Cooperate Inquiry Essay Example | Topics and Well Written Essays - 1000 words

Cooperate Inquiry - Essay Example The total idea of cooperation inquiry is that research is made with people in contrast to traditional methods based on actions research made on people. The first step is in a research process is to find and formulate a feasible starting point. The main questions of the research are: What issue in practical experience is worth studying over a period of time Does it fit capabilities and do researchers have the resources Is there a fair chance researchers can get somewhere if they research this issue These are questions researchers needs to ask when beginning research. Cooperative inquiry begins with reflection upon such discrepancies and tries to save them from being forgotten in the maze of everyday work (Harwood 72). They become the focus for further development of the research process and for the generation of knowledge about that process. Such discrepancies need not always be negative and problematic for the researchers. Action research can also focus on trying out good ideas for improvements or on the further development of one's own strengths (Schon 43). Second step - action phase - is aimed to tests proposed actions and record expected outcomes. One possible way of testing our knowledge of a situation researchers want to improve and develop is to obtain additional information-perhaps by carrying out an observation or by interviewing other people involved. The whole inventory of data collection methods can be used for this purpose (Schratz and Walker 92). As researchers have seen, other people's views can provide starting points for our own reflection, helping to actuate tacit knowledge or to stimulate researchers to collect additional information. It is important to remain clear that such explanations are hypothetical, providing stimuli for research and development rather than replacing them. By introducing changes, trying out new actions, and observing their results, our view of the situation in which we find ourselves is often deepened. Researchers need to find a pattern in the complexities of the situation identified as the star ting point for research. First, researchers try to identify the most important individual elements of the situation, to distinguish them from less important elements, and describe them as vividly as possible. The main questions at this stage are: What is happening in this situation Which events, actions and features of the situation are important Which people are involved, and in what kind of activities (Smart 82). Phase three is a second action phase. When researchers formulate important individual elements of the practical theory, they should not restrict themselves to what happened, but also take account of the context. Cooperative inquiry does not take place in a laboratory in which the researcher controls most of the context. Their own actions are embedded in a framework of other people's interests and actions. Their research and development activities in turn have consequences for others. This stage usually involves people outside the group and the research (Reason. 2008). The aim of this stage is to generate new ideas and new experiences. The main questions at this stage are: Which other people are affected by my research and deve

Learning Experiences Essay Example for Free

Learning Experiences Essay The value of education undoubtedly depends on the purpose behind it. Activities also give the child new abilities, and allow him/her to discover abilities never known to have existed before, or strengthen skills that naturally exist in any human being. When a child is born, the child learns by interacting with the world around him/her, and this is the foundation for building the child’s intellectually abilities as well as the child’s personality, emotionally and socially (Mahapatra, 2009). This paper focuses on the learning experiences that a child acquires from various activities, as dictated by the child’s age. In this study, there are 5 age groups that would be considered. The first stage is the stage of ‘younger babies, the ‘older babies,’ the ‘toddler stage,’ the ‘kindy stage,’ and the last stage, the ‘preschoolers. ’ In this paper, the researcher would like to discuss the teaching strategies to be used, including all the considerations to be involved when it comes to teaching organisation. Young babies †¢ Young babies are children whose age is categorized as babies who are of 6 months old from the time when they are born. †¢ During this stage, the baby shall learn basic activities such as learning to sit on his/her own and learning to explore the world using his/her hands. Other senses are also at play since the child is naturally curious about the world and will use his/her sense to learn. At this stage, babies tend to use their mouths as well to explore things, which is why it is important that they be given toys that are not hazardous and will not cause choking. Some toys have been specifically designed for a baby’s learning purpose and these toys are safe to be kept in the mouth. †¢ Activities that can benefit a child’s learning experience can be aided by toys. Learning resources can start with toys that can be placed in the child’s crib, such as colourful mobiles, as well as toys that can be squeezed, such as musical toys. Other toys can be toys that require the child to use his/her body muscles to push and pull, in order to stimulate the child’s grabbing and grasping skills (Henig, 2008). †¢ As a teacher, it is important that the child be given materials to encourage him/her to be aware of his/her senses, what they are for and how to use them. For instance, the child can be given a musical ball, which the child has to squeeze in order for sounds to be heard. †¢ The learning experience of the child can be evaluated by the kinds of toys that stimulates the child’s brain. For instance, the teacher or the caregiver can provide a variety of toys for the child to play with, and depending on what toy the child picks up the most, the teacher can decide what toy appeals more to the child. If the child picks up the musical toy more often, it means that the sound that the ball makes appeals to the child’s senses. Older Babies †¢ Older babies are approximately aged from 6 to 15 months. †¢ At this stage, babies are able to develop their problem solving skills as they continue learning about a variety of new objects. They are also more able to understand people, and at this stage, the child starts to constantly seek for independence, and they try to develop their own self-esteem. Toys are also more played with, since the child starts to learn how to play ‘properly. ’ For instance, when a child is given toy blocks, or toys such as Lego, the child is actually able to build ‘something’ out of these blocks. In addition to this, the child is also more curious, so providing the child with a play area complete with swings, slides and other play structures encourages active play. †¢ Activities that could be advised for a child of this stage could be providing a child with a puzzle to complete. The teacher could provide the child with a cardboard jigsaw puzzle where the child has to form the pieces together in order to make a picture. This activity helps stimulates mind activity in the child, while wooden puzzles also stimulate sensory discrimination as well as the development of the child’s eyes and hands. An environment such as a playground could give the child enough room to set up his/her own dramatic scene, along with his/her own playmates. The teacher can provide the child with materials such as costumes in order for the child to be more creative in role playing. †¢ The teacher’s responsibility at this point is just to observe the child’s activities and not to actually help the child to do the right thing. This way, the child can have more freedom to express himself/ herself. Toddlers †¢ Toddlers are aged from 15 to 36 months. †¢ At this stage, toddlers are fascinated by household objects, the different shapes of objects and their textures. It is also at this stage where the toddler’s motor skills develop at a fast rate, and this is the stage where the greatest changes in a child’s life and the child’s mind happens. Furthermore, the child is able to express himself/herself more (University of Georgia, 2007). †¢ For this stage, the teacher can coordinate an activity that allows the child to use his sense of sound better, while also developing the child’s creativity level at a faster rate. The teacher could create a fun experience for the toddler by allowing the child to use a variety of cooking utensils for the child to play with. Pots, pans, and cans can be used, and the child can be given wooden utensils so he/she can make a personalized instrument and bang the items together to make his/her own rhythm. A rhythm game can also be played where the teacher can play a certain rhythm and have the child copy it and repeat it accordingly (Tomlinson, 2008). †¢ This activity stimulates the child’s response to sounds, and the teacher can begin to teach the child new words such as ‘beat,’ or ‘drum,’ to talk about the activity itself, or the teacher can teach the child descriptive words to allow the child to express his/her feelings while performing the activity. At this stage, the teacher helps the child be more familiar with shapes, textures, smells and even taste. Kindy Stage †¢ This stage is concerned with kids who are aged approximately 36 to 52 months. †¢ This is the kindergarten stage, where the child has begun to talk, sing and dance. This is also the stage where the child is supposed to be taught how to read since the child can already understand some concepts about the world. Children at this stage may start to struggle at first with reading. Therefore it is advised that the teacher or the caregiver read to the child every day. This way, the child can begin to realize that reading is a fun activity, and the child is also able to use his/her imagination as the adult reads to him/her. †¢ Learning how to read starts with a child’s ears. An activity that a teacher can do for the child would be to read a story to the child and to ask the child questions regarding the story. For instance, after reading a story about animals, the teacher can use the help of pictures with animals on them, as well as cards containing the names of these animals. The child’s task is to attach each word card to the picture it corresponds with. †¢ This way, the child is able to be familiarize himself/herself with new vocabulary, new situations and experiences, and the child can even match what he/she learns from reading to what he/she sees, hears, touches, and taste in real life (Cooper Cooper, 2008). Preschoolers †¢ Preschoolers are from the age of 48 to 52 months old. †¢ At this stage, children can recall concepts easier, and also familiar words. They can also understand new words and new concepts better and can understand the meanings of basic words such as ‘over,’ and ‘under’ (Child Development Institute, LLC, 2008). When it comes to mathematical concepts such as addition and subtraction, there exists a pervasive relationship between a child’s understanding and the child’s procedural skills. Procedural knowledge refers to the child’s skills that are required in order to solve mathematical problems. †¢ For this stage, the teacher can do an activity by using materials such as marbles. The teacher can lay out the marbles on the ground and ask the child to count them. The teacher can then take away a number of these marbles and ask the child to count the marbles again. This way, the child can understand the meaning of subtraction, while the teacher can teach addition by adding more marbles to the pile and asking the student to count them. The teacher can first demonstrate how it is done first so that the child can easily follow. †¢ Such an activity helps the child to clearly understand the meaning of both addition and subtraction, as well as helping him/her to recite the numbers more often. This way, the child is also made familiar with more numbers. †¢ The teacher’s duty is to ensure that the child is able to count properly, as well as add properly and subtract properly. Previous stages allowed the child to have the freedom to perform in any way the child wants. At this age, however, the teacher should introduce the child to correct mathematical concepts so the child is able to retain in his/her mind such information (Geary et al. 2000) †¢ Such mathematical drills should be performed time and time again so that the child will not easily forget. The teacher can evaluate the child’s performance by repeating the exercise again and again, giving way for the child to make mistakes. For all the activities mentioned, it would help the teacher as well to use the reward system when a child performs well. This is especially advised for children who may be stubborn and require a little ‘pushing’ in order to perform accordingly or better. It must also be noted that children cannot be expected to learn quickly so the teacher must be patient and should help the child do so (Fendrich et al. 1993) References Child Development Institute, LLC. 2008. Language development in children, on January 15 2009, from http://www. childdevelopmentinfo.com/development/language_development. shtml Cooper, T. Cooper, S. (2009) Teaching reading: Part One, retrieved on January 15 2009 from http://www. teaching-children-to-read. net/ Fendrich, D. W, Healy, A Bourne, L (1993) Mental arithmetic: Training and retention of multiplication skill, Cognitive Psychology Applied, pp. 116-133. Geary, D, Hamson, C Hoard, M (2000) Numerical and arithmetical cognition: A longitudinal study of process and concept deficits in children with learning disability, Journal of Experimental Child Psychology, 77, pp. 236-263. Henig, R. (Februaru 17 2008) Taking play seriously, New York Times Magazine, p. 38. Mahapatra, A. (January 11 2009) Activity leads to learning, The Hindu. Tomlinson, P. (2008) Psychological theory and pedagogical effectiveness: The learning promotion potential network, British Journal of Educational Psychology, 78, pp. 507-526. University of Georgia (2007) Learning and development: infants birth to 12 months. Better Brains for Babies, retrieved January 15, 2009 from http://www. fcs. uga. edu/bbbgeorgia/childDev_00-12. php

Shannon Lucid :: essays research papers

Shannon Lucid Ever since children have dared to dream, they have always dreamt of going to the moon or to the stars. For the millions of children who dream this, only an infinitely small portion actually achieve this goal. In 1943 in war- torn China, a girl was born who had this same dream. Her name was Shannon Lucid. She was born in 1943 to a Baptist preacher, Joseph Oscar Wells and Myrtle Wells, a nurse. At 6 months of age she and her parents were sent to a prison camp by the Japanese. Only a year later were they safe in American arms after they were traded for Japanese POW's. After the war they went back to China, but in 1949 they were forced to leave when the communists took over. They then settled in Bethany, Oklahoma. She always had the dream that someday she would be a space explorer. People thought her crazy for this dream though, because the United States didn't even have a space program. After graduating from Bethany High School in 1960 she got her pilot's license. In regard to her dream she said, "the Baptists wouldn't let women preach, so I had to become an astronaut to get closer to God than my father." By this time America already had a space program. She could not believe that of the first seven Mercury astronauts, none were females. This is just one more instance she complained of discrimination of women in traditionally male held occupations. She experienced the same thing when she tried unsuccessfully to become a commercial pilot. So from Å’66-'68 she worked at Kerr-Mcgee Corp. as a chemist. This is also where she met her husband Michael Lucid. After she was married she returned to school at the University of Oklahoma, where she earned her B.S. in Chemistry. One interesting occurrence after the birth of her daughter, the very next day she took a biochemistry exam, which her instructor had expected her to make up later. Three years later she finally had a chance to fulfill her dream by getting into the space program. The program was now allowing women. She "scrambled" to get her application in and was accepted as one of the first six female astronauts. These women had to go through rigorous testing and they proved that it doesn't take a Y chromosome to have "The Right Stuff". Her greatest accomplishment to date is she has spent the most time in space of any American. She spent 188 days and 65,454,841 miles in space. She is truly a tribute to sheer will power.

5 Important School and Statutory Framework Essay

Thousands of Muslims were becoming followers of Guru Hargobind Sahib Ji. Khawaja Raushan was a very respected Muslim Faqir with thousands of people visiting him to pay him respect and get boons. However Khawaja Raushan’s own mind was restless, he was in search of a true Guru. Once a friend told him about Guru Ji, Khawaja Raushan reached Kiratpur and met Guru JI. When he heard Guru Ji’s he was so impressed that he decided to stay at Kiratpur. He became an admirer of Guru Sahib; he started doing Seva of Guru Ji’s horses. One day Guru Ji went out for riding his horse, Khawaja Raushan ran behind Guru Ji in Bairag. See more: Sleep Deprivation Problem Solution Speech Essay He ran more than a mile after Guru Ji, who then dismounted his horse and embraced Khawaja Raushan with great love. Guru Ji then gave Khawaja Raushan Charan Amrit and Naam as well as spiritual Gian and sent him to Doaba to preach Sikhi.Khawaja Raushan was going from one village to another for preaching Sikhi, one day he met Sayyad Jaani Shah who was wandering in search of bliss. Jaani Shah had met many Sadhus and Faqirs but could not get spiritual Gian from anyone. Khawaja Raushan told him he should go to Kiratpur to achieve your aim. Firstly Jaani Shah did not believe him but when Khawaja Raushan told his story he was determined to go. When he reached Kiratpur and sat in front of the door of Guru Ji’s house and cried loudly â€Å"Janni Ko Jaani Milaa Do (Let Jaani meet his dear one )†.

“Marginalization” by Chandrakant Mallya

In a scale, both arms are equally important. If one of them tilts, the result is imbalance. Compare the scale to the society. A perfect society viewed from any angle, is impossibility. Turn the pages of human history—perfection was never there. It is reasonable to assume that it will never be there!   It can not be completely avoided either. Society at any given time has not existed and functioned without marginalization! Some of the definitions of marginalization are: â€Å"To relegate or confine to a lower or outer limit or edge, as of social standing.† â€Å"Marginalization (USA) refers to the overt or covert trends within societies whereby those perceived as lacking desirable traits or deviating from the group norms tend to be excluded by wider society and ostracized as undesirables.† Wing Leung describes A marginal person as â€Å"†¦one who does not belong†¦the marginal man†¦ [dwells] at the margin of two cultures and two societies†¦ [and possesses] a marginal mentality†¦ [with its] unresolved identity crises.† Louis Wirth speaking of minority groups thus: â€Å"A group of people who, because of their physical or cultural characteristics, are singled out from the others in the society in which they live for differential and unequal treatment and who therefore regard themselves as objects of collective discrimination.† This means, the more numerically dominant members, or the more prosperous section of the society gives unequal treatment leading to acts of social ostracism, acts of discrimination, leading to marginalization. In â€Å"Sula† Tony Morrison traces the lives of two black heroines. They grow together in a small Ohio town—well, that’s the only common point about them. Otherwise, they are poles apart. Their paths are totally divergent, obviously their thinking as well! Nel Wright chooses the normal life of a black woman marries and settles in the place of her birth. She is part of the tightly-knit black community. Sula Peace rejects this option outright. She escapes to a city, joins a college, and when she returns to her roots, she is a rebel. She decides to teach a lesson to the society that humiliated her in childhood. She mocks at the social norms, and she is a wanton sexual seductress. Her vicarious pleasure is depicted in her triumphant return to her village and she is extremely happy about the victory she scored by crossing the hurdles that she faced in her life due to the color of her skin. These two characters ably depict, with utmost sincerity to their own emotions, their suffering and enjoyment   in the light of various trials and tribulations that was part of their life and living. The Civil War in USA led to the physical liberation. The War for economic liberation began thereafter. In Sula Toni Morrison provides us with the real history lesson with the depiction of the black way of life, a society which still continues to be marginalized both from social and economic standpoints. â€Å"Through their girlhood years they share everything — perceptions, judgments, yearnings, secrets, even crime — until Sula gets out, out of the Bottom, the hilltop neighborhood where beneath the sporting life of the men hanging around the place in head rags and soft felt hares there hides a fierce resentment at failed crops, lost jobs, thieving insurance men, bug-ridden flour . . . at the invisible line that cannot be overstepped.†Ã‚   (Morison, 1973) Fences is the story of four generations of black Americans.   The torch of legacy of morals, attitudes, mores and patterns passes through stories. Troy Maxon is the principle character of the play. Being a black, the part of the marginalized society of America, how and why he had to scale down his dreams to adjust inside his run-down yard. The opening scene   Ã‚  begins with Troy Maxon and his trusted friend Jim Bono engaged in drinking and talking. The anguish of marginalization related victimization is evident, when he makes a formal compliant to his bosses, why only white men are permitted to drive garbage trucks for the waste disposal company. The deep impact of marginalization in Troy Maxon’s psyche is shown as he counsels his teenage son Cory Maxon when he is being actively recruited for a college football scholarship. His father discourages him, and tells him not to ignore other important responsibilities. Troy wants that his son should never haul garbage like him. Cory represents all the possibilities his father never had and the unmet dreams. Yet the father is unwilling to let the son go on the path chosen by him to improve his lot in life.   His apprehension is that the white-dominated sports will not let Cory progress, and break his heart. Troy had spent fifteen years in jail for robbery and murder, but he became an accomplished baseball player in the jail. After the release, when he could not get proper opportunities to display his skill, he is bitter and resentful at the chances lost because of the color of his skin. He wants to protect his son from facing such disappointments and turn cynical. It was due to marginalization that Troy’s life was full of difficulties, oppression coupled with bad luck. As a boy, due the abject poverty, he was denied education, he cannot even read. Marginalization is practiced all over the world, and it embraces humanity. In the Developed World, racial and ethnic minority groups stand out as the most marginalized. Then there are other classes like, the poor, the sick, the disabled, the obese, teenage unwed mothers, the elderly, the homosexuals and lesbians. These groups suffer from one form of marginalization or the other-unemployment, poverty, poor health facilities and lack of education and the like. How can we strive to end it? The question should be rather how we can mend it? The ending to marginalization can only be through mending the ways of the society. First of all, the affluent and the socially well placed members of the majority community should realize the grave injustice rendered to the affected society for centuries. Genuine repentance and willing acceptance to reform can only change the social structure. The change with-out can be achieved only through the change with-in. Society must have a will to change, and that is possible by the combined efforts of the government, social and spiritual organizations. It is high time that marginalization is given a ‘decent’ burial. References: Morrison, Toni, Sula: Excerpted from the book jacket: †¦ â€Å"In clear, dark, resonant language   †¦ .members.tripod.com/~bibliomania/archive3/morrison5.html – 9k –Retrieved on May 21, 2007.                                                                                                

Schindlers list essays

Schindler's list essays The movie Schindlers List touched me in many ways. I didnt realize the extent of the horror that the Jews faced. The thought that someone could come and barge in to my house and take all my belongings scares me. I now feel more sympathy than ever for the Jews who had to suffer through this horrible ordeal. The girl in the red dress really touched me, and I think it was the turning point for Schindler to start his factory of Jews when he saw her at the crematorium. The fact that she was the only person in color made it obvious that she played in important role in the faith of the Jews. Schindler first sees her as an innocent young girl walking along the streets of the ghetto. He later spots her body being wheeled off to be burned. The young girl in the red dress symbolizes the hope the Jews had. In the beginning of the movie, the Jews hope was pretty high, and most people expected to be freed sooner or later. As things became progressively worse, the hope for any liberation went down, and all hope died as the girl in the red dress was being carried to be burned. Schindler notices this, and he then takes the initiative to change the situation by hiring Jews as ammunition factory workers. Also, her death can be viewed as the most angelic and innocent child suffering the wrath of the co ncentration camps. I also liked how Schindler changes during the movie. He starts out as a Nazi party member, who enjoyed partying and spending time with women. As he witnesses the horrible things being done to the Jews, he realizes that he needs to make some efforts to save at least some of the Jews. Since he had already developed a relationship with many of his employees (the Jews), Schindler was able to feel the harshness much more than any other German. I admire his skills and determination that help him do what he needs to do to get the job done. Even if it included bribes, Schindler was bent upon keeping the Jews from being ...

Concept Of Therapeutic Relationships In Mental Health Social Work Essay Example

Concept Of Therapeutic Relationships In Mental Health Social Work Essay Example Concept Of Therapeutic Relationships In Mental Health Social Work Essay Concept Of Therapeutic Relationships In Mental Health Social Work Essay The remit of this essay is to research and discourse the construct of curative relationships in mental wellness and what is involved in constructing these relationships. The inquiry is in two parts, so in the first portion of the essay, the writer wishes to research the significance of a curative relationship and discourse what is needed from the nurse and service user to keep this. In the 2nd portion, the writer will take two cardinal elements that contribute to a curative relationship in mental wellness nursing and discourse the importance they have. The two cardinal elements that have been chosen is communicating, both verbal and non verbal, and the importance of these elements in a relationship between a nurse and a service user. To accomplish this end the writer will utilize assorted resources available, for illustration the cyberspace, literature from category and appropriate reading stuffs. Main Body Building relationships is cardinal to nursing work , ( Nursing Times ) and highly of import in mental wellness nursing. A curative relationship involves regard, empathy and genuineness ( Callaghan and Waldock 2006 ) . Both the nurse and service user should demo regard for each other and the nurse should esteem the beliefs of the service user, even if they do non hold with these. The relationship should be individual centred, leting the service user to be at the nucleus of their attention programs etc, their beliefs and wants must be respected at all times. Service users must be at the Centre of their attention and recovery. Choices and determinations should be made by them. If there are any alterations to be made to a attention bundle, the service user must be informed and have their say. In a curative relationship the nurse will back up the service user in all facets of their attention and recovery. With mention to the quotation mark in inquiry, did it at my degree and gait all the clip , ( Brown and Kandirkirira 2007 ) this is critical in recovery and for a curative relationship. The nurse must work aboard the service user and back up them in taking for the ends that the service user has made and non what the nurse expects them to be able to make. The service user should ever stay at the Centre of their recovery and to develop such a relationship, the nurse should portion their cognition of the unwellness, which gives the service user an apprehension of what they are sing and some control on the state of affairs and both will be able to take an active function in the direction of the unwellness, ( Owen 2004 ) .The nurse should be able to demo empathy, being able to set themselves in the service users place and conceive of how they would experience and how they would wish to be treated, accurate empathy is ever authorising, since it represents an apprehension and credence of the talker s feelings ( Millenson 1995 ) . This accomplishment shows the ser vice user that the nurse has taken on board what has been said and that they can set themselves in the persons state of affairs. Those involved in the curative relationship should ever demo genuineness and keep non judgmental attitudes towards each other. Genuineness is based on the ability of the practician to be unfastened with his patient It will assist to confirm the patient as the Centre of the intervention and advance the patients trust in the practician and his interventions, ( Owen 2004 ) . The nurse should desire to work aboard the service user and offer support when needed to accomplish and keep this relationship. The people have the right and the responsibility to take part separately and jointly in the planning and execution of their wellness attention, ( World Health Organisation 1978 ) . A curative relationship does non happen overnight, it takes clip and a great trade of trust is indispensable between the nurse and the service user. Trust is really of import for the relationship to develop and if this is achieved the service user will accept the nurses support and advice on interventions available and besides work aboard each other alternatively of the nurse proposing that they know best as they are the professional. patients themselves value curative relationships which offer regard, trust and attention and it seems that such relationships may in themselves prove to be mending in the broadest sense. ( Mitchell and Cormack 1998 ) . If trust is maintained throughout the development of the relationship the service user will get down to gain that the nurse does in fact attention about their state of affairs and does wish to back up them on their route to recovery offering support and advice when necessary. The trust gained from both people should assist each other t o get down experience at ease the more they meet with each other and the service user may easy get down to open up to the nurse and enable them to speak about how they are truly feeling, what may frighten them and accept their advice and support. It will besides demo the service user that they are at the Centre of their attention and that they will work at their ain gait and when they are ready to take that one measure further down their way to recovery, they will. A cardinal component that contributes to a curative relationship in mental wellness nursing is the usage of verbal communicating. One really of import facet of this is inquiring unfastened inquiries, which the service user is unable to answer with a simple yes or no reply. This will let the nurse to derive a deeper apprehension of how the service user truly feels ( Burnard 1992 ) . This besides shows the service user is at the Centre of their attention and possibly they will get down to speak openly and freely about their true feelings as this type of inquiries show the nurse does care for them and wants to back up them in the best possible manner, it allows the nurse to sympathize, if they can acquire a true history of the feelings the service user has. The empathy shown may promote the service user to speak openly more frequently as they know that they will non be judged for holding some of these feelings and ideas. Another of import facet of verbal communicating is reflecting and clear uping what has been said by the service user. Reflection requires the nurse to state back to the service user what they have said to guarantee they understand to the full. Clarifying is required by both the nurse and service user. The nurse may inquire a closed inquiry, which allows the service user to reply merely yes or no, or a individual reply to be definite, to guarantee they acquire the true significance of what the service user is stating and in bend the nurse can explicate their apprehension of the unwellness or state of affairs that the single finds themselves in and what support and services are available and how they can travel about puting these up, together, enabling the service user to do determinations after being given the pick to make so. When the nurse gives their positions to the service user, any specialist linguistic communication, for illustration slang, should be avoided as this may move as a barrier within the curative relationship as the nurse is non taking into history if the service user understands what is being said to them. This binds in with the nucleus elements of a curative relationship as the nurse will demo empathy, genuineness and trust will increase working at the degree and gait of the service user. The nurse must be cognizant of their tone of voice, ( Stickley and Freshwater 2006 ) when talking to the service user, to do certain they do nt come across as patronising or uncaring. This may make a challenge in keeping the relationship as the service user may experience belittled by the nurse and in bend may shut up and non talk about how they are genuinely experiencing therefore the relationship will non develop and there wo nt be any trust. Another component of verbal communicating is the nurse should non be speedy to job solve, ( Stickley and Freshwater 2006 ) . Leting the service user to believe of attacks of get the better ofing the jobs that may happen during their recovery procedure high spots that they are at the Centre of their attention and shows that they have the concluding determination in their attention and or intervention. If the nurse moves in rapidly to seek and assist the service user, it may come across as patronising and that they are seeking to take contro l of the state of affairs as they have non took the clip to inquire what the service user wants and may do a barrier between the nurse and the service user. The 2nd cardinal component that contributes to curative relationships in mental wellness is the usage of non verbal communicating. This component is highly of import in keeping a curative relationship and being cognizant of the accomplishment involved is critical. The most of import accomplishment is sitting in a mirrored place, non sitting face on in forepart of the patient but to the side and tilting somewhat in demoing they are ready and willing to listen ( Stickley and Freshwater 2006 ) , sitting behind a desk can move as a barrier and come across as authoritative ( Burnard 1992 ) and may do the service user to experience uneasy, discouraging them from opening up and experiencing unable to swear the nurse. The nurse should be sitting comfortably and in a manner that does non do the service user feel uncomfortable in any manner. The usage of oculus contact is paramount in keeping a curative relationship but cognizing when and how to utilize the accomplishment is the key. Too much oculus contact may do the state of affairs to escalate and both the nurse and service user may experience uncomfortable. Not plenty oculus contact may convey a deficiency of involvement in what the service user is seeking to state them and may do the curative relationship to come to an terminal and the service user may non demo what they are genuinely experiencing or believing at this clip. Another of import facet of non verbal communicating is listening, The function of the hearer therefore is a privileged one and one that can advance healing, ( Stickley and Freshwater 2006 ) . Listening is likely one of the greatest accomplishments a nurse can accomplish. Listening is, the nurse hearing what the service user is stating and understanding what is being said, non what the nurse thinks they are stating. effectivity mostly depends on the nurses ability to listen and observe cues for curative question, ( Stickley and Freshwater 2006 ) . Therefore once more shows the nurse has picked up on the item of the statement from the service user and can reflect back to the service user what has been said to clear up their apprehension and to reassure the service user that they are being listened to. This will assist the service user to construct trust in the nurse as they will hold a feeling of credence and that person is listening to them. Decision It can now be seen that there are many cardinal elements that contribute to a curative relationship and the list is eternal. A curative relationship requires a batch of clip and trust on both parts and the nucleus accomplishments required from a nurse is empathy, trust and genuineness. As the writer stated she was merely looking at two cardinal elements that contribute to this relationship and feels farther probe may be required into other elements to to the full understand the importance and why such accomplishments are acquired to construct a relationship with a service user and the troubles they may come across in keeping a curative relationship. One thing the writer has achieved is the importance of individual centred attention and how indispensable it is to affect and listen to the service user in all facets of their attention.

Ça vaut le coup - Valoir le coup - French Expression

Ça vaut le coup - Valoir le coup - French Expression Expression: Valoir le coup Pronunciation: [vah lwar leu koo] Meaning: to be worth it (its worth it) Literal translation: to be worth the effort Register: normal Notes The French expression valoir le coup is very often used impersonally, as in à §a vaut le coup (its worth it) and à §a valait le coup (it was worth it). But valoir le coup can also be used with any third person singular or plural subject, including people. Examples   Ã‚  Ã‚  Ãƒâ€¡a vaut le coup dÅ“il.   Ã‚  Ã‚  Its worth a look, worth seeing.   Ã‚  Ã‚  Ce sont des classes qui valent le coup.   Ã‚  Ã‚  Theyre worthwhile classes, Theyre classes worth taking.   Ã‚  Ã‚  Jespà ¨re que ce  voyage va valoir le coup.   Ã‚  Ã‚  I hope this trip is worth it. Ça vaut le coup de infinitive:   Ã‚  Ã‚  Ãƒâ€¡a vaut le coup dessayer.   Ã‚  Ã‚  Its worth trying, worth a try.   Ã‚  Ã‚  Ãƒâ€¡a vaut le coup de prendre la voiture.   Ã‚  Ã‚  Its worth bringing the car. Il / Elle vaut le coup que subjunctive (informal):   Ã‚  Ã‚  Il vaut le coup quon essaie.   Ã‚  Ã‚  Its worth a try.   Ã‚  Ã‚  Ma voiture nest pas trop vieille- elle vaut le coup que je la fasse rà ©parer.   Ã‚  Ã‚  My car isnt too old- its worth getting it repaired.   Ã‚  Ã‚  Lise a un bon potentiel- elle vaut le coup quon la patronne.   Ã‚  Ã‚  Lise has a lot of potential- its worth our while to sponsor her. Synonymous expression: Valoir la peine, Ça vaut la peine - literally, To be worth the pain, Its worth the pain More Expressions with coupMost common French phrases

Online reputation for Patrizia Pepe Essay Example | Topics and Well Written Essays - 3250 words

Online reputation for Patrizia Pepe - Essay Example In this technologically modern world, where the internet is becoming more and more prominent in social as well as economic spheres, e-commerce has emerged as a particularly potent avenue for business expansion and a decidedly effectual and savvy technique for the modern business to completely penetrate its target market. Countless businesses have taken up this avenue and shown rapidly escalating positive results and more and more businesses have caught the online commerce train in their wake. Patrizia Pepe is one such example. Patrizia Bambi and Claudio Orrea in 1993, created Patrizia Pepe (PP), a clothing and accessories line for men and women and the brand has since then, through constant innovation, an open mindset towards change and incorporation of modern technologies and production and retail methods and techniques progressed rapidly and grown successfully across international borders. PP has in the line of innovation and change, also taken up e-commerce through which it has ex panded its business reach to its target market and hence, the resulting sales. Presently, PP uses numerous online websites, which include social networking groups and websites for online purchasing as the medium for reaching its consumer base across the world. Patrizia Pepe has established its brand website, which displays riveting pictures of the new collections, which have been timed to keep flipping so that it keeps the customer’s first glance engaged longer. The website offers information about the current ad-campaigns and press, the latest collections for men and women, the location of the company’s stores, an option to shop online through the website, and a link called community, which leads the customer to a page with links to different social networking

Research Paper on the book A RAGE IN HARLEM by Chester Himes

On the book A RAGE IN HARLEM by Chester Himes - Research Paper Example Marshall out of arresting him, and then gambles his last hopes away. Jackson then seeks help from his brother Goldy to help find Imabelle. Goldy makes a living by disguising himself as a Christian-religious female impersonator of Sister Gabriel. He is also a snitch for two colored deceitful detectives, Grave Digger and Coffin Ed. Upon some investigation, Goldy finds out that Jackson’s beloved Imabelle has a common law husband named Slim. Slim, a gang leader forms a scam where he steals money from rich colored people who invest in a purported lost-gold-mine. Together, Slim, Hank and Jodie devise a plan where a â€Å"contact man† (Gus Parsons) will linger at bars, conferences and churches in effort to reel in potential investors and take them blindfolded to the â€Å"corporation headquarters† to view the gold. Goldy connects the dots, finds that Imabelle’s mysterious trunk is full of gold ore samples used for convincing the potential investors, and confirms this with Jackson. With this new information, Goldy devises a strategy to help his brother find Imabelle through Gus Parsons. Together, Goldy, the detectives, and Jackson try to track down the hoodlums and help Jackson. Throughout the story, one series of unfortunate events lead to another, combined with chaos, vivid images of vi olence, death, blood, sex and crime, all told in a humorous fashion that kept me laughing all the way through. The first critique work for Chester Himes’ novel features from Keishton’s review of the novel where the general feeling is that there is life and reality in it. The remarks agree to Himes’ ability to represent the actual scene of life as it was back in the fifties and sixties, marred by urbanity and repetitive crime. Keishton further concurs with the novel’s connection to real life by proposing to the events that move the thesis as being part and parcel of daily

National Branding vs Private Label Branding Essay

National Branding vs Private Label Branding - Essay Example Usually, it is hard to know, without the aid of chemical analysis or other forms of tests, whether private brands match national brands. Uncertainty may occur due to many reasons. For example, a bread company produces many private-label breads. This however does not mean that private brands are of the same quality as the name (national) brand. The bread company may differ in its formula when producing private brands, and we should also consider that the private brands may not be as fresh as the national brands (Kis 10). Similarly, we can also look at the case of say the largest brewer of beer in your region under its own national label; can also be among the biggest supplier of private-label brand of beer. Many private-label brands of wines and spirits as you have witnessed are produced by well-known national-brand companies. Consumers are usually willing to pay more for national brands, because they are confident in their quality. This way they evade the risk of purchasing a low-qua lity product, which is usually a private label brand. Hence, if they can be convinced to try out cheaper brands and find out that their quality is similar to the national brand they are accustomed to, they may switch (Lincoln 23). In a Gallup Poll, it was discovered that about 80% of consumers who tried a product with a private-brand label like a store brand, instantly became regular buyers. Store-brand customers are typically well-informed people, who pay attention to the labels. The Gallup Poll also showed that many consumers make an effort to study the labels and prices. The Poll indicated that 40% of shoppers are selective: this means that they compare products on different dimensions considering the quality, price and special offers; therefore they do not just choose the national brand. Most national-brand products are known to be of a superior quality; therefore, they are usually sold for significantly higher prices than private labels. In June 1984, the Private Label Manufact uring Association conducted an independent research where they compiled a "Market Basket List" for 17 staple items. Private labels’ total cost was found to be lower compared to national brands. It was found that private-label shoppers generally pay less as compared to national brand shoppers. Private-label strength is highly susceptible to economic conditions and will vary depending is this factor. This means that private-label market shares goes up when the economic situation is not good and down when the economy is good (Mennen 23). The main reason for the existence of brand names is because consumers usually need to be sure of quality when they lack the time, opportunity, or ability to examine other options. Brand names simplify the selection process, since you will find that the products are cluttered. A survey by DDB Needham conducted in 1994 indicates that 60% of consumers prefer factors pertaining to national brands, for example, security, value and comfort, as opposed to private label brands. National brand-name goods have better competitive advantage over private labels, due to their solid foundation. They have a running start. The strongest national brands have been in existence for decades and have consistent quality. National brands have value for retailers, which mean that retailers must have them, since consumers expect to find them widely distributed. If consumers fail to find them, they are

Strategic management Essay Example | Topics and Well Written Essays - 3000 words - 16

Strategic management - Essay Example First, yip’s model has been explained in which four drivers, such as cost drivers, government drivers, competitive drivers and market drivers, have been included. Each driver has its own influence on the performance of Samsung. However, a particular attention has been given to those factors that are highly relevant and represent the actual performance of Samsung. After introducing Yip’s drivers, critical analysis on Samsung has been provided. After this segment, a general introduction to Porter’s generic strategies has been mentioned. It is followed by a part representing a critical analysis on Samsung. Before the conclusion part, McKinsey’s 7-S model along with the application of this model on Samsung has been provided. Internationalisation is a comprehensive process and strategic way to enter into and explore new international markets. For understanding and evaluating the dynamism inbuilt to the internationalisation process, Yip has identified four drivers: Market drivers, government drivers, cost drivers and competitive drivers (Campbell, 2002). And each driver is further segmented into different parts. For example, market drivers encompass various threads, such as global customers, common customer needs, international distribution channel, physical existence in strategically important countries and available and movable marketing techniques and so on ( Evans et al., 2011). In this regard, it is important to highlight that market drivers cannot be enumerated because each industry has its own factors that directly support or create competition for the industry. As a result, market drivers vary from one country to another; from one market to another; and from industry to another. Government drivers are mainly related to the regulatory aspect. In this context, all those factors are relevant that are related to the compliance with law

W3a1 Assignment Example | Topics and Well Written Essays - 500 words - 1

W3a1 - Assignment Example This paper discusses the activities of the people in the cities during the period of the creation of the skyscrapers and social, economic and political factors that fueled the creation of these buildings in the nineteenth century. The cities during the era of creation of the first skyscrapers were filled with Immigrants from India, Germany, Ireland and Immigrants of African descendants (Life in the city). The Immigrants were mostly farmers in the rural areas. Raw materials such as Iron and steel frames for construction were cheap and readily available as a result of the first industrial revolution. The availability of these materials led to the construction of tall buildings that did not take up much space for the base structure; steel is highly malleable taking many shapes to ensure strong connections. Steel frames supported curtain walls that could be constructed taller than concrete walls. Tall buildings require strong foundations due to their weight and the invention of special water-tight boxes made it possible to erect tall buildings on loose wet grounds. Technology developments such as the invention of elevators paved way for construction of buildings taller than ten storey buildings which were impract ical to access the upper floors through stairs. The invention of Air conditioning necessitated the construction of tall buildings that could be heated and ventilated. People were attracted to work in these buildings. The invention of water pumps that provided supply of water to upper floors and the adaptation of iron piping that allowed the provision of cold and hot water. Immigrants from Europe, India and some of the free Africans started moving to the cities in search of jobs and, as a result increasing the population in the urban centers. The Immigrants worked laborers in the Industries. The second industrial revolution improved the living

Strategic management Essay Example | Topics and Well Written Essays - 3000 words - 16

Strategic management - Essay Example First, yip’s model has been explained in which four drivers, such as cost drivers, government drivers, competitive drivers and market drivers, have been included. Each driver has its own influence on the performance of Samsung. However, a particular attention has been given to those factors that are highly relevant and represent the actual performance of Samsung. After introducing Yip’s drivers, critical analysis on Samsung has been provided. After this segment, a general introduction to Porter’s generic strategies has been mentioned. It is followed by a part representing a critical analysis on Samsung. Before the conclusion part, McKinsey’s 7-S model along with the application of this model on Samsung has been provided. Internationalisation is a comprehensive process and strategic way to enter into and explore new international markets. For understanding and evaluating the dynamism inbuilt to the internationalisation process, Yip has identified four drivers: Market drivers, government drivers, cost drivers and competitive drivers (Campbell, 2002). And each driver is further segmented into different parts. For example, market drivers encompass various threads, such as global customers, common customer needs, international distribution channel, physical existence in strategically important countries and available and movable marketing techniques and so on ( Evans et al., 2011). In this regard, it is important to highlight that market drivers cannot be enumerated because each industry has its own factors that directly support or create competition for the industry. As a result, market drivers vary from one country to another; from one market to another; and from industry to another. Government drivers are mainly related to the regulatory aspect. In this context, all those factors are relevant that are related to the compliance with law

Tourism Essay On Turkey Example | Topics and Well Written Essays - 1250 words

Tourism On Turkey - Essay Example Elements of Traditional Turkish Culture and Arab Culture observed in Turkey The constitution of Turkey has given everybody the right to choose their religious beliefs. However, despite of that the traditional Turkish culture and Arab culture exert a great influence over the life of people here. As in other Arab cultures, Islam holds significant place in the lives of Turks since most of them are Muslims. The Quran and the actions of the Prophet (the Sunnah) shape the basis of all religious and daily practices of the Turks. As per traditional Arab culture, family relationships hold the utmost position in the people’s lives. The father is positioned as the supreme head of the family though today, the mother enjoys equal rights. However, in most small towns and villages, till today the father is supposed to play the role of the boss and protector of the family whereas mothers are responsible for looking after the daily chores of the household. Children are expected to give respect to elders and support when they are old; and it is the duty of the elders to provide financial and emotional support to children when they are young. Every family member is supposed to help each other in the hour of need in every possible way. The segregation of sexes can still be seen in small towns and villages. ... The outlook behind the hospitality is â€Å"whatever religion you are from, whichever country you come from, whatever language you speak, you are God’s guest and so you deserve to be welcomed in the best manner†. This courteous and kind hearted attitude of the Turks is visible for every tourist visiting their country or any person visiting their home. Another culture that still holds an important place in the lives of Turks is the practice of Turkish baths or, Hamam. The emphasis of Islam upon cleanliness has made this custom a part of every event in the life of a Turk whether childbirth, marriage or death. Moreover, the famous coffee houses called Kahve, are very explicit to Turkish people even today (as cited in â€Å"People and mentality†, n.d). Extent of Influence of Westernization and Modernization on Traditional Turkish and Arab Culture Western and modern culture has been adopted by the Turkish people in a huge way. In 1923, Turkey was declared a republic a fter the fall of the Ottoman Empire during World War II. The main aim of the new government under the leadership of Ataturk was to turn Turkey into a contemporary, western and secular nation. The state religion of Islam was disestablished and all religions were given the freedom to practice their beliefs; the Western system of legal code was adopted. Soon, the classical music of Turkey became influenced by the western culture for example, the development of rock music insurrected the local form. Moreover, the European style of architecture replaced the Ottoman style in institutional buildings. The Turkish literature became westernized with the introduction of the novel and the short story. Most importantly, the western culture of lifestyle, clothing and attitude was

Curious Incident of the Dog in the Night Time review Essay Example for Free

Curious Incident of the Dog in the Night Time review Essay Plot: Christopher Boone lives with his father in a village. His mother died when he was younger from a heart-attack and the dad was left alone with the challenge of upbringing an autistic child who does not respond like a normal child would. The father has limited money and mental stimulants for the child and does his best to hold back his frustration. However, the reader soon learns that Chris has not been told the complete truth and perhaps that the people he loves have a hidden past. He then begins to understand what has happened and Mark Haddon portrays the challenges he is faced with without the constant safeguarding he needs to feel secure. My Thoughts: I understand that this book is renowned and took the book sales by storm; managing to pick up â€Å"Best novel† and â€Å"Book of the Year† at the Whitbread book awards in 2003, but I do not find it at all appealing. I find myself unable to sympathise with Chris despite Haddon’s brilliant depiction of the mind of a child with autism, as Haddon does writes convincingly through the eyes of an autistic child. I do not think that this is a book that revolves around Asbergers; but instead about being different in general and Haddon is trying to make us see the world through a different lens. He just uses Asbergers as a means of conveying this. Furthermore, as Chris is very rational yet unemotional, there is no depth of character in the novel as Chris is only able to see the world through one plane and cannot build up good character depth, which most popular books have, eg. â€Å"Harry Potter† and â€Å"The Lord of the Rings†. This direct approach also means that there is no humour apart from the main reoccurring joke of how Chris responds to things which lands im in all sorts of faux pas, (and the novelty of this soon wears off). However, this does not mean to say that I do not understand why it is so popular; it just isn’t something that really enraptured me, and to be honest, it seemed like a waste for a storyline that had the potential to be so rich in dramatic emphasis to be written in such a simplistic style. I have given it two stars but the average for this book is a four/five. Recommendations: If you liked this book I would strongly recommend these as they are both written in a diary style and are about people who do not necessarily fit the norm. The Diary of Adrian Mole (4/5) Molesworth (5/5)

Toyota Production System Case Study

Toyota Production System Case Study 1.1. Introduction The Toyota Production System (TPS) which was developed by Toyota Motor Corporation in 1970s is the Toyotas unique production approach and it becomes the worldwide application of production system in many companies (Moden, 1991). The main objective of TPS is to improve their manufacturing process by cutting off overburden and unevenness and elimination of waste in the process. The purpose of this assignment aims to assess the progress of a medium-sized construction company which is working in commercial projects and sometimes on design-build projects. As a representative of youth generation of the company, the author recognises that there are many problems existing in the process of executing a project of the company. Hence, benefit and reputation of the company is seriously affected by their defects on the process. In this report, the author will investigate all problems in the company in the terms of two phases in a construction project: pre-construction and construction phase. The author afterward will indicates the theory of lean in construction to apply in the company in order to solve problems. The improvement of the company will be analysed base on the model of TPS House diagram. Finally, the implementation and further development of the whole process will be discussed. 1.2. Company overview In this assignment, the author is going to analyse a construction company as described in assignment scenario. It is a medium sized construction firm working mostly on traditional office and commercial projects (gained through bidding) and sometimes on design-build projects. As a construction firm, the company is aware of the role of planning is the vital process of any project. Harris (2006, p65) indicated two types of planning which are strategic and operational planning. The first type has been executed by the client and integrated team which involves proposal outline of the project such as scopes, procurement route, time and financing. The operational plan, in contrast, will depict the process achieved in each stage of project in detail. The operation of planning process and involved problems of the company will describe below: The company has a systematic planning and management system for construction projects, starting from a master schedule and related partial plans for plant, personnel, materials etc. ; plans for shorter term are derived from the master plan, extending to weekly plans, and the progress is monitored and feedback to management. The current issue is the usage of the plan; it seems not being attracted staffs to the master plan, as people mostly do not study this plan. Even if the master plan is used, all of the tasks in this plan are not sorted in logical way, hence the plan looks chaotically. Consequently, the project cannot go smoothly and the company always meet an anxious rush when the deadline is coming. The company could starts their construction process in just two weeks after winning the bid, even if the project has been happening for years and it has been designed for one year. So that, sometime the contractor does not have enough preparation for their work, they will start the work as soon as they can. Financial control in the company is tight, and every material and work package is procured for its lowest price. Sometime, the construction works in the site have to be delayed or even stopped due to shortage of material and labour resources in the construction site, especially in big project, those situations happen regularly. The communication on the site is not really good. It is the lack of collaboration among sub-contractors. The site personnel of company often seem to be exhausted by long hours and constant troubleshooting The company seems too difficult to adapt the design and build projects when they are the DB contractor of a project. This thing results from insufficient of design experience control of the company and the management experience of DB procurement method which is very popular in construction industry in the United Kingdom Finally, the amount of physical waste transported from site is very lager; moreover the benefits from tight financial control seem to be lost by such cost leaked. As shown in the description above, it is obviously to see that the company has many disadvantages in order to manage a project. In the later parts of the assignment, the author will try to analyse particular problems and make improvements based on the Toyota Production System theory. Chapter 2: Analysis of production process in the company 2.1. General outline of the process map Oberlender (2000, p140) concluded planning is the vital process of any project, the better planning is, the better project is achieved. In a construction project, Harris (2006, p65) indicated that there are two types of planning which are strategic and operational planning. The first type has been executed by the client and integrated team which involves proposal outline of the project such as scopes, procurement route, time and financing. The operational plan, in contrast, will depict the process achieved in each stage of project in detail. In this assignment, the whole map of operation plan in construction process which is include the planning and execution process and the service procurement process will be drawn and analysed in order to make the appropriate improvement of the company. 2.2. Current process of the company In this assignment, the author is going to use UML activity diagrams to illustrate the map of pre-construction and construction processes. Fig 1 below show processes of construction project including pre-construction and construction stage which is applied in the company. Figure 1: Pre-construction process Figure 2: Construction process 2.3. Analysis of pre-construction process (1-12) 2.3.1. Description of the map In the pre-construction stage, the company will divide construction work into many work packages and develop plans for tendering. They have to prepare all the information about project and open a tender; finally they will choose suitable sub-contractors and material suppliers. There are two main phases of this stage which are production information and tender action. Production information: normally, the DB contractor will divide the whole work into many work packages with information of work, responsibility, schedule and the cost for each package. The purpose of this phase is to help all the sub-contractors understand and prepare what they have to do with their package. However, to do this, sub-contractors need to prepare and win for the tender of those packages. Even three principles of a good project which are time, quality and cost are considered; the company always put the low price as the top of priority. Tender documentation and tender action: the company will be the client of work packages which are executed by sub-contractors. Sub-contractors are required to spend time to study product documents as they want to take part in the tender i.e. work packages. They also need to prepare the tender document and arrange for their own plan of works before they submit those documents to main contractor. Based on the quality of the tender documents and the reputation of sub-contractors, the company will select suitable contractors for each package and prepare the contracts with them. Normally, the contractors which offer the best price will be selected. 2.3.2. Existing problems in the process There is insufficient information from the company in tender action; moreover the company really focus on the cost and the lowest price contractor would be selected. Consequently, many aspects of project have been neglected i.e quality and time. 2.4. Analysis of construction Stage (13-49) 2.4.1. Description of the process This is the main stage of any project with the end product is the whole CTG. The stage starts when the company establishes contract to sub-contractors which was indicated in the previous stages. Sometimes the design changes or the design teams make some modifications. The changes in design in DB procurement will lead to many risks to client, so that before executing the works, main contractor and sub-contractors should spend time to review the detail design and make recommendation in order to avoid the risks. During the stage, the company is the main actor who arranges the site, and executes main works such as excavation, main building structure and so on; meanwhile sub-contractors should have their own plan for implementing their works at the right time. According to Angus (2003, p137), in this stage, changes may be obliged in either term design or construction even they are not expected in advance. If the changes happen, the cost of the project will change, the result may be serious in DB procurement method. Hence, in this stage, correct planning and sufficient controlling can be the most critical issue to achieve the construction of project. Whenever, the change is achievable, all of the concerned parties should take part in discussions in order to find a way to reduce the bad effects as much as possible. The current planning process can be divided by four main parts as follow: General Master Plans (made 3 monthly for the whole life time of the project; process 13-16): Planning department under the control of project manager will develop the master plan in order to make sure the project will be executed within the specified constrains with the association of health and safety problems (Mawdesly, 1997). Develop Sectional Master Plans (made monthly for the next 3 months; process 17-25): The General Master Plan will be developed by the planning department based on the general master plan and scopes which are issued by Project Manager (Mawdesly, 1997). More detail plan for personnel, labours and material will be extend to ensure that aims of general master plan will be attained. Once all the departments receive the sectional master plan, they have to review the plan and make revisions in order to make a feasible plan for the whole teams. Develop Weekly Plans (made weekly for next 3 weeks; process 26-36): Weekly plans are derived from the Sectional Master plan. All the involved parties have to develop their own plan and make the recommendation to Planning department in order to establish an appropriate plan. According to Mawdesly (1997, p10) the weekly plan have to ensure the efficiency of resources indicated from the previous plan so as to reach the project objectives. Construction process (36-48): The construction works begin with the preparation of construction site. As the main contractor, the company will execute all the main work on site, meanwhile other contractors (sub-contractors, material suppliers) need to have plan to deliver their products as indicated on their plans. Every week, all of the contractors require issuing the progress report and sending them to project manager and clients organisation in order to control the construction works. This schedule, according to Mawdesly (1997), there is little change of the plan because it will badly affect to construction progress of a project when uncertainty happens. 2.4.2. Problems happen in the process The company always implement the project very soon after they win in a tender, sometimes they could not gather adequate inputs from involved parties. As the result, less realistic and practical schedule are issued. Due to the lack of communication among parties in the project organisation, the general master and the sectional master plans are not appropriate and the conflict happens within sub-contractors. There is not enough update for weekly schedule because of deficiency of attention on planning and the shortage of management skills. Thus, uneven workloads are unavoidable and almost sub-contractors have to rush near the deadline in order to finish works. As consequent, many critical aspects of successful project such as quality and time are not guaranteed. The company put the low price tender at the top of priority results in huge amount of unused inventory in construction site. Hence, in every project, there is large number of wastes occurring. In addition, lowest price will result in bad quality of material using in projects. As indicated above, an inappropriate schedule will lead to a problem of material distribution which is sometimes there are superabundant materials on site whereas sometime lack of material. All those things have bad results in bad performance of the construction process. 2.5. Other problems in construction site 2.5.1. Team work and collaboration As mentioned in the company overview, the communication and collaboration among parties in a project is not good. This problem results in many errors on the construction site and when the argument occur the progress of construction will be affected. 2.5.2. Staffs motivation The assumption of the company indicated that their staffs are not interested in making plan scheduling for the project and they seem not to have enough motivation to contribute to the development of those plan. There are many reasons cause the low motivation of staffs. One of them may come from the lack of communication and team-work among members; staffs sometimes do not know what they should do. The poor quality of plan is also another reason for the motivation of staffs. 2.5.3. Physical waste on site. Based on the theory of Toyota production system which was presented by Liker, J., K. (2004), there are seven type of waste (Muda) in this scenario, they are: Overproduction Waiting Transportation Inappropriate processing Unnecessary inventory Unnecessary movement Defects In this assignment, those issues below are main reason for physical waste on site: Unnecessary transport or conveyance; Excess inventory and Unnecessary movement: Due to poor quality plan schedule (in both sectional and weekly plan), the plan of delivery material is not suitable, resulting in those type of wastes. Defects: The bad quality material and design will cause many defects to the project. Hence, reparation, re-construction or replacement of any structures will increase waste in project. Chapter 3: Toyota Production Lean Principles 3.1. Introduction into Lean Principles According to Liker (2004), the major idea of Lean production is to maximiseÂÂ  the value for customer while getting rid of waste added in the production process. In the other ways, lean production indicates producing more value for customers withÂÂ  fewer resources. The lean production, in other words Toyota Production System or TPS, were firstly adapted by Toyota, the biggest car manufacture in the world when they developed a new mode of production, in which they focus on the customers and endeavour to reduce all type of waste as much as possible. In their new modes, Toyota has developed such tools which is becoming popular throughout the world, they are: Just-In-Time (JIT), Kanban replenishment system and 5S theory. The idea of lean thinking was indicated in the Womack and Jones (1996) book, in which there are five principles: Specify value An accurate understanding of the precise needs of the customer is required. Hence, the Company needs to find out what the customer wants. Identify the Value Stream Value stream is the set of all necessary activities to achieve an explicit product. Womack and Jones (1996) indicated that determining whole value stream for each product is very important step in order to identify muda (waste), maintain the value-adding activities and add more customer value (which should be continuously improved). Flow McCarron (2006) concluded that in a process, all activities needs to run in a continuous flow. It means that work flow should be steadily without breaking up. Pull Womack and Jones (1996) concluded that it is better the make the customer pull the product rather than let the company push their product. So that, the company will produce what customer needs hence, eliminating waste. Perfection Last but not least, is the perfection, it can be described as the right amount of value added to clients. In the whole process, all activities, work flows have to go smoothly with minimising of waste. Moreover, the motivation of staffs needs to be considering. 3.2. Toyota 14 principles In the book The Toyota Way, Linker (2004) explained fourteen principles of the TPS, those principles will be summarised with the references of Learning Package 3: Principle 1: Base your management decisions on a long-term philosophy, even at the expense of short-term financial goals Principle 2: Create continuous process flow to bring problems to the surface: Principle 3: Use the Pull system to avoid overproduction Principle 4: Level out the workload (Heijunka) Principle 5: Build a culture of stopping to fix problems, to get quality right the first time Principle 6: Standardize tasks are the foundation for continuous improvement and employee empowerment Principle 7: Use visual control so no problems are hidden Principle 8: Use only reliable, thoroughly tested technology that serves your people and processes Principle 9: Grow leaders who thoroughly understand the work, live the philosophy, and teach it to others. Principle 10: Develop exceptional people and teams who follow your companys philosophy Principle 11: Respect your extended network of partners and suppliers by challenging them and helping them improve Principle 12: Go and see for yourself to thoroughly understand the situation (Genchi Genbutsu) Principle 13: Make decisions slowly by consensus, thoroughly consider all options; implement decisions rapidly Principle 14: Become a learning organization through relentless reflection (Hansei) and continuous improvement (Kaizen) 3.3. Lean production in construction Bjornfot (2006) stated that lean principles can be applied to construction based on five principle of Lean Thinking that was indicated by Womack and Jones (1996), they are: Value, Value Stream, Flow, Pull and Perfection. Differences between construction and manufacturing process were mentioned by Cooper (2005) in which he emphasised the lack of co-ordination and communication between parties in construction industry. In addition, it is not easy to forecast principal aspects of a construction project which are time, cost, quality and profit. Pheng and Fang (2005) indicated the term of lean construction as a component of construction best practice, moreover, lean construction is a combination of existing principles. The main significant features in which construction industry are different to other industry can be listed as the huge size of project, the stillness of structure and great complexity. In order to simplify the lean theory applied to construction project, the author decided to use the model of Toyota House to analysis the company problem and indicate improvement for the company. The figure below shows the model of Toyota House which was illustrated by Liker (2004) Figure 2: TPS House Diagram (Liker, 2004) To be explained the application of the improvement process, Liker (2004) believed that lean principles will be built as a house model. There are three critical structures: Foundation and two Pillars and they all supported to the roof which is the continuous improvement of the process. If any of three structures is missing or fragile resulting as the improvement cannot be executed. Therefore, in order to improve the construction process, all of structure in the Toyota House should be considered carefully. 3.3.1. Foundation There are four aspects have to look at in the foundation: Toyota Philosophy (Principle 1) Visual Management (Principle 7) Stable and Standardized processes (Principle 6) Levelled Production (Heijunka, Principle 4). 3.3.2. Pillars There are two pillars in the Toyota House model which are: Just-In-Time (Principle 2, 3), Jidoka (Principle 5,8). Just-in-Time according to Toyota is the manufacturing of particular what they want to make at an accurate point of time with the exact amounts. Hence, using JIT can help the company eliminate wastes, and unexpected requirements in order to improve production process. Liker (2004) indicated some principles to consider in JIT: Continuous flow: this ensure the process will finish without any waste of time and material as well. Takt time: the main part of one piece flow. Takt is the rate in which a product goes through process so as to reach the customer (Liker, 2004) Pull system: as explained as a principle of Lean production. Quick changeover: the ability of process to have quick change when required. Integrated logistics: partners of the company should apply JIT wherever process that they involve in the project. Jidoka: Following Toyota the term Jidoka is described as automation with a human touch. Womack and Jones (1996) made more clear explanation of Jidoka as the ability of system to stop the work automatically when something wrong happens; otherwise all of products have to be verified with high quality. With the purpose of applying Jidoka, those aspects below need to be considered: Automatic stops: when any part of the process cannot satisfy the requirement. Andon: is a caution indicator, it occurs when there is a mistake in the process. Person Machine separation: Following Toyota, this feature let people to warn any irregular condition of process and they can stop the operation of machinery so as to reduce the unnecessary waste. Error proofing: is essential to stop machines automatically. In-Station quality control: it means the quality control have to be ensured within a stage before it goes to another stages; hence reduce faulty product and waste (Liker, 2004) Solve root cause (5-whys): The application of 5-whys method is going to be used in this aspect. The problem will be investigate intensely with the purpose of solving problem (Linker, 2004). 3.3.3. Centre The constituent of this part includes People Teamwork (Principle 9, 10, 11, 13), Waste reduction (Principle 12, 13, 14), Continuous improvement (Principle 14) People and Teamwork: Selection: It is important to select a person can fulfil the task. Inappropriate person can result faulty, delay and more waste to process. Common goals: It is obvious that in an organisation, all members must have same goals in order to develop the organisation. Liker (2004) indicated that common goal is speared within the organisation from top to bottom by the supply chain. Ringi decision making: this aspect ensures that all the people involved to a process should take part in a decision of the improvement. Hence, all possible decisions will be considered. Cross-trained Persons: ability to be able to perform different tasks to improve quality and productivity. (Liker, 2004) Waste reduction: Genchi Genbutsu: see principle 12 in part 3.2 5-whys: is a method by asking Why in five times in order to find the original of a problem. Eyes for waste: it means the company should take time to observe and control waste. Problem solving: to find the problem at root level. Associated with 5-whys method to have the total elimination of waste. Chapter 4: Improvement of current processes 4.1. Lean measurement Using the model of Toyota House presented in the previous chapter, lean measurement of each issue happened in the process of the company will be evaluate in this part. In the table below, the sign x indicates that we can apply the aspect in with the purpose of improving a particular issue of a process. 4.2. General improvement of the company Based on the Lean Measurement table in part 4.1, the author indicates three aspects that very important for the company in general in which the indications of x are huge, they are: People and Teamwork Long-term philosophy Eyes for Waste When the company improve any stage of a project, they firstly should consider all of three aspects below. They are the principles for the development of the whole process, and they should take part in every part of process. 4.2.1. People and team work It is evident that people in the heart of any organisation, even in the high-technology era, the position of people is unchangeable in order to create and operate any kind of machine. Liker and Meier (2007) stated that in choosing an appropriate people with high skills and experiences is the key to achieve a successful process. In order to improve a process, the company needs to develop their staffs first, that is a way Toyota following. Even at that time, the company may not have a good enough staffs for all position. However, the company should have a long-term vision to train exceptional staffs for their important position of the company. Thus, they can improve their organisation. Liker and Meier (2007) suggested the first principle for a leader is the one who has capacity and desire to learn something from other (mean that he is not too self-opinionated). Moreover, Naoum (2001) indicated some more attributes which are: Long-term vision which associates to the benefit of the company. capacity to make decision Confident in his ability and his staffs as well. Liker (2004) convinced that the development of individual and the improvement of teamwork in the company should go together and have balance between them. According to Hardingham (1995), improved team-work is able to decrease cost and develop the effectiveness of production process. Additional, Thompson (2000) persuaded the collaboration of the company will be increased when they are successful in teamwork. In order to achieve effective teamwork, he stated some elements: The team should share a common goal and has enough ability to achieve the goal. Sufficiency of motivation to overcome the mission with high quality of performance. Flexible to harmonise their actions and communication. 4.2.2. Long-term philosophy Liker (2004) indicated the long-term philosophy is the foundation of the other principle, so that the short term decisions need to be associated to the long-term vision of the company. As presented in the company brief, now the company really focus on the term of cost in the project, hence the balance among three factors of a project (time, cost and quality) is not guarantee. Following Liker (2004, p114) and Imai (1991, p49), Toyota had serious thinking of making a product which give more value to customers with good quality at acceptable price. Hence, they did not put the price as the top of their company. Based from this study, the author indicates that the company should change the long-term philosophy as the way Toyota is executing i.e. Value for customer and quality of project not only the lowest price. Imai (1991) stated that the improvement cannot be finished if there is not any standard. Hence, the establishment standard is necessary for any organisation or project in order to make improvements. Moreover, he also concluded the Kaizen (continuous improvement) is called as never-ending efforts for improvement, it can be understood that when a standard achieved, the better standard will be occurred and then this become the next goal of the process. The figure below will show the PDCA cycle or in other words is a Continuation of the Deming Wheel, which indicates the cycle of continuous improvement. 4.2.3. Eyes for waste This aspect was presented in the part 3.3.3 The main principle of Lean Production is eliminating waste in process. Thus, it is clear that every people within the organisation should care about waste issue. The company requires ensuring all of their employees and partners must observe any waste in the whole process and do the best to reduce wastes as much as possible. 4.3. Analysis of improvement in Pre-construction and construction phase 4.3.1. Pre-construction Process As mentioned in part 2.3, problems existing in this stage of project include which are insufficient information from the company in tender action and the concentration of cost of the company. Hence, the quality of the sub-contractors and suppliers are not very good and sometime they could not afford the quality and time of the project. In order to improve the tender documents, the company must have standards for their tender, so that when they reach those standards the document will have good quality. Hence, sub-contractors and suppliers have to make their documents carefully before submitting. As a result, the quality of the process will improve. Moreover, using Ringi decision with the participation of all departments involved to project will help the company establish a quality tender document In the solution for choosing lowest tender, initially, the company should apply the method of Solve root cause problems to find the origin reasons. Using 5 whys technique is a good answer for this situation. Reasons may relate to the long-term vision of the company in which the cost is focused. 4.3.2. Construction Process The problems in is phase were explained in part 2.4, in order to solve problems and make improvement, the author will divided construction into many issues and analyse development of each of them. There are five issues in the process: a. Input for planning process One of the problems in this process is the lack of input from in involved parties, as stated in the pre-construction phase, using stable and standardised process and Ringi decision techniques can be solution for this issue. All the sub-contractors and suppliers should work enthusiastically until they get the standards established by the company, moreover they have to involve to any decision related to their contributions. b. Updating plan schedule One of trouble is the implementation of a project is very early so that the company do not have enough time for the preparation of construction works. In addition, weak collaboration between involved parties results to an unsuitable plan schedule (including sectional master plan and weekly master plan). The first technique can used to improve the situation is stable and standardised technique. It means that when the updating the Master schedule, the company need to attain their standard which is the foundation for any further improvement. The second method is the application of Pull system, the sectional and weekly plan should base on actual conditions on construction site, the construction department, particularly the site department. To be explained this point, the construction department is the one who control all the works on site, they will have whole understanding of what is happening on site, so they can make an appropriate plan for the project. In addition, all the involved parties such as suppliers, sub-contractors and other departments should have involvement to make a plan that suitable for them. Another issue that is important in this process is the quality of plan. In order to achieve this aim, the application of creating continuous flow, lev

Skylake :: Personal Narrative Writing

Skylake I think I learned how to swim before I learned how to walk. My family and I moved to Miami, Florida from Long Island, New York when I had just turned 4 years old. According to my mother, it was just too cold for her up north. We moved into a comfortable home, the same house we now live in fifteen years later. The house is on a lake, along with about sixty-five other homes. My brothers say that when we first moved in, I used to go down to the lake and just sit and stare at it for hours on end. My first girlfriend lived on my lake. Her name was Anat. I would take my paddleboat over to her house and then go around the lake with her for hours. It was easier to walk to her house, but more impressive to swing by on a boat. I had just turned twelve, and spent the summer with her on the lake. Our relationship came to an abrupt stop after six weeks. Apparently I was not spending enough time with her, and too much time with the fish. A year after we moved in, my father's best friends, Joe Haimson and his wife Bernice, came to visit us for a week or two. The two of them were pretty devoted fishermen. They went out and bought a couple of basic fishing rods and reels and taught my brothers and I how to fish. My brothers were not nearly as enchanted by fishing as I was. Their interest in it fizzled out shortly thereafter. Mine had just begun. I remember when I was about five or six. sitting at my dock, usually alone, putting little breadballs about the size of a marble on the hook, making short casts, and catching one bluegill after another. They weren't big fish, maybe a quarter to a half a pound, at the most. Not a real anglers trophy, but to me they were the most mesmerizing things I had ever seen, each one more beautiful than the next. On Friday evenings, when I was about nine or ten, I used to sit on my dock with my grandfather, Max, before Sabbath dinner. He used to love it when I pulled those things out o f the water.

A Systematic Review on the Comparison of Avandia and Actos in Treatment of Type 2 Diabetes Mellitus

Type 2 diabetes mellitus is a condition that is characterized by a chronic rise in the glucose levels of the blood.   It can lead to changes of the blood vessels of the retina, nephron, heart, nerves, etc, causing a lot of complications.Individuals, who suffer from type 2 diabetes, may or may not require insulin (as the condition primarily occurs due to insulin resistance or improper utilization of insulin by the blood cells).   In many cases, people who suffer from type 2 diabetes, are ultimately given insulin, even though the drug is not very effective in control the high blood sugar levels (Ligaray, 2008).Studies conducted in the UK effectively demonstrate that 25 % of the patients who suffer from type II diabetes require insulin within 6 years of initiating therapy with oral hypoglycaemic agents (Edelman, 2005).In clinical practice, type 2 diabetes mellitus is one of the commonest diseases that are seen.   The insulin levels may be low, defective in nature or the very utili sation of insulin by the fat, liver and the muscle cells may be hampered.   The individual may not depend on insulin for bringing back the blood glucose levels back to normal.   Ketosis seldom develops, but is common under stressful conditions (Inzucchi, 2007).Today, in the US, the screening for diabetes is usually performed in elders or high-risk individuals, and as such there may be several members of the general population who may be silently suffering from the disorder.The prevalence of diabetes mellitus in the US is about 7 %, but in individuals above the age of 50 years, the incidence may be about 15 %.   Certain minority groups including the Hispanics, African-Americans, Native Americans, etc, are at a higher risk of developing the disorder.   The mean age of incidence of the disorder in high-risk populations usually occur at a younger age compared to the White American populations.   If we look at the prevalence of diabetes mellitus type 2 throughout the world, the incidence is high in Indians, Polynesians, Micronesians, Latin Americans, etc.In Australians, Africans, Aborigines, Asians, etc, the incidence is relative lower when they live in the native countries.   However, when they migrate to the US, the prevalence of the disorder is relatively higher, owing to the change in lifestyle, poor control over risk factors, etc.A great proportion of diabetic patients die from cardiac diseases such as heart attacks, stroke, etc.   Studies have effectively demonstrated that the risk for cardiac disease raises two-folds in men, and up to four folds in women (Ligaray, 2008).The main pathophysiology of diabetes is the rise in the blood glucose levels (hyperglycaemia) due to the low insulin levels in the blood, improper utilisation of insulin by the cells, defective functioning of the insulin or resistance to insulin.   The pancreatic beta islet cells may not produce sufficient amounts of insulin required by the body or several groups of cells pres ent in the body such as the fat, muscle, liver, etc, may be resistant to the action of insulin.Studies conducted during autopsy have effectively demonstrated that the beta cell mass in type 2 diabetics are reduced to about half the normal size.   The body cells find it seemingly difficult to utilize glucose resulting in lower amount of glucose transportation to the muscles, greater production of glucose by the liver and greater breakdown of fat (Ligaray, 2008).Other causes of diabetes type 2 include production of substance by the body that hamper the action of insulin, glucotoxicity and lipotoxicity.   When the individual consumes carbohydrates, there are chances that the blood glucose level would raise further, as insulin is not available to control (Inzucchi, 2007).The ability of the body to use insulin immediately to control carbohydrate and sugar level following ingestion is difficult (Ligaray, 2008).   Studies may have shown that although the insulin deficiency may be mil d, the ability of the insulin to stop an immediate rise in the blood glucose level would be absent.   When the individual suffers from mild type 2 diabetes during the initial stages, there are chances that the insulin secretion would respond to other secretogogues such as amino acids.However, in severe type 2 diabetes, the condition does not respond to other secretogogues resulting in a severe deficiency of insulin.   In individuals suffering from type 2 diabetes, there may be deposition of an amyeloid-like substance in the beta-cells of the pancreatic islets.   The beta-cells begin to malfunction following the deposition of amyloid (Inzucchi, 2007).In some of the type 2 diabetics the insulin secretion may be defective in nature.   The ability of the cells to respond to insulin is reduced and the normal response is less.The cells may not be able to use the insulin effectively to ensure utilization of glucose by the cells.   In an environment of hyperglycaemia, the cells fi nd it very difficult to utilize the insulin and the glucose.   The body finds it difficult to produce glycogen from glucose in the liver and breakdown of fats, as a result of the decreased sensitivity of the insulin.The exact reason for the poor response of the cells to insulin is not understood clearly, but scientists suggest that it has to do with the defective mitochondrial functioning and the accumulation of free fatty acids in the cells that are usually supposed to respond to insulin.   The insulin receptors in such cells may be normal, but the insulin pathways that are related to the insulin receptors may go haywire.The functioning of the glucose transporting agent GLUT may become abnormal.   Scientists also feel that the defects in insulin use and glucose transportation may be due to a genetic defect.   Obesity also increases the risk of the individual developing resistance to insulin.   The presence of free fatty acids in the body would suggest greater amount of li pid deposition in the liver and the muscles thus playing a major role in developing insulin resistance (Inzucchi, 2007).When the blood glucose levels are high, the sensitivity of the cell to insulin and the ability of the cell to utilize glucose are seriously affected.   Besides, a rise in the lipids in the blood can affect glucose metabolism, causing a raise in hepatic gluconeogenesis, and raising the free fatty acid levels.   The pancreas functions abnormally and the muscles are unable to utilize glucose effectively (Inzucchi, 2007).It may be difficult to assert whether the primary defect in type 2 diabetics is due to insulin insufficiency or insulin resistance.   Studies have demonstrated that in high-risk populations, the initial defect is primarily due to insulin resistance and a decrease in the insulin sensitivity.However, diabetes would not occur only with insulin resistance alone.   Studies have shown that frequently due to the secretory defects, the beta cells seem to get exhausted.   It may also be that chronic stimulation of the beta-cells along with the genetic defects would result in insulin insufficiency (Inzucchi, 2007).Evidence strongly supports that genetics and environmental factors both play a major role in the development of diabetes mellitus type 2 (some even suggest complex genetic factors).   Most of the forms of type 2 diabetes mellitus have been polygenic in nature, whereas maturity-onset diabetes of the young (MODY) has been monogenic in nature.   There is a clear familial linkage seen in diabetes mellitus type 2, but there seems to be no classical Mendelian inheritance (Inzucchi, 2007).Diabetes mellitus patients are at the risk of high mortality in case their condition worsens and complications develop.   Hence, one the keys to ensure a longer lifespan in diabetes patients is effective management using drugs and medications.Studies have clearly demonstrated that diabetes patients require an aggressive, intensive and e arly intervention that would be able to identify a rise in the blood sugar level and ensure that it is brought within normal range.   One of the most difficult complications of diabetes patients would be developing is heart disease.The mortality from heart disease is quite high (70 %) in diabetics.   Besides, the costs of managing a patient suffering from diabetes and heart disease are about three times higher (Unger, 2008).Diabetes mellitus is mainly diagnosed on the basis of the plasma glucose levels.   The fasting blood glucose level should be more than 126 mg per dl of blood.   The post prandial blood glucose level should be greater than 200 mg per dl of blood (typically taken 2 hours after a meal).   The impaired glucose tolerance levels include 140 to 199 post-prandially.In diabetes, a random blood glucose test should demonstrate reading above 200 mg per dl along with the presence of symptoms of diabetes.   For the individual to be classified as diabetic, the blood glucose tests should demonstrate consistent results.   Haemoglobin A-1c is also useful in demonstrating the retrospective glucose levels, but cannot be taken as standard as there are several potential errors that may be associated with this test (Buse, 2008).