Learning a Foreign Language

With the development of the world and the raising level of education, learning a foreign language has become a compulsory subject for every student. At the same time, the problem of learning foreign languages is extremely crucial. Foreign languages are socially demanded especially at the present time when the progress in science and technology has led to an explosion of education and has contributed to an overflow of information. Foreign languages are needed as the main and most efficient means of information exchange of the people of our planet.A second language can be applied not only to science and technology, and sometimes it also used in people’s daily life. We all know that, whether you travel or business to another country, it will make your trip more relaxed and enjoyable that if you know the local language. Of course, this is just a basic purpose of learning a foreign language. I interviewed one of my friends about this topic, who called Flo and is a native English sp eaker and have been learning German for four years.I interviewed her about her experiences and viewpoints of learning a foreign language from many aspects, fortunately, I got some now ideas. There are many reasons to learn a foreign language, from studying and working in another country to communicating with foreigners, through travel, emigration and maybe just interest. When I asked Flo what is her purpose of learning German, she said that she had a trip in Germany when she was a child. At that time, she felt that German is a beautiful language, its pronunciation, and the way people speak it were deeply attracted her.So she began to learn German when she was in high school, and now, her major is German Business, so the purpose for her is changed. She said it is different from before when she studied German in high school, she studies German here is for learning the economic situation in Germany and also for looking for a career in Germany after graduation. As can be seen, reasons o f learning a foreign language are diverse. Sometimes you began to learn a foreign language just because it sounds good to you when it is spoken, and sometimes the information about the subject you chose s published mainly in a foreign language. Learning that language will make it easier to get the material you need. Learning a foreign language is useful but not easy. Its grammar, pronunciation, writing and vocabulary are always plagued language learners, they are totally different from your mother tongue, so there are a big deal of difficulties have to face for language learners. My interviewee said that the first big difficult she met is grammar. German grammar is more complex than English grammar, it has a lot of the old rules need to keep in mind, and it is less flexible than English.Although in some aspects, these two languages are similar, for example, the subordinate clause. But it is still not easy to master German completely for her. What’s more, the pronunciation is also a big problem for Flo. She showed me that in German letters, in addition to the A(a),O(o),U(u) and? , other letters written look not much different from English letters, but the pronunciations are totally different, she always confuse the pronunciation of two languages.Obviously, learning a foreign language is not that easy, we need to learn its grammar, writing, pronunciation and vocabulary, or even need to known about the culture and history of the country that speaks this language. This is the only way to fully grasp a foreign language. When we understand the purpose of learning a foreign language and what difficulties we will face when we study this language, the most important thing next is how to learn a new language. Because as long as you have a correct language learning method, you can quickly, completely and high efficiently master a language without fool’s errands.Flo told me that, at the beginning of learning German, she didn’t know how to learn it, ju st blind to see some German movies and news on TV, so during that time, her German level of progress is very slow. Though classroom learning, she began to know some correct methods of learning a new language. The best way for her is using the internet resources after classes, as we all know that the resource on the Internet is infinite, most of the time, we can get anything we want from the Internet, especially for language study, we can find some language learning audios, videos, articles and even online courses.So making good use of network resources have a negligible effect on people when they are studying a foreign language. And we cannot ignore that, at the same time, the way to learn a language is to practice speaking it as often as possible. Language is diverse. In people’s day-to-day conversation, we prefer to speak informal language with some slangs, it makes people communicate simple and not binding. Language is a collective human creation, reflecting human nature, how we conceptualize reality, how we relate to one another.Said by STEVEN PINKER, the author of The Language Instinct. Language is for the exchange of ideas, for the communication, so language is the most crucial tool for people to communicate, but only one language is not enough, form my point of view, learning a foreign language is necessary if you want to know more about the world. As long as you want to learn a new language, learning foreign languages should be fun.

Parvana’s life in Afghanistan Essay

In â€Å"The Breadwinner† Parvana’s rights are being violated. She has the right to go to school and get an education. She has the right to go to court to defend people. She has the right to freedom and many other rights, but nearly all of her rights are being violated by the Taliban. I wonder how Parvana deals with it? This essay will be about some of the rights that are violated in Afghanistan, the right for an education, the right to go to court and the right for freedom. The right for an education is violated. My first quote to help me give evidence that is on pages 10-11 â€Å"it wasn’t her fault she wasn’t in school! She would rather be there too. † This quote represents that the right for an education is violated because she wants to go to school, but the Taliban has forbidden girls to go to school. My second quote is found on page 11 â€Å"when they first took over the capital city of Kabul and forbade girls to go to school, Parvana was terribly unhappy. I think this quote means that the Taliban forbid girls to go to school so they are the smartest so it is easier to take over the whole of Afghanistan. The right for freedom is violated. The first example to show evidence is on page 22 â€Å"the Taliban has said we must stay inside, but that doesn’t mean we have to live in filth. † I think this quote gives a good example because it shows that they are demanded to stay inside. My second piece of evidence is on page 7-8 â€Å"For more than a year now, they had all been stuck inside one room, along with five-year-old Maryam and two-year-old Ali. I think this quote shows that the family’s freedom is violated because they have to stay inside because they are girls. Parvana’s right to go to court is violated. On page 31 a quote helps me give evidence that Parvana’s family can’t go to court. â€Å"Parvana watched hopelessly as two soldiers dragged him down the stairs. † I think this quote shows clear evidence because it shows that they just take him and don’t give information or when he will be released or anything. My second quote is found on page 30 â€Å"two of the soldiers grabbed her father. The other two began searching the apartment, kicking the remains of dinner all over the mat. † This means that the Taliban don’t give any information about when they can go to court to defend their father so he doesn’t need to go to jail, and they just storm in and do whatever they want. The Taliban also like to suppress people. Parvana deals with the rights in many ways. Girls could not go to school or be outside, so she disguised herself as a oy. She could not go to court to defend her father so she went to the prison to get her father back with her mom, but they were beat up. Parvana did not have the right for freedom so she disguised herself as a boy. â€Å"The Breadwinner† was a nice and emotional story about her life in Afghanistan and how she deals with her father being put in jail and the rights being violated. Parvana dealt with some of the rights, such as the right to go to court, the right for an education and the right for freedom.

One of the key questions managers may ask themselves is whether to Essay

One of the key questions managers may ask themselves is whether to make or buy their products and services. explain the relative - Essay Example As a result of this, the phenomenon of outsourcing emerged under which organizations decided to outsource some or all of their production and service functions in order to concentrate and focus on their core competencies. Most of companies either completely or partially outsourced their production and service function to other countries such as China and India in order to take advantage of cheap raw material and labor force. (Woodall et al, 2009) Opposite decision of outsourcing is the decision of insourcing wherein organizations attempt to produce themselves or provide the services through their own resources. Thus the decision to either outsource or insource depends upon different factors which combine together to allow organizations to decide as to which course of action to take. (Willcocks, 2010) This paper will provide the relative advantage of outsourcing as a viable alternative to the question of whether a firm should produce or make. Outsourcing Outsourcing is one of unique k ind of phenomenon and emerged as a result of the different needs of the international organizations. ... Under outsourcing, two organizations therefore come under the contractual agreement to agree upon the fact that assigned tasks will be performed by the second party to the contract according to the specific requirements of the organizations. Over the period of time, organizations therefore contracted out some or most of their functions to other organizations with better resources and capabilities. Initially the trend was to outsource only non-core operations of the organization however, the requirement to achieve better profitability and become more cost effective forced organizations to also outsource some of their core functions too. It is also important to note that the overall process of outsourcing was regional specific wherein organizations from developed country attempted to outsource their functions to the developing countries. The overall purpose was to achieve the organizational objectives and become more efficient. Insourcing is however, considered as an opposite of the ou tsourcing wherein organization often willing to maintain their control over their core operations. In order to achieve this objective, the resources are however, shifted to the departments which specialize in performing such business functions. By insourcing an organization however, can contract with other contractors to perform the job however, the performance of the function remains within the boundaries of the area where the organization operates. This also means that through insourcing a firm actually attempts to utilize the local resources to complete its operations rather than letting foreign vendors to perform the same. It is also important to note that the process of insourcing

Diffusion of new financial system in MHM Organization Assignment

Diffusion of new financial system in MHM Organization - Assignment Example But with the concept of globalization, the entire landscape of the accounting system in business changed. Every organization computerised their accounting system that reduced the work time considerably. Today almost every Multi National Company relies on modern accounting software and telecommunicating of accounting information to different units for running the business successfully and reaching clients all over the world. The company MHM is one of the chief suppliers of electrical equipments and it is currently operating in Qatar. The company was established in the year 1972 and it has also diversified in to other sectors including manufacturing, facilities management, contracting, and contracting. The company has the capability of handling large volume projects with limited assistance from third party. The strategic aim of the company is to empower the present electrical industry of Qatar with quality, technical expertise, and competitive price. The company has favorable attitude towards globalization and it also believes that with the introduction of new technology in various sectors, the opportunity to improve existing processes also increases. This is because with new investment in various sectors, foreign technological expertise and advice is also accessible (Harvie and Lee, 2002, p.172). The up gradation from old ways of paper based record keeping into automated software based entry manage systems is both challenging as well as rewarding. It is challenging in the sense that the company might face hostility from their employees who are not comfortable with technological advancements (Seacord, Plakosh, and Lewis, 2003, pp.1-2). Even till date there are some sections in the society that believes that machines can take over their jobs. Such negative sentiments have the potential to become a hurdle in the way of achieving company’s objectives in the long run. Hence it is important for the company to take care of such problems and provide proper traini ng to employees first so that the company does not face any opposition from the employees of the company (Hite and William, 2006, pp.22-25). The replacement of old fusion paper ways of financial recording into modernized computer software based recording is rewarding in the sense that automated record keeping reduces the time required for paper works significantly. Traditional ways of record keeping, especially in double entry system, required consistency which often led to clerical errors of accounting. In the automated systems, the computerized software has the ability to store or transfer the documents as per stored formats. The documents are saved and updated automatically whenever any changes are made or any transaction take place. At the same time the chances of losing important business critical document reduces as all the important data will be stored in centralized database. This would in turn also minimize the security requirements and the man hours of works taken by the a ccountants (Nobles, Scott, and McQuaig, 2012, pp.237-238). Strategic Role of New Technology The company’s business operations include Electrical showrooms, Facility Management, Electrical Switchgear Manufacturer, and along with this the company is also involved in MEP Contracting

HISTORY Research Paper Example | Topics and Well Written Essays - 1000 words

HISTORY - Research Paper Example the paper addresses the sufferings of the African American slaves during the Middle Passage and their struggle towards freedom which showed results in the Reconstruction period. Middle Passage refers to the transfer of African slaves from the coast of West Africa, through the Atlantic sea to America for the purpose of slavery2. After the Portuguese ships first arrived on the Guinea Coast to trade gold, ivory and pepper, they also wanted slaves. In 1441, a Portuguese named Antam Goncalvez, enslaved a Berber and West African as servant and took them home to gift them to the Portuguese prince. In the following decades, Portuguese captured hundreds of Africans to Portugal and Spain for service as domestic slaves. The Portuguese, European and white Americans instead of capturing and enslaving the African people wanted to purchase them as slaves from the African traders3. Slavery was prohibited nationally and internationally and different societies have designed their own laws and customs to abolish slavery. In 1652 Rhode Island General Court passed a law to abolish slave trading, which stated â€Å"no black mankind could be forced to serve a master for longer than ten years, after which they would be free, as the manner is with English servants†4, but this was never enforced. In 1784 the Rhode island legislature enacted â€Å"Gradual Abolition Act† stated â€Å"every person born in the state after March 1 of that year would be free†5, but it could not do anything for those who born before March 1. Finally in the year 1787 the state law prohibited â€Å"residents of the state from trading in slaves, federal statutes of 1794 and 1800 barring Americans from carrying slaves to ports outside the United States, and the 1807 Congressional act abolishing the transatlantic slave trade†6. While United Sates made a small effort in banning the trade, Great Britain made a major effort towards dispatching a naval squadron to the coast of Africa and at the same time negotiating with other nations to allow inspection of vessels suspected to carry slaves7. The Civil War on April 12. 1861, was the war between the North and South Americans, which was of special interest to the slaves because this war was regarded to be the deciding factor about the issue on slaves8. By the end of the war it was roughly estimated that about 179,000 black men serves as soldier and 19,000 served as navy in the US Army. Those who couldn’t serve as soldier served as cooks, guards, nurses, scouts, surgeons, steamboat pilots, guards etc , contributing towards the war. Black women who joined the war but couldn’t serve as soldiers, served as nurses, scout and spies. Estimation shows that about 40,000 black soldiers died in the course of the war and about 30,000 died of infection and disease, contributing hugely towards the war9. Reconstruction is the effort made to reconstruct and reorganization the South â€Å"politically, economically and soci ally† after the Civil war and also reform the relation between the race throughout the nation10. In this context Freedman’s Bureau established in 1865 by the War department played a major role in relieving and reconstructing socially to bring citizenship to

Helpful Nursing Experience Personal Statement Example | Topics and Well Written Essays - 500 words

Helpful Nursing Experience - Personal Statement Example It is a recognized fact that not all nurses are given the chance to work in this particular section of a hospital since it requires not just a thorough knowledge in the processes involved in surgery, but likewise needs an alert mind to cope with the necessities of the situation at the shortest time possible.   By extending my service to those afflicted with acute or chronic diseases, not to mention those severely injured, I realized that I must not be content with just performing my job as a nurse, but have to strive more in order to ease out the pain being suffered by my patients. Somehow, my experience in this field gave me an assurance that I am competent enough to handle the most difficult parts of nursing care. I also had an experience working in a nursing home or short-term rehabilitation center where I gained actual knowledge in handling special people with specific psychiatric needs, above the usual nursing care that is given in regular hospitals. Through this, I learned more how to communicate with different kinds of patients, from the young ones up to old-age patients. It was not really that easy to reach for these people and gain their confidence in order to fully perform the usual nursing care that they need. The actual hands-on experience, no matter how short, had made a big difference in enhancing my practical nursing skills. This knowledge, I admit, cannot be gained by the mere reading of books or by observation.

US aiding other countries Essay Example | Topics and Well Written Essays - 1250 words

US aiding other countries - Essay Example Before we begin to discuss the negative consequences of aid, it is important to examine some of the good aspects, in order to dismiss them in the larger scheme of things. First, there are many current instances where the US has gone far in providing relief to the suffering countries. The US military worked harder than that of any other nation in aiding Pakistan to combat the flood disaster which the country has faced recently (Ignatius). An amount of almost $362 million has been spent by the helping nation which has saved over 20,000 flood victims in Pakistan (Ignatius). Indeed, our current president is a big supporter of this style of friendly aid. These are all positive aspects of American foreign policy and are heartwarming. It often goes to help people who are truly in need. This is the good side of aid which everyone supports. But this is far from representing the true aspect of aid which we must face if we are fully understand how negative aid can be on a developing country. In deed, this positive aspect is a kind of mask which aid wears in order to hide its negative side. The truth is that much foreign aid is wasted. The best examples of this can be found in Africa. Africa is certainly one of the world’s wealthiest continents. It has large amounts of oil, timber, and precious metals. Its people are very intelligent and hardworking. Countries such as the Democratic Republic of Congo, Sudan, and Nigeria have so many resources that it is logical for them to have powerful, vibrant economies. Really, these countries should be the richest in the world. However, this is not the case. All three of these countries have problems with corruption. And their situation is not unique: many African countries rate very high on Transparency International’s list of the world’s most corrupt countries. This is a sad but true fact. Many experts agree that corruption is holding Africa back. But where does corruption come from and

Media Response Essay Example | Topics and Well Written Essays - 500 words

Media Response - Essay Example Reality check, they too are humans. Thus the world has to start treating them equally. In a contest they too can lose I mean do they always have to win? Amazingly, Asians are considered superheroes. But yet are they? Based on the short film by Chris Tashima and Tom Donaldson, about Sempo Sugiwara, who risked his live going against the most powerful institution in a country- The Government, just to save people he had no blood relations with. Hero or no hero it’s the perfect show of humanity. A war is not only fought using guns and swords alone, the brevity displayed in the film the Lil Tokyo Presenter shows how a single individual can make law his tool of war and use it to liberate his people (the Japanese) from the chaining bonds of the American law. I find this interesting as all the efforts bore fruits much greater than he anticipated. In the modern world, Asian Americans have been integrated in the society. They are rarely segregated as they can walk the talk in a whole different way than anyone expects! The best part is that they always stick together. My friend told a joking story when an Asian guy broke up with his American girlfriend only to hook up with an Asian American girl. This got me thinking how Asians stick and stay together like a pack of wolves! Harm one face all that’s their motto I presume. Asian Americans embrace all cultures but mostly cling to the Asian side a bit more. Anyway who can blame them? Asian culture is diverse and unique. From the food and spices all the way to martial arts there is a lot to share and discover. Personally is more into their fashion and mode of dressing. Their taste is just unarguable. As in the film Model Minority, we see that Asian Americans are depicted as going through struggles in the 21st century. The new generation of Asian Americans is faced with family drama such as parents forcing their kids to do hard subjects such as science or math. This has in turn led to the kids rebelling and dropping out

Critical Examination of the change management implications the Essay

Critical Examination of the change management implications the retirement of Terry Leahy's (Chief Executive) will have on Tesco - Essay Example Since its conception, Tesco has taken advantage and tackled major changes which have contributed to its success. Many changes facing the organization involve entrance of more women in the workplace, big disposable income, advent of weekly shop and the cheap food policy which was adopted in Britain after Second World War. The Origins and Development of Change in Financial Management The change in the financial growth of Tesco originates from e-commerce business activities which started in 2000 according to Finch (p184). Tesco concentrated more on its non-food business including the e-commerce business. Since then the company’s market shares have rapidly and impressively improved in the twenty first century. The management of Tesco since in history has been using technology for effective change. Tesco came up with a project known as Prospect to establish the areas in which technology could improve operational performance. The supermarket has indulged in a store-opening programme r for maintaining its position as the leading supermarket in the UK. The departure of a chief executive from any company attracts huge expectations in as far as changes in management are concerned as suggested by Toni and Tonchia (p947). The change can positive or even unsetting one depending on the leaving chief executive influence. The retired chief executive officer of Tesco spent his career developing the organization to be the biggest grocer in Britain. However his successor Phillip Clarke, will face the challenge of either maintaining the position or braking the company. The retailer has a wide range of products ranging from food to furniture as well mortgages and motor scooters. It has several outlets including its headquarters in Cheshunt and its branches in china. Tesco customers include buyers of high-quality goods and of low-cost goods while stores range from mega-stores to corner shops. One of the major changes that have been encountered by the retailer since the retirem ent of Leahy is the financial management. Since the set up of a joint venture with Royal bank which was done Leahy’s predecessor, Tesco has been offering financial services. According to Anon (69), this section has rapidly grown offering services such as loans, insurance and credit cards. One of the financial changes includes the now fully owned Tesco Bank which is aiming at becoming a great competitor to other banks. So far Tesco is selling its financial products to almost six million customers. Last year, the retailer launched a range of mortgages and savings account while in the current year Tesco is planning to launch a current account. The retail organization also intends to capitalize the discontent of customers through their current jobs. A focus by Liz Hartley who is principle consultant indicates that Tesco Bank will be among the top ten best banks in the country within the next five years. However the growth of the bank is likely to cause more changes in the organiz ation since banks are valued in a very different way compared to retailer. Key Implications of the Change to the Organization The change in financial management of Tesco has brought with it different implications. These implications include: The implication of balancing the current cost of managerial time with the new suppliers benefits as well as how to cope with the existing suppliers. With the retirement of Leahy, Tesco financial managem

Saint Augustine of Hippo and his Confessions Essay

Saint Augustine of Hippo and his Confessions - Essay Example Monica. It can be deduced through his works that his main goal is to find the spiritual truth, and due to himself not acknowledging the spiritual presence of God everywhere he had an early life full of sins. He died in 430, just when the Vandals were starting to besiege Calama, where he stayed for the rest of his life.4 As a reformed man who used to live in a life of sin, his book Confessions was able to convey his thoughts as well as his beliefs during and after his conversion to Christianity, as well as the struggles he had to face during the time when Rome was already crumbling and a new era was about to usher in. St. Augustine’s book, Confessions recalls most of his younger life, when he was still living in sin. The first 10 books were mostly his biography, while the remaining books focused on the first chapter of Genesis, mostly dealing with creation and the fall of grace, which he personally experienced.5 While it is not said in the book that he was a very bad child, he found pleasure in committing sins due to his search of love.6 The first book deals with his infancy to his youth, and during which he was starting to question things which he must do, as well as the good and mischievous things that he did in order to gain praise from just about everyone: from his parents; to his teachers and to his peers. However, trying to gain praises from human beings was only to make oneself feel good, and for that he confesses that he only looked for beauty and not the truth.7 The second book tells about St. Augustine’s life as a youth who was sent to Carthage in order to further his studies and become a respectable man. However, due to his relishing of the needs of the flesh, as well as to satisfy the peer pressure from his friends, he has sunk into an even lower state, much to the chagrin of his devout mother. He confessed that during these times, he was doing such things in order to satisfy his need for sinning, and nothing else.8 Concluding this book is St. Augustine admitting that having friends can either be good or dangerous, and that to live away from friends that commit sins should be the best course of action to avoid becoming a sinner even further. The third book talks about St. Augustine’s life in Carthage, how he felt that he desired to love something, but instead fell into the throes of lust.9 He also loved being an audience to theatrical plays, especially those of tragedies since he sees them as a mirror to his own life. Again, just to satisfy his vanity, he committed himself to become an eloquent speaker, to impress people. But upon reading the book Hortensius by Cicero, his whole life goal changed. He now tries to pursue the truth instead of knowledge.10 During this time he was jumping from one belief to another, and he stayed in the Manichean faith for around 10 years. Finally, through his mother, St. Monica, things were starting to become different for him. In the fourth book, most of St. Augustine’ s doubts regarding the Manichean religion as well as his swindling life as a teacher of rhetoric were further

Working at Mcdonalds Essay Example for Free

Working at Mcdonalds Essay In the essay, â€Å"Working at McDonald’s,† Amitai Etzioni talks about his belief that working, especially at fast food chain restaurants can be bad for teenagers. Working, for teenagers under some circumstances can be bad for them but sometimes its good depending on the daily schedule of whomever is working. If the teen is still in school, working is bound to affect their involvement and attendance in negative ways. Though it’s true that while working you gain on the job experience, Etzioni believes it can’t really help if it comes at the cost of education while teens think the opposite. Fast food jobs do have an advantage earning money while also learning how to manage the money they make. It boils down to whether or not risks outweigh the benefits when working jobs like this which all depends on the current situation of the teen. To begin, the Etzioni writes how he believes jobs don’t go well with keeping up schoolwork and can get in the way of attendance. This is the same for nearly all extracurricular activities most are after school so it’s likely to get in the way. When I was in high school I had a friend John who tried to juggle a job, schoolwork and a football altogether but in the end he chose to give up football because he couldn’t make it to any of the practices. The author also takes into account that if students don’t have enough time to study their grades will drop without question. It comes down to the decision of which activity to give up to make room for work. More than half the time students will abandon the sport to find more study time like in my friend John’s case. Second, the author addresses the problem that I think has two sides to the coin. He believes that jobs generally don’t give any training that would help outside of the work they would be currently doing. This is true because most of the skills taught in fast food restaurants are for the simple things like running the register or working the fryer. Many of the jobs themselves could be done as good or better by a nine-year-old because of how simple the work is. Most aspects of this type of job wouldn’t help anyone in the future much less a teenager. Once they no longer work there  anymore, the skill is useless unless they still plan on working in the same type of job. There are a couple of things that can be learned from a fast food job that might help with other jobs the future. If you’ve ever been to a McDonald’s or any other fast food restaurant and had a bad worker serving you, you might have gotten a little annoyed. Work ethic is very important at a fast food place or any workplace for that matter. In other jobs, if you are not quick and efficient, you might not make it very far in your work. Also, workers learn how to work with different types of people this helps them in later experiences in a work force. Getting an impatient customer is a good example, when presented with a problem like this it helps prepare you for other situations like it in the future. This is not always easy but will serve as great experience for jobs in the future. Lastly, Etzioni explains that working doesn’t teach teens how to manage their money. This however is where I disagree, the best thing about having a job as a teen is that you learn the value of a dollar from your own mistakes. Having money and working for that money helps teens to understand that money isn’t free and shouldn’t be wasted. When teenagers want to buy something they’ll simply go buy it only to find later that they could have gotten it at half price had they waited on a sale. Also teens will try to rent things they want from â€Å"pay later† businesses like rent a center instead of buying it when they have the money to do so just to learn that not only is it more expensive this way but if they miss a payment the rightful owners could repossess it at any time. Often times this could lead to debt, but if they are lucky their parents might help them out. â€Å"Students who worked at least 25 hours per week while in school, their unemployment rate four years later was half of the seniors who did work.† This means that most of those that began in fast food jobs stayed in that area of work or simply became unemployed. There are plenty of pros and cons to working at an early age, while it could interfere with school it can also help teens develop a good work ethic and learn from their mistakes. If they don’t get the chance to make these mistakes before they move away, the consequences could be alot more devastating. The question the author wants the reader to consider in all this is, can the risk worth the reward?

Strategy Development IKEA

Strategy Development IKEA Introduction This report describes the vision of IKEA, the main internal and external factors affecting its strategy development based on the articles and information published in press affecting the socio-economic activities of organisations. The first part of the report is about the history of IKEA and the idea behind IKEA Group then we will discuss the companys social responsibility programmes and how it strives to take advantage of public relations. Afterward, we will move on the affects of internal and external factors influencing the companys strategy development and finally how IKEA has performed since 2005. The external factors show political, economical and social analysis affecting the IKEA Group. It helps readers easily see what the main factors that IKEA should consider in its strategy development are. The history of IKEA Mr. Ingvar Kamprad, the founder of IKEA has been in his own business since he was five. At age of five, he bought matches in bulk cheaply in Stockholm and re-sold them to his neighbours at a lower-price but he was still making profit. Thereafter, he expended his business to selling flowers and greeting card, Christmas tree decorations and also pencils and ball-point pens. In 1961, IKEA starts its first quality test on the products using Swedish testing standards. Since then the company has been engaging innovating, producing and creating quality products with the lowest prices. The idea IKEA, as it says on its website, has a simple but challenging idea â€Å"To create a better every day life for the many people.† The group tries to support this idea, vision, by offering a wide range of stylish home furnishing products at prices so low that everyone will be able to afford them. Developing and creating quality products at low prices is not an easy task. To meet this strategy, high quality at the lowest price, the company involves with diverse aspects of management, production process and also innovation. However, the group does not scarify everything to meet its targets, keeping prices low but not at any price. IKEA works in an industry where there are many rivals and stakeholders, new competitors come in to the market with diverse products and target customers. In such a market environment, it is not easy yet focal to monitor changes and predict what your competitors next step would be. We will discuss the factors that have an impact on IKEA later in the report. â€Å"We shall offer a wide range of well-designed, functional home furnishing products at process so low that as many people as possible will be able to afford them.† THE IKEA Business Idea Strategy Development Factors Furniture retail industry is a huge industry with numerous competitors. Hence, to achieve a considerable market share having innovative products based on customers needs and wants is crucial. Moreover, innovation should be based on a cost effective mind in order to keep the manufacturing process cost as low as possible. The External Factors There are internal and external factors (forces) influencing the development process on every manufacturer. External factors mainly known as political, legal, social/green, economic and competitive and technological forces are often seen by managers as forced factors, nevertheless they plan their strategies based on based forces. These external factors could restrict some industries while open new opportunity windows for others. Currently, there are two external forces that should be more considered in strategy development than others. These factors are social/green forces and economic forces. In recent years, countries and people are more conscious about the environment because of global warming problem. This indicates that companies should become more environmentally friendly and employ new green technologies to reduce their negative impacts on the environment. Going green helps organisations to show their public how responsible they are to the environment. IKEA has published some documents and reports on its official website to reflect its green activities. â€Å"Social and environmental responsibility is a prerequisite for doing good business. IKEA ´s sustainability direction is that â€Å"IKEA`s business shall have an overall positive impact on people and the environment†. The IKEA vision and business idea encourage the work with social and environmental responsibility.† Anders Dahlvig, President and CEO, IKEA Group It is important for firms to convince their customers about their activities and behaviour against different aspects of their activities such as sources of raw materials, production process and standards, etc. all these needs are forces by external forces through new legislations and campaigns. Therefore, IKEA like any other market player should consider reasonable response to such factors. In addition, Economic forces are other external factor affecting companies sales, profits and turnovers. Currently, the world economy is suffering huge problems and difficulties due to US credit crises and international credit crunch. The recent credit crises in the US has cause a recession in the US market where is the second main market place of IKEA1 in other words, due to the economic difficulties, the US customers are not willing to purchase new goods as same as before as they do not have enough money to afford it. Hence, the group should consider new strategies for the US market to not only keep its market share, also avoid any profit loss. Furniture retail industry like other industries needs innovation to survive and compete in perfect markets. Innovation is the key to design and produce new products at competitive prices. However, about 50% of new products are not successful and are failed for different reasons. A company like IKEA with powerful presence in international markets should always recognise new product and opportunities to produce new innovated successful products. The Internal Factors The internal factors that should be considered in strategy development are more focused on factors that are controllable and can be predicted. E.g. customer services, product promotion, etc. The group is planning to double its size and build 20 new factories in the next five years according to the group. This new expansion requires considerable strategies and plans to the groups targets. However, building new facilities do not guarantee the success of the business. The idea behind IKEA is to produce quality products at low prices that appeal to the most people as possible. To hit this target, the group needs innovation to produce competitive products in one hand; on the other hand, it should exploit new technologies to make the production lines more efficient. A report published by Jeanette Martens son there are serious problems concerning the store project cost follow ups. Moreover, he argues that the store project cost follow up is too inflexible and a deliberate deviation from the specifications has to be done in order to study costs for different items specifically. In addition to cost management, marketing strategies and advertising programmes are internal factors that should be planned and considered in the strategy development plan. 1- IKEA financial fiscal report published on the Internet IKEA since 2005 IKEA Group is a multinational company possessing 231 stores expanded 24 countries. The group has developed 45 trading service offices in 31 countries, together with31 distribution centres and 11 customer distribution centres in 16 countries. According to the financial figures published by the group, there is a steady rise in the sales figures, increased by 1.34% from 2005 to 2007, hit a new record of 19.8 billion euros in 2007. As the official figures illustrates, IKEAs main market places are Europe, North America with 82% and 15% respectively. Asia and Australia had only 3% of sales contribution in the same financial period. Nevertheless, China with 22% and Poland with 16% are the countries with higher purchasing figures. Italy with 8%, and Sweden and Germany both with 8% are other countries where customers were more interested in the products of the group. Apart from financial statistics, IKEA has business relationship with 1,350 suppliers in 50 countries. Moreover, the group has e mployed 96,300 people in Europe, 16,450 workers in North America and also 5,250 employees in Asia and Australia. Apart from the published financial data, the group has been trying to increase its corporate social responsibilities and become more environmentally friendly by become greener and also employing new technologies with the lowest negative impact on the environment. Furthermore, the company is concerned about sources of raw materials used in the production lines. IKEA code of conduct IWAY Showing responsibility for people and the environment is a prerequisite for doing good business. Thats why IKEA requires suppliers to comply with the companys code of conduct, â€Å"The IKEA Way on Purchasing Home Furnishing Products† (IWAY). IWAY defines in detail criteria relating to working conditions, minimum wages, overtime payments, the right to belong to a trade union, emissions to water and air, waste and chemical management, and bans on child labour and discrimination in the workplace. Conclusion In conclusion, planning a strategic development plan requires numerous considerations and aspects. Every strategy development plan includes two main factors, internal factors and external factors. The external factors are those factors that are not controlled by companies whereas the internal factors are controlled by companies. Furniture retail industry is a huge industry with its especial potentials. However, there are some factors in retail industries that have direct impact on sales and also future success of each member of retail industries. Economic influences are part of these motivations. IKEA Group, as a multi-national group should consider the current economic recession in the US as North America is its second major market place. Recent mortgage crises, credit crunch and economic recession have caused financial difficulties for US economy; hence, customers are not willing to buy new products as they cannot afford it. IKEA is considered as a dominant furniture retail market player in Europe and it is recognised as a serious competitor in North America market; nonetheless, IKEA is not recognised as a major market player in Asia and Australia according the groups official annual report. Therefore, theses markets should be targeted in the future development and marketing plans if IKEA looks for new customers from these regions and also higher turnover.

Nerve And Tendon Gliding Exercises Health And Social Care Essay

Nerve And Tendon Gliding Exercises Health And Social Care Essay Carpal Tunnel Syndrome was first described by Sir James Paget in 1854 but the term was coined by Moeirisch. It is a syndrome of compression neuropathy of median nerve at the wrist. Carpal Tunnel Syndrome results in considerable discomfort and pain, limitation of activities of daily living, loss of sleep and work disability. (Levine et al., 1993). Twenty percent of symptomatic subjects with symptoms of pain, numbness, nocturnal parasthesia and tingling sensation in the hand would be expected to have Carpal tunnel syndrome based on the clinical examination and electro physiologic testing. CARPAL TUNNEL SYNDROME IN PREGNANCY Carpal tunnel Syndrome is more frequent in pregnancy because the systemic process increases the extra capsular fluid retention by the hormone Prolactin and produce soft tissue swelling in the later stages (third trimester) of their pregnancies. The Carpal Tunnel Syndrome can thus be produced by compression or swelling of the median nerve in its synovial sheath (Gelberman et al., 1981; Snell, 2000; Szabo, 1989; Primal Pictures, 2001; Rempel et al., 1999). Many therapies have been advocated for treating the carpal tunnel syndrome including Mobilizations, nerve gliding, tendon gliding, etc. Therefore the presence study was focused on the Effect of Nerve and Tendon gliding Exercises in the functional recovery of the carpal tunnel syndrome during pregnancy. Tendon gliding Exercises were mostly performed at the end range of motion at small amplitude are performed at the limit of available motion and stressed into the tissue resistance. These exercises are thought to relieve pressure on the median nerve and stretch the carpal ligaments, which also helps decrease pressure. They are also thought to help blood flow out of the carpal tunnel, which can help decrease fluid pressure. INCLUSIVE CRITERIA Pregnant Women with pain and swelling in the wrist for at least 1 month. Pregnant women with both unilateral and bilateral carpal tunnel syndrome. Pregnant women with age group between 25years and 32years. EXCLUSIVE CRITERIA Non-pregnant women with carpal tunnel syndrome. Pregnant women having other complications like hypothyroidism, diabetes that may lead to carpal tunnel syndrome. Any other trauma related injuries in hand. Males. MATERIALS AND METHODS Nerve and Tendon Gliding Exercises. Functional Status Scale for measuring functional activity. HYPOTHESIS Nerve and Tendon Gliding Exercise programme will be effective in the treatment of carpal tunnel syndrome during pregnancy. NULL HYPOTHESIS There may not be any significance between the nerve and tendon gliding exercise programme and carpal tunnel syndrome during pregnancy. OBJECTIVES The aim of this study is to determine from the available evidence the effectiveness of Nerve and Tendon gliding exercises programme in carpal tunnel syndrome during pregnancy using Functional Status Scale for performance and Symptom Severity Scale for wrist pain. STUDY DESIGN A total of 20 patients having carpal tunnel syndrome during pregnancy are selected to find out the effectiveness of nerve and tendon gliding exercises on them. The duration of study per patient 4 weeks Treatment session 10 minutes per session / 2settings Treatment per week 7 days DURATION OF STUDY: 6 months OUTCOME Relief of pain and swelling in hand. An improvement in the functional ability of hand. Awareness is created for the working pregnant women especially with computers, typewriters, cake decorators, postal workers, dentists, and dental technicians virtually, who use their hands and wrists repetitively. Avoiding the severity of median nerve injury, which may lead to claw hand if unnoticed. INTRODUCTION Sir James Paget first described carpal Tunnel Syndrome in 1854 but Moeirisch coined the term. It is a syndrome of compression neuropathy of median nerve at the wrist. INTRODUCTION: Carpal Tunnel Syndrome results in considerable discomfort and pain, limitation of activities of daily living, loss of sleep and work disability. (Levine et al., 1993). The Carpal Tunnels floor is made up of the 8 tiny wrist bones. Its roof is a thick ligament called the transverse carpal ligament. 9 tendons pass through this tunnel. 4 of the 9 tendons bend the tips of the finger, another 4 of the 9 tendons bend the middle joints of the finger, and the 9th tendon bends the thumb tip. The median nerve passes through this tunnel. When there is swelling or if there is thickening of the ligament the nerve gets pinched or compresses. With enough compression carpal tunnel symptoms occur. If the compression is severe or occurs over a longer period of time the nerve may change shape and flatten causing some permanent damage. Carpal Tunnel Syndrome occurs due to many causes like Wrist injury CARPAL TUNNEL SYNDROME IN PREGNANCY Carpal tunnel Syndrome (CTS) is more frequent in pregnancy because the systemic process increases the extra capsular fluid retention by the hormone Prolactin and produce soft tissue swelling in the later stages (third trimester) of their pregnancies. The Carpal Tunnel Syndrome can thus be produced by compression or swelling of the median nerve in its synovial sheath (Gelberman et al., 1981; Snell, 2000; Szabo, 1989; Primal Pictures, 2001; Rempel et al., 1999). CTS have been recognized as a common complication of pregnancy (HeckmanSassard, 1994). The pathophysiology of pregnancy related CTS (PRCTS) has been mostly attributed to redistribution of fluids (Ekman-Ordeberg et al., 1987; Wand, 1990; Pauda et al.,2001). Signs And Symptoms 1.Pain that shoots from the hand up the arm as far as the shoulder. 2.Tingling in the hands during the day or the night that disrupts sleep and limits the ability to grasp objects with the hands. 3.Weak feeling in the hands, and the inability to pick up small objects. 4. The feeling that the hands are swollen, even if they do not appear to be so. 5.Burning numbness and tingling sensation in the thumb and first three fingers. 6.Weakness in the muscle at the base of the thumb, near the palm. Motor weakness will be seen in abductor pollicis brevis, flexor polices brevis and opponens policis brevis. Passive flexion or hyperextension of the affected hand at the wrist for more than one minute may worsaen symptoms.(Phalen.G.S.,1966). Percussion of the median nerve at the wrist causes paresthesis of the digits (Steward.J.D.,1978). Early Treatment 1.Splinting the wrist in a neutral position. 2.Avoiding the activities which causes pain if possible 3.Tendon and nerve gliding exercises. 4.Massaging 5.Elevating the arm or flicking 6.Neural mobilization 7.Ultrasound, icing, as pain relieving modality etc. Non operative treatment s is more effective in early stageas such as NSAIDS and local corticosteroids injections.If the probl;em is severe surgery is made to release the carpal tunnel. Diagnostic criteria Harrington etal suggested surveillance criteria for carpal tunnel syndrome should be pain or parasthesia or sensory losss in the median nerve distribution and one of the following: Tinels sign positive Phalens test positive Nocturnal exacerbation of symptoms Motor loss with wasting of the abductor pollicis brevis Abnormal nerve conduction studies. Nocturnal and exertonal dyesthesias in the radial half of the palm occur in 10% to 25% of pregnant women. When the carpal tunnel syndrome occurs, the symptoms area more often bilateral. Onset of symptoms is typical during the third trimester. Because of itas trnsient nature carpal tunnel syndrome during pregnancy is best treated by using conservative measures, such as tendon and nerve gliding exercises. That subsequent pregnanciesaraae frequently associated with repeated episodes of carpal tunnel syndrome confirms the association of carpal tunnel syndrome and pregnancy. Gliding Exercises Tendon gliding and median nerve-gliding exercises are two types of exercises that may help with carpal tunnel syndrome. These exercises are thought to relieve pressure on the median nerve and stretch the carpal ligaments, which also helps decrease pressure. They are aolso thought to help blood fow out of the carpal tunnel, which can help decrease fluid pressure. Fist Flexion Exercises Fist Flexion Exercises(also known as tendon gliding exercises) move your fingers through five positions while your wrist stays in a neutral position(meaning it is not bend). To perform this exercise, do the following: 1.Start with your fingers straight. 2.Make a hook fist and then return to a straight hand. 3.Make a straight fist and then return to a straight hand. 4.Make a full fist andthen return to a straight hand. Hold each positons for seven seconds amd do 10 repetitions. Repeat three times to five timeas a day. Median Nerve Gliding Exercises For median nerve gliding exercises ou move yout thumb through 6 positi0nswhile your wrist stays a neutral position. To perform this exercise, do the following: 1.Begin by making a fist with your wrisat in the neutral position. 2.Straigthen your fingers anad thumb. 3.Bend your wrist back and move your thumb away from your palm 4.Turn your wrist palm up 5.Use your other hand to gently pull uyout thumb farther away from your palm. Hold each position for seven seconds, and do five repetitions. Repeat three ti five times a day. Effectiveness of the Tendon and nerve gliding exercises used as conservative treatment approachesd in relieving the symptoms of the carpal tunnel syndrome during pregnancy.(Lamia Pinar, Asgel Enhos et al.,) Definition Carpal tunnel syndrome is a condition caused by compression of median nerve within the carpal tunnel leads to sensory changesover the lateral side of the hand and muscle weakness in thenar eminence, results in pain, numbness and tingling of fingers. It usually occurs in the third trimester of pregnancy. Aim of Study A STUDY OF EFFECTIVENESS OF NERVE AND TENDON GLIDING EXERCISES AS TREATMENT APPROACH TO CARPAL TUNNEL SYNDROME DURING PREGNANCY. OBJECTIVES The aim of this study is to determine from the available evidence the effectiveness of Nerve and Tendon gliding exercises programme in carpal tunnel syndrome during pregnancy using Functional Status Scale for performance and Visual Analogue scale for wrist pain. HYPOTHESIS NULL HYPOTHESIS There may not be no significance between the nerve and tendon gliding exercise programme and carpal tunnel syndrome during pregnancy. Alternate Hypothesis Nerve and Tendon Gliding Exercise programme will be effective in the treatment of carpal tunnel syndrome during pregnancy. Review of literature 1.Lamia Pinar, Asgel Enhos et.al Conducted an experiment study on total of 26 patients with caroal tunnel syndrome were divided into two groups. In one group the volar splint were applied and trained to modify their functional activities in accordance witrh conservative treatment. In group two tendon gliding exercises were continued for 4 weeks with numeric rating scale and Gonuiometry. It comcluded that group two reported excellent results in pain reduction and functional improvement than gropup one. 2.Akaline.E.,et.al.,(2002) Conducted an experimental study on carpal tunnel syndrome with a total of 28 patients with 36 hands of CTS, which were divided into two groups, with 14 patients each. One group was treated with nerve and tendon gliding exercises along with custom made neutral volar splint, and another group was treataed with only neutral volar splint for 4 weeks continuously. Patientas satisfaction was invesatigated during the follow up ranging from 5-11 month, with a mean of 8 month. The study explained that, of those patients who performed nerve and tendon gliding exercise with wearing custom made neutral volar splint, 93% reported good results, and of those patients who have only wearing neutral volar splint, 72% reported good results. American Journal of Physical Medicine Rehabilitation, 2002, Feb;81(2), Pp:108-13). 3.Rosemaryn .L.M., et.al.,(1998) Conducted an experimental study on carpal tunnel syndrome with 240 hands, from 197 patients. They were divided into two groups. Patients in both groups were treated with standard conservative methods, and those in one group were also treated with a program of nerve and tendon gliding exercise of those who did not perform the nerve and tendon gliding exercise, 71.2% underwent surgery compared with only 43.0% of patients who did perform them. Patient in experimental group, who did not undergo surgery were interviewed at an average follow-up time of 23 months (range, 14-38 months), of these 53 patients, 47(89%) responded to this detailed interview of those 47, who responded, 70.2% reported good or excellent results, 19.2% remained symptomatic, and 10.6% were non-complaint.(Journal of Hand Therapy, 1998, Jul-Sep:11(3),171-9). 4.Dakowick.A.,(2005) the purpose of the study was to evaluate the usefulness in conservative treatment of carpal tunnel syndrome. 40 Patients aged 30-72 years, with unilateral CTS cofirmed by EMG examination were included. The patients were divided into 3 groups based on clinical symptoms according to Whitley. The character of pain, its frequency and intensity (VAS Scale) were determined using parameter. Decrease in pain was observed by the usae of VAS. (Rock Akad Med Bialmyst, 2005:50-suppi:196-8). 5.Bonebrake.A.R.,et.al.,(1990) the study was designed to assess the efficacy of a proposed new and unique programme relative to treatment. The patients diagnosed as CTS were compared to control to a control population showing no symptoms. Prior to undergoing treatment and following completion of the treatment programme. Results indicate that individuals with CTS had significantly lower values in strength, ROM, and slower task performance than did the control;ratings of pain anad distress were also significantly higher than the control groups. Analysis of the post treatmaent cases revealed statistically significant improvements in several measures of up to statistically significant improvements in several measure of up to 25% over post treatment values. Significant improvement was also shown to several ROM measures of upto 22%. Finally, a significant reduction of 15% pain and distress ratings was demonstrated in the post treatment cases. (Journal of Manipulative Physical Therapy, 1994 (May);17(4):246-249). 6.Scrimsha.S.R.,et.al.,(2001) Conducted a comparative study between the responsiveness of Visual analogue scale and McGill pain questionnaire. Measures in 75% patients and concluded that the VAS was a better tool than the McGill pain questionnaire for measuring pain in clinical practise. 7.O.Baysal, Z.Altay et.al Conducted a study in 28 female patient with clinical and electrophysiologic evidence of bilateral carapal tunnel syndrome. They were divided into two groups. Group 1 received tendon gliding exercise with splinting. Group 2 received splinting with ultrasound for a period of 4 weeks with Visual analogue scale and Functional status scale. 8.Bringer TL.,Roger IC et.al conducted a randomized trial in totoal of 61 patients with carpal tunnel syndrome. They were divided into four groups. Group 1 received neutral wrist and MCP exercise group. Group 2 received neutral wrist MCP exercise along with splint. Group 3 received wrist cock-up exercise and Group 4 received wrist cock-up exercise and tendon gliding exercise along with splintas perfoarmed 3 times a day. The tool used to asses the function is functional Status Scale and Symptom Severity Scale. There was significant effect in Group4. 9. Sonodyn, Sieman(2000) Conducted an experiment on study of 16 patients. They was treataed with Ultrasound for a period of 4 weeks and the pain was assessed. In this, 88% reported good reasult and reduction pain was assessed by using Visual Analogue Scale. 10. Davis.P.T.,et. al., (1998) Conducted an experimental study to compare the efficiency of conservative management care with chiropractic care in treatment of carpal tunnel syndrome. The group with 9 week of treatment and a 1 month follow-up interview. 96 eligible patients with symptoms were conformend by clinical exam and nerve conduction studies. Conservative treamtment included mobilization of carpal bone, soft tissues, joints (three treatment per week for 2 wee, two treatment per week for 3 week, and one treatment per week for 4 wek). Main outcomes measures were pre and post assessment of self reported physical and mental distress, nerve-conduction studies, results show that there was significant improvement in perceived function and comfort, neve conductuion and finger sensation. (Journal of Manipulative Physiotherapy, 1999 June;22(55);348-9) 11. FD Burke, J Ellis, H McKenna, M J Bradley(2003) Carpal Tunnel syndrome of mild to moderate severity can often be effectively treated in a primary care environment. Work space modifications wrist splints tendon and nerve gliding exercises are of benefit and useful for symptomatic women in the third trimester of pregnancy. 12.Shaafi Sh*, Naimain Sh*, Iromlou H*, Sayyah Melli M** A convenience sample of 90 pregnant women (30 women from each trimester) were referred from Al-Zahra Hospital of the electrodiagnostic ward of examined clinically and then by electroneurodiagnostic tests.There were suspected symptoms of CTS in 45 patients. The most frequent symptom and sign were hands paresthesia(34%) and positive tinel and phalen sign(each22%). CTS was definite diagnosis in 15 women(16.6%) by electroneurodiagnostic studies. Mild bilateral involvement was seen in 73.3% of patients. There was a meaningful relationship between CTAS and trimester that 26.6% of patients were at third trimester. Also there was a meaningful relation to age. The CTS was more frequent in ilder women. 13.BaumannF, Karlikaya G, Yuksel G, Citci B, Kose G, Tireli H(2007) Pregnant women in the third trimesater (n=69) and age-matched non-pregnant women (n=40) asymptomatic for CTS were included in the studyNerve conductn studies of themedian and the ulnar nerves across the carpal tunnel were bilaterally performed with the standard techniques. All the median sensory nerve conduction studies performed from the ring finger and palmar region to the wrist. Median sensory nerve latencies from palmar branches to wrist were significantly longer in the pregnant group.(p 14. OConner.D.,et.al.,(2002) Conducted an experimental study to evaluate the effectiveness of non surgical treatment for carpal tunnel syndrome versus a placebo or other non-surgical control interventions in improving clinical outcome. Twenty ine trials involving 884 people were included. In one trial involving 21 people carpal bone mobilization significantly improved symptoms after three weeks, (weighted mean difference is -1.43;95% confidence interval is 2.19 to -0.67), compared to no treamtment. Current evidence shows significant short term bebefit from carpal bone mobilization. (Cochrane Databasae syst Rev.2003;(1):CD003219). MATERIALS AND METHODOLOGY MATERIALS AND METHODOLOGY FULL PAGE MATERIALS AND METHODOLOGY MATERIALS USED Couch Chair Pillow Foot stool VAS SCALE FUNCTIONAL STATUS SCALE METHODOLOGY STUDY DESIGN Quasi experimental study with Pre Vs.Post test design. STUDY SAMPLING The 10 samplings were selected from Retna Global Hospital, Trichy and Thanthai Roever College of Physiotherapy, perambalur. A total number of 10 subjects were diagnosed as symptomatic Carpal Tunnel syndrome during pregnancy at age group of years was selected by Quasi-experimental purposive random sampling method after giving due consideration to inclusion and exclusion criteria. STUDY SETTING The study was conducted at Outpatient Physiotherapy Department in Thanthai Roever College of Phsiotherapy, Perambalur, Rathna Global Hospital, EMG Laboratory in PG Studies under the supervision of concerned authority. STUDY DURATION The study was conducted for a period of 4 weeks. INCLUSION CRITERIA Pregnant women with pain and swelling in the wrist for 1 month. Both unilateral and bilateral involvement. Age 25 years and 32 years. EXCLUSIVE CRITERIA Non pregnant women with carpal tunnel syndrome. Pregnant women having other complications like hypothyroidism, diabetes which may lead to carpal tunnel syndrome. Any other trauma related injuries. Abnormal X-Ray of the wrist. Males. Gained surgical of symptoms. History of steroid injection into the carpal tunnel. PARAMETER A.VISUAL ANALOGUE SCALE(VAS) The VAS Scale is the valid and reliable measurement tool for pain.It is used to measure the pain response that the patient experience before and after nerve and tendon gliding exercises of median nerve. VAS Scale consists of 10cm horizontal line with two ends labeled as no pain(0) and severe pain(10), the patient will mark a point on the line, which corresponds to the intensity of pain what theyexperience. B.FUNCTIONAL STATAUS SCALE(FSS) Functional Status Scale was used to measure the functional disability offhand. It consists of six items of questionnaire (writing, buttoning of clothes, holding a book while reading, household, carrying grocery bags, bathing and dressing). SCORING 06-12 -No difficulty 13-18 -Mild difficulty 19-24 -Moderate difficulty 25-29 -cannot do at all due to hand or wrist symptoms. PROCEDURE A total of 10 subjects with symptomatic carpal tunnel syndrome during pregnancy was selected randomly with due consideration to inclusion an exclusion criteria A brief demonstration was given about tendon and nerve gliding techniques for the patient. Pre test data and post taest data was collected with VAS and FSS Scale. The results were recorded. The subjects weare given nerve and tendon gliding exercises. The results of post test of the same parameter was recorded and compared. Statistical tools The statistical tool used in this study were paired t-test. PAIRED T-TEST à ¢Ã‹â€ Ã¢â‚¬Ëœt-test was used to find out the statistical significance between Pre and Post test values of tendon and nerve gliding exercises and VAS pain response and FSS Scale response before and after treatment. FORMULA: PAIRED T-TEST S= à ¢Ã‹â€ Ã¢â‚¬Ëœdà ¢Ã‚ Ã‚ ¿ d =Difference between the Pre Test Vs post Test _ d= Mean difference n=Total number of subjects S=Standard deviation DATA PRESENTATION DATA PRESENTATION TABLE-1 S.No Visual Analogue scale Pre Test Post Test Functional Status Scale Pre Test Post Test 1. 8 4 27 16 2. 7 3 27 12 3. 8 5 26 15 4. 9 4 29 13 5. 7 2 25 15 6. 8 4 25 12 7. 9 3 28 16 8. 7 4 28 16 9. 8 2 27 17 10. 8 3 28 14 DATA ANALYSIS AND INTERPRETATION DATA ANALYSIS AND INTERPRETATION This chapter deals with the analysis and interpretation of the Datas collected from 10 patients with carpal tunnel syndrome during pregnancy and the effect of nerve and tendon gliding exercises aas a treatment approach to carpal tunnel syndrome during pregnancy by comparing the VAS Scale for pain response and FSS for functional ability. TABLE II The table II shows the mean value, mean diference, standard deviation and paired t value between pre and post test value of Visual Analogue Scale for patientas whao have been subjected to tendon anad nerve gliding exercises. VAS Mean Mean difference Standard deviation Paired t value Pre test Post test 7.9 3.4 4.5 1.07 13.28 It explains the paired t value of pre and post test value was 13.28 at 0.05 level of significance which was greate than the tabulated t value 2.26. This showed that there was a statistical significant difference between pre versus post test. The pre test mean was 7.9 the post test mean waas3.4 and the difference was 4.5 which showed that there was a reduction in Visual Analogue Scale score in post test values in which the recovery of selected samples in response to intervention. THEREFORE THE STUDY IS REJECTING THE NULL HYPOTHESIS AND ACCEPTING THE ALTERNATE HYPOTHESIS. Graph Visual analogue scale: Pretest VS Post test Series1: Pretest Series2: Posttest Functional Status Scale: Pre test Vs Post Test Series1: Pretest Series2: Posttest TABLE III Table III representas the mean values,mean difference, standard deviation and paired t value of Functional Status Scale who have been subjected to tendon and nerve gliding exercises. FSS Score Mean Mean difference Standard deviation Paired t value Pre test Post test 27.1 14.6 12.5 2.22 17.7 It explains the paired t value of pre versus post sessions awas 17.7 at 0.05 level of significance which was greater than the tabulated t value 2.26. this showed that there was a statistical significant difference between the pre and post test resultas. The pr tesat ment was 27.1, the post test ment was 14.6,and the difference was 12.5 which showed that there was a reduction in functional status scale score in post test values in which recovery of the selected samples in response to intervention. Thrrefore the study is rejecting the null hypothesis and accepting the alternate hypothesis. Graph DISCUSSION DISCUSSION The aim of the study was to determine the effect of tendon and nerve gliding excercises in reducing the pain and improving the functional ability of hand in patient with carpal tunnel syndrome during pregnancy. Carpal tunnel syndrome is most common and significant of all nerve entrapment syndromes (Phalen.G.S. 1972). It causes 20% of all compression syndromes especially in the third trimester of pregnancies. A total number of 10 subjects of age group of 25-32 years were selected for the study. Visual Analogue Scale for pain and Functional Status Scale for functional ability were taken as parameters to measure the affliction of patients. Pre test data has collected for the subjects and computed. They were subjected to tendon and nerve gliding exercises for 4 weeks. The result of post teat of same parameter was recorded for comparison after 4 weeks of treatment. The paired t test was used to compare the pre VS post test results of subjects. Caarpal tunnel syndrome is a common condition among people who do repetitive wrk all day lke punching keys on computer or cash register or even pressing on the strings of a violin. Pregnant women are also susceptible to carpal tunnel syndrome even if they do not type or play msic all day. The studies have shown that one out of four pregnant women complains of the syndrome usually in the second or third trimester of pregnancy when fluid retention in the aarms and hands is more likely to put pressure on the nerve that leads to the hands anad fingers. The nervous system is normally under some pressure and tension. If the tension is breaked there results some movement(Millesi.et.al.1972). Dackowicz . A.,, conducted an study to evaluate the usefulness in conservative treatment of the carpal tunnel syndrome. According to Butler neural tissue requires movement to promote healing and restoration of optimum mechanical properties.Decreased neural mobility and adverse mechanical tension in nervous system can generate pain.(Butler and Elvey 1978). Mchellan and Swash in 1976 noted that wrist and fingers extensor wil move the median nerve at wrist 2 or 4 times more than the middle of the upper arm. According to Asgel Enhos tendon requires movement to promote functional ability. Rosmaryn and Asgel Enhos said that the decreased tendon gliding in nervous system can generate pain. Rosmaryn proposed that radicular pain might be mobilizing the involved nerve. The mechanical respose is tendon movement in the cross sectional shape and viscoelastic function. So the treatment of tendon Gliding Exercise mah normalize the pressure gradient around the nervous system and releases the tendon thus reducing pain improving functional ability. Summary Summary The objective of the study was to determine from the available evidence the effectiveness of tendon and nerve gliding exercises programmed in reducing pain and of increasing the functional ability in the carpal tunnel syndrome during pregnancy. To conduct the study, the total number of 10 carpal tunnel pataients during pregnancy with both unilateral and bilateral involvement at the age group 25 to 32 years, who were suitable for inclusive criteria was selected by Quasi experimental purposive random sampling technique and informed consents were obtained from subjects individually. The pre and post test of VAS and FSS were conducted and recorded before and after treatment programmed for 4 weeks of nerve and tendon gliding exercises inmcarpal tunnel syndrome during pregnancy. The paired t test is used to compare the pre and post test values of nerve anad tendon gliding exercises and the pain and functional ability are computed by the VAS and FSS Scale. In the analysis and interpretation of the data based on the Visual Analogue Scale for pain the paired t- test value (13.28), which was greater than the tabulated paired t test val

Oedipus The King :: Oedipus Rex, Sophocles

Oedipus the King: Appetite for Destruction Of all the tragedies that Greek playwright Sophocles created in his illustrious career, the one that stands out as his masterpiece, and quite possibly one of the greatest of all the Greek tragedies is Oedipus the King. The tragedy focuses on the life and downfall of the unfortunate King Oedipus, who was condemned by the oracle at an early age to murder his father and marry his mother. Despite the oracle’s grim prediction, Oedipus was responsible for his own downfall due to his overly proud and impetuous attitude, and his own intellect and diligence. In the polis of Thebes, Oedipus was the not only the king but he was also the hero of the community. The security and health of the community depended on him and he was expected to meet every urgent crisis with a plausible solution. He was celebrated for acting decisively and making decisions and then acting on them. With all his past accomplishments and achievements, Oedipus developed a strong sense of confidence, which fueled his over inflated ego. Unfortunately, when circumstances did not turn out in his favor, such as in his conflict with Tiresias the blind prophet, Oedipus became rigid and refused to see the problem on any one else’s terms except his own. Oedipus only wanted things to go the way he thought they should go. Whatever stood in his way he tried to overcome publicly and without any compromise from the opposing party, which was illustrated in his argument in front of the palace with Creon over the murder of the former King Laius. Ultimately his attitude of confid ence with no compromises contributed to his disastrous and sad end. In most cases, intelligence and diligence are valuable traits to possess, but for Oedipus they contributed to his eventual downfall. Oedipus was known for being extremely intelligent and was very talented at solving riddles. To earn the right to be King of Thebes, Oedipus solved a riddle, which as a result removed a plague from the land. In the play, Oedipus is again faced with another plague in his kingdom and this time the riddle was to discover who murdered King Laius. Using his intelligence, he again solves the riddle, but tragically for Oedipus he discovers that he is the murderer and he ultimately has to punish himself for the crime. Throughout his search all the people around him were urging him to use caution in his search, and even his wife Jocasta ordered him to abandon his quest, citing that the oracle was mistaken and was a hoax.

Reassemblage: Challenging the Relationship between Women and Visual Ple

Reassemblage: Challenging the Relationship between Women and Visual Pleasure Visual pleasure, derived from images on film, is dominated by sexual imbalance. The pleasure in looking is split between active/male and passive/female. In her essay "Visual Pleasure and Narrative Cinema" Laura Mulvey asserts the fact that in mainstream films, women are simultaneously looked at and displayed. That is to say, the woman is both an object of desire and a spectacle for the male voyeuristic gaze. The male's function is active; he advances the story and controls the gaze onto the women. Interestingly, the spectator identifies with the male through camera technique and style. In an effort to reproduce the so-called natural conditions of human perception, male point-of-view shots are often used along with deep focus. In addition, camera movements are usually determined by the actions of the male protagonist. Consequently, the gaze is dominated by the active male while the passive female exists to support desire within the film. In an attempt to change this structure, Mulvey stresses the importance of challenging the "look." One way this is accomplished, is in the film Reassemblage, where the look of the camera is free from male perspecti ve and dominated more by passionate detachment. In doing this, the filmmaker, Trinh Minh-Ha attempts to destroy the satisfaction and pleasure derived from images of women in film, by highlighting the ways Hollywood depends on voyeuristic and fetishi...

Young Adults in Macomb County :: Friendships Relationships Essays

Young Adults in Macomb County I've only known a lot of the people I hang out with for about two years. I've kept a few of the old ones that I've known since I was little but now my friends are always changing. That's what happens when you get older, people change and move on. Hopefully I'll hang on to the ones I have now better than I have in the past and make some new ones along the way. It's really weird how everything started. I didn't go to school with the people I hang out with. My best friend Jacki and I decided to go miniature golfing one day and it all began. There were six really slow guys in front of us, we didnà ­t want to talk to them but they were going really slow so we just asked them to hurry up. As we started talking we found out that they knew a kid named Ryan that Jacki worked with. Through Ryan we ended up seeing them again. Eventually we started hanging out with the rest of their friends and everyone became a regular part of my life. I'm standing outside, making sure to ring the top doorbell, the one to Chris' basement. After ten minutes I'm about to leave but Nick comes strolling up to the door just as I turn around. Nick doesn't live there even though it seems like he does because he never leaves. We both walk down into the basement. It smells like his dog. The lights are off and the only thing that keeps me from bumping into the furniture is the glow from the television. The usual people are there, Chris is sitting on the couch next to Tengler, Jeremy is sleeping on his bed and Nick is playing Mario Golf on Nintendo 64. I walk to the big green couch that I always sit on, it smells like dog food. After five minutes of no one saying anything the doorbell rings. Since no one seems to be making any effort to move toward the stairs I decide to answer the door. It's Stephanie and Christina. Trevor and DeMatteis are pulling up in the driveway right behind them. We all walk into the basement. Everyone wa nts something to do.

Buss1 Key Terms

BUSS 2 Key Term Definitions  ©T Ockenden Finance: Budget – A budget is regarded as a goal or a â€Å"yardstick†; it’s something a business uses in order to work to, for example: a firm may have budgeted fixed costs of ? 5000, they aim to either meet this budget or fall below it to operate to the desired level. Variance – Variance applies to budgets, and it is the difference between the forecasted or budgeted figure, and the actual figure that comes out at the end of a certain review period.Cash flow forecast – A cash flow forecast is a document that records the expected inflows and outflows of a business. Overdraft – Short term borrowing from a bank, a business will only take out as much money as it needs in order to cover its daily cash shortfall, because overdrafts are high interest short term finance options and can be required to pay back within 24 hours. Factoring – Fully named debt factoring, is the process by which the debt fa ctor company buys a percentage of the debt owed to one company by another company or customer (often around 80%).This means although the company owed to will lose 20% of the money, it means that 80% can be with them immediately rather than having to chase for it. Sale and leaseback – This is where a company will sell an asset off in order to generate short term finance, but they will buy back the asset on a lease basis as in the will pay for it as and when they need it. Net profit margin – Simply a profit margin is the gap between the prices the unit is sold for and how much it costs to produce it. Net profit margin is worked out by doing net profit over sales turnover x100.Return on capital – Profit as a percentage of the capital invested in a project. Profitability – Profitability measures profit against another variable in the business, for example you’ve got net profit margin which is profit in relation to costs, or ROC, which is profit in rela tion to the capital invested. Marketing: Niche marketing – Niche marketing is where a business is tailoring a product or service to a very specific customer or market (think cooking dinner for the queen), requires much research in to their needs and wants and other factors in order to get it right.Mass marketing – Mass marketing is almost completely the opposite, it involves creating a product or service with mass appeal and promoting it to all types of consumers (bread and other commodities). Business to business marketing – This is a term to describe the transactions that take place between one company and another, in this sense the customer is seen as another business. Consumer marketing – When a company sells its products and services to the individual consumer, it is referred to in marketing-speak as B2C, or business-to-consumer.Marketing mix – This refers to the 4 main ingredients in the marketing cake, product, price, place and promotion. Al though is BUSS 2 they ask you specific stuff on each section. USP – One feature that makes a product or service different from all its rivals, for example the apple operating system on iphone. Product differentiation – The extent to which your product or brand is differentiated is the amount to which customers feel your product or brand is different from others in the same market.Product life cycle – This is sort of like the â€Å"this is your life† book for a product, it comprises of stages; Introduction, growth, maturity, saturation and decline. Represented as a graph in most cases. Product portfolio – Product portfolio analysis looks at the existing position of a company’s products. The best way is Boston matrix here; a firm can place their product in any of the four boxes and from there, decide if a new product needs to be launched or increased promotion is needed or even an introduction to a new market.Boston matrix – The Boston matrix shows the market share of each of the firm’s products and the rate of growth of the markets each product is in; helps in the decision making process of new products or more promotion/new market e. t. c. Promotional mix – The combination of promotional methods used by a business when marketing its products. PR – This is an attempt to affect a consumer’s opinion of a product without actually spending on media advertising, it can involve getting journalists to mention the product in regular publications such as newspapers and T. V magazines.Branding – Branding is the overall image that is tagged to everything a company does, it’s the thought consumers have when they see the company logo, for example, when people see the M&S sign, they automatically think high quality. Merchandising – This requires employees to visit shops where the company’s product is sold to ensure that the brand’s display looks eye-catching and ti dy. An example is the dump bin displays you sometimes see at the end of shopping aisles when a new product is launched. Sales promotions – These range from little competitions you see on the actual product packaging to offers run by the shop itself such as BOGOF’s.Direct selling – This is where potential customers are approached directly. This used to be door to door sales type people, but increasingly more know it involves the use of tele sales. Advertising – Advertising is a form of promotion; there are various methods firms use, such as: T. V adverts, radio ads, billboards around town, leaflets given out in the street e. t. c. It’s the way firms get the knowledge that their product is around out there. Pricing strategies – A pricing strategy is a company’s plan for setting its prices for products over the medium to long term. Short term offers are known as tactics.Tactics can however make strategies or help them. Price skimming â⠂¬â€œ Skimming involves pricing a new product quite highly, it is used when the product is innovative (Apple), as the product is new there is no competition. Price penetration – This involves pricing a new product at a fairly low price in order to achieve high sales volume. It’s used when launching a product into a market where there are similar products; the price is set lower to gain market share. Price leader – This is where the price is set above the market level. This is possible when the company has strong branding or there is little threat from competitors.Price taker – This is when the price is set at the market level or at a discount to the market. This usually happens in highly saturated and competitive markets or in a market where one company dominates. Pricing tactics – Whichever strategy has been chosen, there are tactics that also need to be considered. They can be part of normal pricing or used as an element in the firm’s prom otional tactics. Loss leaders – Prices are set purposefully low – so low that the firm may make a loss on the product; the idea is that purchasing these products will encourage the customer to buy complimentary products to generate profit.Usually common in supermarket environments. Psychological pricing – Prices are set at a level that seems as if it I lower to the customer i. e. 9. 99 as opposed to 10. 50. Price elasticity – A measurement of the extent to which a product’s demand changes when its price is changed. Distribution channel – Distribution channels are the ways in which products get to consumers in the right place for them to purchase them. Oligopoly – A market in which a few large companies have dominant share, for example: the UK chocolate market a 70% share split between Cadbury, Nestle and Mars.Competitive markets – Could be described as a market where there is intense rivalry between producers of a similar good or service. Competitiveness – Measures a firm’s ability to compete (compares its consumer offer to the offers made by rivals). People: Organisational structure – Organisational structure is the formal and ordered way the management of a business is organised. When displayed in the familiar diagram format, it shows the departments or functions within the business and who is answerable to whom.Levels of hierarchy – These show the number of different supervisory and management levels between the bottom of the diagram and the top of the hierarchy. Span of control – This term describes the number of people directly under the supervision of a manager. Chain of command – This is to do with communication, and shows the reporting system from the top of the hierarchy to the bottom (the route info takes through the business). Delegation – Handing power down the hierarchy to junior managers or workers. Labour productivity – Purely and simp ly, the output per person (Output over no. Of staff).One of the ways to measure workforce effectiveness. Labour turnover – The rate at which people leave their jobs and need to be replaced. The other way to measure workforce effectiveness. Recruitment – Recruitment is the process of filling job vacancies when they arise within a firm. Selection – the process of choosing from a field of applicants from a job Selection techniques – The processes used by a company to choose the most appropriate person for a job, examples are interviews and trial runs. Internal recruitment – Where a job vacancy is filled by using someone who already works within the company.Sometimes seen as promotion. External recruitment – Where a job vacancy is filled by using someone who comes from outside the company. Assessment centre – These allow for more detailed analysis of person’s suitability for a role by subjecting them to realistic simulations, often over a number of days. Types of selection test – A number of selection techniques exist, including: Interviews, testing and profiling (aptitude tests) and assessment centres. Person specification – A document that details the qualifications, skills and other personal qualities required in order to carry out the advertised job.It describes the ideal person Job description – Not the same as a person spec, a document that outlines the duties and responsibilities associated with an advertised vacancy. It describes the job On the job training – Where employees acquire or develop the skills they need without leaving their usual work place (shadowing of higher level employees). Off the job training – Where employees leave their usual workplace in order to receive instruction on how to perform their job role well (College or university) Job enrichment – Herzberg: â€Å"giving people the opportunity to use their ability†.Job enlargement †“ General term for anything that increases the scope of a job. (Job rotation, job loading and job enrichment). Empowerment – A management practice of sharing information, rewards, and power with employees so that they can take initiative and make decisions to solve problems and improve service and performance. Team-working – Individuals work in groups rather than being given highly specialised, individual jobs. Operations Management: Operational targets – Operational targets or objectives are the specific, detailed production targets set by a company to ensure that its overall company goals are achieved.Unit costs – The cost of one unit of output is a raw measure of the efficiency of a firm’s operations (total cost over total output = unit cost). Quality – Quality or specifically quality management, means providing what the customer wants at the right time, with the right level of quality and consistency and therefore yielding high custome r satisfaction. Capacity utilisation – Actual output as a proportion of maximum capacity (out of 100%). Non-standard orders – Sometimes a company will be approached by customers with special orders at a different price to their regular selling price.A customer with special requirements may require changes to the product or a modified design, but they may be willing to pay a much higher price. Overtime – Paying staff extra to work longer hours than their contracts state. Temporary staff – Employees on fixed-term contacts of employment, either for a determined amount of time or until a specific task has been completed. Part-time staff – Staff who are contacted to work for anything less than what is considered the basic full-time hours of the business.Rationalisation – Reorganising in order to increase efficiency. This often implies cutting capacity to increase the percentage utilisation. Sub-contracting – Where another business is used to perform or supply certain aspects of a firm’s operations (outsourcing). Quality control – Quality control is the traditional way to manage quality, and is based on inspection after a certain batch number of units. Quality assurance – Quality is a system that assures customers that detailed systems are in place to govern quality at every stage of production.TQM (total quality management) – This was introduced by an American business man W. Edwards Deming in early 1980s. TQM is not a management tool, it is a philosophy. It is a way of looking at quality issues at every aspect of the business (think kaizen stuff). Quality standards – Companies can apply for quality standards certification to show the rest of their market and others that they are serious about the quality of what they do. ISO 9000 certification covers customer service in firms where the skill is relevant.Customer service – Describes the range of actions taken by a business wh en interacting with customers. Effective CS will meet or exceed the expectation that customers have of the business. Suppliers – A person or business that serves as a source for goods and services. For example, Sysco Corporation is a major supplier to the food service industry. Robotics – Robotics are the automated systems used on many of today’s modern mass production lines (car manufacturers). They are programmed to do the same thing over and over, so repetitive tasks can be completed with 100% efficiency.Automation – Typically refers to automated stock control systems, they are based on laser scanning or bar-coded info. This ensures the computer knows the exact quantity of each product that has come into the stockroom. Equally when something is sold the number is subtracted from the original stock room total. Communication technology – This covers aspects all over the business, we’ve got communication with customers; two main ways compani es can electronically communicate with customers: 1 is a website and 2 is a database management system that holds information on all of a firm’s customers.Also you’ve got communication with suppliers, with things such as electronic data interchange, this links up data sources between branches of a business this can be useful to find out instantly how much stock is in a store on the other side of the country. Design technology – Computer Aided Design (CAD) has been around for over 20 years but is now much more affordable and very useful. CAD can show 3D versions of a drawing to see what it would look like if it was a 3D model. Productivity – Output per person (a measure of efficiency).

Verba and Non-Verbal Communication Theories

In all communication events, unless there is a relationship between actions and words, the message can be wrongly interpreted. I observed a conversation between a bartender and a customer in busy and crowded bar. The customer wanted the buy one more double bourbon but the bartender refused to sell to him. This resulted in a series of communication theories, which will be analysed later. In order to analyse the communication theories that provide most insight into understanding the dynamics of the observed event, it is necessary to define what communication is and examine the different communication models and theories used in the observed event. In the context of the observed event, verbal and nonverbal communication, paralanguage, noise (psychological and physical), attribution errors, body movements (emblems, illustrators, affect displays and regulators) are the communication theories that will be examined to show how they all combine to give more meaning to messages. Communication is a process of which information flows from one source to a receiver and back. ( who) communication is a two way process which is complete only when the receiver gives feedback that he or she has understood the message. When people use words to communicate, they do not just listen to what is said in order to understand the message. They also look at the person who is speaking to see what their body is doing and listen to the way they are saying the words to understand their full message. For example, in the observed event, 80% of the communication has been made before the customer even opened his mouth to speak. The customer staggered to the bar and verbally asked to be served one more double bourbon. The bartender refused to serve him because he knew the customer is already drunk and according to the NSW law, should not be served any more drinks. The question is how did the bartender know the customer was drunk? As opposed to the verbal message, the bartender was able to decipher the nonverbal messages being sent by the customer – the disturbed balance in his movement, his glassy eyes, smell of alcohol, sweat on his face, and the muddled speech. ll these indicated to the bartender that this customer is drunk. When his request was denied, the customer became defensive saying he was not drunk. He refused the alternative non-alcoholic drinks offered by the bartender and became instantly aggressive, yelling and abusing the bartender. One could read the evidence of paralanguage in the customer’s voice. ‘Paralanguage is the vocal (but nonverbal) dimension of speech. (reading 2. 2) one could read from the high pitch of his voice, and the angry tone of his voice which was becoming loud that the customer is beginning to get angry and aggressive. One could also see the angry look on his face; this is called affect display which is any emotional response in a communication. There are also different body movements by both the bartender and the customer that all gave more meaning to the conversation. For example, when the customer could not be controlled, the bartender called the security staff by raising his hand palm up and establishing eye contact with him. The security understood immediately that his service was needed at the bar. This nonverbal body movement is called emblems. According to ( textbook p. 69) ‘emblems are those gestures that have a specific verbal translation. Another body movement was the way the bartender was shaking his head side to side at the same time he was declining the customer’s request. This type is called an illustrator. Illustrators are all those gestures that go along with our speech. ’(textbook p. 70) There was also the evidence of repetitions of messages in the observed event. the bartender had to explain to the customer over and over again why he would not serve him more alcohol because the customer kept saying he should be served now. Here, there was difficulty getting the message across to the customer and this could be due to a particular barrier to communication called noise. Noise is any distortion factor that blocks, disrupts, or distrusts the message being sent to the receiver, interfering with the communication process. (textbook p. 7) In this context, the noise could be psychological due to the emotional state of the customer (being drunk) or physical noise stemming from the loud music in the club and also the presence of many people. Not getting the message across easily could also be due to attribution errors which are errors people make because they assign a certain meaning to something that was not intended. In this event, the customer is of Indian origin; so it could be that he understood the bartender’s shaking of head to be a ‘Yes’ instead of ‘No’. This is because a slow shaking of head in India means ‘Yes’. The presence of regulators such as ‘pauses’ that occurred throughout this conversation indicate opportunities for feedback and responses to be sure the other person is listening. To conclude, communication, which is the exchange of ideas, knowledge, information and attitudes, is much more than words. Although verbal and nonverbal communication are similar in that they both convey meanings and different in more ways, both of them put together provide complete meaning of the message. Even though they work together, it is nonverbal communication that accounts for 65 to 93% of the total meaning of communication. (birdwhitsell, 1970; mehrabian, 1981). This means that what is not being said in a communication determines the success or failure of that communication. Due to the dynamic nature of communications, it is important to master nonverbal behaviours especially in service industries like tourism and hospitality for effective communication. The bartender being able to know the customer was drunk was due to the nonverbal symptoms of drunkenness. Most symptoms of drunkenness are universal irrespective of age, gender, culture or origin and can be easily identified. Thus the different communication theories used in this communication event: verbal and nonverbal communication (vocal and nonvocal), the different types of body movements, noise (physical and psychological), attribution errors all combine to provide the most insight into understanding the dynamics of the observed event.