Wednesday, November 27, 2019

My Life Goals Essay Example

My Life Goals Essay Example My Life Goals Essay My Life Goals Essay My Life goals Now that I’m in college I need to plan what I want in life I have to start researching for a career that I like best I need to set some goals. My life goals are to be a good student, have a 3. 0 GPA, have time to do my homework, study, spend some time with my family and friends, graduate from a community college, transfer to UTA, get my masters degree there and face new challenges that come my way. Volunteer work is also something I enjoy doing. I love helping other people in need when they don’t expect me to help them. My first goal is to have a 3. 0 GPA. This goal is important to me because I want to make myself stand out to colleges and make myself more attractable. So far, in completing this, I have tried to turn in every assignment that my professors are giving me and doing extra credit homework to help boost my GPA a little higher. I am also working really hard in every other class to reach my goal of getting straight A’s this semester. In order to help myself make this goal a reality, I need to attend every class, keep doing my homework, and ask for help. I will also need the help of my counselor to get myself enrolled in the appropriate classes. My second goal is to attend the University of Texas at Arlington. It is important for me to attend this school because I believe it has the best nursing program here in the city. In making the completion of this goal a little easier I have researched the University’s website online to find out where the school is located, what the requirements are for admission, and how can I start preparing myself now to meet the requirements. In order to make this goal a reality, I still need to research other colleges with good nursing programs and I also need to keep the job that a have to save up money and to be ready to pay for my classes because they won’t be cheap I also need to apply for grants, scholarships, etc. My third goal is to become a nurse and a great person in life. So far, to become a nurse, I taken the most advance math and science classes I can take to become well prepared. To become a great person in life is to help people in need and make good decisions, In order to make both of these goals a reality, I have to be sure of what I want to be. I need to work really hard for me to get this career to be a reality. However I will still need the advice of my counselor to help me figure if this life work is right for me. These are my goals in life that I plan to achieve in time so far I will need the support of my family to help me make my way through college and life . As long as I have them in my life that all I will ever need. When I successfully complete these goals I will dedicate myself to help everyone who needs my assistance and in my nursing career.

Saturday, November 23, 2019

A day without a mexican essays

A day without a mexican essays Watching the movie , A Day Without a Mexican, made me realize that not only can we live without Mexicans in our lives, but probably every single human being of different race. God created all of us and we were brought to this Earth for a specific purpose, job, and/or task in life. Just like unique individuals, we have people of different race who were brought to do their own tasks on Earth. Im sure without different people; the world would be bland if we all looked the same. The world would also be empty without those who fill up the spaces in our lives. These are the people who work their equal share of labor to make our world revolve. People of the same race also have their own unique individual characteristics. Some stay true to their roots and some adapt to the environment that they have to be in. Like me, I am a Filipino but I was born and raised in Guam which is a U.S. territory. I was friends with more Chamorros (natives of Guam) and white people than I was with Filipinos. I pretty much grew up with both cultures. When I moved here to the mainland for almost three years already, I definitely changed and adapted to the environment and became more Americanized and what my friends call white washed. This refers to liking their music, people (males), lifestyle, clothing, etc. I like the American culture but I will never forget the culture that I mostly grew up with, the Guam culture. I also will definitely not forget my own culture as well. This example of mine is similar to some of the people in the movie, like the anchor woman who wasnt after all a Mexican. In her heart though, she was, because she g rew up as a Mexican and an American. Other characters in the story had interracial relationships which I believe is not bad at all considering I am more interested in the opposite sex out of my race. This shows that we are all divided but united ...

Thursday, November 21, 2019

The Job Satisfaction in Hasbro Company Case Study - 20

The Job Satisfaction in Hasbro Company - Case Study Example The job satisfaction in the company will depend on how the mission statements of the company will help the employers in achieving their profit levels and also their personal enhancement. At Hasbro, there are two sets of people working on designing the games. One who focuses on the traditional methods and are happy with their routine jobs. The other set is the innovators who develop new strategies to the existing games in order to make it more appealing. Thus, the satisfaction level depends on the type of job the person is engaged in. People like Peaches Belanger are the company loyalists who are happy with their existing pattern of routine jobs. They take pride in owning a job and develop a sense of belonging to their company. The company can increase their pay scales, provide them with additional perks and benefit and acknowledge their work in the company to increase their job satisfaction level. Rob Daviau’s job satisfaction level is more than that of Peaches Belanger though the latter’s is more dedicated towards the company. This can be explained using Locke’s Value Discrepancy Theory. This theory explains that satisfaction in a job results from the satisfaction of the desires than from the deprived needs (Singh, p.259). Daviau’s sought to introduce changes in the existing standard of the games that were manufactured by the company. He was satisfied with the fact that there were very few game planners like him in the entire country. This personal feeling helps in boosting the job satisfaction in a person and his overall performance.

Wednesday, November 20, 2019

MGT Essay Example | Topics and Well Written Essays - 500 words - 8

MGT - Essay Example factors are comprised of enhanced commitment, enhanced cooperation, justified behavior, improved decision-making, enhanced control, improved communications and shared perceptions. The original source of the culture reflects the vision of the founders. When the culture is in practice certain organizational practices help maintaining it. Organizations help employees adapt to the culture through socialization that helps employees understand the culture and become enthusiastic and knowledgeable with customers. Employees learn culture in a number of ways in which the most common ways are through stories, rituals, material symbols and language. Organizational stories contain narrative of significant events or people which serves as genuine examples of learning, thus stories provide clear picture of the organization`s goal. Rituals on the other hand are repetitive sequences of activities that express and reinforce the important values and goals of an organization. Moreover, symbols help in demonstrating an organization`s personality by determining how an employee shall dress, speak and behave in an organization. In order for the culture to be strong it is very important that values and ideologies shall be held important and embraced throughout the organization thus the organization shall ensure that its features shall not in any way contradict the employee’s own culture. Therefore it is necessary to take into account the emerging themes and the responses to those by both employees as well as customers. After many conflicts, managers today, agree that the excellence of a firm depends on efficiency from all factors including customers, employees, autonomy and entrepreneurship. And the excellence can result only from the blend of these factors. However, certain leaders apply dysfunctional management practices such as attention seeking, unrealistic thing and suspecting not only others but self as well such that it results in the lack of delegation of responsibilities

Sunday, November 17, 2019

Netflix’s Business Model and Strategy Essay Example for Free

Netflix’s Business Model and Strategy Essay Netflix is the largest subscription service for sending DVD’s by mail and streaming movies and TV episodes over the internet. Netflix’s revenues grew from $500 million in 2004 to $519.8 million in 2010. Company’s net income increased from $21.6 million in 2004 to $141-156 million in 2010. It attracted 1.6 million subscribers in 2004 and had to 15 million subscribers by 2010. Reed Hastings founder and CEO of Netflix have pushed the company to outcompete its movie rental competitors by building the world’s best internet movie service. Netflix is the world largest online entertainment subscription service and revolutionized the way that people rent movies. Netflix has outcompete its rivals on the basis of differentiation features, with their higher quality, wider product selection, added performance and services, and has superior technology. Netflix has a large selection of DVDs to choose from. It maintains relationships with entertainment providers to expand the title selection. Movies are prescreened for customers based on peer reviews. This allows Netflix to increase their inventory with movies chosen by viewers. There are no late fees. Netflix technology is superior because movies and TV episodes can be streamed directly onto nearly any device in a matter of seconds. Netflix business model and strategy can be analyzed with the 5 competitive forces in the movie rental marketplace: 1-substitute, 2- buyers, 3- suppliers, 4- potential for new entrants, 5- rivalry Substitute-It does not matter who sells the movie or the TV episode at the end the end user is getting the same product whether he got it from Walmart or Blockbuster. Substitute for Netflix and a potential threat is pirating movie files from the internet and illegal. This is a substitute that is inexpensive or free copy of the file. Buyers- Have the power to select where they are going to get movies or TV episode. They are going to look provides the best price and best quality. Buyers are not loyal and can get this product from other vendors. Competitors compare industry prices and quality. They will reduce cost in order to attract the buyer. Suppliers-Such are Hollywood are likely to increase cost if the industry profits increase. Suppliers have the capability to make movies and TV episodes harder to get by limiting license agreements. In order for suppliers to maximize their revenues they sell large number of movies and TV episodes the outcome results in competition and does not allow supplier to have much power on the product. Potential for new entrants- Blockbuster, and Netflix are the dominant retailers in the market it is very difficult for new entrants to succeed. Rivalry- Consumers have multiple sellers they can buy or rent movies and/or TV episodes. Main competitors are online subscription services internet movies and TV episode provider, kiosk services, and DVD rental outlets. From SWOT analysis we found the Strengths as followed, by operation on line is very flexible and very low cost, it has high customer satisfaction levels, and strong knowledge base and brand identity. Weakness are the industry, it is constantly changing at a fast speed, it is supplier dependent, postage is a variable cost (increases), customers need to have internet access and or DVD players. Opportunities are: It can expand globally to international markets because its internet access, new technology. Threats: If it’s not able to adapt or keep up with technology, rivals such as Walmart.com or Blockbuster have capital to compete against Netflix. There are some issues Netflix is facing Netflix needs to watch out for growing competitors with deep pockets and need to keep up with the fast growing changes with technology. It is recommended that Netflix increases its customer base (subscribers). This income will offset the ongoing costs. Netflix should move away from DVD rental, it creates a large percentage of its operating cost. Netflix should find out why people are still ordering DVD’s Netflix should educate customers with their streaming and downloading and focus on encouraging customers to stay with the service. Blockbuster advantage over Netflix is that they are able to release new released titles. Netflix needs to negotiate with entertainment providers to get new releases earlier than the competitors. Finally it is suggested that if Netflix is able to get new releases earlier they should pass a cost for the newest release (separately from subscription download monthly fee).

Friday, November 15, 2019

Cell Phone Use Should be Banned While Driving :: argumentative persuasive

Cell Phone Use Should be Banned While Driving In 2005 in the UK 13 deaths and over 400 injuries were attributed to accidents where drivers were using cell phones, deaths which could have possibly been avoided. There are 4 main reasons for banning cell phones at the wheel: Research has proven that it is difficult to concentrate on driving and talking at the same time. A recent British study showed that talking on a mobile phone while driving was more hazardous than operating a vehicle while under the influence of alcohol. Tests conducted by scientists for UK-based insurance firm, Direct Line, involved 20 subjects using a driving simulator to test reaction times and driving performance and compared this to when drivers had too much to drink. The results showed drivers' reaction times were, on average, 30 percent slower when talking on a handheld mobile phone than when legally drunk - and nearly 50 percent slower than under normal driving conditions. The tests also showed that drivers talking on phones were less able than drunk drivers to maintain a constant speed, and they had greater difficulty keeping a safe distance from the car in front. Speaking on a cell phone is an anti-social activity because it puts the lives of others at risk. It doesn't matter how well we drive, if another driver is not being as professional or as careful, especially using a phone and splitting his/her attention, we are put in danger by their actions. Talking on a phone while driving reduces the competence level to control the vehicle as well as increasing the response time to any danger. It is a huge responsibility to drive a car and one which should not be taken for granted because it is associated with the lives of others. By speaking on cell phones while driving, such a responsibility is treated with impunity and the dangers ignored. Cell Phone Use Should be Banned While Driving :: argumentative persuasive Cell Phone Use Should be Banned While Driving In 2005 in the UK 13 deaths and over 400 injuries were attributed to accidents where drivers were using cell phones, deaths which could have possibly been avoided. There are 4 main reasons for banning cell phones at the wheel: Research has proven that it is difficult to concentrate on driving and talking at the same time. A recent British study showed that talking on a mobile phone while driving was more hazardous than operating a vehicle while under the influence of alcohol. Tests conducted by scientists for UK-based insurance firm, Direct Line, involved 20 subjects using a driving simulator to test reaction times and driving performance and compared this to when drivers had too much to drink. The results showed drivers' reaction times were, on average, 30 percent slower when talking on a handheld mobile phone than when legally drunk - and nearly 50 percent slower than under normal driving conditions. The tests also showed that drivers talking on phones were less able than drunk drivers to maintain a constant speed, and they had greater difficulty keeping a safe distance from the car in front. Speaking on a cell phone is an anti-social activity because it puts the lives of others at risk. It doesn't matter how well we drive, if another driver is not being as professional or as careful, especially using a phone and splitting his/her attention, we are put in danger by their actions. Talking on a phone while driving reduces the competence level to control the vehicle as well as increasing the response time to any danger. It is a huge responsibility to drive a car and one which should not be taken for granted because it is associated with the lives of others. By speaking on cell phones while driving, such a responsibility is treated with impunity and the dangers ignored.

Tuesday, November 12, 2019

CT scan of abdomen and pelvis without contrast Essay

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen. PELVIS: Good quality, non contrasted actual CT examination of the pelvis with coronal reconstructions. Prostate, seminal vesicles and urinary bladder appeared WNL. The bowels seen on the study appeared WNL, except for inflammatory changes of the appendix and seccum with acute appendicitis. Osseous structures of the pelvis appeared in tract with evidence of bilateral hip degenerative changes. IMPRESSION: 1. Findings consistent with acute appendicitis 2. Degenerative changes of the hips Paula Reddy NN:EF D: T: DISCHAGE SUMMARY Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05/Age: 46Sex: M Date of Admission: 11/14/2012 Date of Discharge: 11/17/2012 Admitting Physician: Benard Kester, MD General Surgery Procedures Performed: Laparoscopic appendectomy with placement of RLQ drain on 11/14/2012 Complications: None. Discharge Diagnosis: Acute subapperative appendectomy perforated. DIAGNOSTIC/IMAGING LABS: Lab results at the time of admission showed a WBC count of 13. CT scan done in the ED revealed an acute appendicitis with fleggon. HOSPITAL COURSE: The 46 years old Caucasian gentleman presented to the ED with a 3 day history of abdominal pain, however in the last 24 hours and it has________ migrated to the RLQ with anneorixia, guarding and elevated WBC of 13 and CT scan consistent with appendicitis. The patient was taken to the operating room where he underwent a laparoscopic appendectomy that revealed appendix perforation and phlegmon. The appendix was removed in toto with an intact stable line. A drain was placed in the RLQ due to the fleggmonous material. Patient did well over the successive 2-3 days postoperatively with resumption of an oral diet having past flatus with having bowel movement with minimal drain output. However his WBC lowered to 6. His drain has been left intact. Patient is being discharged on the post operative day 3 on a 1 week course of PO gentamicin. The drain left in place. The drain will be removed in my office on 11/24/2012 if the drain output is minimal. Patient is on a PO diet. He was given a script for both antibiotics and PO narcotics. (Continued) PLAN: Post operative visit in my office in 1 week for evaluation and possible removal of JP drain. No heavy lifting for 4 weeks following surgery. Patient is to complete his full course of post operative antibiotics. DISCHAGE SUMMARY Patient is to report to the ED or my office earlier if any redness or foul smelling drainage out of the wound sit. Any swelling, fever, pain or any other concerns. Patient and his wife verbalized the understanding of the agreement with the above plan. Bernard Kester CC: Max Hirsch, MD D:11/14/2012 T:11/14/2012 HISTORY AND PHYSICAL EXAMINATION Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05Age: 46 Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure, MD Admission Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: 46 year old gentlemen with past medical history significant only for degenerative disease with bilateral degenerative disease of the hips. Secondary to arthritis. Presents to the Emergency room after having had 3 days of abdomen pain. It usually started 3 days ago and was generalized vague abdomen complaint. Earlier this morning the pain localized and radiated to the RLQ. He had some nausea without amesis. He was able to tolerate PO earlier around 6am. but now denies having an appetite. Patient had very small bowel movement earlier this morning that was not normal for him. He has not passes has the morning. ‘he is voiding well. Denies fevers, chills or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy. PAST MEDICAL HISTORY: Significant for arthritis of bilateral hips seen by Dr. Hersch. PAST SURGICAL HISTORY: Negative MEDICATIONS: Piroxicam for degenerative joint disease of bilateral hips ALLERGIES: No known drug allergies SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married. FAMILY HISTORY: No history of cancer or inflammatory bowel disease in his family. REVIEW OF SYSTEMS;;12 point ROS was preformed and is negative except noted in above HIP, PMH and PSH. Careful attention was paid to endocrine, integumentary, pulmonary, renal and neurological exam PHYSICAL EXAMINATION: Vital Signs. TEMPERATURE: 101.0, Blood Pressure- 127/179, Heart Rate-129, Respirations- 185, Weight-215. Situations 96% on room air. Pain Scale- 8/10. HEENT-Normal cephalic, atrumatic pupils equally round and reactive to light. Extra ocular motions intact. ORAL: Shows oral pharynx clear but slightly dry mucosal membranes. TMS: Clear. NECK: Supple, No thrangegally or JVD. No cervical,  subclavicular, axilarry or lingual lymphinalpathy. HEART: Regular rate and rhythm. No thrills or murmur heard. LUNGS: Clear to aspiration bilateral. ABDOMEN: Obese with minimal bowel sounds, slightly distended there is RLQ tenderness with guarding and pinpoint rebound. Positive _____. Actuator signs with negative psoas side. RECTAL: No evidence of blood or masses. PROSTATE: WNL. EXTREMITIES: No clubbing, cyanosis, clots or edmea. 1+ pedal pulses bilaterally. NUERO: Cranial nerves 2-12 grossly intact. DIAGNOSTIC DATA: WBC was 13.4, Hemoglobin and hematocrit 15.4 and 45.8, platelets 206 with 89% shift. Sodium 133, Potassium 3.7,Chorlide 99, Bicarbonate 24, BUM and Creatine 18 and 1.1, Lukeuos 146, adermin 4.3, total bulliru,1.7, remainder of the LFTs is WNL. Urinary analysis reveals trace keytones with 100 mg per decimeter with small amount of blood. CT scan was preformed revealing evidence of acute appendicitis with parasitical inflammation as well as facilitation of appendix inflammation and haziness in aperparacifiacal dilation. There is evidence of degenerative joint disease in bilateral hips on the cat scan as well. ASSESTMENT PLAN: This 46 year old Caucasian gentleman has signs and symptoms and radiographical findings consistent with acute appendicitis without evidence of abscesses. The plan is to take him to the operating room for laproscopic possible open appendectomy and possible large bowel dissection should the case resisitated. Plan was discussed with patient with his wife. Risk, benefits and alternatives were discussed. There was no barriers to communication and all questions were answered appropatily The patient understands the plan and desires to proceed . (Continued) The plan was discussed with Dr. Keslerof general surgery who agrees and will take patient to operating room . Alex McClure, MD D:11/14/2012 T:11/14/2012 PATHOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/Age: 46Sex: M Pathology Report No: 10-S-9044 Date of Surgery: 11/14/2012 Attending Physician: Bernard Kester, MD general surgery Preoperative Diagnosis: Acute appendicitis Postoperative Diagnosis: Necrotizing acute appendicitis Specimen Received: Appendix other than incidental Date specimen received: 11/14/2012 Date reported: 11/16/2012 CLINICAL HISTORY: Acute appendicitis. GROSS DESCRIPTION: The specimen was received in formily? With patient name, ID and appendix. It consist of a appendix measuring 6 x1.5Ãâ€"1.5 cm there periepdesial fat attached to it measuring 6Ãâ€"4 by1 cm. The cirrosal surface is hemmoraggric. Upon opening the appendix there is percudent exudates material. The wall thickness measures 0.3cm. Representive sections are present is 1 cassettes. MICROSCOPIC DESCRIPTION: Performed MICROSCOPIC DIAGNOSIS: Appendix appendectomy, Necrotizing acute appendicitis. ICD Diagnosis Code: 540.9 (Continued) CPT Code: 8-88304 Georgia Tamato,MD ALW: D:11/14/2012 T:11/14/2012 OPERTIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05Age: 46Sex: M Date of Admission: 11/14/2012 Date of Procedure: 11/14/2012 Admitting Physician: Bernard Kester, MD General Surgery Surgeon: Bernard Kester, Assistant: Jason Wangner, PAC Circulating nurse: Jimmy Dale Jet, RN Preoperative diagnosis: Acute appendicitis. Post operative diagnosis: Perforated appendicitis. Operative Procedure: 1: Laparoscopic Appendectomy. 2: Placement of RLQ drain. Anesthesia: General endotracheal. Specimen Removed: 1 Necrotic appendix. IV Fluids: 1700 crystalloid. Estimated Blood Loss: 10mL. Urine Output: 300mL. Complications: None. INDICATIONS: This gentleman is a 46 year old Caucasian male that came in with a 3 day history of abdominal pain, however the pain worsened after 24 hours to the RLQ and caused a significant amount of anorixia. He presented to the ER department. CT scan to abdominals and pelvis showed acute appendicitis. Labs showed WBC at 13. Laparoscopic appendectomy procedure was explained along with the risk, benefits and possible complications. Patient voiced his desire to proceed. Patient was started on preoperative gentamicin. DESCRIPTION OF PROCEDURE: Patient was ID’d times 2 in the pre op holding area. A final timeout was held in the nursing area, anesthesia and surgical service during in which the patient ID was confirmed and the surgical site was initialed. He was given preoperative antibiotics. He was taken back to the OR and placed in the supine position. General endotracheal anesthesia was induced. SEDs were placed on his lower extremities. His Left arm was tucked to the side. Foley Catheter was placed. His abdomen was shaved and prepped with betadine solution, and draped in the usual standard fashion. A small semicircular umbilical incision was made to the subcutaneous tissue down to the fascia. And was gasped at either side and was incised. Kelly clamped was easily inserted. Stay sutures made a _____on either side the Hasson trocar was placed and pneumoperitoneum was easily  achieved. 10 mL port was placed in Left abdomen and a 5 mL was placed in the LLQ. Inspection of RLQ showed a significant amount of adhesions and the small bowel trying to wall off perforated appendix. Milky purulent exudates was noted in surrounding area. The small bowel was carefully peeled off the RLQ side wall. Fibrous exudate the vermiform appendix was identified. It was neurotic perforated in appearance The cecum was mobilized by taking down the lateral attachments laterally. The adhesions of the terminal illium through the pelvis were significant, attempts at this time were not made to free them. There was no evidence of obstruction. The base of the appendix was Identified and dissected and lifted free. Stapler loaded with___ was used to transect the base______however again inflammation extended to the level of the cecum. Though the cecum itself was also inflamed. The remainder of the mesoappendix was divided with a Endo GIA loaded with a _____. Appendix was placed into a endo catch bag was brought out through the umbilical cord site and sent to pathology for routine processing. Inspection of the RLQ and the area was irrigated coupsuley, there was no further evidence of purulent exudate. The appendicualr stump remained and doesn’t appear to be inflamed. However____wasn’t bl eeding. There was some fibrous exudate in the area. Consequently I felt like we had 2 options, we either perform a right epicolodectomy, given the intent of the adhesions in the pelvis would likely require a laparotomy or place a drain with antibiotics possibly controlling the fistula until the inflammation resolves. But hopefully it will heal on its own spontatensouly. Consequently we placed a19 French round Blake drain in the RLQ and brought it out through the LLQ in the 5mm port site. It was secured to the skin using a micro suture. Nuenopartiumeum was then desufflated the fascia of the umbilical port site was closed using a 2,o vicro that had been previously placed. All wounds were enthsitized using 1/2% marking solution and was coupsley irrigated. Skin edges approximated using 4 or monocro. The wounds were dressed with beatdine spray and steri strips. Drain sponge was placed around the drain, Foley catheter was removed. The patient was awakened, exubated then taken to recovery PAR in stable condition. Having tolerated the procedu re well. No complications were observed. DISPOSISTION: 1: The patient will be transferred to the floor. 2: He will be kept at least overnight. 3: He will be taught drain care. 4: He will go home with the drain on place. 5: He may require a fistulagram in the future. Benard Kester, MD D:11/14/2012 T:11/14/2012