Tuesday, August 6, 2019
International relations Essay Example for Free
International relations Essay International relations deals with mutual understanding between countries; they can therefore be in a position to trade with each other and also to assist each other when one country is facing certain challenges. International relations therefore lays more emphasis on multi cultural and global understanding of a world that is interconnected and complex, by focusing closely on economic, political, cultural and legal forces. International relations are hence very important to the business community internationally, non governmental and private international organizations and governments (Lawson, 2003). Rationality of negotiators Strategies for effective negotiations have always caused major concerns to all the major stakeholders especially to the practitioners and the scholars in the field of international relations. Negotiators can be passive or assertive, collaborative or argumentative, or can adopt other strategies in order to achieve their preferred outcome for their governments or other organizations they are presenting in certain negotiations. When negotiating it is very important to view the issue under negotiation in an adversary point of view, another technique that is preferable while negotiating is focusing on the problem at hand instead of being personal, the negotiator should seek collaborative solutions and should as much as possible base all the discussions on the goal criteria (Lawson, 2003). Negotiators at times fall short of rationality when negotiating, in many instances this is caused by lack of sound negotiating techniques among the negotiators. Such individuals with inadequate information concerning effective styles of negotiation are in most cases irrational and they are to a very great extent guided by their personal experiences assumptions and perceptions as to what may work. These might make the negotiators focus less on the problem, compromise sound solutions and also be personal when negotiating. When such takes place, questions of rationality arise, whether the negotiating individuals are self interested and whether the negotiating parties use the techniques that they perceive to be the best in negotiating (Lawson, 2003). At other times negotiators fail to be rational when negotiating when they feel that by accepting the proposals of the other party it means that they have lost and thus they are likely to use all means possible in blocking certain proposals regardless of whether they are beneficial to the negotiating parties or not. Therefore for negotiations to be successful, it is very important for the negotiating teams to adopt a win win strategy instead of believing that the other party must loose for me to win which eventually becomes detrimental to both parties. For rationality to prevail when negotiations are taking place it is very important to approach the subject on the basis of how the negotiating teams can both benefit from the discussions, they should always be ready to give and take so that consensus can be reached and rational decisions made (Lawson, 2003). Irrationality can arise when the negotiating parties are of unequal power, the stronger party may fail to be rational and decide to use its excess power in oppressing the other party. In such a case the stronger party usually has its pre agreed proposals which it imposes on the weaker party. Such power might be in form of stronger military, economic power, technical power and other forms of power that are likely to make it more dominant than the other party (Lawson, 2003). Conclusion Negotiators should be very rational when holding their negotiations; this will make them be able to adopt the best strategies such as dealing with dilemmas that may arise in the cause of the discussions. They will therefore, be able to effectively use such strategies as the prisonerââ¬â¢s dilemma in a manner that they will both benefit from the negotiations. Thus the negotiators can be in a position of answering the toughest question in the dilemma: is it possible for people to cooperate naturally, or do genes of individuals demand a selfish response to all situations in life (Parselle, 2007).
Monday, August 5, 2019
Febrile Neutropenia Case Study
Febrile Neutropenia Case Study Consent: The patient consented for the use of the details of the illness in this report. 2.1 Patient History 2.1.1 History of disease Mr DW is a 50yr old male who was admitted to hospital on the 12th of February after suffering from nausea, vomiting and diarrhoea the previous day. He reported vomiting about 3-4 times during the day but only very small amounts of vomitus as he felt too unwell to eat anything but very small amounts of food. This was on a background of a 5-month history of multiple myeloma (MM), as well as chemotherapy induced pancytopenia. He received a Melphalan peripheral blood stem cell transplant on the 8th of February 4 days prior to his current admission His symptoms were managed by medication, but on the 15th of February he had a spike in temperature overnight. His mucous membranes became mildly erythematous on the 14th of February. He has experienced no other symptoms and overall his symptoms have gradually improved during his stay. 2.1.2 Past Medical History Relevant past medical history includes multiple myeloma which was diagnosed on the 9th of September 2016 which he has been undergoing chemotherapy for. He also received an autologous stem cell transplant on the 8th of February 2017. At the time of the diagnoses, Mr DW presented with vertebral fractures and symptomatic anaemia. Mr DW also has pancytopenia which is a consequence of his chemotherapy. Aside from hospital admissions related to the aforementioned conditions, Mr DW has never been to hospital and has no other relevant past medical history. 2.1.3 Medications à à Drug Name Dose Indication Aztreonam 2g, IV, 8 hourly Antibacterial Prophylaxis Fentanyl 25mcg/hr (transdermal modified release patch) 1 patch, every 3 days Pain Fluconazole 200mg, 1 capsule, Oral, Daily Antifungal prophylaxis Metoclopramide 10mg, 2mL, IV, 8 hourly Nausea, vomiting Nystatin 1 tab, Oral, BD (twice a week) Antifungal prophylaxis Ondansetron 4-8mg, IV, 8 hourly Nausea, vomiting Pantoprazole 40mg, Oral, night Ulceration of oesophagus valaciclovir 10mg, Oral, bedtime Herpes Prophylaxis 2.1.4 Drug Allergies Penicillin Leaves the patient with a full body erythematous rash 2.1.5 Family History The patient had no family history of any conditions 2.1.6 Psychosocial History and Functional Status Mr DW is currently employed as a cinematographer and regularly has to travel around and to different states due to his line of work. He is a non-smoker, drinks approximately 1 or 2 standards in a fortnight and denies recreational drug use. He lives with his wife and 2 of his 5 children at his house and describes himself as feeling very well supported by his family. The diagnosis of multiple myeloma was a big shock for him and his family and he is quite concerned about his current prognosis. He stated that he has accepted it and is trying to stay positive and to continue living life as normally as possible. 2.2 Physical Examination Observation revealed a middle-aged man who was very bright, alert and sitting upright in a chair. Within the room there was a lot of flowers and cards. His vitals were normal (RR 18, SPO2 98% on RA, BP 115/75, HR 80, afrebile 37.4oC) On general inspection there was no visible bruising, scars, masses or other abnormalities except for some slight erythema around a PICC line on his right arm. His hands had no nicotine stains, nail changes or palmar erythema but there was palmar crease pallor. There was good dentition, mucous membranes were moist. 2.2.1 Cardiovascular Exam Pulse was palpable bilaterally and of normal rate and rhythm.Carotid pulse was strong in character. JVP was not elevated.Heart sounds dual no murmur.No audible bruits nor palpable thrills or heaves.No signs of peripheral oedema. 2.2.2 Respiratory Exam Trachea was midline.Chest expansion symmetrical and not reduced.Clear lung sounds throughout as well as normal percussion and vocal resonance.No signs of peripheral or central cyanosis. 2.2.3 Gastrointestinal Exam Abdomen was soft and non-tender.Spleen and kidneys not palpable.Liver of normal span (10cm)Bowel sounds were present. 2.3 Investigations X-ray Skeletal Survey Lungs and pleural spaces clear. Mediastinal contour and heart size are normal. Mild multi-level degenerative disc disease at the thoracic level. Normal everywhere else. Multiple small lytic lesions involving calvarium, proximal humeri and proximal femora bilaterally in keeping with MM Blood Cultures Results had not yet returned. Blood Test: Haematology WCC: 0.93*109/L (Low) Hb: 98 g/L (Low) PLT: 84*109/L (Low) HCT: 0.276 L/L (Low) MCV: 85.2 fL (Normal) RCC: 3.24*1012/L (Low) MCH: 29.9pg (Normal) MCHC: 351 g/L (Normal) Neutrophils: 0.89*109/L (Low) Lymphocytes: 0.03*109/L (Low) Monocytes: 0.00*109/L (Low) Eosinophils: 0.01*109/L (Low) *Non-listed results were within normal ranges 2.4 Diagnoses Based on his initial presentation and considering his recent stem cell transplant his treating team suspected his symptoms were likely to be due to side effects of his treatment as opposed to infection. Following the spike in temperature he was considered to have febrile neutropenia and was treated according to the guidelines (with a slight modification that shall be discussed later in report) and based on his symptoms as well as the mildly erythematous mouth Mr DW was considered to have mucositis. He is currently being managed with anti-emetics as well as prophylactic treatment considering his vulnerable state. They are also awaiting the results of blood cultures to ensure that he does not have any severe opportunistic infections. 3.1 Part A: Physiology Pancytopenia is an important entity encountered in regular clinical practice. It is not a disease but is instead a finding and can have multiple causes most of which primarily involve the bone marrow. Pancytopenia consists of a low haemoglobin count, low white cell count, and platelet count (Gayathri Rao, 2011). In Mr DWs case, his pancytopenia was caused by bone marrow suppression due to his chemotherapy treatment. 3.1.1 Platelet production and Megakaryocytopoiesis Currently the physiology of platelet production from megakaryocytes (MKs) are not perfectly understood. MKs are a type of nucleated bone marrow cells that studies have shown develop into polypoid structure via a process that is known as endomiosis followed by a maturation process before producing platelets in circulation (Machlus Italiano, 2013). Figure 1: Haematopoietic lineage(Deutsch Tomer, 2013) MKs are derived from haematopoietic stem cells (HSCs) which are the precursors to all other blood cells (see Figure 1) and they themselves are derived from haemangioblasts. HSCs progress into becoming common myeloid progenitor cells (CMPs) that mature into either monocytes or granulocytes, or they can continue developing into MK-erythroid progenitor cells (MEPs) which go on to produce MKs (Deutsch Tomer, 2013). Figure 2: Platelet Production Pathway(Machlus Italiano, 2013) In the first phase of maturation MKs undergo nuclear proliferation and enlargement of their cytoplasm which is filled with platelet-specific granules as well as sufficient membrane to complete the platelet production process. The second phase involves MKs remodelling their cytoplasm into proplatelets and then into preplatelets which go on to release platelets through fission events (see Figure 2) (Machlus Italiano, 2013). There are a number of growth factors and interleukins that regulate the development of MKs but the primary and most potent one is thrombopoietin (a glycoprotein produced in the liver). It is crucial in the development and proliferations of HSCs as it stimulates the MKs to undergo hyperplasia and hypertrophy as well as stimulating the formation of the platelet projections from which release platelets into the circulation (Deutsch Tomer, 2013). 3.1.2 Erythropoiesis Erythrocytes are vital to the functioning of the human body as they transport oxygen to the tissues. As such the complex developmental process known as erythropoiesis has to be carefully regulated and managed (Luo et al., 2017). The process mainly occurs within bone marrow and begins with the differentiation of HSCs into burst-forming-unit erythroid (BFU-E) cells which are the earliest erythroid progenitors (see Figure 3). These cells then go onto become the colony-forming-unit erythroid (CFU-E) cells which undergo further differentiation and maturation to become mature erythrocytes (Luo et al., 2017). Figure 3: Overview of Erythropoiesis(Hattangadi, Wong, Zhang, Flygare, Lodish, 2011) Erythropoietin is produced in the kidneys and acts as one of the most important physiological regulators of erythropoiesis. It is produced primarily in response to hypoxic conditions detected by specialised interstitial cells in the outer medulla and inner cortex of the kidneys. Erythropoietin regulates erythrocyte production, prevents apoptosis and controls the rate of release. It also acts on CFU-Es (see Figure 3) which then go on to become proerythroblasts (Hattangadi et al., 2011). These cells undergo maturation to eventually become polychromatic, basophilic, and orthochromatic erythroblasts. The orthochromatic erythroblasts differentiate to reticulocytes and become mature erythrocytes (Luo et al., 2017). Mr DWs pancytopenia is consistent with myelosuppression and is a common side effect of chemotherapy treatment. Normally HSCs from which blood cells develop are capable of self-renewal but chemotherapy affects cells within the bone marrow and greater numbers of HSCs are needed to be activated. Unfortunately, with the diminished capability production of the myeloid cell lines is unable to keep up and leads to low counts which is reflected in Mr DWs blood tests (see investigations) as he has low amounts of white cells, red cells and platelets. Unlike other conditions where there may be infiltration of bone marrow he still makes normal cells but just in a diminished amount, consequently, he has normal mean cell volume, mean platelet volume and mean corpuscular haemoglobin. 3.2 Part B: Health Policies Fever in neutropenic patients occurs frequently early in a course of chemotherapy and in diseases which disrupt the bone marrow. In these cases fever could be considered a medical emergency as it requires immediate evaluation as well as the use empiric broad-spectrum antibiotics (Lyman Rolston, 2010). Patients with febrile neutropenia have mortality rates ranging from 5% 20% and mortality rates can be greater than 50% in patients who develop septic shock or pneumonia even with the use of antibiotic treatment (Kuderer, Dale, Crawford, Cosler, Lyman, 2006). The importance of managing febrile neutropenia swiftly and as effectively as possible cannot be understated and as such the guidelines around this area are extremely important. 3.2.1 Prince of Wales Febrile Neutropenia Guidelines Figure 4: Prince of Wales Initial Management of Febrile Neutropenia Guidelines(Health, 2015) The Prince of Wales hospital where Mr DW presented has a specific guideline for initial management of febrile neutropenia. Since he has a severe penicillin allergy he was treated following the guidelines with Aztreonam but his treating team chose to differ from the guidelines and gave him Vancomycin immediately. Mr DW did not have any of the indicators for the use of vancomycin (see Figure 4) but during a discussion with the treating team it became apparent that they believed it was safer and resulted in overall better outcomes to begin patients on vancomycin immediately. As such they believed that vancomycin should be used immediately in cases with any penicillin allergy and used following the dosing guidelines when theres no penicillin allergy. 3.2.2 Use of Empiric Antimicrobial Therapy In terms of the use of empiric antimicrobial therapy in the initial management of febrile neutropenia the Prince of Wales guidelines essentially perfectly follow the national recommendations. The changes that Mr DWs treating team wished to make to the guidelines is at odds with the current literature and guidelines (Freifeld et al., 2011; Paul, Dickstein, Borok, Vidal, Leibovici, 2014). Based on most studies into this topic, non-selective use of vancomycin reduced relative risk of mortality but was not found to be significant and there also was no significant difference in overall 30-day patient mortality (Lugtenberg, Burgers, Westert, 2009; Paul et al., 2014). 3.2.3 Recommendations The Prince of Wales guidelines closely adhere to the national guidelines and what the current literature deems as the most effective (Freifeld et al., 2011; Paul et al., 2014). Even so, its clear that the treating team for Mr DW felt that the current guidelines were inaccurate. It is difficult to assess which version is more effective specifically for the population they are dealing with at the Prince of Wales hospital but based on current research following the current guidelines (as opposed to modifying them) appears to be the best course of action (Lugtenberg et al., 2009). That being said, in specific cases where the specialists in this area strongly feel that they should act differently it may be best to defer to their experience and expertise. This assignment has been an interesting and thought-provoking experience. The most surprising thing I found was how the views of the treating team differed from the guidelines. I realised I place a lot of value upon their views and thus was very surprised when looking at the literature as it seemed to be contradict what they told me. Its clear that I was biased at the beginning but even after researching this topic Im still unsure if there is a correct view or side. Although, what this whole process has taught me is that more research, consultation, and evaluation in regards to current treatment guidelines and policies still can and should be done. This time around when doing the assignment again I tried to ensure that I took the advice and feedback on my previous assignment seriously. Finding a patient was difficult and I ended up with a patient that had similar aspects to a previous assignment but I tried to explore different aspects and it also allowed me to incorporate things that I did not include previously. There have been issues and difficulties with writing this assignment but I feel that overall, its been quite rewarding and that I hope to maintain a higher level of quality in my work going into the future. References à à à à Deutsch, V. R., Tomer, A. (2013). Advances in megakaryocytopoiesis and thrombopoiesis: from bench to bedside. British Journal of Haematology, 161(6), 778-793. doi:10.1111/bjh.12328 Freifeld, A. G., Bow, E. J., Sepkowitz, K. A., Boeckh, M. J., Ito, J. I., Mullen, C. A., . . . Wingard, J. R. (2011). Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the Infectious Diseases Society of America. Clinical infectious diseases, 52(4), e56-e93. Gayathri, B. N., Rao, K. S. (2011). Pancytopenia: A Clinico Hematological Study. Journal of Laboratory Physicians, 3(1), 15-20. doi:10.4103/0974-2727.78555 Hattangadi, S. M., Wong, P., Zhang, L., Flygare, J., Lodish, H. F. (2011). From stem cell to red cell: regulation of erythropoiesis at multiple levels by multiple proteins, RNAs, and chromatin modifications. Blood, 118(24), 6258. Health, N. (2015). Initial Management of Febrile Neutropenia. Retrieved from Http://www.seslhnweb/powh/policies/default.asp Kuderer, N. M., Dale, D. C., Crawford, J., Cosler, L. E., Lyman, G. H. (2006). Mortality, morbidity, and cost associated with febrile neutropenia in adult cancer patients. Cancer, 106(10), 2258-2266. doi:10.1002/cncr.21847 Lugtenberg, M., Burgers, J. S., Westert, G. P. (2009). Effects of evidence-based clinical practice guidelines on quality of care: a systematic review. Quality and Safety in Health Care, 18(5), 385. Luo, S.-T., Zhang, D.-M., Qin, Q., Lu, L., Luo, M., Guo, F.-C., . . . Wei, Y.-Q. (2017). The Promotion of Erythropoiesis via the Regulation of Reactive Oxygen Species by Lactic Acid. Scientific Reports, 7, 38105. doi:10.1038/srep38105 http://www.nature.com/articles/srep38105#supplementary-information Lyman, G. H., Rolston, K. V. I. (2010). How We Treat Febrile Neutropenia in Patients Receiving Cancer Chemotherapy. Journal of Oncology Practice, 6(3), 149-152. doi:10.1200/JOP.091092 Machlus, K. R., Italiano, J. E. (2013). The incredible journey: From megakaryocyte development to platelet formation. The Journal of Cell Biology, 201(6), 785. Paul, M., Dickstein, Y., Borok, S., Vidal, L., Leibovici, L. (2014). Empirical antibiotics targeting Gramà ¢Ã¢â ¬Ã positive bacteria for the treatment of febrile neutropenic patients with cancer. The Cochrane Library.
Sunday, August 4, 2019
Love Of Life :: essays research papers
Summary for Love of Life: Ã Ã Ã Ã Ã Love of life started out on a trail with two men being the characters. In the beginning they started out as tired and weak. Each man had a rifle. They came upon a some boulders and the man in back slipped over one and sprained his ankle. Bill staggered on through the milky waters. Bill was gone now. He looked at his watch and could not tell if it was in the end of July or beginning of August. He was still laying in the stream that lead to the Coppermine River. The man got up and started to proceed towards his destiny. He winced with pain and through the pack over his left shoulder to take the pressure off his injured ankle. He picked his way through muskeg to muskeg, and followed the other footsteps along and across the rocky ledges. He thought he was hilucinating when he saw a ship, and the ocean. Every once and a while he would stop. On his journey he came across some bones, bones that looked as if they were chewed up. His hunger pangs did seem as exquisite anym ore. He saw four newly hatched chicks, and he ate them ravenously, thrusting them alive in his mouth. The chase led him across a swampy ground in the bottom valley and he came across some footsteps, they must be Bill's he thought. He began to feel the hallucinations again when he thought he saw a horse, but what was really a bear. He thought to himself here is meat in front of me, I will throw my knife and kill it. But he went on with a new type of fear, not a fear that he would die from starvation but be violently destroyed. Now and again wolves passed along his path, but sheered clear of him. He came across some bones, the wolves had must of made a kill. Next thing he was squatting in moss, sucking at the shreds of life. In the afternoon of the next couple days he found a track of a man not walkin but dragging on all fours.
Saturday, August 3, 2019
Essay on the Metamorphosis in Pride and Prejudice -- Pride and Prejudi
Metamorphosis in Pride and Prejudice à à As the story develops in Jane Austen's novel, Pride and Prejudice, the reader is witness to a shift in attitude between the principle characters. The chapter in which Elizabeth Bennett's reactions to Mr. Darcy's letter are explored provides valuable insights into this metamorphosis. à à à à à à à à à à à The first description of Elizabeth's state upon perusing Fitzwilliam Darcy's revelatory missive is characteristic of Austen when relating heavy emotion: she doesn't. "Her feelings as she read were scarcely to be defined," she tells us (Austen 233). Of course, all this negation of representational skills is purely for dramatic effect, and Miss Austen goes on to provide a full account of every aspect of Elizabeth's emotional upheaval per her reading of the letter, but not, however, without using the device again in the second paragraph, in treating the subject of the truth about Mr. Wickham. Elizabeth's feelings are conveyed as having been "...yet more acutely painful and more difficult of definition." Said difficulty is indeed short lived, as the next sentence reads, "Astonishment, apprehension, and even horror, oppressed her" (Austen 233). à à à à à à à à à à à The Wickham segment of the chapter, spanning pages 234, 235, and the better part of 236, is significant not so much in its development of Wickham's character, as in what it does to Elizabeth. After the aforementioned astonishment et. al., Elizabeth momentarily engages in denial ("This must be false! This cannot be! This is the grossest falsehood!" (Austen 233)) but eventually her intellectual faculties regain their footing and she settles down to a second "mortifying perusal of all that related to Wickham, and command[s] herself ... ... character about whom we can care, in the midst of a narrative which is not a chore to read. Works Cited Auerbach, Nina. "Waiting Together: Pride and Prejudice." Pride and Prejudice. By Jane Austen. Ed. Donald Gray. New York: Norton and Co., 1993. pp. 336-348. Austen, Jane. Pride and Prejudice. 1813. Ed. Donald Gray. New York: Norton and Co., 1993. Harding, D. W. "Regulated Hatred: An Aspect in the Work of Jane Austen." Pride and Prejudice. By Jane Austen. Ed. Donald Gray. New York: Norton and Co., 1993. pp. 291-295. Johnson, Claudia L. "Pride and Prejudice and the Pursuit of Happiness." Pride and Prejudice. By Jane Austen. Ed. Donald Gray. New York: Norton and Co., 1993. pp. 367-376. Mudrick, Marvin."Irony as Discovery in Pride and Prejudice." Pride and Prejudice. By Jane Austen. Ed. Donald Gray. New York: Norton and Co., 1993. pp. 295-303.
Dangerous Secrets in Tobias Wolff?s Hunters in the Snow Essay -- Tobia
Dangerous Secrets in Tobias Wolff's Hunters in the Snow In Tobias Wolff's 'Hunters in the Snow', the three main characters each have secrets which they are concealing despite their friendships. These obscuring truths later cause trouble for each of the characters and will lead to their destruction. How will their decisions and lies impact their relationships? The first character introduced in the story is Tub. Tub is portrayed as being rather large. The reader?s first image of Tub is when Kenny says, ?He looks just like a giant beach ball with a hat on??(117). Tub?s inner conflict is his weight, which he lies about throughout the story. Tub is obviously self conscious about his weight and is in denial about his gluttony. He hides cookies and sandwiches in his clothes, but in the presence of his friends, he acts as if he is on a diet and eats a boiled egg and celery. His friends mock him about his diet and can see that he is not loosing but gaining weight. Later in the story, Tub finally reveals to Frank the truth about his gluttony. Tub admits, ?I?ve even got stuff (snacks) in the paper towel machine at work?Oreos, Mars Bars, Twinkies?(126). I believe that Tub reveals his secret to Frank because he wants help and he knows that Frank will be understanding. It is after this incident, that Frank takes Tub to a restaurant so he could eat until he was completely full. The second character in the story is Frank. One gets the impression that Frank is very masculine. He repeatedly tells Tub and Kenny things that would make them more of a man. When Tub complains that he is cold, Frank tells him to ?Stop bitching?Get centered?(118). Later, Frank tells Kenny that he is too talkative, as if men should not talk too much. This co... ...he held inside because of the constant mockery from Kenny and Frank, combined with his denial about gluttony, made it easy for him to shoot Kenny. Tub finally stood up for himself and protected himself. When Frank found out that Kenny was merely joking, his reaction was unsurprising and unsympathetic as if he knew an incident like that was soon to come and this was foreshadowed by Frank earlier in the story when he told Kenny ?You?re asking for it?(118). Although, the reader does not know exactly how Frank?s and Tub?s lies will impact their lives, one does see how Kenny?s lies will probably cost him his life because the hunters had taken the wrong turn and were not on their way to hospital. Work Cited Wolff, Tobias. "Hunters in the Snow." Perrine's Literature: Structure, Sound,_and Sense. Ed. Thomas R. Arp and Greg Johnson. New York: Heinle and Heinle, 2005.
Friday, August 2, 2019
The Ride I Will Never Forget
The ride I will never forget . waking up on sunny day where sun shined bright in my face, I thought to myself, it is time to wake up. It was the middle of the summer somewhere at the end of July. It was not an ordinary day for me. I spent the night at my friends house because the night before we went down town to spend time with our friend's. That night, we shared alcoholic beverages which made the night a little more relaxed. When it was time to go home I realized that I could not drive.I asked my friend to drive us home, but I could never have known that this ride would be unforgettable. My friend suggested that we stay at his house. â⬠And I agreed. To show my appreciation I offered buy him sushi for lunch so we took my mom's car to the restaurant. On the way, traffic, so I thought to myself if I overstep the law, I could save us some time by going the wrong way down a one ââ¬â way. As I thought we were good and no one saw it, I hear sirens and see police lights flashing from a distance.I was devastated and felt my heart crunching inside of me. During that moment I did not know what to do. I did not have a drivers license nor registration for the car, and there was a possibility that I still had alcohol in my system from the previous night out. The officer took off his helmet and got off from his motorcycle, and as he was walking towards our car I had a hundred thoughts in my mind, but none were good or helpful in figuring out a reason for my action. I looked to my friend and said,â⬠I'm in so much trouble. ââ¬Ë He was just staring to me with an open mouth with nothing to reply to that. As the officer came to the car, I rolled down the window, and the words coming from him were,â⬠license and registration please ! â⬠I had nothing to give him. He was surprised and asked, what was I doing in car with no license and registration. I explained the situation and how I got in this trouble, to which he replied that he may have take the ca r and, I would not be able to get a license for two years.My friend's license would be taken away too, as well as we would both be fined . In that moment I was just shaking and desperate for a chance. I had one last I idea in my mind which was to bribe the officer. I looked up to him and asked if he would like to eat lunch. He thought for few seconds, and replied ,â⬠how much are we talking about ?â⬠So we agreed that he would follow me to my home, where I would give him the money. At that moment I felt as if a mountain had fallen off of my back. I was relieved and thankful that it all went the way I wished.When I went to give the officer the money, and he sad,â⬠it's alright, I don't need it ,â⬠and said that I could keep it ! I was so thankful that he was so generous I just put the money in his folder and thanked him. The officer took off and I went in the house with my friend. I fell in the chair and laid there for ten minutes. I could not believe that everyth ing was alright. I looked up to my friend and told him,â⬠let's order sushi ! â⬠This story made me realize how careful I need to be and to never try something like that again.
Thursday, August 1, 2019
Managing Regulative Community Relationships
The introduction of the new technology has created a massive change in the global educational system. As of the present time, the proprietary educational industry is the trend in the academic arena. As clearly mentioned, the Internet is most commonly utilized for this reason. Academic companies who opt to provide educational services and gain amiable profit at the same time take advantage of this opportunity that is provided by technological revolution. In fact, ââ¬Å"proprietary colleges are considered a cost efficient mode of course deliveryâ⬠(NEA, Internet). To be able to have a fine share in the educational industry, which brings the proprietary educational companies with the profit that they ought to have, the regulations for the said system are strongly imposed by the government and some organizations that control them. This is to be able to ensure that the education provided by such companies is considerably of high level, amidst the profit-centered motives that they have towards the services that they provide the students who are enrolled in their curriculum offerings. In this regard, it could be noted that the regulations created for this type or proprietary companies tend to allow the developmental measures that could be taken into consideration. By being able to further develop their systems of employment as well as their class offerings that are open to the public, they are allowed to balance both their services and their profit share in the market. In comparison with the less stringently regulated industries such as the ones found in the internet (e.g. Amazon.com), proprietary education industry is able to attract an ample amount of market share in the educational industry which in a way, helps them attain the profitable goal that they have aimed upon creating the virtual educational institutions. Among the regulations that controls the proprietary educational companiesââ¬â¢ activities is the corporate citizenship. This is a regulation that indicates that companies that provide public service, such as education, should have ââ¬Å"a shift from a paradigm of doing no harm as one of adopting a role for a positive good (Tuck, Internet). This means that an educational company found in the virtual world must not only see to it that they are doing no harm to their clients but they are also able to provide their ââ¬Ëstakeholdersââ¬â¢ with the ample service that they give, which refers to the positive good of the corporate missions. As a result, many students are further attracted to the system of education that virtual universities or colleges offer. Certainly, the convenience that it brings the students is highly motivational for young students or even professionals who would like to learn more to take advantage of the course offerings provided by the said type of educational provisions. However, the profit-oriented goals of the company at times redefine the service that these educational companies are providing their clients. Wanting to actually earn an amiably high amount of returns from the effort that the administrations put forward for organizing such types of institutions over the net, they are usually grabbed away from the excellent educational service that they are expected to provide their students. Hence, as a result, the financial stability that could ensure the companyââ¬â¢s future existence in the proprietary educational industry is dimmed and less given attention. As known to many, the risks in any kind of industry changes over the years. This is why Lucy Benholz has pointed out in one of her articles that ââ¬Å"foundations from different regions and sizes have found that building strong relationship with the policy makers when times are good will afford them some access to the resources that are further stretched on all sidesâ⬠(Internet). This mainly points out the fact that as the policies and regulatory systems of the industry changes over time, it would be helpful for the companies to develop close relationships with the policy makers. This way they are able to earn for themselves an access to the provisions and resources given by the regulatory board creators to help them readjust their systems and still be able to attain the profit-centered missions of the company. If this is not considered by the administration, it could be well expected that the company would have a hard time dealing with the adjustments that has to be done and in later times, it would not be impossible for the virtual company to loose its track and be eliminated in the proprietary educational industry. BIBLIOGRAPHY Tuck, Jackie. (2005). Managing community relationships, reputation and sustaining competitive advantage. School of Business University of Ballarat. http://www.latrobe.edu.au/csrc/fact2/refereed/tuck_lowe_mccrae.pdf. (January 3, 2007). NEA Research Update. (2004). Proprietary Education: Threat, or Not? http://www2.nea.org/he/heupdate/images/vol10no4.pdf.à (January 3, 2007). Bernholz, Lucy. Managing up in down times. http://www.blueprintrd.com/text/managingup.pdf. (January 3, 2007). à Ã
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