Germany together a one country and who took Alsace- Lorraine from the French in 1870- 1871 in the Franco- Prussian war, and in recent times the Moroccan crisis which left the French with hatred as an attitude towards the Germans, the thought of revenge was also one that was favored by the French nationalists. While this unrest was happening in France, nationalism was also causing problems in the areas of Austria- Hungary, over here the nationalists were slavists who wanted freedom from the Austrian empire, they had been growing more and more restless with Russia encouraging these wants of Slavs freedom till all hell broke loose when a nationalist assassinated the arch-duke which opened the gates to wo rld war 1. The assassination of the archduke marked the start of the war, this did not involve any alliance just hate and oppression of the Slavs. The assassination of the archduke Franz Ferdinand began the unfolding of the events that led to war. Gavrilo Princip wanted to free Slavic people from the clutches of the Habsburgs he shot the arch duke and his wife in Bosnia while on tour. Austria issued a ultimatum about a month later, which Serbia refused to comply by thus starting a war between Austria and Serbia. Germany agreeing to support Austria because she was eager to apply her influence on the Balkan states and to keep Russia from gaining any more. If Austria won which was counted on and forseen, Germany would have more power and control in these states. Russia was on the side of Serbia and encouraged them to fight knowing that France would come to their aid if help was needed. Thus when Austria declared war on Serbia, Russia mobilized which caused Germany to declare war on Russia. France mobilized on the side of Russia, Germany decided to declare war on France which put the Schlieffen plan in action causing Britain to declare war on Germany because of the invasion of Belgium. The assassination did not occur because of an alliance or treaty, nor did the war with Serbia occur because of an alliance which plunged all of Europe into a war. Gavrilo Princip known to historians as a teenager with a gun who started the First world war. Imperialism caused tensions between countries

Argumentative Essay on Management

Argumentative Essay on Management Argumentative Essay on Management Example Argumentative Essay on Management: In the attempt to better the organizational performance, managers have opted to diversify their scope of managerial systems. Some of the main information systems currently used include the natural system, the open system and the rational systems. The rational system concentrates on the consequences and conditions of the organization’s production and general utilization of information. This managerial approach helps develop a detailed comprehension understanding of the manner in which information regarding accounting reflects and shapes organizational reality through the different methods of its application. The rational system is particularly different from the natural system because it attempts to include the introduction of a given information system both the events before and after capturing the dynamism of the characteristics. Researches done on information systems as used in organizations conclude that rational systems are static. They make an assumption that the all patterns of information applications are a response to the technical or environmental forces operating at that time. A dynamic approach incorporates the evolution of information systems as time goes by. Unlike the open system, the rational systems incorporate both past and present forces which could influence the implementation of a system. The natural approach of managing organization basically takes on board several theories in management. Unlike the other two, this type of approach towards management ensures that the employee values are the key drive in decision making. This concept of management is unique in a number of ways. One of them being that it does not equity human being to machines hence the need for the manager to develop policies that are more accommodative. It also establishes an optimum in the scope of control hence increasing employee motivation. Pay is not the only motivator of the employee hence the diversification of the remuneration package. Natural systems in management are one of the most commonly used forms of managerial and skilled employment approaches under the representative modes. Under this criterion the management’s function is conceptualized from a number of other system theories as the organizations strive to attain global recognition of its uniqueness in service delivery. Therefore, management is basically dependent on modeling the organization’s general identity. A natural system illustrates a parametrized managerial system that is structurally identifiable in case its production which corresponds to two variant parameter values is different from all inputs of a respective natural and dense subset of the overall composition of all admissible organizational inputs. In my opinion the most beneficial information systems are the natural systems. According to Flamholtz (1996), a natural system plays an extensive role in the saving of operational costs. The clarity and simplicity associated to its implementation and comprehension is a clear indicator of the efficiency of the managerial model. For instance, the employees are well motivated, self driven and work independently hence considerably reducing costs that could otherwise be used for supervisions. Similarly, through employee empowerment, the quality of service delivery by the organization is set to increase. In the long run, observing quality in service delivery in a great contribution to the organization’s reputation. Moreover, the manager benefits in popularizing the organization in terms of quality in performance. One of the most out right benefits is that of enabling the management to perform distinct information process processes necessary for the organization’s operations. These activities include evaluation, monitoring, control and prediction. At this point, the manager should appreciate that not all modeling systems are compatible to every other organization and hence the need to tailor such systems to adequately suit the subject organization. By extension the main determinant of the success of the manager is the ability to adapt, grow and survive in every aspect of managerial consideration. The management function is a direct product of the sound interaction of the organization’s environment and the management system in place (Endres Endres Chowdhury Alam, 2007). The manager benefits from this as the criteria as it offers a ground for effective communications with the employees. Of course there are diverse literature with regard to the managerial science and its respecti ve disciplines. They have different interpretations and definitions on the impacts of managerial systems depending on the organizational operations of different organizations. It will also direct its attention of the considerations of several sources of literature that concern the management function in a given organization. Another benefit of using the natural systems in management is that they help in modelling the organizational environment while at the same time responding to the key influence to the organisations (Gans, 1993). With respect to the human social organization, the natural managerial systems also address the issues of the consequential complexities. Here, the models are responsible for making the simplification of the managerial systems to ably adapt to the surrounding environments. Complexity in this dimension could mean the simplest composition of information that is necessary to comprehensively summarize an organizational process or status. For the concept of identifying structural complexity, this paper will sufficiently identify the benefits that a manager could achieve with the application of natural systems in the organization. In addition, it is clear that the more the system is integral, the higher the performance potential of the system adapting to the environmental determinant s of the organization (Foster Royce Doherty Meehan, 2009). Similarly, natural systems help in shaping the adaptive responses or the entire organization. This way, the manager is set to benefit from the structuring of the organizational behavior across all departments and transactions of the organization (Biilsberry, 1996). The definition of the organizational code of conduct and operation has a great role in the minimization of work place conflicts brought about by lack of clarity in organizational roles. Conflicts are generally a backward pull to the advancement of any organization because of the pollution of the work place environment it also leads to the devaluation of employee motivation. Natural systems of management greatly benefit the organization by increasing the performance of social and economic activities (Winston, 1988). This is achieved through clarity in definition of cultural evolution with reference to the potential capability of the managerial systems in place. The co-occurrence of formal and informal social networks that are inherent in organizations is another consideration. In any organization, sharing of tacit-to-tacit knowledge may be seen in some employee groups but not provocative in others. Therefore, some strong and informal social networks effectively facilitate the transfer of knowledge may embed in other formal structures and it is important to apply random methods of sampling to control organizational variables. Natural systems also tend to provide for a participatory approach towards decision making. There is a notable sense of self drive and self drive amongst the employees since they feel that they own the operational policies. In addition, the forums provided for by these systems go a long way in establishing all potential determinants that could influence the overall managerial system that is in place for any given organization (Kreitner, 2005). This way, the entire organization is involved in the process of decision making. This not only boost the motivation of the employees but also increases their productivity levels due to the fact that they feel they are part of the policy making panel in the organization. Participatory agent-based modeling, institution-based models, preference-based or rules of thumb decision models (experience), heuristic empirical rules, and calibration-based rules and evolutionary programming assumptions are example of natural systems decision making models tha t are empirical in nature and whose substantial efforts could be invested by a manager in organizational mechanisms and structuring of models of decision-making that are process-based to improve the performance of management function. Another benefit that can be tapped from the use of the natural systems is the generalization of individual information and knowledge through sharing of practices to the benefit of organization, and furthermore, to increase organization’s profitability. In addition, it is beneficial for the manager to possess the assumption that a knowledge management recommendation on information sharing is potentially positive and necessary (Karl Steven Drozdeck, 1991). Therefore, it is necessary for the manager to delineate between the constituent types of employees needed to employ efficient knowledge sharing strategies for maximum organization gain. In conclusion, this paper has examined all crucial influences that affect the operations of management in public sector organizations. Recently, most accounting systems have continually developed into being viewed as a technique of improving the overall efficiency and productivity of such sector organizations. Most critical-like management dynamics are composed of a curious mix that could be content or discontent, and it is for the same reason that they are constantly linked to the edge of organizational chaos (Ansari Eske, 1987). More precisely, this is a new role carried out by accounting systems in the organizations. Traditionally, accounting for information systems in the organizations was handled primarily for the purposes of fiduciary control. Whether those managerial systems could serve as an enhancement of efficiency in the organizations or not was not adequately addressed. Before management can be intensely and closely involved in the core functioning of the organizations, it is necessary to distinguish the specific results posed by the introduction of the natural managerial approach to the efficiency, cost and several other basic activities within the organizations based on the past. can write an argumentative essay on any Management topic. Our professional essay writers will help with writing your argumentative paper starting at $12/page.

Common App Essay Writing Sample

Common App Essay Writing SampleThere are many essay writing samples that are commonly used by a number of students. These samples can be a good source for the student in reviewing his/her essay as they will always provide him/her with ideas that can be used.A common app is a software application that is normally used by a student to organize his/her daily schedule. It is an easy and quick way to organize a student's schedule and for a teacher to make the assignments easier for the students.This is what a common app can do for you. The application will ask for a number of information which include: students' name, date of birth, class, school location, location of attendance and the area in which the student is enrolled. After it has completed the assignment, you will have to go through a short questionnaire which contains questions pertaining to your academic performance and personal characteristics.Once you complete the common app, the software will automatically distribute the stud ent's data among the different teachers and different classes. All this will help in helping the students in locating where they are enrolled and how to contact them.One common app that can be used to help a student is the study guide. If you are a college student who needs to attend lectures, it will be quite difficult for you to find a place to sit during the lectures. The studies will be organized as per the schedule.In using the study guide, you will be provided with the time table and the class schedule. The software is also a perfect resource for making sure that the schedules will not be misused. Another tool is the topic guide, which will help you choose the most appropriate essay topic.These tools are commonly used by students to find the most suitable essay topics. You can get the idea of how these tools can help you in writing your own essay if you check out online resources.

Essay on Australias Population

Essay on Australias Population Essay on Australias Population The population of Australia has increased largely since the turn of 20th the century and it is not controlled or monitored. Without a population plan advised by the prime minister where will Australia’s growing population stand in 2050? Australia’s population currently stands at 22.8 million people with the birth rate at one birth every one minute and forty-seven seconds and the death rate at one death every three minutes and thirty-six seconds. The government should consider keeping the population constant or to let it rise under control with a population plan. To determine how the population should look by 2050 we can explore three demographical issues: * Population Growth rates This is how fast or slow population is decreasing/increasing over time. Factors included are natural increase (Number of births less the number of deaths) and net overseas migration (Migrants entering the country less than those leaving). * Changing Population Structure The changing trends of demographic structure such as the ageing population * The Spatial Distribution Where residents are located. Two main factors that contribute greatly to population growth are: Natural Increase and Net Overseas Migration. Australia’s population grew by 1.4% during the year ended 30th June 2011. The growth rate has been declining since 2008 when the peak was 2.2%. Natural increase and net overseas migration contributed 47% and 53% respectively to total population growth for the year ended 30 June 2011. Since 1970 the government has supported multiculturalism in Australia and has put together 5 types of programs that allow migrants to enter Australia: * Skilled migration (GSM) * Business People * Family Members * Humanitarian Entrants or Refugees * Employer Sponsored Over the past 20 years migration and natural increase have both contributed equally to population growth, but in 2006 when Kevin Rudd was elected as prime minister the migration levels climbed to 66%, Mr Rudd supports a bigger Australia and the overseas migration levels have continued to rise since his resignation, this is a factor as to why the population has increased so rapidly in such a short space of time. Another contributing factor to the growth of Australia’s population is the baby bonus and paid parental leave, this encourages increase and although it has been falling with the fertility rate at 1.8% and the replacement rate at 2.1%, it has started to climb again. With such low fertility rates, this creates a higher ageing population. Australia’s Population Structure has faced one of its most significant challenges recently, an ageing population; over the past 20 years our median age has increased from 31.8 years to 36.9 years, according the ABS. By 2056 our median age will sit between 41.9 years and 45.2 years. This is until the government introduced the baby bonus, with the benefits of paid parental leave and $5000 to cover the costs of welcoming a new baby into the world; the government has encouraged people to have more children. There are two reasons for our ageing population: low fertility rates and increased life expectancy. An ageing population can slow down economic growth. As the population of traditional working age falls, the rate of labour force participation is also projected to fall. The labour participation rate is expected to fall to less than 61% by 2050, in comparison to 65% today and within the next few years, immigration will be the only net labour force growth in Australia. Another problem is the government’s plan for people to work past the traditional retirement age, a new policy was introduced ‘compulsory superannuation ’, this entitles every working Australian to invest in an industry super fund to reduce the reliance on the pension. Australia’s average population density is 2.7 people per square kilometre, however the population is not evenly distributed throughout the nation; 68% of Australians live in one of

From the Baroque Period through the Romantic Age Essay

From the Baroque Period through the Romantic Age - Essay Example The self-indulgent administration of French kings Louis V and Louis VI created a pleasure-seeking technique identified as rococo. The etymological meaning of rococo is the French word rocaille, denoting a shell or a conch, which was the principal theme of rococo art. Rococo was, in general, an upper-class art, with the focus comprised of gentlemen and ladies of relaxation spending their time in chivalrous gratification. It is considered to be mischievously erotic. It was at some point in the era of neoclassicism, during the governance of Louis XIV, that the French Academy was established. This built the foundations of classicism – with its reverence of olden days and its ceremonial discipline – as the authorized approach of the administration. Painters and sculptors who wish the official support labored in this technique until it was condensed to dry procedure and turned out to be spiritless and intellectual. Whereas the descendants of Louis XIV, there was a reduced amo unt of firm centralization of state supremacy, and classicism in France surrendered to the rococo style. With the period of influence of Napoleon, classicism, with its prominence on proper regulation and its renewal of olden days, once more materialized as the authorized technique. A response in opposition to rococo ornateness, also served the goals of the latest government by acclaiming the civic and nationalistic qualities of the early Romans for the personification of the public. Romanticism as an artistic style followed the French Revolution.

Analyze a Political Cartoon Essay Example | Topics and Well Written Essays - 750 words

Analyze a Political Cartoon - Essay Example Ultimately, the power of the cartoon cannot be found within any single component of its message but rather with the entire combination of symbolism, labeling, and exaggeration that it presents. Finally, the analysis will seek to answer the question of whether or not the portrayal of the cartoon is effective in persuading the viewer and/or audience to think or view a situation in a given context or manner. The first aspect of the cartoon that grips the viewer’s attention is the clear use of symbolism and labeling that the cartoonist has employed to denote the Christian, Muslim, and members of the SCAF that are represented. This labeling simplifies the issue and allows the participants within the cartoon to be reduced and simplified to a mere 3 active entities. By utilizing the Christian cross, the Muslim crescent and the insignia and uniforms of the SCAF, the reader is made aware of what each participant within the cartoon represents and symbolizes. ... This level of purity is further symbolized by the fact that the Christian and Muslim man (representing the broader populations of both of these entities within Egypt) are clothed in white. Naturally, exaggeration is also employed in a massively effective means as the SCAF is denoted to be an insidious and corrupting influence that displays the same generic and shameful behavior under the guise of its constitutionally given power. This exaggeration is the strength behind the entire cartoon. Although the Christian and the Muslim occupy center stage within the confines of this political cartoon, it is the corrupting influence of the SCAF that provides the power behind the image that is typified. Yet, rather than making a blanket statement regarding the ultimate goodness or evil that is exhibited by the SCAH, the cartoon seeks to strike at the core of the problems that are exhibited within Egypt; namely a power structure that is able to take advantage of natural and key fault lines that exist within the political spectrum; thereby allowing the members of the government and the SCAH to behave in a manner that they would not do otherwise. In short, the increase in division serves the purposes that they strive to accomplish (Lawate 2). Ultimately, the reader and/or researcher can understand that the given political cartoon is not only effective in communicating an understanding of the present day situation within Egypt and/or the Arab world, it is extraordinarily effective in such a task. Although this is not always the case for a political cartoon, this particular cartoon is one which allows its underlying simplicity and the vocal and omnipresent nature of its participants to speak to its underlying truth. Due to the fact that almost all