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Wednesday, October 9, 2019

Leadership Development within XXX Ltd Case Study

Leadership Development within XXX Ltd - Case Study Example Charismatic leaders were attributed powerful qualities by those who follow them; traditional leaders were powerful by virtue of hereditary wealth or peerage; legal leadership draws its power from professional knowledge and technical expertise, and formal authority was legitimised through roles or position in the bureaucratic hierarchy. As such, formal authority is legitimated by subordinates' understanding and respecting rules and authority (Buchanan, Huczynski, 2003, pp. 90-98). In contrast to Weber's approach, more recent sociological approaches to leadership have been more concerned with notions of power rather than leadership per se. As such, the study of leadership is less about the individual and more about how power structures allow domination and control over others. XXX Ltd. has considered leadership programmes that give their employees' with a self-directed career path that initiates their individual and professional development within the company. Buchanan and Huczynski (2003, pp. 90-98) discusses that the programmes courses present a number of leadership activities that enhances the learning value whilst sharpening the skills of the leaders and their leadership skills within the company. XXX Ltd. has given their employees the opportunity to utilise these leadership development programs in initiating the growth of their career and to cultivate business diversity and cross-functional flexibility. These programmes are offered up to the 'high potential' employees who are deserving of succeeding through the various stages of the leadership development process on both a novice and advanced level. Either level of the programme will hold specialised leadership activities that sustain the six sigma methodologies and incorporate a 360-Degree feedback approach to a multi-faceted learning environment that incorporates classroom learning with multi-business rotational assignments. This paper discusses leadership development in the context of XXX Ltd. in a concise and comprehensive way. The paper also discusses key concept and theories of leadership development i.e. transformational leadership, transactional leadership and other key concepts and theories. Aims and the Objective of the Study The aim of this study is to discuss leadership development in XXX Ltd and to critically examine BM's Integrated Leadership Framework for middle managers; in particular it's effectiveness in developing the required transformational leadership capabilities, with a view to developing a set of practicable recommendations for enhanced practice. This study tries to achieve the following aims and objectives. a-This study achieves a critical literature review on Leadership, especially on contemporary transformational leadership and describes, in particular, the potential benefits, challenges and recommendations of good practice. b- The study aims to profile BM's Leadership Framew

Monday, October 7, 2019

Topic in IR Essay Example | Topics and Well Written Essays - 1750 words

Topic in IR - Essay Example Adam Smith opposed this communist theory and instead advanced the capitalist model of development. The Cold War, after the end of World War II saw a resurgence of this theory, with the capitalist economies and communist blocs advancing the theory of modernization, but within the framework of their ideologies (pg.17). Modernization involves five stages since all countries are at one of the development stages, that comprise of traditional society, transitional stage, take-off, drive to maturity and high mass consumption.(Rostow.W.W.1960), In its earliest forms, modernization had brought together masses of people leading to the establishment of either a democracy, communism or fascism. Modernization has shown people that strong democratic institutions lead to socio-economic development and cultural changes, which in turn lead to individual freedom and gender equality- all of which create a society whose main objective is to ensure human emancipation. The rise in self-expression makes society people- centered, and leads to the concept of freedom of choice. Modernization theory has thus created conditions conducive to the humanistic transformation of society, which is its biggest asset. Economic development is the avowed goal of all societies and ideologies. The development of a nation and its place on the larger world stage is determined by the economic strength that the nations wield. This development can be promoted through democratic means as also by creating an authoritarian regime. The modern world swears by the advantages of a democratic set-up, but the success rates of economics thriving under authoritarian rule cannot be ignored. When we put the economies of South-east Asian nations under a scanner, what projects forth is a kaleidoscope of nations, governed democratically as well as by authoritarian regimes. While all democratic economies are performing extremely well, authoritarian nations too show a remarkable vibrant economic

Sunday, October 6, 2019

The Power of Thinking or Feelings in Crest and Vaseline Advertisements Essay

The Power of Thinking or Feelings in Crest and Vaseline Advertisements - Essay Example Vaseline persuasively uses pathos because of its emphasis on the word â€Å"feel,† so that the audience can â€Å"feel† its sincerity regarding the benefits of its product, and then it expounds on the scientific backup of these benefits to fully convince the audience that it is the best lotion in the market. The main positioning statement of the ad is â€Å"feels good, does well.† The statement is simple, but its meanings are varied. Vaseline uses the words â€Å"feel† and â€Å"good† to underline emotions. It is stating that its lotion feels good on the skin while providing emotional benefits too. Instead of just stressing its ingredients, it centers on the resulting â€Å"feelings,† which is related to â€Å"goodness.† Another impact of the feelings of goodness is having a good day. When people feel good, they tend to do well in school, work, and home. Feeling good starts the day with happiness and improves quality of life. After the short introduction on what the product makes consumers feel, a longer explanation is below it, where scientific words are added. The long paragraph stresses that the product is the â€Å"next generation† of Vaseline lotion, which suggests that it is current and not an â€Å"old† formula. The words â€Å"pure† and â€Å"natural† make Vaseline a â€Å"natural† product, even when it has chemicals too. The main goal is to relate Vaseline with the goodness of â€Å"Nature,† but one that is scientifically tested and perfected. The words â€Å"new formula† and â€Å"infuse moisture deep down† accentuate that the product is the latest tested formula that goes beyond other usual lotions. The â€Å"rich feel and glowing skin† is a suitable end, since many consumers want their skin feeling smooth and looking young and fresh. To reinforce its sincerity further, another strategy of Vaseline is its â€Å"Money Back Guarantee.† The ad has a blue stamp, a stamp that symbolizes something assured and permanent. It contains the words â€Å"Vaseline Promise.† The word promise is like a friend making a promise to another friend. If customers will not feel the difference after using the product, Vaseline challenges them to return the lotion to it. This way, customers feel secure in using the product. Again, positive feelings take center stage. The ad starts with good vibes, the vibes of feeling and looking good. Then, it follows up the good vibes with a promise of â€Å"money back,† if these â€Å"feelings† are not attained. Vaseline effectively uses matching words and promises to convey a strong message of skin luxuriousness to its audiences. The font and white background highlight that Vaseline has nothing to hide. The font of â€Å"feels good, do good† is sans serif, which makes it informal and playful. It does not even start with a capital letter and does not end with a period. Th e way it is written looks hip and young. In other words, it exudes with innocence. The white background suggests purity too.  

Saturday, October 5, 2019

News Release Essay Example | Topics and Well Written Essays - 500 words

News Release - Essay Example But just to allay the Chinese community’s concern, we conducted a test and the result is negative†. Also, as a conscientious company that is committed to delivering hightest possible quality of burgers to its Chinese consuming public, Burger King agrees with the Environment Secretary Owen Paterson said it was "completely unacceptable" that consumers were being sold food that contained horse in place of beef† of which Burger King will never consider of mixing horsemeat with its beef patties. Burger King initiated its own internal meat testing on all its meat components to verify if the company is affected by the horsemeat scandal that permeated in UK and Ireland. This is ahead and separate from the government’s mandate to test all processed beef products for authenticity to double check that indeed we only give 100% beef grade meat to our customers. To assure the consuming public about the quality of Burger King’s meat, we extended the checks to other components of the business and performed a thorough quality inspection among our process and suppliers. In the process, we also would like to inform the consuming public and the regulatory authorities that Burger King severed all business ties with suppliers who were accused of the horsemeat scandal. This is the company’s effort to remove any possible contamination of horsemeat among Burger Kings meat products that would undermine the company’s commitment to its consuming public that it will onl y offer 100% highest quality beef in its burger patties. It is unfortunate that there are several businesses that do not enforce the highest ethical practice in their business operations that prompted them to mislabel their products or defraud their customers with the quality of content of their products. Burger King condemned this to be fraudulent and misleading business practice

Friday, October 4, 2019

The role of communities programmes (such as after school club and Essay

The role of communities programmes (such as after school club and mentoring program) in shaping education - Essay Example bserved in various scenarios that those students who are undertaking mentored programs yield better results in mathematics and reading tests in comparison to the non-mentored students (Mitchell, Crowson and Shipps, 2011). Schools majorly focus on preparing students with the necessary skills that are essential in the information age but the attention mainly turn towards the real time experiences which are gained by youth and children after school time. After school, summer and weekend programs offer wide range of opportunities in relation to enhancing and complementing the academic learning that is taught in schools (Beyer and Johnson, 2014). These programs can be considered to be promising strategies in terms of engaging students in various recreational, academic and social activities so as to closely knit real time experience with theoretical knowledge. The after-school programs or mentoring programs can be considered to be major pillars of current educational system. These programs help to restructure traditional educational system in such a manner which helps students to secure better academic results. A proper location in school buildings facilitates such programs with added advantages. These facilities comprise of wide range of activities. Apart from providing enrichment opportunities to children, these programs also serve as a medium for child care. There are children living with single parent or there are even students whose mothers are working, and these incidents are specifically observed in United States of America. In such a scenario, mentoring and after-school programs become a procedure to connect parents and students. The communities programs which can be regarded as school aged child care have gained importance as societal procedures and norms lay emphasis on employment. These programs are designed in such a manner th at it enhances creative and logical skills of students. Creative programming helps to attract teens toward such community programs.

Thursday, October 3, 2019

Environmental Issue Essay Example for Free

Environmental Issue Essay The current concern of our environmentalist nowadays is how to bring back the bountiful natural resources of our venue of living before. This is just a dream but this can be true because nowadays everything is possible. It is, indeed, a great challenge of this environmentalist to provide solutions of the problems manifested in our environment. Before presenting my arguments, I would like first to secure the parameters of this debate. I limit this debate to one of the hottest issues in the environment which is Air Pollution. Air Pollution is the human introduction into the atmosphere of chemicals, particulates or biological materials that cause harm or discomfort to humans or other living organism. Looking at the status quo, it is obscene that there are a lot of sources that made our air contaminated. First point, I content that the severity of catastrophe happened in our environment deeply rooted from anthropogenic sources (human activity) such as â€Å"Stationary Sources† as smoke stacks of power plants, manufacturing facilities and municipal waste incinerators. â€Å"Mobile Sources† as motor vehicles, aircraft etc., marine Vessels such as container ship or cruise ships and related port air pollution, burning wood, fireplace, stoves, furnaces, fumes from hair spray, varnish, paint, aerosol spray and other solvent, oil refining and industrial activity in general. These things respond the question of why our air is being contaminated. Second point, I would like also to argue that the government plays a vital role in protecting our environment. The government has the prowess to make some possible and practical solutions of environmental problems. They have enough budgets to initiate some activity and project that would cater the protection and preservation of our natural resources. To sum up my arguments, first the main problem is the human activity that deteriorates our environment and second is the irresponsible action of the government. We can make a difference as by letting ourselves as an example because change starts in ourselves. http://en. wikipedia. org/wiki/Air_pollution#Sources This page was last modified on 22 March 2008, at 18:53. All text is available under the terms of the GNU Free Documentation License. (See Copyrights for details. ) Wikipedia ® is a registered trademark of the Wikimedia Foundation, Inc. , a U. S. registered 501(c)(3) tax-deductible nonprofit charity.

Management of Pain in Trigeminal Neuralgia

Management of Pain in Trigeminal Neuralgia Percutaneous management of pain in Trigeminal Neuralgia under computed tomography guidance Corersponding Author Dr. Mitesh Kumar Main Author Dr. Roy Santosham Co Authors Dr. Bhawna Dev Dr. Deepti Morais Dr. Rupesh Mandava Dr. R. Jeffrey Abstract Trigeminal Neuralgia (TN) is a brief, excruciating and perhaps the most severe pain known to man affecting the hemifacial region. It occurs mainly due to tortuous vessel compressing the trigeminal nerves, though in many cases, the exact etiology and pathogenesis remain undetermined. The first line therapeutic option for patients affected by TN is the medical line of management and patients refractory to the same, are offered various invasive procedures like balloon compression, gamma knife surgery, radiofrequency ablation, etc. In this paper, we present percutaneous management of the pain by injecting neurolytic drugs in the foramen ovale under Computed Tomography (CT) guidance as the new and promising technique of treatment in TN. Keywords Trigeminal Neuralgia, percutaneous management, CT guidance, neurolytic drugs Objective To evaluate the efficacy and safety of Computed Tomography guided percutaneous management of pain in trigeminal neuralgia using neurolytic drugs. Introduction Trigeminal Neuralgia is also known as tic douloureux, a term given to this painful disease by Nicolaus Andre in 1756 [1] . TN is a pain which typically is intense, brief, usually unilateral, recurrent shock like involving the branches of fifth cranial nerve [2]. It can be mainly classified into two types. First being, the classical TN (Type I), which is due to neurovascular compression, the most common vessel causing the same being superior cerebellar artery followed by anterior inferior cerebellar artery [3]. Second type is atypical TN (Type II), secondary to causes like trauma, tumor, multiple sclerosis or herpetic infections. The distinction between these two types is mainly based on clinical symptoms [4, 5] as Type I pain is episodic in nature whereas Type II pain is more constant. TN is often called by many as â€Å"the suicide disease† [6] as the patients who suffer from it would rather take their lives than bear the pain. The initial line of treatment for TN is medical management by drugs like Carbamazepine, Gabapentin, Oxcarbazepine among others. Patients of type I TN may also be advised microvascular decompression. Those patients who do not respond or have contraindications to the above mentioned drugs or experience no change in the intensity of the pain are called Refractory TN [7]. Such patients are advised invasive procedures like trigeminal nerve block neurolytic block, radiofrequency ablation, gamma knife surgery and balloon compression. We describe our experience in percutaneous management of pain by injecting neurolytic drugs in the foramen ovale under CT guidance in six patients, suffering from TN. Method and Materials used Pre procedural work up The pre procedural work up included clinical evaluation and thorough reading of the Magnetic Resonance Imaging (MRI) scans of all the patients to rule out any neurovascular conflict. Any patient with neurovascular conflict was considered an exclusion criterion in our study. These patients were reported taking the drugs for TN for over three months with no improvement in the pain. The pain score evaluation was done using Numeric Rating Scale [8] and Wong-Baker Faces Pain Rating Scale [9] as a baseline evaluating point to be compared to the same scoring system after the procedure. Routine investigations such as coagulation profile, liver function test, renal function test, HIV and HbsAg were done before the procedure. Numeric Rating Scale Patients rate pain on a number scale from 0-10, 0 being a depiction for no pain and 10 being the worst pain imaginable. Wong-Baker Faces Pain Rating Scale The Wong-Baker Faces Pain Rating Scale is a pain scale that was developed by Donna Wong and Connie Baker. The scale shows a series of faces ranging from a happy face at 0 (No Pain) to a crying face at 10 (Worst Pain Possible). The patient must choose the face that best describes how they are feeling. In our study, we use the Wong Bakers scale to assess the patients’ pain before and after the procedure. The neurolytic drugs and materials used in the procedure were 22 G spinal needle for block, 25 G needle for skin infiltration, 2% xylocaine , Iohexol Non ionic contrast medium, 100% alcohol, 1ml syringe and normal saline solution. The patient was put in the supine position with head placed in reverse occipitomental position (chin up and neck extended), turned 30 ° to the opposite side of the block. The foramen ovale was identified under CT guidance and a virtual track was made starting from a point which was 2-3cms lateral to the angle of mouth on the skin to foramen ovale (Figure 1). Once the trajectory of the needle and the foramen ovale was confirmed on CT scan, the skin at the point of entry was infiltrated by 2ml of 2% xylocaine using a 25G needle. Then, a 22G spinal needle was inserted at the same point and aimed in the direction of planned trajectory towards the foramen ovale (Figure 2). To prevent the needle from entering the oral cavity, a finger from inside the mouth can be used to guide the same [10]. Though, we did not apply this in any of our patients. Following this, negative aspiration was attempted to check for Cerebro Spinal Fluid (CSF) or blood aspirate. If the aspirate contained CSF or blood then the needle had to be readjusted. Then 0.5ml of mixture made from 1ml of iohexol and 2ml of 2% xylocaine was injected into the target site in order to check the spread of injectant and exact needle tip position. Once the tip of the needle touches the mandibular nerve root, the patient might complain of the exact similar pain which he/she has been suffering, thus confirming the accurate needle tip location. This injectant acts as a diagnostic block if the trigeminal ganglion is the pain generator with xylocaine providing anesthesia prior to alcohol injection. A mixture containing 3ml of 100% alcohol, 1ml of iohexol and 1 ml of saline was made. Of this 1ml of the mixture was injected into the foramen ovale (Figure 3 and 4). Post procedure check scan was performed to rule out any complication. Result Exact position of the needle tip in the foramen ovale was seen in all the six patients thus achieving 100% technical success. All these patients achieved a significant level of relief with an average pain score of two immediately after the procedure. Twenty four hours after the procedure, they rated their reduction of pain at an average pain score of one. Four out of the six patients ie Patient No. 1, 2, 4 and 6 were completely relieved of their pain with one year follow up without taking any medication. In Patient No. 3, the procedure was abandoned as during the diagnostic block, the injectant was seen tracking into CSF cistern and fourth ventricle. Patient No. 5 reported with a similar pain of TN within three months with a pain score of five, little less than the pre-procedure pain score of six. The pain was more severe in the pterygopalatine segment, hence a pterygopalatine block was carried out and the patient had a pain score of one twenty four hours after the procedure. Hence, the initial trigeminal neurolysis was partially successful in this patient. No post procedural complication was seen in any of our patients. Discussion The trigeminal nerve arises from the lateral pons at its superior to mid portion. It travels forward in posterior fossa and merges with the trigeminal ganglion in the Meckels cave. The trigeminal ganglion is located lateral to the cavernous sinus. It gives three divisions ophthalmic (V1) segment which emerges from superior orbital fissure, maxillary (V2) from foramen rotundum and mandibular (V3) from foramen ovale. The trigeminal nerve provides sensation for the face, mouth and supplies the muscles of mastication. TN mostly involves maxillary division and mandibular division of trigeminal nerve though it may also involve the ophthalmic division as well. The reported annual incidence rate of TN is about 4.5 per 100,000 persons [11] but the actual figures may be even much higher because of diagnostic challenges associated with the disease. TN is more common in females than males with a ratio of 3:2 and is usually seen after 50 years of age [11]. Trigeminal nerve block is an upcoming treatment in TN patients who are refractory to medical line of management. It relieves the pain and also reduces the side effects of drugs which are used for the treatment. Earlier studies were mainly done using x-ray or fluoroscopic guidance which had its own limitations in terms of image quality and two dimensional views. In contrast to this, CT scan provides excellent and direct visualization of foramen ovale leading to correct placement of needle [12] and thus scoring over fluoroscopy. This reduces the chances of injecting neurolytic agents at improper locations and thereby reduces the side effects. In our cases, initial check CT scan was done by injecting 1ml of iohexol to determine whether the needle is in exact location. This doubly ensured us about the location as well as the spread of injectant. This was different from previous studies done using fluoroscopy where a diagnostic block using xylocaine had to be given in order to confirm the location of the needle tip. We used a mixture of 3ml of 100% alcohol, 1ml of iohexol and 1ml of saline for trigeminal neurolysis however, Han et al stated that trigeminal nerve block with high concentration of lidocaine (10%) is capable of achieving an intermediate period of pain relief, particularly in patients with lower pain and shorter duration of pain prior to the procedure [13]. Alcohol spreads easily and should be used cautiously. The other agents which can be used but were not used in our study are phenol and glycerol. The side effects that may follow the procedure are numbness and hypoesthesia in the entire trigeminal nerve distribution. There can be abolition of corneal reflexes which can produce exposure keratitis and dryness of eyes. Improper injection of alcohol into CSF space can lead to arachnoiditis/ meningitis. CASE 1, 2, 4 and 6 These patients were suffering from trigeminal neuralgia with pain score ranging from six to eight before the procedure. All these patients have been taking carbamazepine for more than three months with no relief from pain. MRI showed no neurovascular conflict. These patients had a significant relief of pain with pain score at three months and twelve months being zero. None of these patients had to take oral medicines after the procedures. Fig 1: Site marked for needle Fig 2: Tip of the needle in foramen insertion ovale Fig 3: Dispersion of injectant in Fig 4: 3D reconstruction showing the foramen ovale needle tip in foramen ovale. Case 3 This eighty year old male came with complains of left sided trigeminal neuralgia. He had been taking carbamazepine for four months with no change in pain intensity. The procedure had to be abandoned as after injecting the diagnostic block, the injectant was seen tracking into the CSF cistern in the cerebello pontine angle and fourth ventricle (Figure 5). Fig 5: CT scan showing needle tip in the left foramen ovale Case 5 This forty seven year old female came with complains of right sided trigeminal neuralgia. She had been taking carbamazepine for three months without any relief in pain. MRI scans showed no neurovascular conflict. The procedure was successful with pain score of one immediately after and at twenty four hours after the procedure (Figure 6). However, this patient came back within three months of the procedure complaining of pain, which was more in the pterygopalatine segment. A pterygopalatine block was done with resultant pain score of one at twenty four hours after the procedure and two at nine months of the procedure. Hence, this patient showed partial response to trigeminal neurolysis carried out initially. Fig 6: CT scan showing the tip of the needle in right foramen ovale. Conclusion Percutaneous injection of alcohol, iohexol and saline mixture at the verge of foramen ovale under CT guidance is an effective and promising method to relieve pain in patients of TN refractory to medical line of management. This technique is inexpensive, cost effective and a relatively painless procedure. Being a minimally invasive technique, the chances of any infection and other post operative complications are less. Since our study involved only six patients, this technique needs to be further evaluated on a large sample size to substantiate the result of this procedure. Having said the above, we would like to emphasize that our initial experience of this procedure was quite impressing. Abbreviations TN Trigeminal Neuralgia CT Computed Tomography CSF Cerebro Spinal Fluid MRI – Magnetic Resonance Imaging References Andre ´ N. Traite ´ sur les maladies de l’ure`thre. Paris: Delaguette, 1756 Merskey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Seattle: IASP Press; 1994. P. 59-71 Jannetta PJ. Microvascular decompression of the trigeminal nerve for tic doloreux. In: Youmans ed. Neurological surgery 4th edn. WB Saunders Co. Philadelphia. 1996: 3404-15 Cruccu G, Gronseth G, Alksne J, et al. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008; 15 (10): 1013-28 Gronseth G, Cruccu G, Alksne J, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology. 2008; 71 (15): 1183-90 Michael D. Chan, Edward G. Shaw, Stephen B. Tatter. Radiosurgical Management of Trigeminal Neuralgia. In: editor Pollock Bruce, Intracranial Stereotactic Radiosurgery, an Issue of Neurosurgery Clinics. Elseiver Health Sciences. 2013. pp. 613-621 Cruccu G, Truini A. Refractory Trigeminal Neuralgia. Non-surgical treatment options. CNS Drugs. 2013 Feb;27(2):91-6. doi: 10.1007/s40263-012-0023-0. Hartrick CT, Kovan JP, Shapiro S (December 2003). The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract 3 (4): 310–6. doi:10.1111/j.1530-7085.2003.03034.x. PMID 17166126. Wong-Baker FACES Pain Rating Scale Foundation: Retrieved 6 December 2009. Michael J. Cousins In: trigeminal nerve block. Cousins and Bridenbaughs Neural Blockade in Clinical Anesthesia and Pain Medicine. Lippincott Williams Wilkins, 29-Mar-2012, 410 Allan B. Wolfson, Gregory W. Hendey, Louis J. Ling, Carlo L. Rosen, Jeffrey J. Schaider, Ghazala Q. Sharieff. In: Bell’s palsy and trigeminal neuralgia. Harwood-Nuss Clinical Practice of Emergency Medicine. Lippincott Williams Wilkins. June 23, 2009, 786 Và ­ctor Whizar-Lugo MD, Francisco Anzorena-Vallarino MD, Roberto Cisneros-Corral MD, Ricardo Valdez-Jeres MD, Rogelio Hernà ¡ndez-Velazco DDS. Use of Computed Tomography Guide for Trigeminal Alcohol Neurolysis. Anestesia en Mexico: Volume 20 No. 1 (January-April 2008) Han KR, Kim C, Chae YJ, Kim DW. Efficacy and safety of high concentration lidocaine for trigeminal nerve block in patients with trigeminal neuralgia. Int J Clin Pract. 2008 Feb;62 (2):248-54. Epub 2007 Nov 23.