Key stakeholders in Next clothing Essay Example

Key stakeholders in Next clothing Paper They are required to purchase the products and in turn provide customer loyalty. They are needed to come to the store again and again to keep the flow of business high for the company. Employees It is their duty to withhold the reputation of the store as it is their actions that people will remember upon leaving the store and they are required to make people want to return. They are expected to provide the highest quality service they can and keep customer satisfaction high. Suppliers They are expected to roved high quality products that are suitable to sell. They must meet deadlines for orders and the product must be correct otherwise the business will suffer. Owners It is their day to day running of the company that keep all aspects of the business flowing. They are expected to make sure every area Of the company is running at full potential and every employee is doing the right thing. Trade unions It is the trade unions role to make sure the employees are being treated fairly. They make sure the workers are protected and safe and are in fair and suitable working conditions. They also help the unemployed find jobs in the first place. We will write a custom essay sample on Key stakeholders in Next clothing specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Key stakeholders in Next clothing specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Key stakeholders in Next clothing specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Employer associations These are very similar to trade unions and are there to protect the right of the employees. Local communities It is very important to appeal to the local communities as they are a very important interest group that require pleasing. National communities They are the ones that must be impressed as it is their opinion that can make or break the company. They are responsible for the upkeep of your company through purchase and it is them who will ultimately decide whether or not your business fits their requirements. Governments It the government who will want the business to be successful as it can boost the economy and create jobs across the country. If the business is successful they can also pay large taxes which boosts the governments funds overall. They are also considered a vital part of the community and with their survival the local economies can thrive as well. Influence on organizations This is when the business needs to take into consideration the rest of their stakeholders when making changes to the business and must make sure there is not a negative effect on the business itself or the stakeholders.

TEFL course assignment Essay Example

TEFL course assignment Essay Example TEFL course assignment Essay TEFL course assignment Essay Before my first day in school I would come to school and introduce myself to all fellow teachers, familiarize myself with the policies and procedures in the school. I would take a tour around the campus, learn where the closest bathroom and cafeteria is. I would go in my classroom, see what materials are available, find out if I have access to a copy machine, CD player, video player. I would make sure I got a board and different colored pens in the classroom and I would adjust it to my liking, put notes ND pictures on the walls English alphabet, some pieces from grammar, maps and photos of England to talk about depending on level the students are on. I would purchase few things in case of emergency hand sanitized, tissues, plasters, water bottles, paper blocks, notebooks, pens, pencils. I print the names of all my students for their name tags. I would send each student a welcoming letter with info about me, class schedule, materials needed throughout the year and contact information. The welcoming letter will be designed in a positive manner with pictures and smiley. On my first day I arrive early, stand outside the classroom and greet students, tell them to find their name tag and put it on. When the lesson starts I introduce myself, write my name on the board. I explain about the campus, show where all the facilities are, where to get lunch menu, coats in the classroom. I explain the main classless, everyone has to talk in English unless really necessary, always ask if you dont understand And put them on the wall where everyone can see it. I explain the classroom procedures, if you wan talk put your hand up, dont talk with other students during the lesson unless a group work, have your materials homework and pencils ready first thing in the morning, I make sure everyone understands it. Each lesson I will assign one or few students for different classroom Jobs, e. G. Assisting with technical appliances or different activities. I start with few icebreakers, tell them to introduce themselves in pairs. Each one of them will have to introduce his partner to the whole class and we play a name game after so everyone remembers them. On my first lesson I will focus just to get to know each other by playing different games.

Enforcing arbitration clauses in contracts Research Paper

Enforcing arbitration clauses in contracts - Research Paper Example Any subcontract entered into thereafter is subject to the initial contract on arbitration (Yale law journal 6). Under the American contract law, Parties are allowed to agree to arbitrate disputes arising from contracts entered as provided for in the Federal Arbitration Act 9 U. S.C. The Act pre-empts any state law which imposes special requirement on the enforceability of the arbitration. In the case of Oxford Health Plans v. Sutter, the plaintiff sued the defendant at the New Jersey state court for failure to make prompt payments. Oxford Health had entered into an agreement with Sutter that they shall have all their cases outside court. No civil action vis-Ã  -vis any dispute arising under this Agreement shall be instituted beforehand any court, and all such disagreements shall be submitted to final, ultimate and binding arbitration (Strong pg. 23). The court advocated for an arbitrator as per the contract. The arbitrator ruled that the case warrants a court hearing. Oxford sought to overturn the decision on grounds that the arbitrator had operated in excess of his authority. According to t he Arbitrator, the case was of material concern to all parties and warranted proper class hearings. When forwarded to the US Supreme Court, the court ruled that the arbitrator was within his jurisdiction to warrant a case hearing. Based on Stolt-Nielsen S, A v. Animal feeds int’l Corp case, the court ruled that the arbitrator could call for a class hearing if the matter were principle to the two parties and only proper legal channels could solve the case. The arbitrator can submit to class adjudication unless there is a contractual basis for ending the party agreed to do so (Harvard journal of law & gender). In this case, the arbitrator has not overdone his mandate to warrant a class hearing (Federal Arbitration Act). In a similar case, American Express Co. v. Italian Colors restaurants, the

Writing and speaking for business Essay Example | Topics and Well Written Essays - 250 words

Writing and speaking for business - Essay Example Format/Outlook- imdb.com has a simple format that I appreciate. The background color and font are not attractive but that’s fine with me as the important thing is I can easily find what I am looking for. Movies.yahoo.com also follows a similar simplistic layout of a white background where most of the crucial information is. As for movies.com, it features a mix of at colors which make it eye-catchy. Content- On imdb.com, trailers of the most recent films are the first things that catch your eye; then to the right there’s a list of highest earning new releases. Therefore, you can easily get an idea of what’s coming out and the favorites. As for movies.yahoo.com, the homepage is slightly ‘populated’ as it features advertisements, a single trailer at the top and below that clips on interviews with movie directors and/or cast of upcoming movies. Then again below that is where the information crucial to me is i.e. movies that have recently come out and a top 10 list of box office movies. Movies.com is however, the most populated as it features many advertisements, news on released movies e.g. ratings from critics, films that are up for awards and the like. Feedback/Comments Section- Typically, all three websites have the icon for help/feedback/suggestions at the bottom of the home page and clicking on this directs you to another page. Overall, movies.com works best for me as it is simple, movies.yahoo.com is average while imdb.com is my least favorite when it comes to this. I hope that this breakdown provides a useful description of my analysis on all three of the websites. In case there is any further enquiry, feel free to contact me on (Insert telephone number) as I would not mind providing a broader description of any specific site, or movies

Is 'green capitalism' resistance to change Essay

Is 'green capitalism' resistance to change - Essay Example This can be exemplified by the fact that if news of organizations committing illegal and harmful activities is aired, hoards of activists and scores of NGOs and environment protecting organizations unanimously raise an outcry against the alleged misdemeanor. The roads are swamped with local residents carrying banners and signs to decry the gutless and unethical practices of the organizations. This comes to establish that the notion of ecologically sustainable development has been replaced by a much more comprehensive concept i.e. economically sustainable development (Green 1999). The damage that has been rendered to the environment as a result of unchecked business activities has driven countries towards the adoption of new concept i.e. green capitalism. This paper looks into the notion of green capitalism and evaluates how well is it faring in the capitalist market. The paper explores the parties that oppose green capitalism and the debates that have arisen out of it. So the questio n arises that what exactly is green capitalism? Green capitalism has seeped through both the market and the culture, and one can see organizations engaged in promoting a more socially responsible image of themselves. ... n capitalism refers to an approach that buttresses the view that levers of the market can be used to fix the damage that has been caused to the environment in the past (Rogers 2010). There are different views that have arisen regarding green capitalism. Proponents of green capitalism are of the perspective that fossil fuels constitute scare resources and are not going to last forever. These natural resources are going to finish eventually and will also become more expensive as that time approaches. This follows that businesses have to adjust themselves to accomplish more through the limited amount of resources at their disposal. According to green capitalism, usage of lesser resources by both the governments and the businesses would provide benefits not only to the environment but would also have a positive effect on the profits that the companies make. This can be exemplified from the fact that if a company expends less on inputs while trying to make the production process more effi cient, the organization can make better outputs and greater margins. Thus, being ‘being ecologically prudent is a surefire way to boost the bottom line’ (Rogers 2010). Governments are starting to trace a link between the progress of the country and the pursuit of green activities by businesses. Don Henry, executive director of the Australian Conservation Foundation (ACF), observes that businesses must realign their practices in accordance with the economically sustainable development to facilitate the movement towards a clean, green economy. He regards that the creation and promotion of a clean green economy would contribute towards the Australia acquiring its fair share of jobs in the future while at the same time bestowing the country with an assortment of economical benefits (Green

Building Nsanje Port on Shire Zambezi Waterway

Building Nsanje Port on Shire Zambezi Waterway Project Description Malawi is a landlocked country that relies on Mozambican ports on the Indian Ocean for transportation of imported and exported goods. The project will open new doors for Malawi and reduce transport costs. Currently Malawi uses Beira and Nacala port in Mozambique from which transporters cover a return distance of about 1700km from Blantyre. Using Nsanje port, transporters now will cover a distance of 238 km for a return journey to Blantyre as opposed to Beira port. Reduction in transport costs may lead to reduction of other goods such as agricultural inputs. This will be a benefit to the Malawians who depend on agriculture for their economy and it will also improve food security in the country. The project will also provide Malawi with a multimodal transport linkage to other land locked countries of Zimbabwe and Zambia; the people of Nsanje district will be empowered socially and economically due to new infrastructure and markets that will be established to support the services of the port; the visual scenery of Nsanje district will improve with the building of the port; creation of temporary and permanent jobs; time saving and reduction on wear and tear of vehicles due to reduced travel distance. Though the project will have positive effects but will also have negative impacts such as loss of fishing area and income for fishermen who used to fish along the shire river; air and water pollution due to construction work that will take place on the site; the project will affect the water species found along this area of the Shire river; empowerment of people socially and economically may increase the spreading of HIV and AIDS as this districts already has high percentage of HIV patients due to cultural beliefs; urbanization due to viable environment for small scale and large scale businesses; natural visual scenery will be affected by new built structures, risk to flooding along the Shire river; conflicts with hosting communities and negative influences on religion and local culture. Location The project will be located at Nsanje District in Malawi. Malawi is located between latitudes of 09ËÅ ¡ and 17ËÅ ¡ south and longitudes of 33ËÅ ¡ and 37ËÅ ¡ east. Malawi is bordered by Zambia in the East, Tanzania in the North and Mozambique in the South and West. Nsanje District Assembly is found at the tip of Southern Malawi where Malawi shares borders with Mozambique. It is at this place that the shire river passes along the boundary between Malawi and Mozambique flowing into Zambezi river and then to Indian Ocean through Chinned Port. The site was selected because of the wider width of the river as it connects to Zambezi River offering a better place for the port. Location map is shown in relation to the Shire River and location for the proposed port. Malawi Map showing location of Nsanje, Imagery showing location of the port, Shire River and Nacala corridor from Mozambique. MALAWIS EIA LEGISLATURE In Malawi the Environmental Act enacted in 1996, provides the legal framework for the protection and management of the environment, the conservation and sustainable utilization of natural resources. EIA processes are outlined on section 24 of the Act to which all private and public developers must adhere to. The Act has outlined projects for which EIA is mandatory before implementation of the project as gazetted in section 24. The section also stipulates all activities that must be carried out by the developer before any implementation. The developer has to submit a project brief to the Environmental Affairs Department (EAD) who administers the environmental Act. The Director assesses the project and is supported by expertise from the technical committee of environmental affairs (TEC) which participate in the Environmental Impact Assessment (EIA) requirements; project briefs reviews; Terms of Reference (ToRs) and EIA reports; develop and monitor project auditing programme and recomme nded course of action to the Director though the director is not bound by the TEC report. The act also stipulates that only the EAD is mandated to issue out certificate under section 26(3) for which an EAI is required. For thorough evaluation of project activities that might have significant impact on the environment by the port developer, the EIA is supported by various Malawi government Acts and policies as indicated in table 1 and other international legislatures as attached on appendix I. Malawi legal documents 4.2 EIA Process The EAI process is carried out in phases in a project cycle in which EIA requirements are integrated within the cycle (EMA, 1996). The project cycle is carried out in phases and begins with a concept then pre-feasibility and feasibility studies before a detailed design and implementation phase. The objective of the cycle it to provide detailed and up-to-date environmental information at key stages in the cycle. This helps the developer to identify early results from an EIA and able to take action on any significant changes and adopt them during project implementation. The project cycle also provides opportunity to the developer, consultant, relevant authorities, interested parties and the general public to assess the impacts of the project on the environment and provide alternatives on adverse effects. The project cycle focuses on identification of negative impacts, reasonable alternatives and assessing the relevant issues so as to ensure that the EIA becomes a useful to decision mak ers. All the activities in the project cycle are done through screening and scoping. 4.1 Screening Screening allows a project to be assessed whether an EIA is required or not and establishes the basis for scoping (Theodorsdouttir, 1999). In Malawi, screening is done through a project brief which is a document that highlights critical issues prepared by the developer and in this case the Malawi Government and is submitted to the Director of Environmental Affairs Department and who is supported by TEC to assess whether it requires EIA or not. Building of an inland port is among the projects that EIA is mandatory in Malawi therefore an EIA is to be carried out (EMA, 1996). 4.2 Scoping Scooping ensures that all relevant issues to be addressed in an EIA are established and makes sure that all relevant authorities, interested and affected parties are involved, alternatives to the project are identified and to make sure that the resources are conserved and used wisely. In Malawi, comprehensive identification of the significant impacts are based on the Terms of Reference (ToRs) which are prepared by the developer and approved by the director (EMA, 1996). ToRs are identified in the scooping process. The figure I below outlines all the EIA process in Malawi. 4.3 ASSESSMENT METHOD There are various methods of assessing environmental project impacts such as checklist, network diagrams, graphical comparisons overlays and matrices (FAO, 1995) In this assessment matrices as shown in figure 2 have been used to come up with the most significant impacts as matrices easily identify impacts in a summary form and provides better bases for evaluating most significant ones Leopold et al. (1971). 4.4 Environmental Plan Impacts identified in the matrices are further assessed by Stakeholders, EAD, TEC, general public and the developer to evaluate the impacts and also identify mitigation measures. In the environmental plan potential project impacts are identified in regard to project phases as indicated in Appendix II The most significant impact Water Pollution The most significant environmental impact on this project is water pollution. Water pollution is the contamination of water bodies through pollutants which are discharged directly into water bodies without adequate measures to remove harmful compounds. Water pollution may take place due to effluents derived from soil erosion, accidental spills, waste oil, fertilizers and detergents, heavy metal and pesticides, heat and micro-organisms (JICA/GOK, 1992). 5.1 Significant Impacts Drinking Water: Water is considered safe if it can be used by human beings and other living creatures without any effect (UNEP, 1999). Polluted water is not safe for drinking for the communities living along the river and can easily wipe away a large population of human beings and animals as the birds shown in figure3. Odour: Sediments in the water under the structures may cause water stagnation and after sometime the water may produce odours that may be nuisance to the people working around the area Impact on irrigation: Water polluted with chemicals and oil spills may affect irrigated crops. Recreation: Polluted water will not be good for swimming or recreation as it may affect the people in contact with polluted water. To reduce water pollution, there is need to provide mitigation and monitoring measures as shown in table III below. Significant impact Project Activity Possible Mitigation measures Prediction and Monitoring measures Water pollution Landfills and site development Careful site selection and layout design is important to reduce stagnation. Dredging should be carried out to remove any deposits and sediments in the water Enhance the water law Act to punish offenders who deliberately pollute water Construction of break waters, bays and terminals Make a fence around the construction area Quarterly meetings during the construction phase should be held to monitor the negative environmental impacts. TEC and EAD to monitor the activities Dredging and disposal of dredged materials Proper disposal of dredged material plays an important role in preserving the environment.   Monitor sediment deposits and use Secchi disk to check depth and visibility (United Nations, 1992). Waste Management Encourage recycling and devise proper means of disposing both solid and liquid waste District Assembly to monitor all dumping sites and advise residents accordingly. Transportation of construction materials Proper handling of raw materials is required i.e. Cover cement and sprinkle water frequently on dusty roads Monitor handling of the raw materials. Vessel traffic operations Appropriate regulations should be put in place to cater for ship discharge, emissions and oil from cargo, ship spills and disposal of waste Use of Microwave remote sensing satellites and receivers aboard ship vessels to monitor ship movements, oil spills and grease and ship leakage in the river (Woodhouse, 2006). Use predictions models to monitor water quality such as Artificial Intelligence models, Artificial Neural Network models and Mathematical assimilations (Najah et al., 2009) Cargo handling and storage Special equipment should be provided for handling cargo and transportation of goods and   Provision should be made for periodical clean-up of floats and wastes   Developer to monitor that cargo handling equipment is regularly serviced Waterfront and cargo operations Provide regulations on effluent from waterfront industries and monitoring of water quality TEC to monitor all activities probably by employing a full time environmental specialist. Transportation of goods All roads leading to the port must have bitumen to avoid dust which may pollute the water.   Stakeholders to monitor where they there expertise is required. 5.2 Acts that govern the legislature for water are; Environmental Management Act 1996 which stipulates the conservation and sustainability of utilization of natural resources and water is one of the natural resources. Water Resources Act 1969 The act governs the control conservation, apportionment and use of water resources in Malawi. Water Works Act The act makes an offence if any person willfully and negligently causes water pollution. 5.3 Baseline data Baseline data is the collection of relevant information proposed in the project with the purpose of determining the status and trends of environmental factors (e.g., water pollutant concentrations). This offers opportunities to predict changes in terms of importance and provide for means of detecting actual changes once the project is initiated. Baseline data plays an important role in EIA assessment and monitoring of environmental effects (Wathern, 1988). Alpha (1995) recommends the following data to be collected for checking water pollution: Dissolved Oxygen Water conductivity Water salinity Turbidity Temperature PH Use of questionnaire to get more information from the communities around the district Assembly on the activities that take place along the river Measurements on sediments. Maps showing river catchments area 5.3.1 Parameters for checking water quality UNEP prescribes measurement of various parameters for assessing, water quality and these include:- Temperature recommended is between 25 and 35 Suspended solids it is recommended is 30mg/l Biochemical oxygen Demand (5-day at 20 C) Clean water is between 4mg/l to 10 and more than 10 is considered polluted Heavy metal concentration should not exceed 0.1mg/l in combination Lead (PB) less than 0.1mg/l Mercury (Hg) less than 0.005 mg/l Silver (Ag) , Zinc(Zn), Chromium (Cr), Arsenic (As) less than 0.05 mg/l Nickel (nI) less than 0.3 mg/l Copper (Cu), Cyanides (CN), Hydrogen Sulphide (S) less than 1.0mg/l Free Ammonia (NH 3 ) less than 0.2mg/l Phenolic Compounds (Phenol) 0.001 mg/l Nitrates (N) 10mg/l Phosphates Floating materials oils foam and greases. Bhardwaj, 2005, suggest water quality criteria as shown in the table below: 5.4 GAPS Measurement of water quality can only be undertaken by people with special expertise and with special equipment which cannot be used by a local person and the water measuring instruments are not up-to-date and not enough to cover all water bodies in the country (UNEP, 1999). Conclusion This project has a significant impact on water which is critical to water species and human beings therefore mitigation measures have to be followed to reduce water pollution in the Shire river which its impacts may have an effect over a long distance and all the way to the Indian ocean and affect so many people and all water habitats.

Hypertext and Literary Study Essays -- Literature Education English Te

Hypertext and Literary Study Hypertextual fiction (hyperfiction) and other hypertext applications are making their way into the literature courses where, Professor Larry Friedlander says, â€Å"learning has basically meant the study of texts,† in the form of the â€Å"printed word† (257). And these newer works, inseparable from their contemporary technologies, offer the possibility of a very different type of literary study than the one most English majors experience in traditional literature courses. Print and book technology perpetuate and validate linear experience, thought, and narratives, which buttresses a hierarchical educational structure that shapes the roles of writers, readers, teachers, and students. Challenging our trust in the order and logic of linear narratives, linear cause-and-effect thought processes, the authority of the individual author, and our common dependence on the stability of the printed text, hyperfiction requires the interaction of the reader to decide the story, i ncorporates multimedia elements, and promotes associative thought processes. Whereas the print tradition supports the power of the author over the text, the text over the reader, and the teacher over the student—as the interlocutor to the domain of literary discourse and study—hypertext fiction empowers student interpretations, even requires them, distributing authority among the author, reader, teacher, and student. To understand how print technology precipitates specific social consequences for the structure of literary study, we must consider the print tradition as part of a culture in which ideological and political choices have been made that effect learning and thinking. In other words, we must situate print in its social context, ... ...rt Moulthrop’s Hypertext Novel Victory Garden.† Contemporary Literature 41, No. 4 (Winter 2000): 642-60. Shakespeare, William. â€Å"Sonnets.† The Norton Anthology of English Literature, Vol. 1, 6 ed. New York: W. W. Norton & Company, 1993. Slatin, John. â€Å"Reading Hypertext: Order and Coherence in a New Medium.† Hypermedia and Literary Studies. Edited by George P. Landow and Paul Delaney. Cambridge, Mass.: The MIT Press, 1994. Swiss, Thomas. â€Å"Electronic Literature: Discourses, Communities, Traditions.† Memory Bytes: History, Technology, and Digital Culture. Edited by Lauren Rabinovitz and Abraham Geil. Durham: Duke UP, 2004. Vielstimmig, Myka. â€Å"Petals on a Wet Black Bough: Textuality, Collaboration, and the New Essay.† Passions, Pedagogies, and the 21st Century Technologies. Edited by Gail Hawisher and Cynthia Selfe. Logan: Utah State UP, 1999.

Non-Hodgkin’s Lymphoma Disease

Non- Hodgkin’s Lymphoma or NHLs are a heterogenous group of cancers that originate from the neoplastic growth of lymphoid tissue. As in CLL, the neoplastic cells are thought to arise from a single clone of lymphocytes; however, in NHL, the cells may vary morphologically. Most NHLs involve malignant B lymphocytes; only 5% involve T lymphocytes. In contrast to Hodgkin’s disease, the lymphoid tissues involved are largely infiltrated with malignant cells. The spread of these malignant lymphoid cells occurs unpredictably, and true localized disease is uncommon. Lymph nodes from multiple sites may be infiltrated, as may sites outside the lymphoid system (extra nodal tissue). The incidence of NHL has increased dramatically over the past decade; it is now the fourth most common type of cancer diagnosed in the United States and the fifth most common cause of cancer death.   The incidence increases with each decade of life; the average age at diagnosis is 50 to 60 years old. Although no common etiologic factor has been identified, there is an increased incidence of NHL in people with immunodeficiencies or autoimmune disorders, viral infections including Epstein- Barr virus and HIV, or exposure to pesticides, solvents, dyes, helicobacter pylori, human T cell leukemia, and hepatitis C virus. Researchers also say that obesity could be one of the risk factors of having Non- Hodgkin’s lymphoma and those whose occupation involves chemicals and herbicides.   Prognosis varies greatly  among the various types of NHL. Long term survival more than 10 years is commonly achieved in low- grade, localized lymphomas. Even with aggressive disease forms, cure is possible in at least one third of patients who receive aggressive treatments. Symptoms are highly variable, reflecting the diverse nature of these diseases. With early- stage disease, or with the types that are considered more indolent, symptoms may be virtually absent or very minor, and the illness typically is not diagnosed until it progresses to a later stage, when the patient is more symptomatic. At these stages III or IV, lymphadenopathy is noticeable. One third of patients have â€Å"B† symptoms like recurrent fever, drenching night sweats, and unintentional weight loss of 10% or more. Non- Hodgkin’s lymphoma usually begins with the presence of one or more swollen lymph nodes on the side of the neck, collarbone, and under the arms. The most common sites for lymphadenopathy are the cervical, supraclavicular, and mediastinal nodes, involvement of the iliac or inguinal nodes or spleen is much less common. A mediastinal mass maybe seen on the chest x- ray; occasionally, the mass is large enough to compress the trachea and cause dyspnea.   Pruritus is common; it can be extremely distressing, and the cause is unknown. Approximately 20% of patients experience brief but severe pain after drinking alcohol. All organs are vulnerable to invasion of NHL. The symptoms result from compression of organs by the tumor, such as cough and pulmonary effusion, jaundice from hepatic involvement or bile duct obstruction, abdominal pain from  Splenomegaly or retroperitoneal adenopathy, or bone pain which is from skeletal involvement. Herpes zoster infections are common. A cluster of constitutional symptoms has important prognostic implications. A mild anemia is the most common hematologic finding. The WBC count may be elevated or decreased. The platelet count is suppressing hematopoiesis. The erythrocyte sedimentation rate or ESR and the serum copper level are used by some clinicians to assess disease activity. The actual diagnosis of NHL is categorized into a highly complex classification system based on histopathology, immunophenotyping, and cytogenetic analyses of the malignant cells. The specific histopathologic type of the disease has important prognostic implications. Treatment also varies and is based on these features. Indolent or less aggressive types tend to have small cells and are distributed in a follicular pattern. Aggressive types tend to have large or immature cells distributed through the nodes in a diffuse pattern. Staging, also an important factor is typically based on data obtained from CT scans, bone marrow biopsies, and occasionally cerebrospinal fluid analysis. The stage is based on the site of disease and its spread to other sites. For example, in stage 1 disease is highly localized and may respond well to localize therapy like radiation therapy. In contrast, stage IV disease is detected in at least one extra nodal site. Although low- grade lymphomas may not require treatment until the disease progresses to a later stage, historically they have also been relatively unresponsive to treatment in that most therapeutic modalities did not improve overall survival. More aggressive types of NHL like Lymphoblastic lymphoma and Burkitt’s lymphoma require prompt initiation of chemotherapy; however, these types tend to be more responsive to treatments. Treatment is based on the actual classification of disease, the stage of disease, prior treatment, and the patient’s ability to tolerate therapy. If the disease is not an aggressive form and is truly localized, radiation alone may be the treatment of choice. With aggressive types of NHL, aggressive combinations of chemotherapeutic agents are given even in early stages. More intermediate radiation therapy for stage 1 and II disease. The biologic agent interferon has been approved for the treatment of follicular low- grade lymphomas, and an antibody to CD20, rituximab (Rituxan), has been effective in achieving partial responses in patients with recurrent low- grade lymphoma. Studies of this agent in combination with conventional chemotherapy have demonstrated an improvement in survival as well. Central nervous system involvement is also common with some aggressive forms of NHL; in this situation, cranial radiation or intrathecal chemotherapy is used in addition to systemic chemotherapy. Treatment after relapse is controversial. Much is known about the long term effects of chemotherapy and radiation therapy, primarily from the large numbers of people who were cured of by these treatments. The various complications are immune dysfunction, herpes infections, pneumococcal sepsis, acute myeloid leukemia or AML, Myelodysplastic syndrome or MDS, solid tumors, thyroid cancer, thymic hyperplasia, hypothyroidism, Pericarditis, cardiomyopathy, pneumonotis, avascular necrosis, growth retardation, infertility, impotence and dental caries. Aside from radiation therapy and chemotherapy, there are also stem cell transplantation, biologic therapy and radio immunotherapy. To diagnose Non- Hodgkin’s lymphoma with a patient, a nurse or a health care professional should do physical examination and anamnesis or a family history of the patient which could present the possibilities that he or she could have NHL. Most of the care for patients with Non- Hodgkin’s disease is performed in the outpatient setting, unless complications occur like infection, respiratory compromise due to mediastinal mass. For patients who require treatment, chemotherapy and radiation therapy are most commonly used. Chemotherapy cause systemic side effects like myelosuppression, nausea, hair loss, risk for infection, whereas the side effects from radiation therapy are specific to the area being irradiated. For example, patients receiving abdominal radiation therapy may experience nausea and diarrhea but not hair loss. Regardless of the type of treatment, all patients may experience fatigue. The risk of infection is significant in patients, not only from treatment related myelosuppression but also from the defective immune response that results from the disease itself. Patients need to be taught to minimize the risk for infection, to recognize signs of possible infection, and to contact the health care professional should such signs develops. Many lymphomas can be cured with current treatments. However, as survival rates increase, the incidence of second malignancies, particularly AML or MDs, also increases. Therefore, survivors should be screened regularly for the development of second malignancies. The nurse should instruct the patient to stay away from strenuous activities. He should always have the time to get adequate rest. And the nurse should encourage the patient to take medications religiously, increase fluid intake. The patient should be instructed to keep himself from any injuries and falls. The nurse should raise side rails if the patient it admitted in a hospital. The family should also be instructed to just keep on showing some support towards the patient. Hhould always rie and falls. he patient to take medications religiously, increase fluid intake. the   uld always have the time to get adequate rest. an trenous . g NOn- could have NHL. amination and anamnesis or a family histor Having Non-Hodgkin’s lymphoma is not that good. Patients are sometimes emotionally disturbed especially if they are working and they are the ones supporting their respective families. They would also think of the payments in the electricity, hospital bills and medication. Whenever patients asked something about his/ her condition, the health care professional should be able to answer it to help the patient alleviate worrying. The patient and his/ her family should be given support groups for counseling and for them to be able to express their emotions towards the current situation they are in.h care professional should be able to answer it to ent. ng whenever swollen lymphnodes are References: 1 Cavalli, F. (1998). Rare syndromes in Hodgkin’s and Non- Hodgkin’s. Annals of Oncology. 9 (Suppl. 5), S109- S113. 2. Coiffer, B. (2002). Rituximab in the treatment of diffuse large B- cell lymphomas. Seminars in Oncology, 29 (1, Suppl. 2), 30- 35. 3. Porth, C. M. (2002). Pathophysiology: Concepts of altered health states (6th Ed.).  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Philadelphia: Lippincott Williams & Wilkins. 4. Skeel, R. (Ed.). (1999). Handbook of Cancer Chemotherapy (5th Ed.). Philadelphia: Lippincott Williams & Wilkins 5. Smeltzer, Suzanne, and Brenda G. Bare. Medical- Surgical Nursing. Lippincott Williams & Wilkins, 2004.                                 

A cleaner and greener place Essay

We all should make our the home,your city, your nation a cleaner and greener place because we can live in a peace, happy, beautiful, clean, free from pollution, wonderful from surrounding. Now a days people generally use vehicles to go to little distance so, we should all stop this. Some slogans that we should follow are listed below: 1-One tree can make a million matches. One match can destroy a million trees. 2-Hug a tree, they have less issues than people 3-Less pollution is the best solution 4-Cut a Tree, Cut a Tree and there’ll be no more left to see. 5-Lets go green to get our globe clean 6-Pollution aint cool, so don’t be a fool! 7-Protect our earth today for our children’s tomorrow 8-Go Green, help clean 9-Once all the rainforests are cut down, once all the rivers have dried up, and once all the resources are diminished, we will finally realize we can’t eat money. 9-Over Population leads to Over exploitation 10-Plant your seeds now, reap your rewards later  greener: don’t waste papers as these come from cutting trees. plant at least a tree per month and tel every one to plant trees at least one per year. don’t use vehicles too often as it pollutes the air. recycle papers instead of cutting down trees. Cleaner: tel everyone in your society to clean infront of their house, so in this way we can clean the whole street! also dont use vehicles as it pollutes the air. dont smoke- it pollutes the air. 1. when you eat fruits bury the unwanted seed or flesh inside the soil†¦ if it is a seed it may grow or if it is flesh it works as a wonderful manure and helps the plant to grow well 2. Please take chances, please do not think that it is the cleaner’s duty to clean the roads and stuff†¦ whenever you see some unwanted in the road you can also dispose it, you also have the same hands that the cleaner’s have.

Ryan Newman Racing essays

Ryan Newman Racing essays 1. How does Ryan Newman's passion for racing affect his NASCAR team? NASCAR driver Ryan Newman has been racing cars since the age of 4 1/2, and he combines a passion for racing with sound management skills. He has been racing for the Penske Racing Team since 2000, and with a degree in vehicle structure engineering, he understands the nuances of a racecar, making him an even more valuable team member. His Web site notes, "Newmans degree made him and then crew chief Matt Borland the first driver-engineer/crew chief-engineer combination in NASCAR history" ("About Ryan," 2008). His passion and knowledge seem to affect his team in very positive ways. For example, he understands vehicle engineering, so he has a close bond with the crew chief and the car's engineers, and because he understands the engineering, he can spot when there are problems with the car, and suggest solutions. A passion like Newman's has to rub off on the team and most of the team members are passionate about NASCAR racing too, or they would not be on the team, and so, Newman's p assion infects others and creates more passion and teamwork throughout the team. 2. What is the link between Newman's defeats and the success of his racing team? Newman's team has a long history in racing. The Penske name is one of the most well known teams in racing, and one of the most successful. For example, "The Alltel pit crew also earned the inaugural Checkers/Rally's Double Drive-Thru Challenge for spending the least amount of time on pit road throughout the season" ("About Ryan," 2008). They won the pit crew championships in 2007, as well, indicating that they are well rehearsed and efficient in their pit crew duties. Newman has won numerous awards for his racing skills, but some years, his victories number only one or two. It seems as if his defeats lead to a more concerted effort to make the car perform better, and it makes the team more aggressive in the car's...

Principle of Managment Assignment Example | Topics and Well Written Essays - 250 words

Principle of Managment - Assignment Example Jose Jurdo executed his managerial expertise in the completion of the planned Food Eatery construction. The Food Eatery meant to offer both the staff plus the student quality balanced meals due to its location at the campus’ center. Additionally, the group scrutinized the project chart to ensure Jose Jurdo’s controlling function keenly kept the project’s deadline coupled with effective performance. In addition, there was task plan for each member coupled with time allocated for completion of the given tasks, so that the project’s results compilation is timely and of exceptional quality. Regarding the results of the undertaken project, there are attachments to this memo, where we are ready to expound further if the need arises. Feeney, Mary, and Leslie Sult. "Project Management In Practice: Implementing A Process To Ensure Accountability And Success." Journal Of Library Administration 51.7/8 (2011): 744-763. Web. 12 Feb.

CRJS 205 Introduction to Criminal Law Essay Example | Topics and Well Written Essays - 250 words - 1

CRJS 205 Introduction to Criminal Law - Essay Example Having difference remedies in civil and criminal cases implies different penalties for prospective offenders. In civil cases, a defendant who loses a case if immune from incarceration or a jail sentence as compared to losers in criminal cases. In general, a defendant in a civil case is only required by law to pay compensation to any losses incurred by the plaintiff (Standler, web). Punishments offered by at the civil and criminal level for a similar case should not correlate in any way. The main reason why the two punishments should not correlate is that civil litigations are aimed at restoring the plaintiff to the initial financial position while criminal punishment offers emotional consolation and therefore the two remedies are not related or equivalent. Secondly, in criminal cases the state bears the burden of proof while a plaintiff shoulders the burden of proof in civil cases and the two have different capabilities (Standler, web). Finally civil cases corporate as the defendant while criminal cases have individuals as the defendant therefore available punishments will have different effects on the two