Monday, May 11, 2020
Saying Could in Spanish Using Poder and Other Verbs
Although the English auxiliary verb could is typically thought of as the past tense of the verb can, it shouldnt always be translated to Spanish as a past tense of poder. Could usually can be translated as a form of poder (a verb typically meaning to be able), however. Following are some of the common ways that could is used in English and various ways the idea can be expressed in Spanish. Translating Could When It Means Was Able or Were Able Usually, you can use the preterite tense of poder if youre talking about a one-time event or a specific period in time, but the imperfect tense should be used if youre talking about an indefinite period. The miner couldnt leave the tunnel. El minero no pudo salir del tà ºnel. (The sentence refers to an ability that existed at a particular and limited time, so the preterite is used.)I couldnt leave the city more than once a year. Yo no podà a salir de la ciudad mà ¡s que una vez por aà ±o. (The sentence refers to a ability that existed over an indefiite time, so the imperfect is used.)We could always count on him for advice. Siempre podà amos contar con à ©l para sugerencias.After five hours I could finally do it. Despuà ©s de cinco horas por fin pude hacerlo.I thought I could do it better. Pensà © que yo podà a hacerlo mejor.Couldnt you see the solar eclipse? à ¿No pudiste ver el eclipse solar? Although the distinction isnt always a clear one, if by saying was able or were able you mean knew how to, the verb saber is often preferable, usually in the imperfect tense: Obviously, he thought I could drive. Obviamente, à ©l creà a que yo sabà a manejar.We could make fantastic sand castles. Sabà amos construir fantà ¡sticos castillos de arena. Translating Could as a Suggestion or Request In English we often use could as a substitute for can in order to be polite or to soften the tone of what were saying. You can do much the same thing in Spanish by using the conditional tense of poder, although often the present tense works just as well. For example, to say, You could come with me to fish for trout, you could say either Puedes ir conmigo a pescar truchas or Podrà as ir conmigo a pescar truchas. Translating Expressions Such as If I Could Expressions such as if I could usually use the imperfect subjunctive: If I could turn back time, I wouldnt have answered the telephone. Si yo pudiera regresar el tiempo, no habrà a contestado el telà ©fono.If he could eat cake instead of vegetables he would be very happy. Si à ©l pudiera comer el postre en vez de vegetales à ©l serà a muy feliz.If we could see it, we would buy it. Si pudià ©ramos verlo, lo comprarà amos. Discussing What Could Have Been A common way of saying that something could have been, but wasnt, is to use the preterite of poder followed by haber. If something might have occurred over an indefinite time, the imperfect might also be used. It could have been worse. Pudo haber sido peor.The team could have been much more aggressive. El equipo pudo haber sido mucho mà ¡s agresivo.With more time, we could have eliminated more of the mistakes. Con mà ¡s tiempo, pudià ©ramos haber eliminado algunos mà ¡s de los errores.They could have saved my son. Podà an haber a mi hijo. Translating Could in Expressions of Possibility Various expressions of possibility can often be used to translate could when it means that something is possible. Often the present tense of poder can be used as well. One way to translate sentences using could in that way is to think of an alternative way of expressing the idea in English, and then translating to Spanish. The following translations arent the only ones possible: They could be the same person. Es posible que sean las mismas personas. (Literally, it is possible that they are the same persons.)It could be my imagination. Posiblemente sea mi imaginacià ³n. (Literally, it is possible that it is my imagination.)I could leave now. Ahora puedo salir. (Literally, I can leave now.)If we want to, we could take a walk through the city. Si queremos, podemos dar un paseo por la ciudad. (Literally, if we want to, we can take a walk through the city.)
Wednesday, May 6, 2020
Binge Drinking on Americas Campuses - 2308 Words
Binge Drinking on America s Campuses On any Friday or Saturday night, the average college student is usually drinking, dancing and out having fun. They typically party with friends at fraternity parties, bars, and clubs; and unfortunately most of these students are underage, consuming excessive amounts of alcohol or Binge Drinking. Binge drinking results in several detrimental outcomes, some are even fatal. Today this type of drinking is rampant on educational campuses everywhere. Large and small, urban and rural educational institutions are not left unaffected by this growing trend to binge drink. Binge drinking is defined as the consumption of five or more drinks, in a row, on at least one occasion (NCADI). Several surveysâ⬠¦show more contentâ⬠¦If a ball lands in a cup, the team whose cup has the ball must drink the beer in the cup. The team who gets their opponents to finish all the cups of beer in front of them first wins, and plays until they lose to other opponents. The losers must drink all of their cups and in addition must drink all the cups left over from the winning team. There is also the ever-popular Keg Stand. The Keg Stand is extremely popular at parties and happens just about every time there is a keg at a party. The Keg Stand occurs when a person is picked up by his/her legs and has them put above his/her head, so that they are in a handstand position above the keg. The hose of the keg is then placed in his/her mouth, then he/she must drink for as long as he/she can, while the crowd around the keg counts off how long he/she drinks. There is also the Shotgun and/or BeerBong. These are both ways of drinking beer in a very fast manner. The Shotgun happens when a beer is turned on its side; a hole is then poked near the bottom of the can and opened to a little bit bigger than the size of a nickel. The drinker then puts his/her mouth on the hole and sucks till it is very tight. Finally, the beer is turned right side up, the top is opened, and the beer is shot down the drinker s mouth and throat hence the name Shotgun. The BeerBong is another party favorite and is similar to theShow MoreRelated Binge Drinking on Americaââ¬â¢s Campuses Essay2458 Words à |à 10 PagesBinge drinking is rampant on todayââ¬â¢s colleges and university campuses. Binge drinking is defined as, five or more drinks for a man at any one time, four or more drinks for a woman (Thompson, J.J. 63). A recent survey revealed that almost half of college students engage in binge drinking, and half of those who binge drink do so regularly (M cCormick, John; Kalb, Claudia 89). It is not the half that drinks responsibly that needs programs targeting them; it is the other half of students that engageRead More Binge Drinking On Americas Campuses Essay2203 Words à |à 9 PagesBinge Drinking on Americas Campuses On any Friday or Saturday night, the average college student is usually drinking, dancing and out having fun. They typically party with friends at fraternity parties, bars, and clubs; and unfortunately most of these students are underage, consuming excessive amounts of alcohol or Binge Drinking. Binge drinking results in several detrimental outcomes, some are even fatal. Today this type of drinking is rampant on educational campuses everywhere. Large andRead MoreCause Effect of Binge Drinking Essay1247 Words à |à 5 Pagesunplanned sexual activity all have in common? They are all frequent results of binge drinking by college students. On a typical Friday or Saturday night you can find the average college student out drinking and having fun. 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Whether for the better or for the worse, alcohol is a driving factor in Americas economy and society, which makes it very important that everyone is educated about this drug. Since alcohol is a legal drug, it is one of the most widely used and most accepted drugs available. Whether used for social reasons, as an answer to problems, or as a casual everyday drink, its use is prevalent all over the US. Decisions about drinking begin at a very youngRead MoreThe Drinking Age Should Be Legal974 Words à |à 4 PagesThe Drinking Age For many reasons, the drinking age has been set at twenty-one years old, but has the time come to lower the drinking age? Many argue that the drinking age needs to be lowered back to eighteen for many reasons; however, studies and statistics show that lowering the drinking age is harmful and even deadly. Some people believe that binge drinking can be solved by lowering the drinking age, but lowering the drinking age is not the solution to binge drinking. Many teenagers spend theirRead MoreBinge Drinking4668 Words à |à 19 PagesDecember 05, 2011 Binge Drinking Among College Students and Consequences Audience-(Student Fraternity and College Administrators) Binge drinking is a problem that has continued to have a toll on the lives of college students despite efforts by the government and school administrators to curb the trend. Many studies have been conducted to reveal the facts behind binge drinking in colleges and campuses. It is clear that for the problem of binge drinking in colleges to be resolved, it mustRead MoreDrinking At College Is Becoming An Epidemic1491 Words à |à 6 PagesDrinking in College is becoming an Epidemic In Beth McMurtrieââ¬â¢s article on The Chronicle of Higher Education website, the senior writer began to answer one of Americaââ¬â¢s biggest questions. The question ââ¬Å"Why Collegeââ¬â¢s Havenââ¬â¢t Stopped Binge Drinkingâ⬠(McMurtrie) has been a major topic for a couple of decades now. Doctors Aaron White and Ralph Hingson answered question in a slightly more statistical way using lots of graphs and numbers. Jenna Johnson, staff writer from the Washington Post thinks parentsRead MoreShould We Put Guns On Our Campuses?954 Words à |à 4 Pagesresponsible for this massacre. This has every school in America asking the question, should we put guns on our campuses? No, you shouldn t though it sounds like a great idea now you must think about the future impact in would have on the student population. College campuses are having an especially hard with this considering the age group in which their student body lies. If this law was passed campuses around America would have to face the fact that student would be able to carry around dangerous weaponsRead MoreEssay on Arguments for and against Lowering the Drinking Age1909 Words à |à 8 PagesThe controversy on the proper drinking age is one that has been repeatedly discussed and researched over the years. Its common to hear the argument ââ¬Å"If someone is old enough to take a bullet for their country, they should be allowed to drink alcohol.â⬠But is that enough justification? Some would say no. ââ¬Å"According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA) it is estimated that in 2004 there were more than 1,700 student deaths, 599,000 injuries, and 696,000 assaults annually
Factors that compelled Tesco to exit the Japanese Market Free Essays
Executive summary Tesco is the third largest retail company in the world after Wal-Mart Stores Inc. and Carrefour SA. The paper provides an overview of Tesco PLC and its market expansion strategy in competitive markets, specifically Japan. We will write a custom essay sample on Factors that compelled Tesco to exit the Japanese Market? or any similar topic only for you Order Now The paper briefly provides information on Tescoââ¬â¢s entry into the Japanese retail market. It provides details of the factors that compelled Tesco to exit from the Japanese retail market. It is argued that other foreign retail companies had failed in the Japanese market primarily due to unique shopping habits of Japanese consumers. Synopsis of the Case study Tesco is a UK based retailer company founded in 1919 (Humby, 2008). The company is the third-largest in the world in terms of sales, behind Wal-Mart Stores Inc. of the United States (US) and Chain Carrefour SA of France (Humby, 2008). Tesco carried out extensive research spanning several years in its strategy to expand its market to other already established and emerging markets internationally. Tesco embarked on expansion, into new markets, establishing new stores in the US, entering emerging markets in Central Europe and Japan through acquisition and entering markets like South Korea and Malaysia through a joint measure (Tescoââ¬â¢s internal data, 2009). At the end of August 2011, Tesco announced its exit from Japan where it had entered the market through acquisition. Tescoââ¬â¢s exit from Japan was motivated by its failure to establish enough scalable business after its 8 years operation in Japan, the economic and demographic factors which have affected the purchasing trends among the Japanese, Japanese consumers switched from purchasing branded luxury products in Tesco stores and preferred more affordable private labels. In addition there were a series of food safety scares that hit the Japanese retail market and Tescoââ¬â¢s British business format. Additionally, Tesco failed to compete with department and supermarket stores in Japan. The paper critically assesses the factors that compelled Tesco to withdraw from the Japanese Market. The company has in excess of 500,000 employees in its chain stores around the word. Tesco aims at delivering a consistently strong customer offer based on each customer visit and transaction by focusing on the Groupââ¬â¢s core business purpose. Tesco enjoys a 30% market share in the British grocery market making it the biggest player in retail business in the UK. Other players are Asda with 16.9% of the market, Sainsburyââ¬â¢s with 16.4%, Morrisonââ¬â¢s with 11.5% and Co-op/Somerfield with 9.2% of the market share (Tescoââ¬â¢s internal data, 2009). Theoretical framework Tesco has expanded its presence to about 5400 chain stores operating in 14 markets outside the UK. The company has grown its business value and operations to become the third-largest retailer in the world behind Wal-Mart Stores Inc. of the US and Franceââ¬â¢s retail Chain Carrefour SA (Tescoââ¬â¢s internal data, 2009). Tescoââ¬â¢s main business focus is to expand its business in established markets and emerging markets around the world. With a focus to expand its business operations, Tesco operates about 1400 stores in Asian countries of Japan, China, Thailand, Malaysia and South Korea. Tesco began its expansion to the Asian market in 1998 when it acquired a 75% majority controlling in Thailandââ¬â¢s Lotus, a chain of 13 hypermarkets for 111 million British pounds. In March 1999, Tesco further expanded its business expansion strategy in the Asian market with a joint venture with Samsung in South Korea. In 2002, Tesco entered the Malaysian retail market through a joint venture with a local company called Sime Darby Behad (Tescoââ¬â¢s internal data, 2009) The collapse in asset values caused by financial crisis in the late 1990s significantly facilitated the companyââ¬â¢s expansion in South-East Asia. Tesco expanded its market into the Japanese market in 2003 by acquiring a controlling interest in the C Two-Network Co, a discount supermarket chain. However, in September 2011, Tesco PLC took the decision to withdraw its retail business operations from the Japanese market and sold off its operations consisting of 129 chain stores. The stores were in the Tokyo area and other stores operating under the Tesco brand, Tesco Express and supermarkets under the Tsurukame brand. The supermarket sector in Japan is fiercely competitive and unprofitable. From the case study, it seems clear that Aeton and Itoh Yokado, the two largest supermarket groups in Japan are struggling to make profit even though they enjoy huge economies of scale. Tesco and other global supermarkets with their plentiful capital failed to successfully penetrate the Japanese market. Despite Tescoââ¬â¢s intending to offer low prices on bulky purchases, things did not turn out to be successful and eventually Tesco had to exit the market. Sogo and Seibu, a big-name in Japanese departmental stores failed to dig into the Japanese retail market. Tesco, and other foreign players like Carrefour and Wal-Mart moved to fill the gaps left by the ailing domestic retailers in the general merchandise store (GMS) segment by setting up their stores or forging an alliance with a domestic player. Despite the business strategy, Tesco and other foreign retailers struggles to successfully penetrate into the difficult Japanese market. Answer to the question. At the end of August 2011, Tesco announced its exit from Japan. The following are the factors that compelled Tesco to withdraw from the Japanese Market. Economic and demographic factors that have affected the purchasing trends among the Japanese. The Japanese grocery retail is a mature market valued at US$370 billion, and itââ¬â¢s the second largest in the world behind the US market. The Japanese grocery sales per capita boosts as the highest in the world at more than US$ 3,300 in a year. However, the market still remains troubled. A combination of economic and demographic factors have resulted in the grocery retail market slipping by 1.2% in 2004 (Tescoââ¬â¢s internal data, 2009). Since the bubble burst in early 1990s, the Japanese economy has been in the doldrums, followed by deflation in the consumer price in subsequent years. Since the economic downturn, consumer confidence has never fully recovered. In relation to demographic factors, the population growth has been stagnant in recent years, resulting in diminished volume growth opportunity, in the retail market. The consumption patterns of the Japanese have changed along with the demographic shifts and varying lifestyles. The birth rate is declining and the population is ageing. High levels of unemployment have prompted people to migrate to city areas that provide more work options. The consequence is an increased demand for freshly prepared and convenience Japanese-style foods. The foods are readily available in at food halls and convenience stores in department stores. The Japanese masses have not widely embraced Western cuisines resulting in a bumpy ride and the eventual fallout of the both the domestic and foreign retailers such as Tesco. In July 2011, supermarket sales in Japan diminished by 1.2% overall to 1.05 trillion Yen. The fall has been recorded for the last 20 consecutive months based on a year-on-year comparison. In July 2011, a decline of -0.6% in food was recorded, -2.7% decline in household products, -0.8% decline in clothing, -1.7% decline in services and a decline of -3.3% in miscellaneous items (Tescoââ¬â¢s internal data, 2009). The statistics indicate that supermarket sales were dwindling, and Tesco found it hard to continue operating within such a difficult environment (Williamson, 2013). Tesco failed to establish enough scalable business after its 8 years operation in Japan. According to CEO, Philip Clarke, Japanese shopping habits were very different from those envisioned in business strategies and business processes of Tesco. According to Clarke, the British consumers enjoy carrying out a ââ¬Å"big shopâ⬠once in a week since there is enough room to keep their shopping. In contrast, for many Japanese, space is premium and carrying out a big shop is not an option. Tesco, like other foreign retail companies, failed to adapt fully to the local shopping habits of the Japanese consumers. Consumers switching from branded luxury products in Tesco stores to more affordable private labels. Despite the demand for staple food and household items remaining flat, some consumers switched from purchasing branded luxury products to private labels that are more affordable. However, the penetration of such private labels products has not been popular compared to branded products because the Japanese consumers are still conscious of the product brand of the item they purchase. A series of food safety scares hit the market. The outbreak of Bovine Spongiform Encephalopathy (BSE) in Japanese cows, use of non-approved additives in packaged foods and product origin being mislabeled eroded consumer confidence and caused a series of food safety scares in the grocery retail market. The British business format of Tesco failed to compete with department and supermarket stores in Japan. The people of Japan put much emphasis on the quality and freshness of food items. They, therefore, prefer to shop many times in a week instead of carrying out a single bulk shopping in a weekly basis. Departmental store food halls began offering high price but high quality foods while low priced standard food products were offered by supermarkets. Although discount stores started increasingly introducing fresh food product to encourage more customer visits, they were considered to be at the lower end of the market along with convenience stores. The small retail channels have increased their market share in recent years because their business format meets the Japanese consumersââ¬â¢ preference for shopping several times each week. They have also widened their range of services such as the provision of added-value services, bill-paying facilities, cash machines and delivery services. The small retail channels business format is in contrast with Tesco business format. As a result, Tesco faced a challenge of penetrating the highly competitive business segment. The Japanese people are highly demanding and fussy consumers who need to be provided with a wide selection of goods and foodstuffs. The Japanese consumers also value freshness of their produce, and they are likely to question of the stock in a hypermarket such as Tesco. Japanese consumers make frequent visits to many different stores per week instead of carrying out a one stop-shop within a single supermarket store. Conclusion In summary, the expansion strategy taken by Tesco into the Japanese market was a well-timed one. However, the Japanese market posed many difficulties which prevented Tesco penetrating the market and achieving profits. Despite that Tesco invested many resources and formulated strategies to gain the Japanese retail market, its failure to establish a business format to suit the Japanese consumersââ¬â¢ lifestyle envisaged its eventual exit. Other foreign retail companies such as Carrefour SA of France had failed to attain profit. Economic factors also led Tescoââ¬â¢s exit as consumers changed preference. The consumer patterns of the Japanese can be difficult to accommodate and formulate a business format to suit their demands and lifestyle. References Humby C, et al. (2008) Scoring Points: How Tesco Continues to Win Customer Loyalty. London: Kogan Page Publishers. Tescoââ¬â¢s internal data, 2009 (www.tesco.com) Williamson C, et al. (2013) Strategic Management and Business Analysis. London: Routledge. How to cite Factors that compelled Tesco to exit the Japanese Market?, Essay examples
Global Business Capital Market Integration
Question: Discuss about the Global Business for Capital Market Integration. Answer: Introduction: The first variable for consideration is level of income in the foreign market. Income is amount of money earned by individual of a certain country in a specified period of time (Rudd Whelan, 2002). Level of income determines the purchasing power of an individual in a household. The higher the level of disposable income the more an individual in able to make more choices and buy products (Bayoumi McDonald, 1994). Argentina has a GDP of US$58.6B while Brazil has US$ 1772.6B. Considering GDP per capita, Brazil has US$ 8670 while Argentina has US$ 13588. It therefore clear that an individual in Argentina has a higher level of income as compared to Brazil and it recommendable to sell product to them because they have a higher purchasing power compared to Brazilians. The second socio economic factor to consider is demographic of a country. Demographic refers to population of human being in country (Blanchard Gal, 2011). It entails the number of people in a country that are presumably the consumers of countrys market. Demography of a country determines the amount of quantities consumed within a given period of time. Argentina has a population of 43.1 million people in 2.7 million square kilometers while Brazil has 207.8 million people in 8.4 million square kilometers. The population density of Argentina is 16 individual per kilometer compared to 25people in Brazil. This shows that the Brazilian market has more potential customers and therefore recommendable. The third variable of consideration is wealth of a nation. Wealth is general prosperity in welfare and valuable material (Myers, 2006). Wealth determines the lifestyle that individual adopt and consequently preference and tastes of products. A wealthy society is health conscious and tends to buy products that have health benefits. Argentina has a Gini index of 42.7 whileus Brazil has 51.5. This shows that Brazil has a wide gap of inequality in terms of income among its citizens compared to Argentina. Argentina has also recorded a higher HDI of 0.836 compared to Brazil of 0.755. The records also show that Argentina is 92% urbanized while Brazil is 86%. These results show that Argentina is wealthier than Brazil and therefore recommendable to venture in. The other variable is occupation of individuals in a country. Occupation refers to productive activities that an individual is engaged on. It involves the rate of unemployment and the expectation of employment (Tian, 2014). Occupation determines earnings of individuals in an economy and future expectations. Argentina has an unemployment rate of 6.5 while that of Brazil is 6.8. Also the inflation of Argentina is 10.6% compared to 9% of Brazil. These results show that Argentina has a lower unemployment rate and higher inflation rate which shows that more individuals are employed and there is possibility of increased employment with higher inflation in comparison to Brazil. Therefore it recommendable to venture in Argentina market based on this variable. Benefit from economies of scale: First movers in a market are able to work on their production and operating costs to minimize the over time (Bayoumi McDonald, 1994). They are sable to trade in large quantities that enable them benefit from economies of scale. This is centrally to Kallara Tea firm which has to start it operations at high costs of production due to limited production and small market. Skills and experience: First movers have an advantage of skills and experienced gained over a period of time compared to new entrant. Early entrants have existed in the market are able to understand the dynamism within the market and thereby able to operate appropriately with skills to meet their objectives. This is not the case to Kallara Tea since it has to stay in the market for quite good time to understand the market and avoid fluctuations. Established market share: Early entrants have a guaranteed market share that they have established over years. They are able to establish their product brand and customer base. This isnt available for Kallara Teas product and they have to operate in the market without guaranteed sales. Inflexibility: First movers in the market are established in the market to extent that they are not flexible. They are not able to shift markets due to established supply chains and investments laid down over years. Therefore, these firms are not able to change market even when the conditions of the markets are unfavorable. For instance Kallara Tea can predict unfavorable market conditions in the future and shift to another country which will not be an expensive move compared to entry entrants. Disruption from new Technologies: Early entrants are continuously faced by a challenge to adopt new technology. Since they are established with their existing technology, it becomes hard for them to adopt new efficient technologies in production and selling of their products (Grimwade, 2000). Kallara Teas products are able to easily adopt new technologies in their processes compared to early mover in the market. Slow adoption of changes: Early entrants have established processes that are hard to change and require a lot of time to adopt change. With recent changes in consumers tastes and preferences, first movers are not able to change with the same rate of changes happening in the society. For instance, it easy and fast for Kallara Tea to incorporate current changes in consumer tastes and preferences compared to early firms that have been in the market for years. References Bayoumi, T. McDonald, R. (1994). Consumption, income, and international capital market integration (1st ed.). London: Centre for Economic Policy Research. Blanchard, O. Gal, J. (2011). Labor Markets and Monetary Policy: A New-Keynesian Model with Unemployement. SSRN Electronic Journal. https://dx.doi.org/10.2139/ssrn.920959 Grimwade, N. (2000). International trade (1st ed.). London: Routledge. Kozmetsky, G., Williams, F., Williams, V. (2004). New wealth (1st ed.). Westport, Conn.: Praeger. Myers, R. (2006). The wealth of nations in the twentieth century (1st ed.). Stanford, Calif.: Hoover Institution Press. Mobius, M. (2012). The Little Book of Emerging Markets (1st ed.). New York: Wiley. Nafziger, E. Nafziger, E. (2006). Economic development (1st ed.). Cambridge: Cambridge University Press. Rudd, J. Whelan, K. (2002). A note on the cointegration of consumption, income, and wealth (1st ed.). Washington, D.C.: Divisions of Research Statistics and Monetary Affairs, Federal Reserve Board. Tian, X. (2014). The Hope of the Country with a Large Population (1st ed.). Dordrecht: Springer.
Thursday, April 30, 2020
me Essays (191 words) - Military Discharge, , Term Papers
me it all about me fuck everyone else you do know me like the world knows me i am not an angel nor i am not the devel i am the man you want to be and i am the man you dont want to be like you do not speak of me out of fear but you speak of me out of envey PV2 Lewis, Pursuant to paragraph 1-16, AR 635-200, this constitutes a formal counseling session concerning your noted deficiencies. You will be given a reasonable period of time to rehabilitate yourself into a productive, satisfactory Soldier. If your performance/conduct continues to be unsatisfactory, you may receive punishment under Article 15, UCMJ, or may be processed for separation. If you are separated for unsatisfactory performance, you could receive an Honorable, General, or Other than Honorable (OTH) Discharge. A General or OTH Discharge could severely prejudice you in civilian life. Additionally, an OTH Discharge could deprive you of many or all military and Veterans benefits to include forfeiture of all educational benefi ts. Any further misconduct or unsatisfactory performance may cause you to be eliminated without further counseling.
Saturday, March 21, 2020
Fentanyl Transdermal Patch and Fatal Adverse Reactions Essays
Fentanyl Transdermal Patch and Fatal Adverse Reactions Essays Fentanyl Transdermal Patch and Fatal Adverse Reactions Paper Fentanyl Transdermal Patch and Fatal Adverse Reactions Paper The fentanyl transdermal system is used to manage pain. Unlike other pain killers this system manages moderate to severe chronic pain, which other means like opiod combination cannot manage. Safety concerns This systemââ¬â¢s safety is only guaranteed if used according to the conditions recommended in the Canadian product monograph. Duragesic is the brand name under which the fentanyl transdermal system has been marked since the year 1992. Two generic products were introduced in July 2006. They are Ran Fentanyl and Ratio-Fentanyl transdermal systems. There have been numerous reports of serious adverse reactions which Health Canada suspects that they are linked to fentanyl transdermal patches. Health Canada is closely monitoring this situation. Fatal outcomes involved opioid-naive adolescents who are suspected to have abused the medication. AR with a fatal outcome linked to fentanyl trandermal patches There were fifty-two AR reports with a fatal outcome being linked to fentanyl transdermal patches. These were submitted to Health Canada from January 1, 1992 to December 31, 2007. : A total of six cases of AR were due to dose initiation and titration. Prescriptions to oploid-naive patients were three, quick titration doses two and one high initiation dose. There was also one case of use concomitant with other central nervous system depressants. The death occurred within twenty-four hours after initiation. CNS depression due to combination of the medication with other CNS depressants was reported as the cause of death. A death was also reported due to interaction between CY3A4 inhibitor and fentanyl transdermal. It occurred less than four days after being initiated during fentanyl transdermal therapy. Six patients died due to patch application by the patients. Four of the patients applied more than the prescribed medication while one patient applied a new patch with the old patches on. Another patient changed the patch daily instead of every three days. There were three fatalities due to caregiver application of the patch. One case was due to the caregiver attempting to reduce dosage by folding the patch in half. Another case was due to the caregiver administering new patch while the old one was on. Still one more case was due to the caregiver pressing on it because it did not stick, thereby leaking fentanyl transdermal and overdosing the patient. One fatality occurred due to a patient using a patch prescribed for another patient. The sixty-four year old man applied the patch prescribed for his wife. The patient became unresponsive, vomited and aspirated. He died five days later due to pneumonia and renal failure. Five fatalities occurred due to accidental overdose. One patient was elderly and underweight. Another died of cardiac arrhythmia as a result of overdose fentanyl and antidepressants. Another had toxic levels of fentanyl after the second dose. The other two cases had limited information and could not be immediately established. Intentional overdose with suicide missions was evident in four of the cases while those of intentional drug abuse of the fentanyl patches were a massive twenty-five (MacMorran, 2008). Health promotion initiatives Health care professionals should therefore follow the directions available in the fentanyl transdermia patches product monographs. It is essential for patients, caregivers and their respective families to be guided on using the product safely. This includes safe storage of the drugs, preventing their accessibility for abuse and to prevent any accidental overdose. Rectification steps Following death reports linked to inappropriate use of the medication, the Canadian product monograph had to be revised in 2005. This was in order to emphasize this safety information. Subsequent advisories followed again in September 2005. A number of publications have followed suit in highlighting safety issues related to the medication use. Health Canada received 105 reports from Jan 1, 1992 to December 31, 2007. According to these reports, the ARs are suspected of being closely associated with fentanyl transdermal patches and one fatal case was reported. Twenty-seven of these reports were received after the last risk communication by Health Canada. The data were analyzed as part of monitoring AR reports. This was to identify any potentially preventable incidents and increase awareness on the productââ¬â¢s safety. In some cases there was no evidence to link the deaths to fentanyl transdermal. This was the case in thirty-three out of the 105 of these reports. In twenty such cases, there was insufficient information in the report for any meaningful evaluation (Raymond et al, 2004). Personal interest held by the advisory The drug advisory has challenged me personally to come up with alternative drugs that can serve the same purpose but are less risky. Proper administration and usage of drugs has also been emphasized. I have been encouraged to handle any drugs carefully. It has brought a very clear realization that peopleââ¬â¢s lives are at stake and we have to be very careful. Impact of the advisory on a practicing nurse in 2008 The advisory has had a significant impact on the practicing nurse. They have to be very careful not to administer the Fentanyl patch to any more patients unless under prescription and strict following of instructions. This has led to seeking alternative drugs. The altenative drugs have their own short-comings which the patients may not be used to or even aware of. In cases where usage of Fentanyl cannot be abandoned, very strict measures have had to be taken to avoid misuse, overdose and abuse. This has added some extra responsibilities to the nurses. References Canadian Safety Bull. (2006). Fentanyl transdermia: a misunderstood dosage form. 6 (5). Canada Safety Bull (2007). Fentanyl patch linked to another death in Canada. Duragenic (2007). Fentanyl transdermal System: product monograph. Janssen-Ortho Inc: Toronto. MacMorran, M. (2008). Fentanyl transdermia patch and fatal adverse reactions. Canadian Adverse Reaction Newsletter. Raymond, B. et al (2004). Respiratory arrest in adolescents. Duragenic. Canadian Adverse Reaction News. 14 (4): 1-2
Thursday, March 5, 2020
Summer Jobs Might be Harder to Find This Summer
Summer Jobs Might be Harder to Find This Summer From lifeguarding at the local pool to mowing lawns, most adults have fond memories of the summer jobs of their youth. But is this generations-old tradition going the way of the dinosaur? A recent report from JPMorgan Chase (JPM) indicates that it may be. Letââ¬â¢s take a closer look at this phenomenon, along with what it means for this yearââ¬â¢s crop of employment-seeking teens and young adults. The 411 on Youth EmploymentJPMââ¬â¢s January 2015 report, ââ¬Å"Building Skills Through Summer Jobs: Lessons From the Field,â⬠reveals some unhappy statistics: less than half (46 percent) of young people who sought out summer employment in 2014 ended up landing jobs. This decline was consistent across nearly all industries.But itââ¬â¢s not just lack of jobs thatââ¬â¢s the problem. Itââ¬â¢s also a decline in youth employment in general. Over the past 12 years, there has been a near 40 percent drop in summer youth employment, with just over a quarter of young adults ho lding paid summer jobs in recent years.The outlook grows even more grim based on findings that economically disadvantaged youth, in particular, are even more impacted by the employment shortage.Itââ¬â¢s no surprise that these less-than-optimistic figures led JPMââ¬â¢s Head of Workforce Initiatives Chauncy Lennon to conclude, ââ¬Å"Young people are facing an employment crisis.â⬠More Than a Loss Of JobsWhile the loss of jobs in itself is concerning, another factor is equally unsettling: the loss of skills which would otherwise be acquired on the job. After all, the expression goes that the ââ¬Å"best way to get a job is to have a job.â⬠And with the American workforce already facing a shortage of qualified workers, this decline in opportunities will only further slow the pipeline of trained employees into the workforce.Unfortunately, the situation is something of a vicious cycle. While some of the job cuts may pertain to the replacement of workers by technology and t he hiring of older works, a report from the Federal Reserve Bank of Boston, ââ¬Å"Uncertain Futures: Youth Attachment to the Labor Market in the United States and New England,â⬠yields another reason: a shift toward job openings which require more experience and skill than the typical high schooler brings to the table. But how can they be expected to develop these experiences and skills without a job market willing to take a chance on them?Searching for SolutionsWhile in the past the government has funded skills training programs, growth of these initiatives has stagnated in recent years. According to JPM, the solution is for employers to begin designing summer jobs focused on helping American teens and young adults gain the skills they need to succeed. To that end, JPM is in the process of investing $5 million over the next two years in summer youth programs within several American cities to support the growth of youth talent.But in the meantime what should teens do who are l ooking for work? Lennon recommends the importance of networking - from friends and family members to online job boards. And while finding these jobs may not be as simple a matter as opening up the ââ¬Å"Help Wantedâ⬠section of the newspaper, perseverance offers significant payoffs - both for young adults and the economy their talent and experience will fuel.
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