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CTU Effective and Efficient Production and Operations Management Essay

CTU Effective and Efficient Production and Operations Management Essay.

The pharmaceutical industry went through many changes in the 1990s and the early 21st century. The North American Free Trade Agreement (NAFTA) made a significant impact on Canadian manufacturing. The trade barriers were removed, and the company began to question whether it was cost-effective to keep manufacturing products in Canada with higher labor costs and much higher taxes. In addition, the 245 acres of land at which the facility was located was near a prime residential area and within a mile of Lake Ontario just outside of Toronto. The land alone was worth over $7,000,000.Analyze whether or not the company should continue manufacturing in Canada or if it should move back to the United States. This requires research into transportation cost estimates from Colorado to Toronto. It also requires analyzing the impact on company image by shutting down a facility in Canada.Draft your recommendation to management.Include the following with your recommendation:The estimated costs and benefits of shutting down the Canadian facility or keeping it openfinancialnonfinancialCreate a 12-month based action planLength 1000 words
CTU Effective and Efficient Production and Operations Management Essay

A literature review in chronological order from past 5 years Introduction The blanket term Psychotherapy covers a multifaceted pluralistic enterprise in which a range of therapies is required to meet a patient’s various needs (Holmes J 2002). The National Service Framework cites cognitive behaviour therapy as being the psychotherapeutic method of choice for conditions that include “depression, eating disorders, panic disorder, obsessive-compulsive disorder, and deliberate self harm.” (Rouse et al. 2001) Literature review The first article we shall consider is a letter to the editor of the BMJ by Van Meer (R 2003). It is comparatively unusual since it is a clinician referring to clinical matters which are both intuitive and experience based. The author refers to the fact that many psychiatrists and related healthcare professionals actually avoid talking about the content of psychotic symptoms. The generally accepted rationale being that these are diagnostically of no significance and therefore therapeutically irrelevant. Van Meer contrasts this view with the basic concepts of cognitive behaviour therapy. He suggests that in his experience, the patient actually often will want to talk about issues that are central to their experience and are distressed when they are kept out of the conversation. He suggests that this is one of the reasons why cognitive behaviour therapy is popular with psychotic patients is that they have the opportunity to discuss with sympathetic professionals the significance of their experiences and this is capable of giving them a mechanism of dealing with what may be otherwise unexplainable to them. This publication is selected because of its counterintuitive thrust to support cognitive behaviour therapy against the “mainstream” of current clinical psychiatric practice and is written by an experienced practising clinician. This area of consideration is given a further twist with a different insight from Moorhead (S 2003). He agrees that psychiatric professionals tend to try to avoid engagement with psychotic patients on the subject of their psychosis and “thereby unwittingly add to the prejudice that blights the lives of people who live with psychosis” . He points, very succinctly, to the fact (and cites Brabban A et al. 2000) that the central tenet of cognitive behaviour therapy is that the therapist should endeavour to show a clear linkage between “personal experience, core beliefs (schemas), and emergence of psychotic symptoms”. The significance of this publication is that it is unusual insofar as it outlines the benefit of cognitive behaviour therapy for the staff as much as the benefit for the patient, by suggesting that staff trained in the techniques of cognitive behaviour therapy are able to empathise on a much deeper level with the patient and this, in itself, has a “remarkable remoralising effect of developing a meaningful understanding of the psychotic phenomenon with a patient”. This point is echoed in the discussion of the Craig paper. The Craig paper (Craig T K J et al. 2004) is a carefully constructed, but badly reported, randomised controlled trail of the current efficacy of specialised care modalities for cases of early psychosis. (Vickers, A. J et al. 2001). It is presented here as a case study in critical analysis. The interventions were delivered in two groups. The entry cohort was allocated to a standard care group (the control) or the intervention group (specialised care group). Both sets of treatment were delivered by the community mental health teams. The outcomes for both groups were rates of relapse or readmission to hospital. (Friedman GD. 1994) We present this paper to illustrate a common problem with this type of trial. On first appreciation, it demonstrates the fact that the intervention group did better than the control group. The difficulty in critical analysis comes in trying to decide which of the treatment modalities actually produced this beneficial effect. (Mohammed, D et al. 2003) The entry cohort was quite impressive for a study of this type with 319 presenting with psychotic illness over an 18 month period and 144 of these meeting the inclusion criteria. 94% of these were remained in the trial over the 18 months of follow up. We note that, although the programme of interventions did include cognitive behaviour therapy, it also included other treatment options such as low dose atypical antipsychotic regimens, cognitive behaviour therapy based on manualised protocols, and family counselling and vocational strategies based on established protocols (Jackson H et al. 1998). From the point of view of our considerations here, on the one hand the results appeared to be good insofar as the study showed that the intervention group had fewer readmissions to hospital in the study period and also they had fewer psychotic relapses (although this was of low statistical significance). On the other hand the paper tells us that all patients had medication and the ultimate choice of treatment pathway was decided by the intervention clinician, so although cognitive behaviour therapy was used, we have no absolute idea of its effectiveness from this trial. (Green J et al. 1998). All we can say with confidence is that, as part of a total package, cognitive behaviour therapy appeared to have helped to contribute to a beneficial outcome for a significant number of psychotic patients. A completely analytical and minimalist approach to this particular trial could suggest that it is indeed possible that cognitive behaviour therapy is actually ineffective per se. other than it served to keep the patient in closer contact with the clinicians. (Piantadosi S. 1997) In this respect this is an instance of a trial which is seemingly supportive but does not contribute greatly to the evidence base On first sight this particular view might be considered pedantic, but it is echoed by Yates (DH 2005) in a letter in the BMJ, where he specifically takes up this very point. He points to the fact that there is very little description of the regimes of cognitive behaviour therapy and the degree that it’s impact can be isolated from the overall effect. He also refers to the fact that a breakdown of the various therapies offered and the degree that each was helpful would have improved the paper tremendously. We have to agree. We will next consider a high profile paper by Morrison (A P et al. 2004) which has been widely cited. This paper took the pioneering work of Yung (et al. 1996) who identified a high risk group of patients who would develop psychosis and studied the effect of cognitive behaviour therapy on the prevention of the development of the clinical state. Morrison et al. identified the fact that other studies (McGorry, P. D et al. 2002) had demonstrated that it was possible to reduce the incidence of psychosis development with a multifaceted approach, like that of Craig, which included elements of cognitive behaviour therapy. Morrison however, elected to carry out a study that used cognitive behaviour therapy as a single strand approach in this high risk population. (Leaverton P E. 1995) The results from this study convincingly demonstrated that cognitive behaviour therapy alone “significantly reduced the likelihood of making progression to psychosis as defined on the Positive and Negative Syndrome Scale over 12 months.” (Kay, S. R et al. 1987) The authors were also able to demonstrate that cognitive behaviour therapy also reduced the likelihood of a patient being prescribes antipsychotic medication. Other criteria of analysis demonstrated that cognitive behaviour therapy “significantly improved the positive symptoms of psychosis “ in the target population. This is an important study as it is one of the first to provide a reasonably secure evidence base that cognitive behaviour therapy works in the psychotic patient. It also shows that it works in the high risk group and has the possibility of a prophylactic effect by minimising the likelihood of psychotic relapse. A critical analysis would observe that the intervention cohort was comparatively small and a disproportionately small number were entered in the control group (37 and 23 respectively). High risk psychotic patients are comparatively rare and therefore one has to appreciate the practical difficulties involved in accumulating a sufficiently large sample to study. (Grimes D A et al. 2002), The last publication that we shall consider is that by Trower (P et al. 2004). It was published at the same time as the Morrison paper and is notable for the fact that, like the Morrison paper it recognises the shortfalls of the previous multi-modality studies and isolates cognitive behaviour therapy in its analysis. It also specifically targets a notoriously treatment-resistant group of psychotics, those who suffer from command hallucinations. (Haddock, G et al. 1999) This was a single blind randomised trial with 38 patients. The trial was complex in structure but, in essence, it was able to show, with convincing statistical significance that cognitive behaviour therapy interventions alone was able to reduce the patient’s compliance rate with the psychotic commands. The authors noted that this reduction in compliance was associated with a reduction in levels of both anxiety and depression. In conclusion we would like to commend the book by Eisenman (R 2004) “The Case Study Guide to Cognitive Behaviour Therapy of Psychosis” as a particularly authoritative and clinically useful overview. It cites a number of clinical case studies and analyses them in depth. It supports the view that cognitive behaviour therapy, by attempting to confront the patient’s distorted thinking and allowing them to appreciate their thoughts in a more rational and realistic way, can have beneficial results and it places cognitive behaviour therapy in a clinical context amongst the other, generally accepted modes of psychotherapy. It is not a peer reviewed publication so we shall not consider it further than that. References Brabban A, Turkington D. 2000 The search for meaning: detecting congruence between life-events, underlying schema and psychotic symptoms. Formulation-driven and schema focussed CBT for a neuroleptic-resistant schizophrenic patient with a delusional memory. In: Morrison T, ed. A casebook of cognitive therapy for psychosis. Brighton : Psychology Press, 2000. Craig T K L, Philippa Garety, Paddy Power, Nikola Rahaman, Susannah Colbert, Miriam Fornells-Ambrojo, and Graham Dunn 2004 The Lambeth Early Onset (LEO) Team : randomised controlled trial of the effectiveness of specialised care for early psychosis BMJ, Nov 2004 ; 329 : 1067 ; Eisenman R 2004 The Case Study Guide to Cognitive Behaviour Therapy of Psychosis Am J Psychiatry, Jul 2004 ; 161 : 1318. Friedman G D. 1994 Primer of Epidemiology. 4th ed. New York : Mc-Graw-Hill, 1994. Green J, Britten N. 1998 Qualitative research and evidence based medicine. BMJ 1998 ; 316 : 1230-1233 Grimes D A, Schulz K F.2002 Cohort studies: marching towards outcomes. Lancet 2002 ; 359 : 341-5 Haddock, G., McCarron, J., Tarrier, N., et al (1999) Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS). Psychological Medicine, 39, 879 –889. Holmes J 2002 All you need is cognitive behaviour therapy? BMJ, Feb 2002 ; 324 : 288 – 294 ; Jackson H, McGorry P, Edwards J, Hulbert C, Henry L, Francey S, et al. 1998 Cognitively orientated psychotherapy for early psychosis (COPE). Br J Psychiatry 1998 ; 172 (Suppl 33) : 93-100. Kay, S. R.
FIN 460 AU Role of the Sensitivity Analysis in Financial Modeling Discussion.

I’m working on a finance writing question and need a sample draft to help me study.

Research the Wall Street Journal articles by identifying 4 financial modeling terms and concepts and explain the importance of these terms to the event reported in the articles. Be as detailed as possible, but think about how the Wall Street Journal can help you reinforce your understanding of the concepts covered in class. Attach name of the article, author, date of the article, and WSJ weblink.At the end of this assignment You should be able to answer:What do the articles set out to do?What kind of evidence is presented to support the author’s argument? Is it a fact or opinion?Try to emphasize what you learned in the course and how the financial modeling course helps you make financial to share an event that inspired your financial modeling analysis/ to critique a work in progresshow to apply a variety of financial forecasting and valuation techniques
FIN 460 AU Role of the Sensitivity Analysis in Financial Modeling Discussion

problem solving essay, English homework help

problem solving essay, English homework help.

Prewriting and Annotated Bibliography DetailsPrewriting and planning are essential to writing an effective essay, so for this week’s assignment, you will complete the prewriting and planning steps of the process for developing the Research Essay. Additionally, you will also included an annotated bibliography, which includes a full APA Style reference followed by a brief summary of the source, and a description of how that source may be used in your essay. To complete the prewriting assignment, you will submit one document (or perhaps multiple documents) that include ALL of the following:A prewriting/”discovering” exercise to generate lots of ideas, like freewriting, brainstorming, or concept mapping. (3 points) A working thesis statement (directly addresses the prompt; most effective as the last sentence of the introduction. (2 points) An outline of your essay. (3 points)An annotated bibliography with 6 sources. Make sure to review this document for information about how the annotated bibliography should be constructed. (10 points)Note: if you create a concept map in an image editing program, you may submit this portion of the assignment separately from the rest of the assignment in a common image format, like .jpg or .pdf. Genius Scan is a great, free app that allows you to take, upload, and send images in.jpg or .pdf right from your smartphone.Essay
Being a nurse requires you to
solve problems at a moment’s notice. For this essay, identify a problem you have
encountered and prepare a plan for how to solve it. You may find it useful to
consult the “Organizational Patterns for Solving a Problem” chart in the
“Solving a Problem: Crime and Justice” chapter of your textbook for help
organizing your essay. And, refer to this Planning a Problem-Solving Essay document for further
information. Read the several example essays in the “Solving a Problem: Crime
and Justice” chapter to see how others have presented their problem and
You may choose one of these

A problem you have encountered
working as a nurse
A problem you have encountered
as a student at Hondros College
A problem you have encountered
in your personal life (use this topic only as a last
Whichever topic you choose,
your essay must include the following:

At least one direct quotation
from the each article on your references page
At least one paraphrase from
each article on your references page
A total of at least 5 unique sources, cited
and referenced properly
A clear thesis statement in
the introductory paragraph
Excellent organization of your
A references page with the
full reference details
A word count of 1250 words, at

problem solving essay, English homework help

LAMC Health Care Policy ?Discussion

essay writing help LAMC Health Care Policy ?Discussion.

Discussion Section Summary Purpose: The purpose of this assignment is to help you… 1. build toward the larger final article summary.2. practice APA formatting,3. develop your skills in interpreting the conclusions and implications of an empirical article.4. describe an portion of an empirical article briefly in writing to someone else (in this case, your professor). Task: In less than 1 page, double-spaced…1. provide the reference citation again for the article you selected (same article).2. describe whether the hypothesis was supported or refuted, implications of the research findings for society, study limitations (what remaining questions might you or other researchers have about this topic? what might be alternative explanations for the results?), and future directions (what is a possible follow-up study that can address the limitations discussed?).Criteria: Your summaries will be graded based on…1. whether or not you have used full and appropriate APA formatting2. how completely you have described the conclusions, limitations, and possible future research directions stemming from the article.3. how clearly you have described the sections for another person (again, in this case, your professor)Requirements: 1 page | APA | Other | 1 pages, Double spaced
LAMC Health Care Policy ?Discussion

BUS 402 SU KAMS Beauty Supply Business Strategies Plan

BUS 402 SU KAMS Beauty Supply Business Strategies Plan.

“One of the most important steps in launching a new business venture is fashioning a well-designed, practical, realistic financial plan.” (Scarborough & Cornwall, 2015, p. 454).
With this assignment, you are creating two important elements of a financial plan: an Income Statement and Balance Sheet. You also are preparing an outline of a presentation of your business plan to potential investors or lenders.
Using the same company from your previous assignments, write a 3–4 page paper in which you:

Prepare a simple pro forma (projected) income statement and balance sheet for the first two years of operation, using income projections and incorporating an advertising plan.
Outline a plan for hiring and retaining competent, motivated employees for your business.
Prepare an outline for a “pitch,” i.e., a short 20–30 minute business plan presentation that will be made to lenders or investors.

BUS 402 SU KAMS Beauty Supply Business Strategies Plan

Need replies with sources!!

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Must be in second person, Your thread must be 300–350 words. must have sources! When addressing each specific topic, integrate relevant ideas from the various course texts and materials. In your replies, extend the discussion by analyzing and building upon your classmates’ ideas. Threads and replies must demonstrate course-related knowledge and assertions be supported by references in current APA format. Use first person and single-spaced formatting and indent new paragraphs. Your threads and replies must be well written, well organized, and focused.Davinishia Franklin Discussion 1: Week 1COLLAPSECollaborative meaning making focuses on how communication is translated between two people. According to the book, “Bridges Not Walls” by John Stewart, collaborative meaning making “begins when a sender gets a idea that he or she wants to communicate” (Stewart 2012). From there, the message is translated into words and depending on how the message is received, the words can be a successful conversation or miscommunicated. “When an idea is the same as another idea, the communication is successful. When the two ideas don’t match, there’s a miscommunication thats somebody’s fault”. (Stewart 2012). People’s personalities and and behavior blends might influence collaborative meaning making, as well as how other effectively communicate. According to the DISC personality test, there are 4 personality traits; active/outgoing, task-oriented, people oriented, and passive/reserved. According to the author Mels Carbonell, “We usually struggle with people because of the way they say or do things. Our personalities often influence our actions and words. By understanding not only our own but others’ personality patterns, we should be able to improve our people- problems. (Carbonell 2008). My personality/behavioral blend is between active task oriented and people task oriented. Being a active task oriented person sometimes causes me to be known as a very direct and blunt person. With this type of communication skills, it is important for me to really listen to others while I am engaging in conversation, as well as making sure I am not interrupting. On the other end, I can also be very social and friendly, which usually causes me to be very optimistic about a lot of things. Personally, I feel as though I can relate to different groups of people, but might have a huge challenge of communicating with others. References Stewart, J. (2012). Bridges not walls: a book about interpersonal communication. New York, NY: McGrraw-Hill. Carbonell , M. (2008). How To Solve The People Puzzle-Understanding Personality Patterns. Blue Ridge, GA: Uniquely You Resources Second reply:Brandon Boyd DB1COLLAPSE People are comprised of a certain one of a kind attributes and qualities that make all of us unique and outstanding. There are four distinct classes of conduct, as sketched out in the Disk Model of Human Behavior (Carbonell, 2008). All individuals fall into an assortment of types, making up a conduct mix of characteristics that are exceptions to that individual. After addressing the inquiries of the Uniquely You character profile, I discovered that my character type falls under the I type in the “expected of me” and the S/I in “this is me” segments (Uniquely You, 2017). As an “I,” I am more influenced, inspiring, entertaining, interested in people, inducing, and impressing. I like to stand out and be famous. This personality is often described as the best type, but can also be the most prideful and egotistical. “I” people love to talk and affect people with their multitude of words and stories. As a high “I / S” or “S / I” personality type, I am very people-oriented. I am more comfortable with people than working on tasks by myself. People find I am very friendly. I am both outgoing and reserved. I can either stand out in a crowd or blend well in a small group. I tend to be active and passive. I can be energetic and expressive, as well as quiet and shy. I can be very inspiring, influencing, and impulsive in a crowd of people. Alternatively, I can be submissive, soft, and sensitive, either one-on-one or with a small group. I am consistently more relational than tactical or technical (Uniquely You, 2017). When looking at the self-assessment of my communication skills, results, one thing stands out the most. My ability to understand people. I had an insightful score of 100 and 86 in listing skills, which helped boost my overall rating to a 69 classifying me a “good communicator.” My lowest score was dealing with emotion. This is my weakest section do to my lack of ability to express my feelings to others about how sure thing makes me feel. I honestly feel like my results are very reflective of how I am as a person. I enjoyed the assignment and getting to understand myself further. It allows me to know areas to improve in as well as my strengths.ReferencesCarbonell, M. (2008). How to Solve the People Puzzle, Understanding Personality Patterns. Blue Ridge, GA: Uniquely You Resources. (n.d.). Retrieved from You (2017). Uniquely You, Inc. Leadership online profile professional expanded. Retrieved March 23, 2018 from
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