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Leadership and teamwork in nursing

Share this: Facebook Twitter Reddit LinkedIn WhatsApp ABSTRACT Introduction: The treatment of vertebral osteomyelitis includes antibiotics with or without surgical intervention. Debridement is warranted for the treatment of idiopathic spondylo-discitis in case of neurological deficits, deformity, instability, abscess formation, intractable pain or failure of medical management. The use of instrumentation is still controversial. Objective: Is to evaluate the surgical outcome of idiopathic lumbar spondylodiscitis treated with posterior debridement combined with single-stage posterior instrumentation and autologus bone grafting. Methods: This retrospective study was conducted to evaluate the outcome of 15 cases of idiopathic lumbar spondylo-discitis treated with posterior debridement combined with single-stage posterior instrumentation and grafting. All patients were followed up for up to 1 year post-operative. We evaluated operative time, blood loss, and complications. Visual analogue scale (VAS), activities of daily living (ADL) (Barthel index), C reactive proteins (CRP), and Erythrocyte sedimentation rate (ESR) in the preoperative, postoperative and final follow-up periods were used to evaluate the surgical outcome. Results: All 15 cases of lumbar infections resolved without recurrence. Bony union was obtained in all cases. Twelve out of 15 patients (80%) were completely relieved of pain and fully active with improvement neurological deficits, while the other 3 patients (20%) obtained a good result. No post-operative major complications were reported among the studied group. There were two superficial infections, which healed with debridement and antibiotics. Conclusion: According to the results reported in this short study, the proposed technique is an effective and safe treatment for idiopathic lumbar spondylo-discitis, if surgery is mandatory. Keywords: spondylo-discitis, debridement, posterior fixation. INTRODUCTION The increasing number of spinal infections has become a global health concern. It is currently due to reactivation of latent infections, more drug resistant agents and more immuno-compromised patients. It has been shown that delay in diagnosis can lead to increased morbidity and mortality, early diagnosis and treatment are therefore of paramount importance.(1) Spinal infections encompass a spectrum of conditions comprising spondylitis, discitis, spondylodiscitis, pyogenic facet arthropathy, epidural infection, meningitis, polyradiculopathy and myelitis. All of these have a specific presentation and clinical course.(2) Osteomyelitis of the spine accounts for approximately 1 to 7% of all osseous infections. In recent years, there have been an increasing incidence of spinal infections, which is now estimated to occur in approximately 1/100,000 individuals annually. This rise may be attributed to the increasing prevalence of elderly and immuno-compromised individuals in the population.(3) The predominant organism in almost all studies is Staphylococcus aureus, accounting for approximately 40 to 80% of all spinal infections. Other Gram-positive organisms such as S. epidermidis and Streptococcus species are also common.(4) Establishing the diagnosis of vertebral osteomyelitis in a timely fashion is critical to preventing catastrophic neurological injury. In the modern imaging era, magnetic resonance imaging, in particular, has facilitated the diagnosis of osteomyelitis even before the onset of neurological signs or symptoms. Nevertheless, despite advancements in diagnosis, there remains disagreement regarding appropriate treatment. Antibiotics are the main- stay of therapy.(5) The treatment of pyogenic spondylodiscitis with intravenous antibiotics is universally agreed upon. More than 75% of patients can be treated with intravenous antibiotics and immobilization.(6) Although no difference in clinical outcomes has been observed when comparing antibiotics alone with antibiotics plus surgical debridement, debridement of infected and dead tissue removes the source of continuing sepsis, may allow shorter courses of antibiotic treatment and may also allow early mobilization of the patient.(7) Surgery is generally reserved for patients with neurological involvement, spinal instability, severe deformity, and/or those in whom antibiotics alone have not been effective. Current surgical treatment options include anterior or posterior decompression with or without fusion, and with or without instrumentation. The fact that there exist several alternative surgical approaches highlights the lack of a consensus on the optimal operative treatment for vertebral osteomyelitis. The decision to place instrumentation into an infected spinal column remains controversial. Numerous authors have shown that instrumentation in patients with osteomyelitis can be performed safely.(8) There is still controversy about the best surgical treatment. Many spine surgeons are unwilling to place an implant in an infected area. Some authors go one step further and advocate debridement-only surgery, followed by antibiotic treatment and second- stage instrumentation. Other authors propose single-stage anterior decompression, bone grafting and instrumentation.(9) Aim of the work The aim of this retrospective study was to evaluate the surgical outcome of idiopathic lumbar spondylodiscitis treated with posterior debridement combined with single-stage posterior instrumentation and autologus bone grafting. METHODS This retrospective study included 15 patients (9 males, 6 females) with a mean age of 66 years (range: 43-80) who were admitted to El-Menoufia University Hospitals Neurosurgical Department, in the period from Aug 2007 to Nov 2008. The inclusion criteria were: MRI of lumbo-sacral spine showing evidence of spondylodiscitis. Plain radiographs revealed disc space narrowing with erosion and sclerosis of the adjacent end-plates. Persistent high levels of laboratory tests: white blood cell count (WBC; count/mm3), C-reactive protein (CRP; mg/dl) and erythrocyte sedimentation rate (ESR; mm/h). Failure of conservative treatment for about 3 months. Development of neurological deficit. The exclusion criteria were: – Postoperative spondylodiscitis. – Decreasing ESR and CRP levels with conservative treatment. – Medically unfit patients. The mean duration of symptoms before admission was 3.7 months (range: 0.5 to 12 months) and the mean duration of conservative treatment before surgery was 2.2 months (range: 1 to 3 months). The average follow-up period was 12 months. Six out of 15 patients (40 %) had an elevated white blood cell count, while all 15 had an elevated ESR and CRP level .Plain radiographs, magnetic resonance imaging (MRI) with and without contrast were performed in all patients. Conservative treatment was given to all cases preoperatively in the form of two bactericidal and synergistic antibiotics were administered intravenously in high doses: mostly a first-generation cephalosporin and an aminoglycoside. Postoperatively, the antibiotics were adapted to the antibiogram performed on the specimens obtained. The duration of treatment was determined by the clinical evolution, the ESR and the C-reactive protein. Generally speaking, the antibiotics were administered intravenously for 6 weeks, and orally for 6 weeks. Patients were operated in the prone position for the posterior instrumentation and grafting. A meticulous debridement of all granulation tissue, devitalized disc and sequestra was carried out to the point where healthy cancellous bone is exposed. Wide decompression of the thecal sac was done, with drainage of any epidural abscess and depridment of any necrotic tissue, which were submitted for bacteriological culture and sensitivity, and histological examination. Finally, trans-pedicular screw fixation was done combined with autologus done chips graft. Postoperatively all patients were immediately mobilized with an external lumbo-sacral orthosis. Duration of surgery and operative blood loss were recorded. The clinical outcome was assessed according to Barthel Index,(10) which has been used since the 1960s because of its high reliability and validity, as regards the activities of daily living (ADL), and the VPAS as regards the severity of back pain. Fig 1: Preoperative sagittal MRI-scan of the lumbar spine. T2-weighted images showing L3-L4 spondylodiscitis. Fig 2: A, B. Postoperative antero-posterior and lateral radiographs showing L3-L4 posterior trans-pedicular screw fixation RESULTS After surgery, infection was successfully controlled in all patients, with return of the white blood cell count, ESR and CRP to normal within a mean period of 4 months (range, 2 to 6 months). Two patients (13% of cases) had a superficial wound infection which healed with debridement and antibiotics. The estimated blood loss was 650 ml (range 450-1000 ml). The mean duration of surgery was 3 hours (range: 2 hours to 4 hours). Bony fusion with incorporation of the graft was achieved in all patients. . Table I: Pre-operative clinical presentations No. % Persistent low back pain 15 100 % Radiculopathy 12 80 % Constitutional symptoms 6 40 % Table II: Pre-operative laboratory findings No. % Elevated ESR 15 100 % Elevated CRP 10 66 % Leukocytosis 6 40 % Table III: Pre-operative radiological leveling No. % L 3/4 spondylodiscitis 8 53 % L4/5 Spondylodiscitis 5 33 % L5/S1 Spondylodiscitis 2 14 % Table IV: Associated risk factors No. % DM 5 33 % Chronic Liver Disease 2 14 % Urinary tract infection 4 28 % Table V: Post-operative outcome according to Barthel Index No. % Excellent 12 80 % Good 3 20 % Total 15 100 % DISCUSSION Although there have been advances in diagnosis and treatment of spinal infections with further refinement of microbiological and histopathological techniques, early detection and management remain a matter of considerable difficulty.(11) A correct diagnosis may be delayed by more than a month in over two thirds of the patients. A rise in the world’s elderly and immuno-compromised populations is bringing an increased incidence of pyogenic and granulomatous infections of the spine, hence, timely diagnosis of pyogenic spondylodiscitis with back pain and fever may prevent greater tissue destruction, spinal instability and progressive neurological deficit. Advances in therapy have reduced mortality rates, but early diagnosis is essential for a satisfactory outcome.(12) The exact cause of lumbar spondylodiscitis is controversial; some authors believe that there are two types of spondylodiscitis, a septic form caused by an infectious agent and an aseptic form resulting from an inflammatory reaction. (13) Others believe that there is no such thing as an aseptic spondylodiscitis and that this form is actually the result of a less virulent, low grade infection.(14) Once inoculated, the process of infection and discitis begins. More than often, the main causative organism is not identified. When an organism is identified, the most common infectious etiologic agent is Staphylococcus aureus followed by other Staphylococcus species and anaerobic organisms. Other less common organisms include Streptococcus viridans and other Streptococcus species, Escherichia coli, Pseudomonas aeruginosa.(15) Traditionally, the mainstay treatment of pyogenic infections of the spine remains medical management, with external immobilization and culture specific antibiotics for a minimum of 4 to 6 weeks. However, large clinical series have demonstrated the need for surgical intervention in up to 43% to 57% of the patients, in case of neurological compromise, deformity, instability, abscess formation, extensive destruction, intractable pain or failure of medical management.(16) Because all the patients in our study were from the low socio-economic class and because of the difficulty to identify the causative organism, we elected not to perform CT guided biopsy and give the patients empirical broad spectrum antibiotics covering both aerobic and anerobic pathogens. It has been reported that the most sensitive laboratory studies indicative of the presence of an inflammatory process are the ESR and the CRP. However, it should be noted that in adults, ESR trends are confused by associated medical conditions. Nevertheless, the ESR was a useful tool in the management of adult pyogenic spondylodiscitis, and the authors of most studies on this matter, view a 60 to 85% reduction in the ESR as compatible with eradication of infection, and this correlates with the results in our study which reported reduction of ESR in 80% of case.(17) MRI is the radiographic imaging modality of choice in diagnosing lumbar spondylodiscitis with a reported sensitivity and specificity of 93% and 97%, respectively. It has been shown that MRI is superior in showing loss of disc space height. This can be accompanied with erosion of the vertebral end plates above and below the infected disc space, and these changes were reported in all cases included in our study.(18) In the surgical treatment of spondylodiscitis, numerous authors have advocated a staged operation with a period of antibiotic therapy bridging the debridement and instrumentation procedures. Open surgical drainage for spondylodiscitis was historically reserved for patients with an epidural abscess. The prognosis is stated to be better when treatment is instituted early during the infection.(19) Posterior debridement combined with trans-pedicular screw fixation has been advocated by several authors. Dai et al(20) obtained 100% of good results with this technique in a series of 22 cases and we used the same technique in this short study. The first series describing the consistent placement of posterior instrumentation at the time of debridement was published in 1988 by Redfern et al(21) In 1996, Rath et al(22) reported on a series of 43 patients with thoracic or lumbar spondylodiscitis who were treated entirely via a posterior approach. This approach is based on the principle that instrumentation placed posteriorly involves a second operating field that is not (at least directly) contaminated. Single-stage procedure surgery (autograft and posterior instrumentation) was used in this study and its results correlates with the Kuklo et al(23) study which included 21 patients with pyogenic vertebral osteomyelitis managed by a single-stage with neither recurrence of infection nor perioperative complications. A single-stage procedure has several advantages, such as avoidance of a second anesthesia, reduced blood loss, avoidance of graft displacement during transfers, earlier mobilization, less anxiety for the patient, shortened hospital stay and less expense. (23) According to Barthel Index,(10) 80 % of our patients had an excellent result, without pain or restriction of activity. From a neurological viewpoint, ten patients (83%) of the 12 with a neurological deficit improved and these findings were consistent with Fayazi et al(24) who reported 85% improvement after posterior approach for lumbar spondylo-discitis. After posterior instrumentation, fusion rates up to 93% and 96% have been reported (25) the current study yielded a 100% fusion rate. As stated by Hadjipavlou et al(26) posterior stabilization through instrumentation was the critical factor in these improved results. We believe that posterior instrumentation and grafting is the principal stabilizer of the vertebral column in order to achieve a successful fusion. Conclusion Although this is a limited series, we found that a posterior debridement combined with trans-pedicular screw fixation and autologus grafting may be a safe and effective surgical treatment for selected patients with lumbar spondylodiscitis and may not be associated with recurrent hardware infections and/or any major complications. Share this: Facebook Twitter Reddit LinkedIn WhatsApp
The discovery of underground mineral deposits is always seen as an opportunity for economic emancipation. However, the difficulties involved in exploring the minerals have been the greatest obstacles to the full exploration of sea floor mineral deposits such as sulphide. The first challenge is in locating an active ridge spreading area. The location of an active hydrothermal activity is a very taunting task requiring the use of high resolution multi-beam sonar and a comprehensive mapping of the seafloor requiring the use of magnetic field sensors. The possibility of encountering corrosive acidic fluids from vents is another great challenge experienced by seafloor miners. The situation becomes worse when the mining team does not have chemical and temperature sensors. The process of locating hydrothermal vents with sulfide deposits requires extensive underwater surveys with concrete photographic data. Although many sulfide deposits have been discovered in international waters, the mineral has not been fully exploited because of the high cost involved in mining seafloor mineral deposits. The process of locating, characterization and final extraction is still very costly compared to land-based mining. There are very few mining companies all over the world with the high resolution equipment for mining underground mineral deposits such as sulfide. There are a lot of risks involved in exploring deep sea sulfide deposits that are beyond the Exclusive Economic Zones. The financial risk is relatively high considering the fact that the economic prospects of deep sea mining in those zones are unpredictable. The regulatory environment is the other issue of concern in deep sea mining of sulfide. There are no special regulations to govern deep sea mining in both international and territorial waters. For comprehensive exploration of deep sea sulfide deposits, in is necessary for regulations governing research, and all exploration activities to be put in place. Currently there are no regulatory codes for deep sea mining. The International Seabed Authority has voluntary codes that are yet to be fully enforced. Countries with deep sea mineral deposits have to come up with the necessary regulations to facilitate the exploration of deep sea minerals like sulfide. Environmentalists have always been against deep sea mining by claiming that deep sea mining is a serious threat to the marine environment. Get your 100% original paper on any topic done in as little as 3 hours Learn More The International Seabed Authority has been at the forefront in regulating deep sea mining to protect the marine environment from the adverse effects of deep sea mining. A comprehensive environmental impact assessment is needed before any deep sea mining activities begin. The potential impact of sulfide exploration to marine life and the possible models of transporting dissolved minerals need to be determined before the exploration of sulfide deposits. The cost and benefits of seabed mining have not been seriously explored in recent times due to the economic hardships experienced in recent times. Many mining companies have come up with new technologies to fully explore deep sea mining but this has been possible due to the many hardships involved in getting operation permits.
Overview In Module Six, you have explored logistical and cultural considerations for managing diverse teams. In this assignment, you will apply what you have learned by analyzing a case study to draw conclusions about corporate social responsibility in an international context. Prompt Read the case study Apple and Its Suppliers: Corporate Social Responsibility, taking careful note of examples and explanations of Apple’s views on corporate social responsibility, countries involved in the supply chain, and whom the public held responsible for the ethical violations. Specifically, you must address the following rubric criteria: Key Points: Briefly summarize key points that the case raises, such as who was involved; key problems and concerns identified; and questions about corporate social responsibility, public opinion, and/or international business. Corporate Social Responsibility: Explain how corporate social responsibility, specifically related to employee treatment, is important to a business. Public Opinion: Explain how the media and public opinion influenced the situation and what lessons a business practitioner can learn from Apple’s experience with how the media and the public can impact business. International Business: The case states that although the concerns regarding poor employee treatment were related to events at manufacturing facilities such as Foxconn and Pegatron, the concerns regarding corporate social responsibility fell to Apple. Explain what this can teach business professionals about international business and supply chain management. Labor Practices: Compare the advantages and disadvantages of commonly used labor practices in international business. The Road Ahead: The end of the case raises a few questions regarding how Apple should proceed. On the basis of what you have learned in this module and throughout the course, explain how you think Apple should have proceeded following the incident outlined in the case and why. Make sure to use evidence from course and/or external resources to support your response. Guidelines for Submission Submit this assignment as a 400- to 750-word Microsoft Word document. Sources should be cited according to APA style.
Art, Music, and Creative Writing homework help. This is a paper that is focusing on Philip Alcabes’s “Medication Nation” and Jeremy Greene’s “Generic Drugs. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:,Philip Alcabes’s “Medication Nation” and Jeremy Greene’s “Generic Drugs,This essay is based on Philip Alcabes’s “Medication Nation” and ,Jeremy Greene’s “Generic Drugs,: The Same, but Not.” Both essays offer perspectives on the uses of and views  about recreational drugs and/or prescription medication in the US.,Please write a unified essay that compares and contrasts what each writer is saying about recreational drugs and/or prescription medication in the US. What conclusions do the authors draw about the history of and also current thinking about the classification of recreational drugs and/or prescription medication? What are the larger implications of the views about recreational drugs and/or prescription medication raised in the two texts? Be sure your thesis statement includes the main similarities and/or differences between the two texts, and why those similarities and/or differences are important.,Please be specific in your answer, drawing on the texts to support your assertions.  You should use relevant quotes from the texts to strengthen your arguments. Please remember to proofread your work.,Remember, ensure that the pages are exclusive of the cover and the reference pages. Also, ensure that you include all the references you use in finding research for this assignment paper. References should be at least three for the paper. All references, citation, and writing should follow the APA formatting and styling guidelines. Finally, ensure you focus on the assignment topic in detail.,Ensure that you follow the instructions provided keenly. Marking of the assignment is on how you do the task and how you submit the assignment too. In case of any question feel free to ask your instructor for more guidelines before doing the assignment.,Attachments,Click Here To Download,Art, Music, and Creative Writing homework help

Clayton State University Excel Variables Classification Question

Clayton State University Excel Variables Classification Question.

For this Assignment, You are required to Classify each of the variables. Hint: Go back to the Notes about Quantitative and Qualitative variables.Be specific. (Quantitative, Qualitative, nominal, categorical, continuous, discrete, ratio, interval etc).Create a histogram for each of the numerical variables.Remember to label all axes and title each histogram. Are the histograms symmetrical or skewed? ?EXPLAIN and DISCUSS your results.Find the mean, median, and mode for each of the numerical variables.For each of the numerical variables, which is the most appropriate measure of central tendency? Why?EXPLAIN and DISCUSS your results. Look at the numerical variables, are there any outliers? EXPLAIN.Analyze each day. Use the techniques you have learned from this class.Be clear and detailed.Clearly label your results.Clearly explain your observations. Analyzeeach 1 hour period (9-10am, 10-11am, 11am-noon, noon-1pm, 1pm-2pm, 2pm-3pm, 3pm-4pm, and 4pm-5pm). Use the techniques you have learned from this class.Be clear and detailed.Clearly label your results.Clearly explain your observations.Based on your results from a.) -g.)What are your observations about the traffic patterns at the bank?Why do you think the bank is experiencing long lines?What are your suggestions to help the bank improve operational efficiency and reduce the long lines?undefinedDeliverables: undefinedCreate one spreadsheet for each part. Clearly label the spreadsheets, Part a.), Part b.), Part c.) etc.So, you should have 7 spreadsheets that correspond to parts a.), b.), c.), d.), e.), f.) and g.). Create one more spreadsheet for your miscellaneous work…label it misc work. Use boxes, clearly highlight and label your answers. YOUR ORGANIZATION MATTERS.I SHOULD BE ABLE TO CLEARLY FOLLOW YOUR WORK. Submit ONE Excel file containing your 8 spreadsheets. I should be able to click on a cell and CLEARLY see the formulas you’ve used. Save your MS Excel file as Final5000(insert first letter of your first name, insert lastname).So, I would save my Excel file as Final5000CLaws.Remember to label all graphs, tables, charts etc.Remember to label each worksheet/tab.Remember to clearly label EACH of your answers.
Clayton State University Excel Variables Classification Question

A T Still University Operations Management Developing a Manager Tool Kit Essay

cheap assignment writing service A T Still University Operations Management Developing a Manager Tool Kit Essay.

You have been promoted to the role of senior operations manager and have been named by the VP of Operations to the organizational one-year elite onboarding program for high-potentials called Emerging Leaders.
As an Emerging Leader, you are expected, in fiscal Q1 and Q2, to develop an operations manager toolkit/project guide for the new junior operations managers you will source to this role in the next quarter. The toolkit will be used by your newly hired junior operations managers during the six-month onboarding process within your organization.
Developing an onboarding program for new junior operations managers  is important because onboarding, according to the Society of Human Resources Management (2016), “is the process by which new hires get adjusted to the social and performance aspects of their jobs quickly and smoothly, and learn the attitudes, knowledge, skills, and behaviors required to function effectively within an organization (p. 1).”
In addition, sourcing, vetting, background checking, interviewing, and training a newly hired junior operations manager will cost your organization approximately $6,300.00 (per candidate).
Consequently, to assist your new junior operations managers in learning, growing, and developing into your organizational culture, you will need to provide them with the tools to succeed.
What to Submit
You are to develop an operations manager toolkit/project guide that must be inclusive of the following components: a cover page, table of contents, and a reference page supported by research from at least six scholarly sources. This toolkit, although a written assignment, is very different from you writing a traditional 10-page APA style paper, and is representative of an authentic reference tool you would use in the workplace to onboard a new junior operations manager. Both the reference page and in-text citations must be in APA format.
Your newly-hired junior operations manager will require support and your assistance to be successful; therefore, you will need to develop an operations manager toolkit/project guide which will include the following components:

An opening statement on the importance of operations manager leadership development
A comparison statement on understanding the five organizational leadership styles
A description of a successful domestic and international sourcing plan and analysis statement
A description outline of an exceptional customer experience program plan and analysis statement
A description of at least four internal data collection measurement tools and analysis statement
A description of at least three quality measures used in operational design and analysis statement
A description of the seven key design elements of a forecasting system and analysis statement
An evaluation of the components of your operations manager toolkit/project guide

Society of Human Resource Management (2016). Onboarding New Employees. Retrieved from
Grading Rubric
No Pass
No Pass
Not Submitted
No opening statement on the importance of operations manager leadership development.
Opening statement on the importance of operations manager leadership development, but lacks explanation of leadership trait identifiers.
Opening statement on the importance of operations manager leadership development and explanation shows signs of understanding.
Thorough opening statement on the importance of operations manager leadership development fully explains leadership trait identifiers and supports stance.
Not Submitted
No comparison statement on understanding the organizational leadership styles.
Comparison statement on understanding the organizational leadership styles but, lacks explanation and personal leadership examples.
Comparison statement on understanding the organizational leadership styles, and provides some explanation and good personal leadership examples.
Thorough comparison statement on understanding the organizational leadership styles with fully supporting personal leadership examples and explanation.
Not Submitted
No description of a successful domestic and international sourcing plan and no analysis statement.
Description of a successful domestic and international sourcing plan and a minimum analysis statement.
Description of a successful domestic and international sourcing plan with a relevant analysis statement.
Thorough description of a successful domestic and international sourcing plan and analysis statement with supporting research.
Not Submitted
No description outline of an exceptional customer experience program plan and no analysis statement.
Description outline of an exceptional customer experience program plan and analysis statement with some supporting evidence.
Description outline of an exceptional customer experience program plan and analysis statement with supporting evidence.
Thorough description outline of an exceptional customer experience program plan and analysis statement with strong supporting evidence.
Not Submitted
No description of internal data collection measurement tools and no analysis statement.
Description of internal data collection measurement tools with analysis statement and minimal supporting information.
Description of internal data collection measurement tools with analysis statement and supporting information.
Description of internal data collection measurement tools with analysis statement and strong supporting evidence.
Not Submitted
No description of quality measures used in operational design and no analysis statement.
Description of quality measures used in operational design, with analysis statement, but lacks explanation and personal examples.
Description of quality measures used in operational design, with analysis statement and support through explanation and personal examples.
Thorough description of quality measures used in operational design with analysis statement and fully supports through explanation and personal examples.
Not Submitted
No description of key design elements of a forecasting system and no analysis statement.
Description of key design elements of a forecasting system, with analysis statement, but lacks explanation and personal examples.
Description of key design elements of a forecasting system, with analysis statement and support through explanation and personal examples.
Thorough description of key design elements of a forecasting system, with analysis statement and fully supports through explanation and personal examples.
Not Submitted
No evaluation of the components of your Emerging Leaders Onboarding Plan.
Evaluation of the components of your Emerging Leaders Onboarding Plan, but lacks explanation and personal examples.
Evaluation of the components of your Emerging Leaders Onboarding Plan, with support through explanation and personal examples.
Evaluation of the components of your Emerging Leaders Onboarding Plan and fully supports through explanation and personal examples.
A T Still University Operations Management Developing a Manager Tool Kit Essay

IT 510 Southern New Hampshire University Food Ordering Process Discussion

IT 510 Southern New Hampshire University Food Ordering Process Discussion.

Instructions Submit a business case proposal, which is a summary of your selected business case for the course project. The business case proposal will be submitted as a Word document and in paragraph form. This business case proposal provides your instructor insight into the project you are selecting and allows for instructor feedback and guidance in terms of the scope of the business case for the purpose of this course.The first milestone of the course project is an introduction. The sections to include as part of the introduction are:Background – This section provides information about the system, processes, and other aspects of the system such that the reader can understand the business problem in the context of the system.Problem Statement – This section should clearly state the problem to be solved, why it is a problem, and how it impacts the system.Audience – This section should discuss your communication plan, identify the different audience types in the project, and what type of information is communicated to each audience type.Note that the course project intent is to introduce students to an entire systems analyst process. Each milestone is fairly significant in size if performing an actual project. For the intended learning and exposure to the course project topics, please know that assumptions will have to be made and that any such assumptions should be documented. Announcement from the Professor:”I would suggest to make it simple. Use a software development/implementation project. For example, restaurant is receiving tons of phone order calls due to COVID19. In order to alleviate the personnel taking orders by phone, the owners have decided to develop an IoS and Android mobile app.” “Joe’s Pizza Place has decided to move into the 21st century and move to a mobile ordering platform (Android and iOS). During the current COVID-19 Pandemic, Joe (owner) has seen his take-out business quadruple. The phone now rings constantly and they cannot keep up w/ jotting down all the orders as mistakes have been made. In order to become more efficient, Joe would like to develop an Android and iPhone app to expedite the ordering process. He doesn’t want to use a 3rd party system (Postmates, Grub Hub, etc…) because the costs are too high. Anyway, Joe would like the paid orders to print “order tickets” in the kitchen for the cooks to begin the process of fulfilling those take out orders.”
IT 510 Southern New Hampshire University Food Ordering Process Discussion

Experiences Of Evacuees During World War Two Sociology Essay

Discuss the experiences of evacuees during World War 11 and consider what problems they, their families and their hosts experienced. Brown (2000) believes the seeds of the Evacuation came from World War 1 when the bombing of towns and cities killed many civilians. By 1938, war looked inevitable. Thousands of lives would be put at risk because of the power of the German air force. The nations children were the future of the country and had to be protected from danger. The big cities like London with large populations were seen as being at the greatest risk of bombing so it was decided that all the parents of city children should be encouraged to evacuate children to the countryside where they would be safer. Evacuation involved moving thousands of children, mothers with babies and teachers from their homes and putting them into the homes of strangers. It is debateable whether this was a good idea. This essay aims to consider the experience of evacuation on the host families, the parents of the children but most importantly on the children. According to Holman (1995) in September 1939, the Government started large- scale evacuation of children and young mothers from cities to the countryside. Planning had started as early as 1925. Inglis (1990) writes that the children arrived at railway stations carrying a bag with a gas mask, a snack for the journey and a few items of clothing. Each child wore a label with his/her name written on it. She says many children saw it as a great adventure and there was an air of excitement. Some were bewildered and resented being sent away. Children who travelled with their school friends and teachers had continuity in their lives but those travelling alone reported feeling isolated and frightened. According to Richard Titmus in Inglis (1990) the mothers of the children were pale and fighting back tears as they waved their children off. They were torn between looking after their children’s safety and putting lives at risk. Government posters were designed to make them feel guilty if they kept the children in the city. It was the first time many had been parted from their children. Inglis (1990 p37) says ‘those parents who did let their children go…often felt nearly bereaved by the cruel but apparently necessary separation’. The misery of being separated was made worse because parents had to make a means tested contribution towards the children’s keep as well as funding normal living costs. This put a burden on poorer families. Parents were given one rail ticket per month to visit children. These visits also upset the mothers because the found their children dressed in clothes chosen by foster mothers because they were considered inadequately dressed for the country. ‘Parents resented being made to feel like paupers’ (Inglis p55). Some foster families had good but fair discipline and the children were happier because the household was calm and orderly. Visiting mothers could feel jealous of the harmony. Majorie Allen, an evacuee, is cited in Holman (1995), saying young mothers with very young children were billeted with families. This caused problems for both women, trying to cook and do washing in one kitchen. Sometimes they were expected to stay out of the house all day and had nothing better to do than walk around the roads with young children. This often meant that the children did not get proper meals, opportunities to play or have a quiet nap. Opportunities for noisy play were limited and the children’s imagination was poorer as a result. The mothers were bored and this was bad for the children. One said it was difficult to make lasting relationships with other mothers because you never knew when you were going back home. Host families had to be found for the Evacuees. After the phoney war of 1939 80% of the evacuees returned home only to return to the country a second time in 1940. Offering accommodation was voluntary at first but by the end of 1940 it was compulsory to take in an evacuee if you had a spare room. Cunningham (2006) says that some people welcomed the idea of giving children from inner cities the experience of living in the country and the children thrived but Brown (2000) says that some people did not welcome the idea of taking in children and claimed they were too ill or had no space. Hosts were paid a weekly amount to feed the children so some hosts did it for the extra money. Some foster mothers crammed too many children into one room just to get money. Inglis (1990) says there was not much effort put in to match children to families. Children were often paraded round and foster parents picked one. Naturally the clean children were picked first. Some siblings were split up. Often there were problems associated by the lack of matching child to family. Religion was sometimes an issue. Children had been told by their parents to do as they were told which sometimes meant going to a different church or in the case of Jewish children eating non- kosher food. There were reports of the very young being placed with very old foster parents who could not cope. Some foster mothers were ‘child haters’ according to Inglis. One evacuee claimed she had to shop, clean and look after a 3 year old. Holman (1995) says some children suffered physically and emotionally at the separation from mothers and fathers and some children were beaten and starved. One boy spent his days scrounging for food and as a result he did not go to school. By the time he was noticed by the police he was so emaciated that he had to be hospitalised. Inglis reports that children often returned home after a very short time because they were unhappy. One went back to London after 6 months because she preferred the bombs to being in North Devon. Some however were away for 5 years. Smith (1996) states that lots of families who took in children lived in large houses and the system highlighted the differences in the class system, ‘Evacuation often led to class tension as middle-class hosts and working class evacuees struggled to co-exist under one roof’ (Smith 1996 p9). Hosts were shocked by standards of hygiene and behaviour. They had not realised that people lived in such poor conditions. Hendrick (1997) says that Angus Calder said the host families seemed to forget why they were taking in children and accused them of being bed wetters, bad mannered and infested with bugs. Cunningham (2005) believes these problems were signs of mental stress. Michael Aspel recounting his thoughts about being evacuated in Inglis (1990) says that ‘one of the most profound effects of the evacuation was to bring to the nation’s attention the shocking disparity in childcare in Britain and the extremes of wealth and poverty that divided the nation’. ‘The plight of the evacuees showed how important the family was to emotional security’ (Cunningham 2006 p202). The problems of the evacuees were followed up by John Bowlby with his research on the effects of maternal deprivation. This led to a move away from separating children from their main carer. Anna Freud was also against separations and she suggested that the long separations were more distressing for children than the bombings. She studied young children who had lost at least one parent and noted that children regressed to childish behaviour like thumb sucking, bed-wetting and rocking. She believed evacuating children had the same effect. However, Josephine Barnes’ feelings are reported in Cunningham (2006), she believes that moving children to the country benefited them because not only did their health improve but they learnt to be independent and got experience of how people in the country live. Although there are reports of poor treatment there are many happy stories. Inglis (1990) writes about Mrs Ivy Moore who was evacuated to Dorset with her young son. She thought her billet was like paradise. This experience was not usual but there are many reports of children not wanting to return to the city after the war. Michael Caine states that he was determined to do well in life so that he could live in a big house like his foster home. Some families took children on holidays and taught them to read. There is little doubt that many host families did a good job. Some childless couples looked upon the evacuees as their own. They were very upset to see children returned to their parents. ‘Evacuation was a remarkable historical happening because it enabled the ‘haves to meet the ‘have nots’ directly’ Cunningham (2006 p 165). Inglis (1990) says that journalists following up the evacuees reported that the evacuated children never really lost their attachment to the family even though many preferred living in the country to inner city slums. It seems that the children did not forget that foster families were temporary. Hendrick (1997) thinks that thousands of children did suffer and it has affected them all their life but thousands only remembered kind treatment and love. Susan Isaacs carried out research at the end of the war and reported that evacuees missed the simple things in life like playing in the park even though they had acres of countryside to play in. They missed being allowed to make a mess and being teased by siblings. Some of the houses were very grand. However, Inglis (1990) says children often resented being sent away from home even if the host families were kind. Many were homesick. She tells the story of one of the children who had been given a hair bow by her mother and kept it in her pyjama pocket. She went to sleep stroking her face with it for comfort. One child said her foster mother did not smell like her own mother and she did not like the smell. Susan Isaacs spoke to the mother of one child who had reportedly cried herself to sleep every night and always looked ill because she was so homesick. However, many children missed their foster families when they went back home. Parents expected the children to be happy when they returned home but some children said they were happier in the country. Some children said they felt claustrophobic because their houses were so small. Those who were dissatisfied felt guilty and ashamed of their feelings. Inglis says children had to adapt to new surroundings and then readapt back. They had to ‘remodel their personalities in order to fit in with new surroundings’ (Inglis p 149). This is hard for young children. One evacuee states that she is a hoarder and blames this on the fact that she had to leave all her precious possessions at home when she was hurriedly evacuated. Another says she still remembers the feelings of isolation during moments of stress. This suggests that the effects of being separated have a lasting effect even though many bad memories are repressed. It seems there are many arguments for and against the evacuation programme but there is little doubt that it saved many young lives. It did cause a breakdown in the family and has been blamed for the increase in the number of children breaking the law between 1939-1941. This supports the theory that family breakdown is a major factor in juvenile crime. Tom Harrison, the MO Team Leader at the time is quoted saying in Inglis (1990 p 46) that 94% of parents reported that their children were happy. Unfortunately that means that 6% were not happy but there were changes for the better that were brought about as a result of the Evacuation. Hendrick (1997) states that the evacuation programme ‘revealed the poor health and living conditions of inner city children. The Government could no longer get away with proposing that children were the responsibility of their parents…. The single most important consequence of evacuation was the centring of the family in all future policies for children’s welfare and the problems associated with separating children from parents led to new social policies being introduced’ Hendrick (1997 p 55). Word Count : 2116

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