Wednesday, October 30, 2019

Finance Assignment Example | Topics and Well Written Essays - 250 words - 1

Finance - Assignment Example January effect is important because it creates an opportunity for investors to purchase stocks at a lower price before January and sell them when their value increases. This effect is also useful as it indicates the inefficiency in the stocks markets. Weekend effect is used to indicate a pattern in which the stock market tends to perform very well on the Fridays and poorly on Mondays. Thus the prices of the securities and volumes are highest on the Fridays and lowest on Mondays. This effect is important because it is used for speculation. Apple effect originated from the scenario of the huge surge in the indices figures as a result of the inclusion of the Apple shares in the S&P index. It is used to refer to a market abnormality that result when an attractive company is included or is expected to be included in the index. Turn of the year effect is a stock market anomaly used to describe a pattern in which the trading volume and the prices of stock increase in the last week of December and the first two weeks of January. This situation is applied for speculation purposes by stakeholders in the financial markets. Size effect is used in the stock market to refer to a market anomaly in which the performance of the small companies based on the market value exceeds those of the large companies. Size effect is useful because it is used to reflect a credit risk premium in the market. Momentum effect is used in the stock markets to refer to a situation in which within a period of 3 to 12 months, the past stock winners will always continue to perform better than the losers. The stock momentum is the force in the stock prices in which stocks with the past strong performances tend to perform well even in the future while those with poor performance history tends to perform poorly even in the future. This phenomenon is useful

Monday, October 28, 2019

Music Role of a Composer Essay Example for Free

Music Role of a Composer Essay A person who creates the music the music we listen to by writing a piece of music for theatre, radio, film, TV and computer games where music is needed is known as composer. Composing of music has played a vital role in the lives of composers making others to be considered as princes of music like Josquin and Palestrina yet others had unique styles of composing their music. The roles of a composer are to create music by creating situations in which sounds will basically be. A composer has to devise strategies to ensure coordination of elements of performers set into motion. This is achieved by ensuring that proper notation of music has been done in order to accurately direct musicians. The task of a composer is to write an original piece of music fitting for a specific mission after which the composition will then be performed by musicians. The music composed might be having lyrics or just instrumental. Furthermore, it can be either in the form of country, classical jazz or even folk. The work of composer improved a great deal between 900 to 1820. in the 900’s, composers used to create music in that there is a solo singer and choirs or more probably in an Organum style . In the process of change, music styles became more complex and multiple parts were used for different instruments and this help to bring harmony. The recorder, lute and the invention of printing press that brought about standardization of musical notation. Later the Organum was modified into the modern harmony of today by use of a figured bass to accompany a melody. The introduction of keyboard in equal temperament enabled different keys to be used without alteration. Finally, during the classical period, the composers fostered for loyalty or nobility of the time. The composers of the time were offered with creative tools to build many accredited pieces of music given that the concept of music was abstract and detached allowing them to explore the music industry. Josquin Desprez (1440-1521) was the master of composing in his time . He created his music with careful words which were of marvelous simplicity and sophistication. Ludwig Van Beethoven (1770-1827) was the instrumentals in bringing into being the romantic music era. These two men brought about great change in the musical industry and meaning to composers without fear of experimenting. References Fulcher, J. The Composer as an Intellectual. Music and Ideology in France 1914-1940. New York: Oxford University Press, 2005 Smith J. Carlson B. The Gift of Music: Great Composers and Their Influence. Crossway, 1995

Saturday, October 26, 2019

The Pain of Growing Up Essay -- Personal Narrative, essay about myself

My family and I all stood in a circle on the second story of a parking garage, dreading the moment that was to come, but hiding our true feelings for the time. It was time for us to leave my brother by himself at college, and let him begin his individual adult life. We had known about this day for weeks. I often joked with my brother about it, telling him how great it would be to finally get him out of the house so I could take his room. Sometimes, we would start to grow sad about his leaving, but then reassure ourselves that we would still see plenty of each other, if not too much. That superficial thought had remained in my mind all the way until that tearful moment when it was finally time to say goodbye. As I stood in that cold parking lot, staring at my sibling, all my previous notions of college were smashed. I had always viewed it as a sort of extended summer camp. You go there for a while and you have fun doing whatever you do at college and when you come back at the end, it is great to see your family again, and you say goodbye to all your camp friends and h...

Thursday, October 24, 2019

Bubbles Up: a Science Experiment on Density Essay

Density is the measure of the quantity of some physical property [usually mass] per unit length, area, or volume (YourDictionary.com). How does temperature affect density? Do items become denser after being frozen? It is well known that water becomes denser when it’s temperature lowers until its freezing point. Does this principle apply to oil; and if so, which kinds? This question easily applies to real world problems. For example, when there is an oil spill in the ocean, the clean up crews have to know how dense the oil is before simply cleaning it up. If the oil is dense enough that only very small amounts are rising to the surface, the clean-up team will have to come up with a deep cleaning plan that won’t harm marine wildlife. On a more everyday level, understanding how certain car oils are affected by weather, thereby affecting their density, is necessary to keep one’s car running adequately without leaving harmful residue behind in the mechanics. For this experiment, I will be testing the density of three different kinds of oil: olive oil, mineral oil, and Wilbert’s lemon oil. I will test the oils’ density before and after being placed in the freezer to see if there is a noticeable difference in the density of the oil. I predict that all of the oils featured in this experiment will be more dense after sitting in the freezer for an hour. I came up with this hypothesis after reviewing other density related science experiments. What further assisted in the making of this hypothesis was the recalling of the fact that objects with lower temperatures (such as air or water) become denser. Two experiments that I found to be quite similar to this one were the Density Column and the Bubbling Lava Lamp. The Density Column measures the density of seven different liquids by layering them on top of each other. By doing this experiment, one is able to find out which liquid is the most dense; with the order ascending from there. Based on the results, they found that not all oils are the same density. Vegetable oil came in fifth from the bottom of the tower; lamp oil was the seventh and last layer in the column (Spangler, 2012). In the Bubbling Lava Lamp experiment, the fact that water is denser than vegetable oil was taken advantage of. Using an Alka-Seltzer  tablet, the formed carbon monoxide bubbles that pushed the water up and through the vegetable oil. What happened thereafter is that the Alka-Seltzer bubbles would pop and the colored water would sink back down to the bottom of the container through the oil (Spangler). Regardless of penetration, the two liquids did not mix. While temperature was not a key factor in either experiment, they did show that the liquids differing in densities would not mix despite what was happening to them or around them – and that is important for this experiment. In order for Bubbles Up to work properly, the oils cannot mix with the water they are floating on top of no matter what happens. To conduct the science experiment, I used the following items: (3) 12 ounce cups (1) marble (1) dime (1) penny a pitcher of water a bottle of olive oil a bottle of mineral oil a bottle of Wilbert’s lemon oil blue food coloring a freezer a timer a measuring cup a spoon or a pair of tongs to retrieve the objects from inside the cups soap and water solution to clean the objects off paper towel thermometer : In the experiment Bubbles Up, the observer will drop various objects into each of the three cups and record how many bubbles of oil they observe. While the results may vary slightly from mine, it may be because of ambient temperature of the room they are working in. This design plan was chosen because timing how fast an object fell to the bottom of the cup is  impossible without computer assistance. However, counting how many bubbles of oil occur within the water is a good measure of how dense the oil is because of it being light enough to fall with the object. The reasoning behind this experimental design in terms of whether or not the density of oil changes with a change in temperature was a matter of working with limited resources. I have not found any other experiment using this method to test density; but there is a similar experiment for testing viscosity. In The Viscosity of Motor Oil, a marble was dropped through a a graduated cylinder of motor oil three different times. Each time, the motor oil was a different temperature. Density, volume, and velocity were used as variables to solve for viscosity (Ani, 2011). To begin, set up your work station. Mix the food coloring with the mineral oil. Fill each cup with four ounces of water. Then, fill one cup with six ounces of olive oil. Wash out the measuring cup; then fill a different cup of water with six ounces of mineral oil. Wash out the measuring cup again. Fill the last cup of water with six ounces of Wilbert’s lemon oil. At this point, you should have three cups – all of which have a different color oil floating on water. Set up the rest of your materials so that are out of the way, but within easy reach. Set up your data table (see table below). Proceed to Experiment 1. Part 1 Step 1 – Pick up a marble and drop it from the rim of the olive oil cup. Record how many bubbles of oil float upwards from the bottom. Carefully remove the marble with a spoon or tongs and wash it off with soap and water. Repeat this step with the dime and penny, making sure to remove each object and washing it off before moving on to the next object. Step 2 – Repeat step one exactly for the mineral oil cup and lemon oil cup. Step 3 – After ensuring you have recorded all data and washed all objects clean, proceed to Experiment 2. Part 2 Step 1 – Place all three cups containing oil in the freezer. Set the timer for one hour. Step 2 – After one hour has passed, carefully remove the cups  from the freezer, one by one, making sure to not shake them. Step 3 – Repeat Part 1. Do not skip any steps. Step 4 – After ensuring that you have recorded all data, carefully clean up. Have an adult assist in the disposal of the oil – water mixtures if you are under 18 years of age. You will observe how many bubbles float up through the water after dropping an object in, one at a time. Do this with one object, one cup at a time to retrieve accurate results. Remove the previous object before dropping the next one in (ie.; drop in the marble, record the data, remove the marble, drop in the dime, record the data, remove the dime, drop in the penny, record the data, remove the penny, go to the next cup and repeat). The data table should be set up in this manner: [Image Not Included] : I first recorded my data on paper with a pencil, then re-typed it on the computer. I suggest doing this so that there isn’t a possibility of damaging your electronic devices. The independent variables of this experiment are the oils. They will be tested in two differing temperature conditions. The dependent variables are the number of bubbles observed after dropping the objects into the cups. The number of bubbles should differ based on being a difference in the density of the oils after their temperature decrease. The control variables are the objects being dropped into the cups. They are constant and do not change in composition in any manner. While there are ways to ruin the validity of this experiment, I have taken steps to reduce and/ or completely cancel out threats to validity. The objects are all dropped from the rim of the cup to ensure that there are no variations in height from which they are dropped. Should there be a variation in height, that could very well affect the number of bubbles produced. All of the cups have four ounces of water in them so that there is the same amount of space for the bubbles to be observed within in each cup. All objects are washed off before being used again to avoid the oils mixing  together. All objects are reused for each cup so that there isn’t a variation in weight of the marble, dime, and penny. A variation in weight could affect the number of bubbles produced. When the cups were placed in the freezer, they are all placed on the same shelf in a row going side to side. By doing this, I have reduced the chances of any cup being in a section of the freezer that was cooler or warmer than another section. Lastly, I have made it a point to record the data immediately after observation so the chances of forgetting are practically impossible. With those steps taken, the validity of Bubbles Up has been ensured. I began the experiment by mixing the food coloring and mineral oil together. I then filled each cup with four ounces of water.. Then, I filled one cup with six ounces of olive oil; washed out the measuring cup and repeated this action with the mineral oil and Wilbert’s lemon oil. I carefully laid out the rest of my materials so that they were within easy reach, but out of the way of my work space. Lastly, I set up the data table so that I could easily write down my observations. I began by picking up the marble and holding it to the rim of the cup of olive oil. I proceeded to drop it in and counted the number of bubbles of oil that appeared. I then wrote down the number in the date table. I then carefully removed the marble with a spoon and washed the two items off. I then picked up the penny and held it to the rim of the same cup and dropped it in. I counted the number of bubbles and wrote down the data into the table. I then removed the penny with the spoon and washed both off. Lastly, I picked up the dime and and held it to the rim of the olive oil cup before carefully dropping it into the cup. I then counted how many bubbles came up and wrote the number down. After removing the dime with the spoon, I washed the dime and spoon off. I then moved on to the cup of mineral oil. Starting with the marble first again, I held it to the rim of the cup and dropped it in to the cup. After counting how many bubbles appeared, I wrote the number down. I then removed the marble with the spoon and washed them off. Then, I moved on to the penny and held it to the rim of the cup and dropped it in. I wrote down the number of bubbles I observed after dropping the penny in. The penny was then removed with a spoon and both were washed off. Last came the dime to be  dropped in from the rim of the cup. Post-observation of the bubbles, I wrote the number I had seen. Before going on to the last cup, I removed the dime from the cup with the spoon and washed them off. Turning my attention to the cup of Wilbert’s lemon oil, I picked up the marble and dropped it in from the rim of the cup. Counting the number of bubbles, I wrote how many I observed. Carefully, I removed the marble from the cup with the spoon and washed the two items off. Then the penny was dropped in from the rim and the number of bubbles was counted. The data was collected and written down into the table. The penny was removed with the spoon and the two items were washed off. Lastly, the dime was dropped into the cup from the rim and the number of bubbles that appeared was counted; that number was then written down into the table. Before concluding this half of the experiment, the dime was removed with the spoon and the two were washed off. At this point, the three cups were carefully transported to the freezer one by one. They were each placed on the second to top shelf about halfway from the back of the freezer. The three of the cups covered the length of the freezer from one side to the other (this was done in a two door refrigerator where the freezer and refrigerator stand next to each other instead of one top of the other). I then set the timer for one hour; and after that hour I removed the cups from the freezer and took their temperatures. They were all the same temperature – 43 ° F. I then placed the cups down on the table in the order they’d been in before (from left to right): olive oil, mineral oil, Wilbert’s lemon oil. I restarted the experiment by picking up the marble and holding it to the rim of the cup of olive oil. I proceeded to drop it in and counted the number of bubbles of oil that appeared. I then wrote down the number in the date table. I then carefully removed the marble with a spoon and washed the two items off. I then picked up the penny and held it to the rim of the same cup and dropped it in. I counted the number of bubbles and wrote down the data into the table. I then removed the penny with the spoon and washed both off. Lastly, I picked up the dime and and held it to the rim of the olive oil cup before carefully dropping it into the cup. I then counted how many bubbles came up and wrote the number down. After removing the dime with the spoon, I  washed the dime and spoon off. I then moved on to the cup of mineral oil. Starting with the marble first again, I held it to the rim of the cup and dropped it in to the cup. After counting how many bubbles appeared, I wrote the number down. I then removed the marble with the spoon and washed them off. Then, I moved on to the penny and held it to the rim of the cup and dropped it in. I wrote down the number of bubbles I observed after dropping the penny in. The penny was then removed with a spoon and both were washed off. Last came the dime to be dropped in from the rim of the cup. Post-observation of the bubbles, I wrote the number I had seen. Before going on to the last cup, I removed the dime from the cup with the spoon and washed them off. Turning my attention to the cup of Wilbert’s lemon oil, I picked up the marble and dropped it in from the rim of the cup. Counting the number of bubbles, I wrote how many I observed. Carefully, I removed the marble from the cup with the spoon and washed the two items off. Then the penny was dropped in from the rim and the number of bubbles was counted. The data was collected and written down into the table. The penny was removed with the spoon and the two items were washed off. Lastly, the dime was dropped into the cup from the rim and the number of bubbles that appeared was counted; that number was then written down into the table. I then removed the dime and washed it and the spoon off. I then disposed of the oils by dumping them out into my back yard; except the lemon oil. I flushed that down the toilet. After cleaning up my work space, I immediately set to digitizing my data table. Please refer to the attached charts for the data table and graphs. The method used to to run this experiment was counting bubbles instead of timing how fast the objects fell through the oil. The reason I did not time the objects’ fall was because it was far less than a second for each of them. However, the bubbles were a visible observation and did prove to change with the change of the oils’ temperature and density. Because the oil was denser, it stuck more to each object as they fell through and thus produced more oil bubbles in the water. Therefore, the question as to whether or not oil became denser when cooled was answered quite fully. Before freezing the oil, the number of bubbles per oil per object were pretty close in range considering the marble was the heaviest object and the dime was the lightest. It was also taken into consideration that unlike the marble, the two coins could produce only slightly more oil bubbles by flipping as they fell through the oil and water. Throughout the experiment, the coins didn’t flip more than one full rotation at any given time. The number of bubbles for the olive oil in order from heaviest to lightest object was 6, 7, and 4; giving an average of 5.6 bubbles. The number of bubbles for the mineral oil was 6, 5, and 3; providing an average of 4.3 bubbles. The number of bubbles for the Wilbert’s lemon oil was 10, 10, and 9; with a mean of 9.6 bubbles. If you refer to the chart, you’ll see that I didn’t add the averages to the chart or graph. My reason in mentioning them is to show that they fell within the range of numbers. However, if you look at the graph, you will see that after placing the oil in the freezer for one hour, the number of bubbles increased across the board. The post-cooling numbers for the olive oil are 11, 10, and 8; with an average of 9.6 bubbles. The post-cooling numbers for the mineral oil are 9, 7, and 5; with a mean of 7. The Wilbert’s lemon oil post-cooling bubble count is 13, 12, and 12; providing an average of 12.3 bubbles. The conclusion of Bubbles Up is that oil’s density is affected by temperature. This conclusion was reached by observing the change in the number of bubbles between the oil being room temperature and chilled in the freezer. Based on these findings, I accept my initial hypothesis of oil’s density will increase as its temperature decreases. As seen by the data chart and graph, more oil bubbles were created by the falling objects after the oil had been placed in the freezer for one hour. This conclusion was reached by having a clear and repeatable experimental design. Having a concise experimental design is important because it will help to ensure that there is little room for error. Also, designing an experiment around a scientific inquiry will make it more likely for that specific question to be answered in an accurate and testable manner. If the experimental design is badly planned out, one can have inaccurate results, inaccurate information, and even have an irreparable or injurious mistake occur. The reason for having a well made experimental design is to negate any ill effects that could arise during testing; as well  as ensuring valid results. One major factor of a well thought out experimental design is whether or not it can be replicated. Scientific replication in terms of experiments is important because it allows others to see first-hand what the original person observed. It also tests and retests the hypothesis and findings of the original experiment. If the experiment cannot be replicated, there isn’t a way to confirm whether the hypothesis is absolutely true and that those results from the first experiment are correct. For example, my experimental design detailed each step of the experiment as well as the conditions under which the experiment was done so that another person could repeat every portion of it down to the temperature of the room I was in. By making my design fairly simple, the steps of the design are easy and clear to follow. I indicated which order I tested things in, I made it clear to wash the items in between cups, I noted how long to leave the oils in the freezer for – among other things. Mentioning every detail – big and small – allows my experimental design to be replicated. Due to having a simple design that is replicable and reliable for its purpose, my study is fairly valid. It covered the purpose of the experiment, answered the question, and tested my hypothesis. I do believe that if this experiment was replicated, the results would be extremely similar. With similar results between the original experiment and a replication, the experimental design would be proven to be valid. The ability to replicate an experiment and achieve similar results is important. If one replicates an experiment exactly and the results are vastly different, then the validity of the experiment does not exist. The experiment would be considered invalid. The reason for this is because a replication of an experiment tests how well the experiment was designed. If the experiment is designed poorly, then the experiment’s results may be terribly inaccurate. If the results are inaccurate, then the experiment has proven nothing. The results would be useless and provide no kind of scientific advancement. More importantly, the lack of similar results in experiment replication means that the hypothesis can not be tested to prove it to be right or wrong repeatedly. Therefore, the study would be unproductive and invalid for all scientific purposes. References Spangler, S. (2012). Steve spangler science: Making science fun. Retrieved from http://www.stevespanglerscience.com/experiment/seven-layer-density-column Spangler, S. (n.d.). steve spangler science. Retrieved from http://www.stevespanglerscience.com/experiment/bubbling-lava-lamp Ani, B. O. (2011). The viscosity of motor oil. Informally published manuscript, University of South California, Los Angeles, , Available from California State Science Fair. Retrieved from http://www.usc.edu/CSSF/History/2011/Projects/S1801.pdf density. (n.d.). Retrieved September 6th, 2012, from http://science.yourdictionary.com/density

Wednesday, October 23, 2019

Problem Of Failure To Thrive Health And Social Care Essay

Although the term failure to boom ( FTT ) has been in usage in the medical idiom for rather some clip now, its precise definition has remained debatable1. accordingly, other footings such as â€Å" undernutrition † 1 and â€Å" growing lack † 2 have been proposed as preferred. FTT is a descriptive term applied to immature kids physical growing is less than that of his or her peers.3 The growing failure may get down either in the neonatal period or after a period of normal physical development.4 The term FTT is non, in itself, a disease but a symptom or mark common to a broad assortment of upsets which may hold small in common except for their negative consequence on growth.5 In this respect, a cause must ever be sought. Frequently, the rating of kids who fail to boom present a hard diagnostic job. Some of the troubles result from the legion differential diagnosings, the definition used or misdirected inclination to seek sharply for underlying organic diseases while pretermiting aetiologies based on environmental deprivation.6 In add-on, early accusals and disaffection of the kid ‘s parents by the health-care supplier will do the rating and direction of the kid who has failed to boom more difficult.7 In general, factors that influence a kid ‘s growing include: ( I ) A kid ‘s nutritionary position ; ( two ) A kid ‘s wellness ; ( three ) Family issues ; and ( four ) The parent-child interactions.3,8,9 All these factors must be considered in rating and direction of kid who has failed to boom. This paper presents a simplified but elaborate attack to the rating and direction of the kid with FTT.DefinitionThe best definition for FTT is the 1 that refers to it as unequal physical growing diagnosed by observation of growing over clip utilizing a standard growing chart, such as the National Center for Health Statistics ( NCHS ) growing chart.10 All governments agree that merely by comparing tallness and weight on a growing chart over clip can FTT be assessed accurately.11 So far, no consensus has been reached refering the specific anthropometric standards to specify FTT.11 Consequently, where consecutive anthropometric records is non available, FTT has been diversely def ined statistically. For case, some writers defined FTT as weight below the 3rd percentile for age on the growing chart or more than two standard divergences below the mean for kids of the same age and sex1-3 or a weight-for-age ( weight-for-hieght ) Z-score less than subtractions two.1 Others cite a downward alteration in growing that has crossed two major growing percentiles in a short time.3 Still others, for diagnostic intents, defined FTT as a disproportional failure to derive weight in comparing to height without an evident aetiology.6 Brayden et al.,2 suggested that FTT should be considered if a kid less than 6 months old has non grown for two back-to-back months or a kid older than 6 months has non grown for three back-to-back months. Recent research has validated that the weight-for-age attack is the simplest and most sensible marker of FTT.12Pitfalls of these definitions:One restriction of utilizing the 3rd percentile for specifying FTT is that some kids whose weight autumn below this arbitrary statistical criterion of normal are non neglecting to boom but stand for the three per centum of normal population whose weight is less than the 3rd percentile.5,6 In the first 2 old ages of life, the kid ‘s weight alterations to follow the familial sensitivity of the parent ‘s tallness and weight.13,14 During this clip of passage, kids with familial short stature may traverse percentiles downward and still be considered normal.14 Most kids in this class happen their true curve by the age of 3 years.6,14 When the percentile bead is great, it is helpful to compare the kid ‘s weight percentile to tallness and caput perimeter percentiles. These should be consistent with the place of tallness and caput perimeter percentiles of the patient.5 Another restriction of the 3rd percentile as a standard to specify FTT is that babies can be neglecting to boom with pronounced slowing of weight addition, but they remain undiagnosed and hence, untreated until they have fallen below the arbitrary 3rd percentile.6 These normal little kids do non show the disproportional failure to derive weight that kids with FTT do.6 This attack attempts non merely to forestall normal little kids from being falsely labeled as neglecting to boom, but besides excludes kids with diseased proportionate short stature.14 Having excluded these easy distinguishable upsets from the differential diagnosing of FTT, simplifies the attack to rating of the kid who has failed to thrive.6 A more across-the-board definition of FTT includes any kid whose weight has fallen more than two standard divergences from a old growing curve.3,15,16 Normal displacements in growing curves in the first 2 old ages of life will ensue in less terrible diminution ( i.e, less than 2 SD ) .13 Some writers have even limited the definition of FTT to merely kids less than 3 old ages old17,18 A precise age restriction is arbitrary. However, most kids with FTT are under 3 old ages of age.6,8EpidemiologyIn immature kids, FTT which does non make the terrible classical syndrome of marasmus is common in all societies.19 However, the true incidence of FTT is non known as many babies with FTT are non identified, even in developed countries.20-22 It is estimated to impact 5 – 10 % of immature kids and about 3 – 5 % of kids admitted into learning hospitals.3,5,23 Mitchell et al,24 utilizing multiple standards found that about 10 % of under-fives go toing primary wellness attention Centre in the United States showed FTT. About 5 % of pediatric admittances in United Kingdom are for FTT.4 The prevalence is even higher in developing states with wide-spread poorness and high rates of malnutrition and/or HIV infections.3,19 Children Born to individual teenage female parents an d working female parents who work for long hours are at increased risk.22 The same is true of kids in establishments such as orphanhood places and places for the mentally retarded5,22 with an estimated incidence of 15 % as a group.5 Under-feeding is the individual commonest cause of FTT and consequences from parental poorness and/or ignorance.19,22,24 Ninety five per centum of instances of FTT are due to non plenty nutrient being offered or taken.25 The peak incidence of FTT occurs in kids between the age of 9 – 24 months with no important sex difference.22 Majority of kids who fail to boom are less than 18 months old.3 The syndrome of FTT is uncommon after the age of 5 years.3,22EtiologyTraditionally, causes of FTT have been classified as non-organic and organic. However, some writers have stated that this nomenclature is misleading.27 They based their sentiment on the fact that all instances of FTT are produced by unequal nutrient or undernutrition and in that context, is o rganically determined. In add-on, the differentiation based on organic and non-organic causes is no longer favoured because many instances of FTT are of assorted aetiologies.3 Based on pathophysiology ( the preferred categorization ) , FTT may be classified into those due to: ( I ) Inadequate thermal consumption ; ( two ) Inadequate soaking up ; ( three ) Increased thermal demand ; and ( four ) Defective use of Calories. This categorization leads to a logical organisation of the many conditions that cause or contribute to FTT.10Non – organic ( psychosocial ) failure to boomIn non-organic failure to boom ( NFTT ) , there is no known medical status doing the hapless growing. It is due to poverty, psychosocial jobs in the household, maternal want, deficiency of cognition and accomplishment in infant nutrition among the care-givers5,11. Other hazard factors include substance maltreatment by parents, individual parentage, general immatureness of one or both parents, economic emphasis and strain, impermanent emphasiss such as household calamities ( accidents, unwellnesss, deceases ) and matrimonial disharmony.6,8,22 Weston et al,28 reported that 66 % of f emale parents whose babies failed to boom has a positive history of holding been abused as kids themselves, compared to 26 % of controls from similar socioeconomic background. NFTT histories for over 70 % of instances of FTT.6 Of this figure, about one-third is due to care-giver ‘s ignorance such as wrong eating technique, improper readying of expression or misconception of the baby ‘s nutritionary needs,29 all of which are easy corrected. A close expression at these hazard factors for NFTT suggest that babies with growing failure may stand for a flag for serious societal and psychological jobs in the household. For illustration, a down female parent may non feed her baby adequately. The baby may, in bend, go withdrawn in response to female parent ‘s depression and provender less well.10 Extreme parental attending, either disregard or hypervigilance, can take to FTT.10Organic failure to boomIt occurs when there is a known implicit in medical cause. Organic upsets d oing FTT are most commonly infections ( e.g HIV infection, TB, enteric parasitosis ) , GI ( e.g. , chronic diarrhea, gastroesophageal reflux, pyloric stricture ) or neurologic ( e.g. , intellectual paralysis, mental deceleration ) disorders.6,19,22 Others include GU upsets ( e.g. , posterior urethral valve, nephritic cannular acidosis, chronic nephritic failure, UTI ) , inborn bosom disease, and chromosomal anomalies.6,7 Together neurologic and GI upsets account for 60 – 80 % of all organic causes of under nutrition in developed countries.30 An of import medical hazard factor for under nutrition in childhood is premature birth.1 Among preterm babies, those who are little for gestational age are peculiarly vulnerable since antenatal factors have already exerted hurtful consequence on bodily growth.1 In societies where lead toxic condition is common, it is a recognized hazard factor for hapless growth.5,31 Organic FTT virtually ne'er presents with stray growing failure, other m arks and symptoms are by and large apparent with a elaborate history and physical examination.32 Organic upsets histories for less than 20 % of instances of FTT.6Assorted failure to boomIn assorted FTT, organic and non organic causes coexist. Those with organic upsets may besides endure from environmental want. Likewise, those with terrible undernutrition from non-organic FTT can develop organic medical jobs.FTT with no specific aetiologyReappraisal of the literature on FTT indicate that in 12 – 32 % of instances of kids who have failed to boom, no specific aetiology could be established.23,33-34Causes of failure to boomA. Prenatal instances: ( I ) Prematureness with its complication ( two ) Toxic exposure in utero such as intoxicant, smoke, medicines, infections ( eg German measles, CMV ) ( three ) Intrauterine growing limitation from any cause ( four ) Chromosomal abnormalcies ( eg Down syndrome, Turner syndrome ) ( V ) Dysmorphogenic syndromes.B. Postnatal causes based on pathophysiology:A. Inadequate thermal consumption which may ensue from:I. Under feeding Incorrect readying of expression ( e.g. excessively dilute, excessively concentrated ) . Behaviour jobs impacting eating ( e.g. , kid ‘s disposition ) . Unsuitable feeding wonts ( e.g. , uncooperative kid ) Poverty taking to nutrient deficits. Child maltreatment and disregard. Mechanical eating troubles e.g. , inborn anomalousnesss ( dissected lip/palate ) , oromotor disfunction. Prolonged dyspnea of any causeB. Inadequate soaking up which may be associated with:Malabsorption syndromes e.g. Celiac disease, cystic fibrosis, cow ‘s milk protein allergic reaction, giardiasis, nutrient sensitivity/intolerance Vitamins and mineral lacks e.g. , Zn, vitamins A and C lacks. Hepatobiliary diseases e.g. , bilious atresia. Necrotizing enterocolitis Short intestine syndrome.C. Increased Caloric demand due toHyperthyroidism Chronic/recurrent infections e.g. , UTI, respiratory tract infection, TB, HIV infection Chronic anemiaD. Defective Utilization of Kilogram caloriesCongenital mistakes of metamorphosis e.g. , galactosaemia, aminoacidopathies, organic acidurias and storage diseases. Diabetess inspidus/mellitus Nephritic cannular acidosis Chronic hypoxaemiaClinical manifestations of FTT3,22Normally the parents/care-givers may kick that the kid is â€Å" non turning good † or â€Å" losing weight † or â€Å" non feeding good † or â€Å" non making good † or â€Å" non like his other siblings/age couples † . Usually FTT is discovered and diagnosed by the baby ‘s physician utilizing the birthweight and wellness clinic anthropometric records of the kid. The infant looks little for age. The kid may exhibit loss of hypodermic fat, reduced musculus mass, thin appendages, a narrow face, outstanding ribs, and wasted natess, Evidence of ignored hygiene such as nappy roseola, common tegument, overgrown and soiled fingernails or common vesture. Other findings may include turning away of oculus contact, deficiency of facial look, absence of snuggling response, hypotonus and premise of childish position with clinched fists. There may be marked preoccupation with thumb suction.EvaluationA. Initial ratingIt has been proposed that merely three initial probes are required to develop an economical, treatment-centred attack to the kid who presents with FTT and this include:35 ( I ) A thorough history including an itemized psychosocial reappraisal ; ( two ) Careful physical scrutiny including finding of the auxological parametric quantities ; and ( three ) Direct observation of the kid ‘s behavior and of parent-child interactions. The Psychosocial Review: The psychosocial history should be as thorough and systematic as a authoritative physical scrutiny Goldbloom35 suggested that the interviewers should inquire themselves three inquiries about every household: ( I ) How do they look ; ( two ) What do they say ; and ( three ) What do they make? a. History ( 1 ) Nutritional history Nutritional history should include: Detailss of chest eating to acquire an thought of figure of provenders, clip for each eating, whether both chests are given or one chest, whether the eating is continued at dark or non and how is the kid ‘s behavior before, after and in between the provenders. It would give an thought of the adequateness or insufficiency of female parents milk. If the baby is on expression eating: Is the expression prepared right? Dilute milk provender will be hapless in Calorie with extra H2O. Too concentrated milk provender may be unpalatable taking to refusal to imbibe. It is besides indispensable to cognize the entire measure of the expression consumed. Is it given by bottle or cup and spoon? Besides assess the feeling of the female parent e.g. , inquire â€Å" how make you experience when the babe does non feed good? † Time of debut of complementary provenders and any trouble should be noted. Vitamin and mineral addendum ; when started, type, sum, continuance. Solid nutrient ; when started, types, how taken. Appetite ; whether the appetency is temporarily or persistently impaired ( if necessary calculate the thermal consumption ) . For older kids enquire about nutrient likes and disfavors, allergic reactions or idiosyncracies. Is the kid Federal forcibly? It is desirable to cognize the feeding modus operandi from the clip the kid wakes up in the forenoon boulder clay he sleeps at dark, so that one can acquire an thought of the entire thermal consumption and the Calories supplied from protein, fat and saccharide every bit good as adequateness of vitamins and minerals intake. ( 2 ) Past and current medical history The history of antenatal attention, maternal unwellness during gestation, identified foetal growing jobs, prematureness and birth weight. Indexs of medical diseases such as emesis, diarrhea, febrility, respiratory symptoms and weariness should be noted. Past hospitalization, hurts, accidents to measure for kid maltreatment and disregard. Stool form, frequence, consistence, presence of blood or mucous secretion to except malabsorption syndromes, infection and allergic reaction. ( 3 ) Family and societal history Family and societal history should include the figure, ages and sex of siblings. Ascertain age of parents ( Down syndrome and Klinerfelter syndrome in kids of aged female parents ) and the kid ‘s topographic point in the household ( pyloric stricture ) . Family history should include growing parametric quantities of siblings. Are at that place other siblings with FTT ( e.g. , familial causes of FTT ) , household members with short stature ( e.g. familial short stature ) . Social history should find business of parents, income of the household, place those caring for the kid. Child factors ( e.g. , disposition, development ) , parental factors ( e.g. , depression, domestic force, societal isolation, mental deceleration, substance maltreatment ) and environmental and social factors ( e.g. , poorness, unemployment, illiteracy ) all may lend to growing failure.5 Historical rating of the kid with FTT is summarized in Table 1. ( B ) PHYSICAL EXAMINATION The four chief ends of physical scrutiny include ( one ) designation of dysmorphic characteristics suggestive of a familial upset hindering growing ; ( two ) sensing of under lying disease that may impair growing ; ( three ) appraisal for marks of possible kid maltreatment ; and ( four ) appraisal of the badness and possible effects of malnutrition.36,37 The basic growing parametric quantities such as weight, height / length, caput perimeter and mid-upper-arm perimeter must be measured carefully. Accumbent length is measured in kids below 2 old ages of age because standing measurings can be every bit much as 2cm shorter.36,37 Other anthropometric informations such as upper-segment-to-lower-segment ratio, sitting tallness and arm span should besides be noted. The anthropometric index used for FTT should be weight-for-length or height. Mid-parental tallness ( MPH ) should be determined utilizing the formula.40 For male childs, the expression is: MPH = [ FH + ( MH – 13 ) ] 2 For misss, the expression is: MPH = [ ( FH – 13 ) + MH ] 2 In both equations, FH is father ‘s tallness in centimeters and MH is mother ‘s tallness in centimeters. The mark scope is calculated as the MPH A ± 8.5cm, stand foring the two standard divergence ( 2SD ) assurance limits.14Appraisal of grade FTTThe grade of FTT is normally measured by ciphering each growing parametric quantity ( weight, tallness and weight/height ratio ) as a per centum of the average value for age based on appropriate growing charts3 ( See Table 3 )Table 3: Appraisal of grade of failure to boom ( FTT )Growth parametric quantityDegree of Failure to BoomMild Moderate Severe Weight 75-90 % 60 -74 % & lt ; 60 % Height 90 -95 % 85 – 89 % & lt ; 85 % Weight/height ratio 81-90 % 70 -80 % & lt ; 70 % Adapted from Baucher H.3 It should be noted that appropriate growing charts are frequently non available for kids with specific medical jobs, hence consecutive measurings are particularly of import for these children.3 For premature babies, rectification must be made for the extent of prematureness. Corrected age, instead than chronologic age, should be used in computations of their growing percentiles until 1-2 old ages of corrected age.3Table 2: Physical scrutiny of babies and kids with growing failure.AbnormalityDiagnostic ConsiderationCritical marks Hypotension High blood pressure Tachypnoea/Tachycardia Adrenal or thyroid inadequacy Nephritic diseases Increased metabolic demand Skin Lividness Poor hygiene Ecchymosiss Candidiasis Eczema Erythema nodosum Anaema Disregard Maltreatment Immunodeficiency, HIV infection Allergic disease Ulcerative inflammatory bowel disease, vasculitis HEENT Hair loss Chronic otitis media Cataracts Aphthous stomatitis Thyroid expansion Stress Immunodeficiency, structural oro- facial defect Congenital German measles syndrome, galactosaemia Crohn ‘s disease Hypothyroidism Chest Wheezes Cystic fibrosis, asthma Cardiovascular Mutter Congenital bosom disease ( CHD ) Abdomens Distension overactive Bowel sound Hepatosplenomegaly Malabsorption Liver disease, animal starch storage disease Genitourinary Diaper roseolas Diarrhoea, disregard Rectum Empty ampulla Hirschsprung ‘s disease Extremities Oedema Loss of musculus mass Clubing Hypoalbuminaemia Chronic malnutrition Chronic lung disease, Cyanotic CHD Nervous system Abnormal deep sinew Reflexes Developmental hold Cranial nervus paralysis Cerebral paralysis Altered thermal consumption or demands Dysphagia Behaviour and disposition Uncooperative Difficult to feed. Adapted from Collins et al 41 Growth charts should be evaluated for form of FTT. If weight, tallness and caput perimeter are all less than what is expected for age, this may propose an abuse during intrauterine life or genetic/chromosomal factors.2 If weight and tallness are delayed with a normal caput perimeter, endocrinopathies or constitutional growing should be suspected.2 When merely weight addition is delayed, this normally reflects recent energy ( thermal ) deprivation.2 Physical scrutiny in babies and kids with FTT is summarized in Table 2.Failure to boom due to environmental wantChild with environmental want chiefly demonstrate marks of failure to derive weight: loss of fat, prominence of ribs and musculuss blowing, particularly in big musculus groups such as the gluteals.6Developmental appraisalIt is of import to find the kid ‘s developmental position at the clip of diagnosing because kids with FTT have a higher incidence of developmental holds than the general population.36 With environmental wan t, all mileposts are normally delayed once the baby reaches 4 months of age.42 Areas dependant on environmental interactions such as linguistic communication development and societal version are frequently disproportionately delayed. Specific behavioral ratings ( e.g. , entering responses to near and backdown ) , have been developed to assist distinguish implicit in environmental want from organic disease.43 Assess the baby ‘s developmental position with a full Denver Developmental Standardized test.44Parent-child interaction:Evaluate interaction of the parents and the kid during the scrutiny. In environmental want, the parent frequently readily walks off from the scrutiny tabular array, looking to easy abandon the kid to the nurse or physician.6 There is small oculus contact between kid and parent and the baby is held distantly with small modeling to the parent ‘s body.6 Often the baby will non make out for the parent and small fond touching is noted.6 There is small pa rental show of pleasance towards the infant.6 Observation of eating is an built-in portion of the scrutiny, but it is ideally done when the parents are least cognizant that they are being observed. Breast-fed babies should be weighed before and after several eatings over a 24-hour period since volume of milk consumed may change with each repast. In environmental want, the parents frequently miss the babies cues and may deflect him during eating ; the baby may besides turn away from nutrient and look distressed.6 Unnecessary force may be used during feeding. Developing a portrayal of the child-parent relationship is a cardinal to steering intervention.11LABORATORY EVALUATIONThe function of research lab surveies in the rating of FTT is to look into for possible organic diagnosings suggested by the history and physical examination.33,34 If an organic aetiology is suggested, appropriate surveies should be undertaken. If history and physical scrutiny do non propose an organic aetiology, extended research lab trial is non indicated.6 However, on admittance full blood count, ESR, uranalysis, urine civilization, urea and electrolyte ( including Ca and P ) degrees should be carried out. Screen for infections such as HIV infection, TB and enteric parasitosis. Skeletal study is indicated if physical maltreatment is strongly suspected. In add-on to being unproductive, unsighted research lab fishing expeditions should be avoided for the undermentioned reason:5,6 ( I ) they are expensive ; ( two ) they impair the kid ‘s ability to derive weight in a new environment both by scaring him/her with venepuncture, Ba surveies and other nerve-racking processs and the no unwritten provenders associated with some probes prevent him/her from acquiring adequate Calories ; ( three ) they can be misdirecting since a figure of laboratory abnormalcies are associated with psychosocial want ( e.g. , increased serum aminotransferases, transeunt abnormalcies of glucose tolerance, decreased growing endocrine and Fe lack ) ; 21 and ( f our ) they divert attending and resources from the more productive hunt for grounds of psychosocial want. In one survey, a sum of 2,607 research lab surveies were performed, with an norm of 14 trials per patient. With all trials considered, merely 10 ( 0.4 % ) served to set up a diagnosing and an extra 1 % were able to back up a diagnosis.34Further Evaluation( 1 ) Hospitalization: Although some writers province that most kids with failure to boom can be treated as outpatients,4,5,11,45 I think it is best to hospitalise the baby with FTT for 10 – 14 yearss. Hospitalization has both diagnostic and curative benefits. Diagnostic benefits of admittance may include observation for eating, parental-child interaction, and audience of sub-specialists. Curative benefits include disposal of endovenous fluids for desiccation, systemic antibiotic for infection, blood transfusion for anemia and perchance, parenteral nutrition, all of which are frequently in-hospital processs. In add-on, if an organic aetiology is discovered for the FTT, specific therapy can be initiated during hospitalization. In psychosocial FTT, hospitalization provides chance to educate parents about appropriate nutrients and feeding manners for babies. Hospitalization is necessary when the safety of the kid is a concern. In most state of affairss in our set up, there is no feasible option to hospitalization. ( 2 ) Quantitative appraisal of consumption: A prospective 3-day diet record should be a standard portion of the rating. This is utile in measuring under nutrition even when organic disease is present. A 24-hour nutrient callback is besides desirable. Having parents compose down the types of nutrient and amounts a kid eats over a three-day is one manner of quantifying thermal consumption. In some cases, it can do parents aware of how much the kid is or is non eating.11Table 4: Summary of hazard factors for the development of failure to boomBaby featuresAny chronic medical status ensuing in: – Inadequate consumption ( e.g, get downing disfunction, cardinal nervous system depression, or any status ensuing in anorexia ) – Increased metabolic rate ( e.g, bronchopulmonary dysplasia, inborn bosom disease, febrilities ) – Maldigestion or malabsorption ( e.g, AIDS, cystic fibrosis, short intestine, inflammatory intestine disease, celiac disease ) . – Infections ( e.g. , HIV, TB, Giardiasis ) Premature birth ( particularly with intrauterine growing limitation ) Developmental hold Congenital anomalousnesss Intrauterine toxin exposure ( e.g. intoxicant ) Plumbism and/or anemiaFamily featuresPoverty Unusual wellness and nutrition beliefs Social isolation Disordered eating techniques Substance maltreatment or other abnormal psychology ( include Muschausen syndrome by placeholder ) Violence or maltreatment Adapted from Kleinman RE.1Table 1: Summary of historical rating of babies and kids with growing failurePrenatalGeneral obstetrical history Recurrent abortions Was the gestation planned? Use of medicines, drugs, or coffin nailsLabour, bringing, and neonatal eventsNeonatal asphyxia or Apgar tonss Prematureness Small for gestational age Birth weight and length Congenital deformities or infections Maternal bonding at birth Length of hospitalization Breastfeeding support Feeding troubles during neonatal periodMedical history of kidRegular doctor Immunizations Development Medical or surgical unwellnesss Frequent infectionsGrowth historyPlot old pointsNutrition historyFeeding behaviour and environment Perceived sensitivenesss or allergic reactions to nutrients Quantitative appraisal of consumption ( 3-day diet record, 24-hour nutrient callback )Social historyAge and business of parents Who feeds the kid? Life emphasiss ( loss of occupation, divorce, decease in household ) Handiness of societal and economic support ( Particular Supplemental Nutrition Program for Womans, Babies and Children ; Aid for Families with Dependent Children ) Percept of growing failure as a job History of force or maltreatment by or of care-giverReview of systems/clues to organic diseaseAnorexia Change in mental position Dysphagia Stooling form and consistence Vomiting or gastroesophageal reflux Recurrent febrilities Dysuria, urinary frequence Activity degree, ability to maintain up with equals Beginning: Duggan C.46DIFFERENTIAL DIAGNOSIS OF FAILURE TO THRIVE1. Familial short stature Although kids with familial short stature frequently are in the 3rd percentile on the growing chart, they have normal weight-to-height ratio and growing speed bone ages equal to their chronological ages and they look happy and healthy.47 Their growing curve runs parallel to and merely below the normal curves.48 2. Constitutional growing hold In constitutional growing hold, weight and height lessening near the terminal of babyhood, parallel the norm through in-between childhood and speed up toward the terminal of adolescence.48 Growth speed during childhood is normal, bone age is delayed, pubescence is delayed, wellness is otherwise normal and normally they have household history of delayed growing and puberty.47 3. Early oncoming growing hold Approximately 25 % of normal babies will switch to take down growing percentile in the first two old ages of life and so follow that percentile.11,49 This should non be diagnosed as failure to boom. Smith DW et al13 reported that 30 % of healthy, full-term, white babies cross one percentile line and 23 % cross two lines as they move from birth to age of 2 old ages. In both the history and physical scrutiny, there are no singular findings except that similar characteristics may be found in other siblings in the family.23 Although in some kids puberty may be delayed, normal pubertal growing jet occur subsequently in adolescence.23 The bone age corresponds to the tallness age.23 4. Specific infant populations Preterm babies and those who suffered intrauterine growing limitation may show growing failure in the immediate postpartum period50,51 but catch-up growing has been reported to happen during the first 2 to 3 old ages of life.52,53 As long as the kid ‘s growing follows a curve with a normal interval growing rate, FTT should non be diagnosed.54 Over diagnosing of growing failure can be avoided by utilizing modified growing charts developed for specific populations such as preterm infants,55,56 entirely breast fed infants,57,58 specific ethnicities ( e.g. , Asians ) 59,60 and babies with familial syndromes such as Down61 and Turner62,63 syndromes. The usage of these charts can assist reassure the doctor that these kids are turning suitably. In preterm babies, their chronological age should be corrected by gestational age until age of 24 months for weight measurings, 40 months for length, and 18 months for caput circumference.1 This is a petroleum method because it does non capture the variableness in growing speed that really low birthweight babies demonstrate.48 Entirely breast-fed babies tend to plot higher for weight in the first 6 months of life but comparatively lower in the 2nd half of the first year.48 5. Diencephalic Syndrome This syndrome must be differentiated from psychosocial FTT. The Diencephalic syndrome usually presents in the first twelvemonth of life with failure to boom, bonyness, increased appetite, euphoric affect and nystagmoid oculus movements.64,65 Clinically they differ from FTT because in contrast to their hapless physical status they are watchful, happy, active, associate easy and are non depressed.65 The Diencephalic syndrome consequences from neoplasms in the country of the hypothalamus and the 3rd ventricle.64 6. Psychosocial short stature ( Psychosocial nanism ) Psychosocial nanism is a syndrome of slowing of additive growing combined with characteristic behavior perturbations ( sleep upset and eccentric eating wonts ) , both of which are reversible by a alteration in the psychosocial environment.66 Normally the age at oncoming is between 18 and 24 months.66 Affected kids are frequently diffident and inactive and typically down and socially with drawn.5 The short stature may or may non be associated with accompaniment FTT.5MANAGEMENT OF A CHILD WITH FAILURE TO THRIVETreatment of FTT is both immediate and long-run and should be directed at both the baby and the mother/family. A good intervention program must turn to the followers: 1. The kid ‘s diet and eating form 2. The kid ‘s developmental stimulation 3. Improvement in care-giver accomplishments 4. Nursing considerations in the intervention of FTT 5. Presence of any implicit in disease 6. Regular and effectual follow up 7. Consultation and referral to specializers 1. The kid ‘s diet and eating form The pillar of direction of failure to boom, irrespective of aetiology, is nutritionary intercession and feeding behaviour alterations. For breast-fed babies, feeding interval should non be greater than four-hourly and the maximal clip allowed for suckling should be 20 proceedingss. Beyond this clip the baby would pall. Behavioural alteration should center on bettering feeding techniques, avoiding big sum of juices and extinguishing distractions such as telecasting during meal times. Fruit juice is an of import subscriber to hapless growing by supplying comparatively empty saccharide Calories and decreasing a kid ‘s appetency for alimentary repasts, taking to decreased thermal intake.67 Successful direction of FTT is followed by catch-up growth19 Catch-up growing refers to deriving weight at greater than 50th percentile for age.68 For catch-up growing, kids with FTT require 1.5 to 2 times the expected Calorie intake for their age.25Calculation of catch-up requirement30Kcal or gm protein for weight age ten ideal organic structure weight Actual weightAgeKcal/kggram protein/kg0 – 6 months 115 2.2 6 – 12 months 105 2.0 1 – 3 old ages 100 1.8 4 – 6 old ages 85 1.5 Beginning: Vinton NE et al30 Age Weight 3rd Catch-up growing fiftieth 97th Figure 1: Failure to boom and catch-up growing related to weight centile Beginning: Poskitt EME19 Some kids with FTT are anorectic and finical feeders. They may, hence, non be able to devour this sum of Calories in volume and therefore necessitate calorie-dense provenders. Toddlers can have more Calories by adding taste-pleasing fats such as cheese or butter ( where non executable palm oil ) to common yearling nutrients. In add-on, vitamin and mineral supplementation is required. Although some practicians add Zn to cut down the energy cost of weight addition during catch-up growing, the informations about its benefit are mixed.69,70 Meals should be pleasant, on a regular basis scheduled, and the kid should non be fed excessively quickly or excessively easy. Get downing with little sum of nutrient and offering more is preferred to get downing with big measures. Bites need to be timed in between repasts so that the kid ‘s appetency will non be spoiled. The type of thermal supplementation must be based on the badness of FTT and the implicit in medical status. For case, the sum of protein in the diet must be carefully monitored in kids with nephritic failure.3 Children with terrible malnutrition must be re-fed carefully to forestall re-feeding syndrome.3,67 For older babies and immature kids with psychosocial FTT, repast times should be about 30 proceedingss, solid nutrients should be offered before liquids, environmental distraction should be minimized and kids should eat with other people and non be forced-fed.71 The primary doctor may see confer withing a pediatric dietitian to assist supply calorie-dense diet.Monitoring nutritionary therapyThe first precedence is to accomplish ideal weight-for-age. The 2nd end is to achieve catch-up in length to that expected for the age. Stairss in the intervention are directed towards both immediate and long-run normal growing of the child.72 Effectiveness of therapy is monitored by addition in weight. Weight addition is response to adequate thermal eatings normally establishes the diagnosing of psychosocial FTT.3,23 If FTT continues in infirmary despite equal dietetic input, supernatural organic disease is most likely and requires farther investigation.23 Adequacy of weight addition varies with age ( see Table 5 ) .Table 5: Acceptable weight addition for age per twenty-four hoursAge ( months )Weight addition ( gram/day )Birth to & lt ; 3 20 – 30 3 to & lt ; 6 15 – 22 6 to & lt ; 9 15 – 20 9 to & lt ; 12 6 – 11 12 to & lt ; 18 5 – 8 18 to 24 3 – 7 Beginning: Brayden et al 2 Calculation of day-to-day or monthly growing such as weight addition in gms per twenty-four hours ( see Table 5 ) allows more precise comparing of growing rate to the norm.48 Although length growing is harder to measure, it should be 0.2 to 0.4mm per twenty-four hours in most children.73 2. The kid ‘s developmental stimulation: Organized programme of intensive environmental stimulation and fondness during waking hours using parents, voluntaries and child-life ( societal ) workers is necessary.33 Temporary or lasting Foster place may be required to extinguish inauspicious psychosocial environment. Surveies have shown that appropriate psychosocial stimulation is of import for cognitive development, both early and later in the kid ‘s life.74,75 3. Improvement in care-giver accomplishment Parents should be counselled about household interactions that are damaging to the kid. Pay attending to the care-giver ability to acknowledge the kid ‘s cues, reactivity and parental heat and allow behavior towards the kid. Guaranting that the nutrient is suitably prepared and presented and doing allowances for any troubles that the kid has in masticating and get downing may all take to improvement.3 Introduction of solids in little frequent provenders is utile. Babies should be fed in semi-upright position.76 All members of staff must work constructively with the parents, progressively go throughing duty back to them. They should avoid judgmental vocalizations. Prosecuting the parents as co-investigator is indispensable. It helps further their self-esteem and avoids faulting those who may already experience defeated and quilty because of sensed inability to foster their kid. 4. Nursing considerations in the direction of FTT: A nursing-care program should include careful charting of consumption, weight, and observations of the female parent ‘s eating manner and interaction with the kid. The nursing staff should teach the female parent on how to better behaviours that may be deprivational, including instructions on how to keep the infant stopping point during eating. The female parent should be taught how to cook locally available nutrients. Feeds should be thickened to increase its thermal denseness and therefore consumption. Educate the parents about the kid ‘s nutritionary and psychological demands. The kid should be stimulated by maternal attention, fondness and societal interaction with playthings and equals. Home visits by a community wellness nurse to measure household kineticss and economic state of affairs is of import. Parental anxiousness about the kid ‘s FTT can be allayed by reassurance by the nurse. 5. Underliing organic disease: Treat smartly any identified implicit in organic disease. Often the implicit in cause of FTT syndrome remains ill-defined, and an empiric test of nutritionary therapy by a individual experienced in feeding babies along with careful observation and support of the household is necessary. Children with FTT must be evaluated treated quickly and adequately for infection. The interactive relationship between nutritionary position and infection are peculiarly evident during babyhood. 6. Regular follow up: Upon discharge, near follow up with place visits is indispensable to guarantee care of nutritionary position. In this respect, Wright CM et al77 have shown that place nursing visits is associated with better results. Follow up should guarantee that the kid is so now booming physically by detecting their growing parametric quantities, utilizing the appropriate growing charts. It besides ensures that the kid continues to have equal nutrition at place. Cognitive development should be monitored and, where necessary, extra stimulation provided at place or in a preschool installation. The period of recuperation which should embrace calorie-dense diet is indispensable for full recovery of kids with FTT. Regular effectual follow up is critical in that accomplishing nutritionary and growing recovery in infirmary is likely less hard than keeping equal long-run nutritionary consumption and developmental stimulation at home.37 Children with FTT should be followed up at least every 4 hebdomads un til catch-up is demonstrated and the positive tendency maintained. 7. Consultation and referral to specialist ( s ) : For kids who are non bettering because of undiagnosed medical status or a peculiarly ambitious societal state of affairs, a multidisciplinary attack may be required.10,78Algorithm of an attack to direction of the kid with FTTDetailed History ( including itemized psychosocial reappraisal )Child with FTTThorough Physical Examination ( including auxological parametric quantities )Admit to infirmary with primary caregiver/motherInitial probes include FBC, ESR, uranalysis, urine civilization, stool for egg cell, cyst of parasite. Screen for HIV infection, TerbiumTest of nutritionary therapy with calorie-dense dietFeeds goodFeeds illFeed goodPoor or no weight addition in 4-5 yearssReassess ( farther physical test and probe )Good weight addition infirmary in 4-5 yearssGood weight addition in infirmary in 4-5 yearss Poor or no weight addition in infirmary in 4-5 yearss inNo organic diseaseReassess ( farther physical test and probe )Organic diseasediagnosedNegativeconsequencesSee psychosocial job and interveneRegular followup with growing supervising e.g monthlyRegular followup with growing supervising e.g monthlyOrganic diseasediagnosedInvite appropriate specializer ( s ) for disease-specific interventionSee psychosocial job and interveneRegular followup with growing supervising e.g monthlyInvite appropriate specializer ( s ) for disease-specific interventionRegular followup with growing supervising e.g monthlyPrevention OF FAILURE TO THRIVEPromotion of sole chest eating for early babyhood followed by optimal complementary eating in the presence of good hygienic patterns diminishes the hazard of infections, promotes infant growing and prevents child undernutrition.79 Community attempt to educate and promote people to seek aid for their societal, emotional, economic and interpersonal jobs may assist cut down the incidence of psychosocial FTT. Promoting rearing instruction classs in secondary schools every bit good as educational community programmes may assist new parents enter parentage with an increased cognition of an baby ‘s nutritionary and other demands. Early sensing of FTT and intercession can cut down the badness of symptoms, heighten the procedure of normal growing and development and better the quality of life experience by babies and kids. Prevention of LBW ( a hazard factor for FTT ) through balanced energy-protein supplementation, micronutrient supplementation, intervention of infection/malaria, surcease of smoke and intoxicant consumption in gestation are major intercessions capable of forestalling LBW.80Complication1. Malnutrition-infection rhythm: Perennial infection exacerbate malnutrition, which in bend leads to greater susceptibleness to infection. Children with FTT must be evaluated and treated quickly for infection. 2. Re-feeding syndrome: Re-feeding syndrome is characterized by unstable keeping, hypophosphataemia, hypomagnesaemia and hypokalaemia.68 To avoid re-feeding syndrome, when nutritionary rehabilitation is initiated, Calories can safely be started at 20 % above the kid ‘s recent intake.68 If no estimation of thermal consumption is available, 50 to 75 % of the normal energy demand is safe.68 If tolerated, thermal consumption can be increased by 10 to 20 % per twenty-four hours with monitoring for electrolyte instabilities, hapless cardiac map, hydrops, or feeding intolerance.68 If any of these occurs, halt further thermal additions until the kid ‘s clinical position stabilizes. 3. Chronic, terrible undernutrition in babyhood may deject caput growing, an baleful forecaster of subsequently cognitive disability.3PrognosisThe timing of abuse, continuance and badness of the disease doing growing failure find the ultimate outcome.25,30 The extent to which full catch-up growing occurs is frequently debated. A short period of hapless growing is likely to decide wholly if sustained equal nutrition is supplied for accelerated growth.19 On the other manus, drawn-out period of hapless growing is likely to take to persistent little size, peculiarly if it occurs early in babyhood when it may be hard to do up the immense increases in size of the first 6 months of life.19 When growing wavering occurs during or merely prior to puberty, there is merely a limited period of clip during which catch-up growing can happen, finally taking to incomplete catch-up growth.19 Repeated episodes of growing wavering without catch-up growing will take to clinical marasmus if decease from overpowering infection does non intervene.19 There are a limited figure of outcome surveies on kids with FTT, each with different definitions and designs, so it is hard to notice with certainty on the long-run consequences of FTT.81 In a big case-control survey of kids aged 7 to 9 old ages from an industrial economic system who had FTT in babyhood, Drewett et al82 confirmed continued lower attainments in weight, tallness and caput perimeter but non important differences in intelligence quotient. Other systematic reappraisals concluded that the long-run result of FTT is a decrease in intelligence quotient ( I.Q. ) of approximately three points, which is non of clinical significance.83 Long-term effectsA on tallness and weight look more pronounced than on I.Q.84 Children with past history of non organic FTT have been found at the age of five twelvemonth to be shorter and lighter than their matched controls.85 Regardless of aetiology, FTT in the first twelvemonth of life is peculiarly baleful, because maximum postpartum encephalon growing occurs in the first 6 months of life.3 Approximately a 3rd of kids with psychosocial FTT are developmentally delayed and have societal and emotional problems.3 The forecast is mor e variable in organic FTT depending on the specific diagnosing and badness of FTT. Merely one tierce of kids with FTT are finally judged to be normal.86 A possible account is that making optimum potency may be hard given that the socioeconomic and cultural environment in which these kids live is non easy changed.DecisionAlthough definitions of FTT vary, most governments agree that merely by comparing tallness and weight on a growing chart over clip can FTT be assessed accurately. Laboratory rating should be guided by history and physical scrutiny findings merely. The direction of FTT should get down with a careful hunt for its aetiology. Nutritional intercession utilizing calorie-dense diet is the basis of intervention of FTT, irrespective of aetiology. Social issues of the household and associated medical jobs most be addressed. A careful and timely hunt for cause of FTT and aggressive caloric supplementation are of import in obtaining the best possible result in kids with FTT.

Tuesday, October 22, 2019

What each character represents to isabel archer in portrait of a lady

What each character represents to isabel archer in portrait of a lady What each person represents to IsabelEach person in the novel represents something to Isabel and makes her feel and think certain things, and she is drawn to different people for different reasons, and I will explore these reasons here. I will explore why she is drawn to some characters, and I will attempt to use this to highlight her choice in a husband.First, I'm going to discuss the character of Isabel archer.She is said to be the perfect Henry James heroine, embodying all of the major preoccupations of his writing career., she is a mix of unlike elements. Isabel Archer is both innocent andknowing. she loves liberty and yet she marries a man who would guarantee her constraint, and she has a strong distaste for the emptiness of conventionality while submitting to it readily and consistently.In her decision of whom to marry, we can find the same mix in Isabel of what seems at first to be romantic rebelliousness and conformity to conventionality.Isabel, Molley, Shanny, Ann + Michelle choping up ...SISTERS:In the beginning of the novel, we hear about isabel's sisters. She has seen her two sisters tied down in unsatisfying marriages, and she decides early on that she is not attracted to that lifestyle.Casper GOODWOOD:Chapter 13: Isabel once again tries to escape the possessiveness of Caspar Goodwood, her American suitor. She feels as if he influences her in such a way that it deprives her of a sense of freedom. He is a very powerful force in her mind and this force always translates in her sense of things to a diminished sense of liberty. She realizes she was very eager to take up Mrs. Touchett's offer to come with her to Europe because she wanted to escape Caspar Goodwood. She thinks of him as a sort of...

Monday, October 21, 2019

The crucible role of abigail in the play Essays

The crucible role of abigail in the play Essays The crucible role of abigail in the play Paper The crucible role of abigail in the play Paper What is the role of Abigail Williams in the play The Crucible and to what extent did she cause what happened in Salem? As an actor or director what qualities to you consider important for this role? The Crucible is a play written by Aruthur Miller as an historical allegory for the 1950s communist witch hunt in America. However, The Crucible is mainly a play which allows the reader to see deeply into the human condition, the good and the bad and makes the reader think about loyalty, their own and the loyalty of others as they continue through the play. Throughout the play we see many sides of Abigails character which changes and develops as the situation in Salem does. In the play Abigail is evidently the villian; lying and manipulating her friends and other people in the village. Abigail plays one of the most important parts in the Crucible. She is a catalyst and a protagonist fuelling the fire, and starting many of the accusations in Salem. Abigail is first introduced as seventeen and strikingly beautiful, she is also decribed as an orphan which makes us initially feel sorry for her. Also from her description we assume she has good intentions. This stereotype is confirmed when she tells Parris, on page seven, that she did dance and that he should tell the town she confessed it. This is partially so that she would not get into any more trouble but also to stop the talk of witchcraft in the town, therefore meanning she began with good intentions. The fact that she did begin with good intentions gives the reader an idea that she did not intend to let the happenings in Salem get that far. During the play she sees an oppurtunity to further her station in the society of the time and to take revenge on the one person who is keeping her from the man she loves: John Proctor. Throughout the play Abigail shows one pure emotion which is love. I think that she truly believes John loves her as she is convinced hell love her yet as he knows her. She also feels quite vunerable as she saw Indians smash her parents heads and cannot believe that the man she loves has used her. Also one can argue that a corrupt society breeds corruption and this is so in the case of Salem. Compaired to some of the other so called role models in Salem, Abbie is not particularly corrupt. In some aspects Abigail is rebelling against a corrupt society, combatting modesty with running naked running through the trees and the working ethic by dancing in the forest. Miller has filled Salem with corrupt people. Ironically, the most corrupt soul is infact Parris the reverend of Salem a popous, proud man. He appears to only care about his repuation, and repeates my ministry to Abigail showing that he does not care for his job only his position. Also the Putnams, both twisted, greedy souls who in the play accused people so that they may buy their land. It seems that even though Abigail sent people to her deaths she did so in the name of love; not for pride or money. This is ironic as Miller shocks the audience by his use of twisted unrequited love and how far a person would go to try to be with the one they love. However, Abigail definatly sees a weakness in the society and exploits them as she slowly manipulates and gains control of the town for a time before she decided to run off to avoid a punsihment. During the course of the play, she sentences 17 people to their deaths where she could have confessed that she was lying, rather than reap a whores vengence on Elizabeth, John and the rest of the town. Abigail is menecing and spiteful, this means she showed no remorse toward the dead, but rather run away. We can see this towards her treatment of the girls. She uses the hysteria of the witchcraft they did to manipulate the girls as they are scared of her pointy reckoning and the fact that witchcraft is a hanging offense as in Salem society it is going against the thing they all believe they live for, their God. Abigail manipulates the questions asked to her by Hale and turns them to her own advantage to avoid being accused herself. When hale accuses her of witchcraft she blames Tituba, the black slave, saying she hears her singing her barbados songs. However when she decided she wants the spotlight back on her again she takes control of the situation again, this is key after Tituba confesses to working with the devil. Being a good christian, the main ideal of Salems society, Hale forgives her in the name of the lord and she starts to name witches. Abbie who is afraid takes control again so she cannot be named herself. She puts herself on a pedestal so that she can be in control of a life that would have been set for her otherwise. She becomes so powerful that Mary Warren cannot charge murder on her because Mary is afraid that Abigail will kill her. During court she changes the subject to suit her motives. This allows the judges to see only what she wants them to see. On page 87, at court when she believes she is being mistrusted she turns the arument around and acts as a victim. This shows great disrespect for the people she has sentenced to their deaths. She also changes the subject and refuses to answer questions regarding John, shouting that she will not have such looks and turns to leave when she is accused. To sentence many people to their deaths and create lies and deceit Abigail causes a great extent of what happens in the town of Salem using the lies and gossip in the town to her own advantage. Abigail has many different qualities throughout the play. I think the most important qualities is her outward appearance. The most noticable aspect of her outward appearance are her strikingly beautiful looks. If it wasnt for these John Proctor wouldnt have thought of her softly therefore her idea that John loved her would not have put her in so much trouble. Also her looks made her resent the corrupted society of Salem, mainly because of the way the men of the town treat her. We see this especially in the film, where she is wolf whistled at on the way to the Putnams house. She also appears to look innocent throughout the film and hides her feelings well. This enables her to lie convincingly to everyone in the village. We associate angels with being beautiful like Abigail, this strengthens the idea that she is infact with God instead of doing the devils witch. Abaigail also has the ability to be a convincing and manupulating. This is the other key quality to performing this role. She is convincingly threatening when she talks to the girls. This is her first main outburst, scaring the girls with a pointy reckoning. This fear she instilled allows her to control the girls. She also controlles Danforth outside the courtroom with a similar technique telling him to beware, realising what she has said she quickly changes the subject. However I believe that Danforth was very aware of Abigails power after that. Crutially Abigail has to be convincing in the courtroom or she would not have had such power of the town. This is crucial to the whole plot. If nobody had believed her then the plot would have taken a completely different turn; stopping the allegory as Miller had intended. There was many separate causes to what happened in Salem in the crucible. Many people believe it was completely Abigails fault. They are partially right due to the fact on the first few nights of her being in charge thirty-nine women were accused. But the question still stands to what extent of her fault was it. Abigail confessed to dancing and pleaded Paris to allow her to in the beginning. However this has to be weighed against her plotting and manipulating of the town which came to her at her beckon call. Also other characters in the town used the hysteria to their own advantages, for things like land. I believe that Abigail was mostly to blame, however she did not start the mess that happened, however acted at a catalyst, quickening the pace of the accusations and excecutions which eventually lead to the hanging of John Proctor and Rebecca Nurse, two fairly upright names in the town. Her acting as a catalyst also lead to the power of theocracy breaking and good names being soiled because of her childish lust.

Sunday, October 20, 2019

About the Clayton Antitrust Act of 1914

About the Clayton Antitrust Act of 1914 The Clayton Antitrust Act of 1914, was enacted on October 15, 1914, with a goal of strengthening provisions of the Sherman Antitrust Act. Enacted in 1890, the Sherman Act had been the first federal law intended to protect consumers by outlawing monopolies, cartels, and trusts. The Clayton Act sought to enhance and address weaknesses in the Sherman Act by preventing such unfair or anti-competitive business practices in their infancy. Specifically, the Clayton Act expanded the list of prohibited practices, provided a three-level enforcement process, and specified exemptions and remedial or corrective methods. Background If trust is a good thing, why does the United States have so many â€Å"antitrust† laws, like the Clayton Antitrust Act? Today, a â€Å"trust† is simply a legal arrangement in which one person, called the â€Å"trustee,† holds and manages a property for the benefit of another person or group of people. But in the late 19th century, the term â€Å"trust† was typically used to describe a combination of separate companies. The 1880s and 1890s saw a rapid increase in the number of such large manufacturing trusts, or â€Å"conglomerates,† many of which were viewed by the public as having too much power. Smaller companies argued that the large trusts or â€Å"monopolies† had an unfair competitive advantage over them. Congress soon began to hear the call for antitrust legislation. Then, as now, fair competition among businesses resulted in lower prices for consumers, better products and services, greater choice of products, and increased innovation. Brief History of Antitrust Laws Advocates of antitrust laws argued that the success of the American economy depended on the ability of small, independently owned business to compete fairly with each other. As  Senator John Sherman  of Ohio stated in 1890, â€Å"If we will not endure a king as a political power we should not endure a king over the production, transportation, and sale of any of the necessaries of life.†   Ã‚   In 1890, Congress passed the  Sherman Antitrust Act  by nearly unanimous votes in both the  House  and  Senate. The Act prohibits companies from conspiring to restrain free trade or otherwise monopolize an industry. For example, the Act bans groups of companies from participating in â€Å"price fixing,† or mutually agreeing to unfairly control prices of similar products or services. Congress designated the  U.S. Department of Justice  to enforce the Sherman Act.   In 1914, Congress enacted the  Federal Trade Commission Act  prohibiting all companies from using unfair competition methods and acts or practices designed to deceive consumers. Today the Federal Trade Commission Act is aggressively enforced by the Federal Trade Commission (FTC), an independent agency of the executive branch of government. Clayton Antitrust Act Bolsters the Sherman Act Recognizing the need to clarify and strengthen the fair business safeguards provided by the Sherman Antitrust Act of 1890, Congress in 1914 passed an amendment to the Sherman Act called the  Clayton Antitrust Act. President Woodrow Wilson signed the bill into law on October 15, 1914. The Clayton Act addressed the growing trend during the early 1900s for large corporations to strategically dominate entire sectors of business by employing unfair practices like predatory price fixing, secret deals, and mergers intended only to eliminate competing companies. Specifics of the Clayton Act The Clayton Act addresses unfair practices not clearly prohibited by the Sherman Act, such as predatory mergers and â€Å"interlocking directorates,† arrangements in which the same person makes business decisions for several competing companies. For example, Section 7 of the Clayton Act bans companies from merging with or acquiring other companies when the effect â€Å"may be substantially to lessen competition, or to tend to create a monopoly.† In 1936, the  Robinson-Patman Act  amended the Clayton Act to prohibit anticompetitive price discrimination and allowances in dealings between merchants. Robinson-Patman was designed to protect small retail shops against unfair competition from large chain and â€Å"discount† stores by establishing minimum prices for certain retail products. The Clayton Act was again amended in 1976 by the  Hart-Scott-Rodino Antitrust Improvements Act, which requires companies planning major mergers and acquisitions to notify both the Federal Trade Commission and the Department of Justice of their plans well in advance of the action. In addition, the Clayton Act allows private parties, including consumers, to sue companies for triple damages when they have been harmed by an action of a company that violates either the Sherman or Clayton Act and to obtain a court order prohibiting the anticompetitive practice in the future. For example, the Federal Trade Commission often secures court orders banning companies from continuing false or deceptive advertising campaigns or sales promotions. The Clayton Act and Labor Unions Emphatically stating that â€Å"the labor of a human being is not a commodity or article of commerce,† the Clayton Act forbids corporations from preventing the organization of labor unions. The Act also prevents union actions such as strikes and compensation disputes from being in antitrust lawsuits filed against a corporation. As a result, labor unions are free to organize and negotiate wages and benefits for their members without being accused of illegal price fixing. Penalties for Violating the Antitrust Laws The Federal Trade Commission and the Department of Justice share the authority to enforce the antitrust laws. The Federal Trade Commission can file antitrust lawsuits in either the federal courts  or in hearings held before  administrative law  judges. However, only the Department of Justice can bring charges for violations of the Sherman Act. In addition, the Hart-Scott-Rodino Act gives the state attorneys general authority to file antitrust lawsuits in either state or federal courts. Penalties for violations of the Sherman Act or the Clayton Act as amended can be severe and can include criminal and civil penalties: Violations of the Sherman Act:  Companies violating the Sherman Act can be fined up to $100 million. Individuals – typically executives of the violating corporations- can be fined up to $1 million and sent to prison for up to 10 years. Under federal law, the maximum fine may be increased to twice the amount the conspirators gained from the illegal acts or twice the money lost by the victims of the crime  if either of those amounts is over $100 million.Violations of the Clayton Act:  Corporations and individuals violating the Clayton Act can be sued by the people they harmed for three times the actual amount of the damages they suffered. For example, a consumer who spent $5,000 on a falsely advertised product or service can sue the offending businesses for up to $15,000. The same â€Å"treble damages† provision can also be applied in â€Å"class-action† lawsuits filed on the behalf of multiple victims. Damages also include attorneys fees and other court cost s. The Basic Objective of Antitrust Laws Since the enactment of the Sherman Act in 1890, the objective of the U.S. antitrust laws has remained unchanged: to ensure fair business competition in order to benefit consumers by providing incentives for businesses to operate efficiently thus allowing them to keep quality up and prices down. Antitrust Laws in Action Breakup of Standard Oil While charges of violations of the antitrust laws are file and prosecuted every day, a few examples stand out due to their scope and the legal precedents they set. One of the earliest and most famous examples is the court-ordered 1911 breakup of the giant Standard Oil Trust monopoly. By 1890, the Standard Oil Trust of Ohio controlled 88% of all oil refined and sold in the United States. Owned at the time by John D. Rockefeller, Standard Oil had achieved its oil industry domination by slashing its prices while buying up many of its competitors. Doing so allowed Standard Oil to lower its production costs while increasing its profits.In 1899 the Standard Oil Trust was reorganized as the Standard Oil Co. of New Jersey. At the time, the â€Å"new† company owned stock in 41 other oil companies, which controlled other companies, which in turn controlled yet other companies. The conglomerate was viewed by the public – and the Department of Justice as an all-controlling monopoly, controlled by a small, elite group of directors who acted without accountability to the industry or the public.In 1909, the Department of Justice sued Standard Oil under the Sherman Act for creating and maintaining a monopoly and restricting interstate commerce. On May 15, 1911, the U.S. Supreme Court upheld the lower court’s decision declaring the Standard Oil group to be an unreasonable monopoly. The Court ordered Standard Oil broken up into 90 smaller, independent companies with different directors.

Saturday, October 19, 2019

Theories Of Motivation Essay Example | Topics and Well Written Essays - 1000 words

Theories Of Motivation - Essay Example Maslow's hierarchical nature of human needs points to what motivates a person at a particular stage of his/her career. For example, people at the bottom of the 7-stage pyramid of the hierarchy value the basic physiological needs more. When the lower stage needs are met, the relevant factors lose their importance as motivators and a higher degree of motivating factors come into play, which is more psychological nature. Thus, as they move up to, for example, the fourth stage, self-worth, and self-esteem become more relevant as ‘needs’ – in other words, motivating factors. Significantly, Sun-2-Shade workers seem to be yearning for such recognition having already achieved secure jobs, good pay and working in a progressive/growing company.A word about the interaction of the age factor is relevant. The supervisor and the workers are of the age group – Gen Xers and Millennials. Obviously, the age group is a mix of the seniors of the former and juniors of the latte r categories. Gen Xers prefer ‘flexibility and freedom’ while Millennials value ‘structured, supportive environment’ but can ‘expect and demand more’ (ibid.). Hence there are subtle differences in the groups of workers and this can point to the solution to the problem.Using Herzberg and McGregor theoriesHerzberg's two-factor motivation theory proposed that hygiene factors have the ability to reduce dissatisfaction while motivators increase job satisfaction.... Significantly, Sun-2-Shade workers seem to be yearning for such recognition having already achieved secure jobs, good pay and working in a progressive/growing company. A word about the interaction of the age factor is relevant. The supervisor and the workers are of the age group – Gen Xers (born 1965-‘76 period) and Millennials (born 1977-‘98 period) (Thielfoldt and Scheef, 2004). Obviously, the age group is a mix of the seniors of the former and juniors of the latter categories. Gen Xers prefer ‘flexibility and freedom’ while Millennials value ‘structured, supportive environment’ but can ‘expect and demand more’ (ibid.). Hence there are subtle differences in the groups of workers and this can point to the solution to the problem. Using Herzberg and McGregor theories Herzberg’s two factor motivation theory proposed that hygiene factors have the ability to reduce dissatisfaction while motivators increase job satisfaction (Anon., n.d, online). The hygiene factors like pay and benefits, job security, working conditions, company policies, etc. determine how an individual rates his job/employer against his own expectations. In the process of such assessment, the individual is less concerned about his own credentials and more concerned with what he is getting out of the job. The better the hygiene factors the more the satisfaction level, which then works as the basis for the motivators. The motivators like work content, recognition, promotion etc. help an individual to gain a sense of job satisfaction. Hence, the Herzberg theory supports the view that motivation cannot be achieved if the underlying hygiene factors are ignored. McGregor’s

Friday, October 18, 2019

Major Theories of Legal Reasoning Essay Example | Topics and Well Written Essays - 2500 words

Major Theories of Legal Reasoning - Essay Example The difference between the approaches is exactly which standards are balanced. Though fundamentally different, the two approaches do have some similarities. â€Å"The fundamental value in judicial ethics is impartiality.† This positivist reasoning holds the view that judges must decide cases purely on their merits, with an open approach and thus not be influenced by bias or prejudice. The standards here are only to be found in the material posited law; entirely segregated from moral considerations or personal ethical opinions. Ultimately, the judge has the slight, or no discretion when ruling in cases; he is to simply refer to case law and legislation and may not refer to his own opinions of what he conceives justice to be. Thus, theoretically, no person can be guilty of an offense that did not exist at the time of his act; a judge cannot change the law depending on the current case, as his personal opinion denotes. Indeed, it is argued in this area that the central aim of jurisprudence is to draw a line between ideology and law, the latter being the only ground for decision making. Suffice it to say that the judge must simply app ly the case law and/or legislation without referring to non-legal considerations. Positivists consider these non-legal considerations to open the law up to arbitrary decisions, entirely at the mercy of the judge’s moral outlook. This distinction between legal and non-legal considerations is exactly what the positivist approach stipulates. In comparison to legal considerations based on legislation and case law, non-legal considerations are those based on political, moral and ideological factors. It is this particular feature of positivism; that in which it breaks away from any moral considerations and values.