Tuesday, December 24, 2019

Effective Leadership, Decision Making And Ethical Management

Introduction This paper critically evaluates whether effective leadership, decision making and ethical management are linked together both in practice and in theory. In doing the evaluation, theory has been put into test against the practical professional examples. In today’s modern world, globalization of economies and advancement of technology have shortened the bridges between international communities. Hence, it has become imperative for the leaders to take into consideration the borderless economies for almost every action they take including becoming an effective leader, taking critical decision and managing ethics. The paper, therefore, finds out how the leaders of world can take organisational decisions that are ethically correct and become effective in their leadership. Whatever may the ways of doing so, by learning continuously from the surroundings and remaining committed to improve themselves, leaders can gradually and eventually reach to this desired effectiveness. A leader is the one who leads everybody else and hence, is the one who takes all the critical actions. Therefore, business leaders should not only take decisions that will benefit the organisation and themselves but also consider what will be the impact of their decisions on other individuals, organisations, governments and societies (Stansbury 2009). Best and effective leaders demonstrate their clarified values and ethics and imbibe them into their effective leadership style through their actions.Show MoreRelatedDifferent Philosophies And Theories On Effective Leadership And Management1112 Words   |  5 Pagesdifferent philosophies and theories on effective leadership and management. Over time, these theories and ideas have been proven either successfully or unsuccessfully. The key component that stands out is the actual person who is in the leadership or management position. This individual needs to produce many characteristics to ensure smooth and effective management. The character of this one entity is what sets the tone for success or failure in the leadership/management posit ion. Decisiveness One of theRead MoreLeadership, Management and Ethics1228 Words   |  5 PagesEthics Leadership and Ethical Decision-Making INTD670-1202B-01 Phase 1 DB 2 Leadership, Management, and Ethics Professor Cynthia Roundy CTU Deborah Lam May 21, 2012 As the new leader and compliance officer with ECG I want to go over and discuss how a leader and a manager are different, and a definition of what a leader is and what a manager is. This document will also cover the responsibilities and accountabilities are for a leader and how the new leader willRead MorePersonal Model of Ethical Leadership1303 Words   |  5 PagesPersonal Model of Ethical Leadership Personal Model of Ethical Leadership: Ethical leadership is an important aspect that should be practiced by all individuals in leadership positions despite of whether the leadership is intentional or unintentional, or formal or informal. However, practicing ethical leadership is difficult in some cases, especially when there are tough decisions to be made while the appropriate choice is unpleasant though its clear. Notably, ethical leadership is quite importantRead MoreLeadership Models And Organizational Culture852 Words   |  4 PagesLeadership Models Organizational Culture Cornelius Cash Grand Canyon University LDR804-Leading across Cultures September 7, 2016 Ethical Leadership Models Leaders that demonstrate a commitment to behaving in an ethical manner are viewed as trustworthy and subordinates gravitate toward them. Ethical leaders have a solid foundational belief in honesty and trustworthiness and disseminate these principles throughout the organization. This paper will present ethical leadership models asRead MoreLeadership As A Global Organization1335 Words   |  6 Pagesinvolved. A quick study of all successful global organizations reveals the many aspects making the organization competitive, only one element stands out; Leadership. Effective leadership points their employees toward the vision and mission of the organization. Moreover, leadership is where solid relationships are created and the interactions with employees positively activate motivation. The leaderships’ positive interaction with their employees, develops a relationship built on trust which producesRead MoreManagement Practices : Managing Different Functions, Ethics, And Contro l896 Words   |  4 PagesManagers in Organizations Management practices have evolved with the culture over the centuries. Changes are continually made to maintain effectiveness and relevancy in managing different functions, ethics, strategic planning, decision making, structuring, behavior, communication, and control methods. Despite the multiple changes that have taken place over the generations, one management style remains timeless. Nehemiah set an ideal example of how to be an exceptional manger. Prayer, hard workRead MoreLeadership Models And Organizational Culture885 Words   |  4 Pages Leadership Models Organizational Culture Cornelius Cash Grand Canyon University LDR804-Leading across Cultures September 7, 2016 Ethical Leadership Models Leaders that demonstrate a commitment to behaving in an ethical manner are viewed as trustworthy and subordinates gravitate toward them. Ethical leaders have a foundational belief in honesty and trustworthiness and disseminating these principles throughout the organization. This paper will present ethical leadership models as toolsRead MoreFoxconn Ethical Analysis Essay813 Words   |  4 PagesFoxconn Ethical Analysis: In order to run a profitable business, maximize shareholder value, and incorporate an ethical framework, management style is very important.   Management includes using a firms resources in order to conduct various tactics to achieve the firms overall strategy.   Each tactic carried out within a firm needs to have a ethics framework enforced through management to provide the stakeholders with an effective business developed through conscious and sincere decision making. AnRead MoreStrategy And Company Ethics For Success904 Words   |  4 PagesStrategy And Company Ethics Companies should come up with a vision that involves a strategy and company ethics for success. Vision is key in management and strategic plan in all businesses including the school system. (Ghavier, Afsari, Siraj, Razak, 2013) The organization with vision driven strategy, policies, and procedures will enhance the company’s performance and will help in the change process (Ghavier et al, 2013). Benson (2015) stated that with accessibility of information, thereRead MoreA Comparison Assessment Of Leadership Competencies1396 Words   |  6 PagesAssessment of Leadership Competencies in Healthcare Michelle M. Fulop University of Cincinnati Healthcare Informatics â€Æ' A Comparison Assessment of Leadership Competencies in Healthcare There are a multitude of competency requirements needed to become an effective leader in the healthcare industry. Important leadership qualities are centered around skills and behaviors that assist in successfully executing an organization’s strategic vision. Priority quality competencies involve decision making, leadership

Monday, December 16, 2019

Business and the Bill of Rights Free Essays

Business and The Bill of Rights Cheryl Anderson BUS 220 Prof. T. Daniel. We will write a custom essay sample on Business and the Bill of Rights or any similar topic only for you Order Now Browning Pima Community College March 5, 2013 â€Å"I plead the 5th! † That phrase is heard from the mouths of children as well as adults. It has become a cliche. Children learn early in life what the phrase means and how and when to use it. They use it as a tool to keep themselves out of trouble or to keep from having to tattle on a sibling or friend. As children advance in their education, they study American history and are surprised to find that phrase comes from a very old document that the founding fathers of our country drafted and set into place as an integral part of our government’s system of law. That document is called the â€Å"Bill of Rights†. The statement, â€Å"I plead the 5th† is a reference to the Fifth Amendment from that document in which a citizen is protected by law from self-incrimination. There are now 27 amendments to the U. S. constitution, but the first 10 are collectively called the Bill of Rights. James Madison who was part of the very first Congress led the charge in drafting The Bill of Rights in 1789, and the amendments officially became law in 1791. They were established to protect the American citizens against certain interferences from the federal government. (The Bill of Rights, 2012) A summary of these inalienable rights or guarantees is listed below. 1. Guarantees the freedom of speech, religion, press, and peaceful assembly 2. Guarantees the right to keep and bear arms 3. Guarantees the right to not be forced by the government to house and feed soldiers in peacetime 4. Guarantees the right to be free from unreasonable searches and seizures of our homes, our bodies, or our property, conducted by  government officials 5. Guarantees the right to indictment by grand jury, to due process of law, and prohibits compulsory self-incrimination and double jeopardy 6. Guarantees the right to a speedy trial, and to be represented by a lawyer, have the chance to challenge prosecution witnesses, call witnesses for our defense, and have a trial by jury of our peers if charged with a crime 7. Guarantees the right to a trial by jury in a civil case involving at least twenty dollars 8. Prohibits excessive bail and fines and cruel and unusual punishment 9. Guarantees people have rights not specified in the Constitution 10. Establishes that those powers neither delegated to the federal government nor denied to the states are reserved for the states (Miller, 2013) Each Amendment is a study in itself, but this paper will focus on some of the effects the Bill of Rights has on businesses. Courts recognize that corporations take on many of the characteristics of a person; therefore several of the rights apply to businesses. The role and influence of corporations in the political realm has continued to expand over the past 100 years. An example of the influence a corporation can have in politics and in fighting for the rights of the American people is the current debate over the 2nd Amendment, the right to keep and bear arms. Gun manufacturers and sporting goods retailers are taking a stand against the recent gun control legislation being passed in New York and other jurisdictions around the country, by refusing to sell or severely limit the sale of firearms in these jurisdictions including sales to state officials like the police department. LaRue Tactical made the following announcement: â€Å"Effective today, in an effort to see that no legal mistakes are made by LaRue Tactical and/or its employees, we will  apply  all current State and Local Laws (as applied to civilians) to state and local law enforcement / government agencies. In other words, LaRue Tactical will limit all sales to what law-abiding citizens residing in their districts can purchase or possess. † (Party, 2013) In many respects large companies can have a greater influence on the overnment than individual citizens, and the individual citizens can show their support of the corporations by shopping at their establishments. The freedom of religion clause of the 1st Amendment has been under attack in regards to Hobby Lobby, a family owned successful retail chain. The company faces heavy fines for their refusal to comply with the ObamaCare directives which state the company has to finance certain drugs that the FDA notes can terminate pregnancy aft er conception. The owners of Hobby Lobby are Christians and these drugs go against their beliefs in the area of abortion. By forcing corporations to include these drugs in their health plans, it is forcing corporations to finance infidelity. (Flax, 2013) By insisting corporations must finance these drugs, the government is dictating what is acceptable in society instead of letting the beliefs of the company’s owner decide what benefits they will provide to their employees. The government is overstepping its boundaries. Businesses that are willing to take a stand against the government and protect their rights ultimately are protecting the rights of the American people. It is not always easy for a corporation to take a stand. It can have severe consequences to their business. David Green, CEO and founder of Hobby Lobby is racking up millions of dollars in fines by not conceding to the government’s mandate. Yet, he believes that what the government is trying to do go against his rights as an American business owner and as an American citizen. It is people like David Green that helped make America what it is today; people not afraid to risk it all in order to have freedom. Works Cited The Bill of Rights. (2012, August 2). Retrieved February 25, 2013, from RevolutionaryWaranbBeyond. com: http://www. revolutionary-war-and-beyond. com/first-ten-amendments. html Miller, R. L. (2013). The Legal Environment Today. Mason, OH: Cengage Learning. Party, T. (2013, February 16). Gun Companies Refuse Sales to State Governments with Strict Gun Laws. Retrieved Feruary 18, 2013, from Tea Party. org: How to cite Business and the Bill of Rights, Papers

Saturday, December 7, 2019

Community Nursing

Question: How education should be provided for the identified knowledge deficit (community nurse). Answer: This case study aims to discuss the role of the community health nurse in planning evidence-based health promoting interventions relevant to ones knowledge deficit about asthma in an effort to improve the health outcomes of the patient in the given case study which revolves round a patient named Anne Giovanni, who is a 23 year old primary school teacher and is suffering from asthma for which was diagnosed three years ago. The patient has been recently hospitalized overnight due to an exacerbation of her asthma. She is also unsure what triggers her asthma. By having a discussion with the patient, the identified knowledge with respect to this case is that the patient simply pops the inhaler in her mouth without shaking it first or between the puffs. The patient also possesses several knowledge gaps regarding her asthma and needs the best way to manage it together with education about asthma, prevention and use of medications (Bulechek et al., 2013). The role of a community nurse is to provide education to the patient concerning the identified knowledge deficit. Since the patient is not able to use the inhaler properly, it is essential to prescribe the patient with a preventive inhaler which will assist in preventing the symptoms of asthma by reducing inflammation and swelling in the airways (Denford et al., 2014). It is a device which helps the medicine to get properly into the lungs so that it can act on the areas which require to be prevented. The patient needs to take it on a daily basis so that she feels well. It will help the patient in managing her triggers. Triggers are basically the allergens or the conditions that enhance and worsen the symptoms of asthma. It differs from one individual to the other. It is important for the patient to recognise and circumvent the triggers of asthma (Kuethe et al., 2013). The patient will be taught regarding her asthma, avoidance of triggers, action and purpose of medications together with the appropriate technique of inhalation (Price et al., 2013). The patient will also teach regarding the implementation of the action plan and when to take assistance. The community nurse will obtain recent educational materials that are intended for the patient which will be based on the diagnosis of the patient. The Patient will be instructed about monitoring of the peak-flow (Denford et al., 2014). The patient is advised to take readings of the peak-flow, every morning as well as evening, before inhaling the medications prescribed by the general practitioner and after an exacerbation. The patient should be encouraged to express her doubts and concerns regarding her disease or illness. The patient should be able to identify and act in accordance with the care measures and actions that will lead to the relaxation of the symptoms (Price et al., 2013). The education of asthma should begin from the office of the general practitioner and it must include a written plan of action. Asthma education can be effective in the absence of an effectual therapy for asthma. The patient should be educated concerning the trigger factors of asthma. She should be described the things which need to be avoided such as allergens, excessive cold climatic conditions and stress. The patient should also know to handle the attacks of asthma (Olsson et al., 2013). Self-management should be conversed with the patient as well as the care providers, predominantly concerning to the inhaler technique. The plan should be checked on a regular basis and should be corrected and improved in each and every way. This is necessary usually, and particularly so following an exacerbation. Advice should be given to the patient regarding reliever medication. The patient should be advised that she may need to utilise it more often or experience that they obtain little from it; it might be a sign that her asthma is worsening and she should take assistance (Wright Leahey 2012). In the end, it can be concluded that the education of patient is not just giving information but it also aims to access their requirements and expectations and discuss their responses. The patient should also be asked regarding the observations of advantages of a recommended activity for the management of asthma. The patient should also be asked regarding the barriers that are concerned with the treatment of the disease. She should also be involved to find the solutions and make plans to perform the activities concerning the management of asthma. The patient should be involved by inquiring the questions that are unrestricted (Denford et al., 2014). References Bulechek, G. M., Butcher, H. K., Dochterman, J. M. M., Wagner, C. (2013).Nursing interventions classification (NIC). Elsevier Health Sciences. Denford, S., Taylor, R. S., Campbell, J. L., Greaves, C. J. (2014). Effective behavior change techniques in asthma self-care interventions: Systematic review and meta-regression.Health Psychology,33(7), 577. Kuethe, M. C., Vaessen-Verberne, A. A., Elbers, R. G., Van Aalderen, W. M. (2013). Nurse versus physician-led care for the management of asthma.Cochrane Database of Systematic Reviews,2. Olsson, L. E., Jakobsson Ung, E., Swedberg, K., Ekman, I. (2013). Efficacy of personà ¢Ã¢â€š ¬Ã‚ centred care as an intervention in controlled trialsa systematic review.Journal of clinical nursing,22(3-4), 456-465. Price, D., Bosnic-Anticevich, S., Briggs, A., Chrystyn, H., Rand, C., Scheuch, G., ... Inhaler Error Steering Committee. (2013). Inhaler competence in asthma: common errors, barriers to use and recommended solutions.Respiratory medicine,107(1), 37-46. Wright, L. M., Leahey, M. (2012).Nurses and families: A guide to family assessment and intervention. FA Davis.

Saturday, November 30, 2019

Interest Rate Swap Case Essay Example

Interest Rate Swap Case Paper Goodrich-Rabobank Interest Rate Swap In 1983, both B. F. Goodrich and Rabobank needed to execute external financing in order to raise 50 million dollars for ongoing operations. Goodrich wanted to raise the money through debt financing, but because their bonds were BBB- rated, they would have to pay a steep interest rate for a fixed rate. However, the Solomon brothers had an idea. Goodrich could borrow with a floating rate that was tied to LIBOR and then swap interest payments with a Euromarket bank that had raised funds in the fixed rate Eurobond market. A London bank approached Rabobank and proposed a large fixed rate Eurobond issue with the intention of swapping interest payments with a US corporation. Goodrich offered a 50 million dollar, noncallable 8 year bond, semiannual payments that will pay the LIBOR rate + 50 basis points. On the same day Rabobank issued a 50 million dollar, noncallable 8 year bond with an annual coupon fixed at 11 percent. The two issuers executed a swap with the Morgan Guaranty Bank as an intermediary guarantor. Goodrich agreed to pay Morgan bank $5. million once each year for 8 years to cover the 11% fixed coupon. Morgan bank agreed to pay Goodrich 8 years of semiannual payments. It would be the LIBOR minus a discount. Similarly, Morgan bank agreed to pay Rabobank 5. 5 million once a year for 8 years and Rabobank agreed to pay the Morgan bank the 8 years of semiannual payments at LIBOR – x. Morgan also received from Goodrich a one-time initial fee of $125,000 and an undisclosed annual fee for the each of next 8 years. Goodrich has to pay out the LIBOR + . 5% and gets the LIBOR – x and then subtract the 10. % which is the fixed rate for AAA Eurobonds that Rabobank will have. So you get that Goodrich will receive x + 11. 2%. Morgan has to pay LIBOR – x and get the LIBOR – y + 10. 7% 10. 7%. After doing the math, Morgan receives x-y in total fees and they could be anywhere between 8 and 37. 5 basis points. Rabobank will get y – LIBOR. After looking at figure 3, Goodrich would have had a fixed rate at about 12. 5% for the maturity they were looking for. Therefore, Goodrich will save 1. 3% x, while Rabobank will end up saving y – 1. 8% on their interest rate. We will write a custom essay sample on Interest Rate Swap Case specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Interest Rate Swap Case specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Interest Rate Swap Case specifically for you FOR ONLY $16.38 $13.9/page Hire Writer After breaking it down further by using the figures in the case, it can be assumed that y comes out to be 20 basis points and x is 100 basis points. Plugging those values back into the original equations you can deduce that Goodrich saves about 30 basis points because they will only be paying 12. 2%. Rabobank will save about 20 basis points and Morgan will collect the original $125,000 and then 75 basis points in fees. After adding up all of the savings, it comes out to be 1%. This is an attractive deal to the savings bank. With organizing this swap, they end up earning a good amount of money. They will have a good amount of administrative fees in order to receive all of the money from the swap and then proceed to pay out the right amount each period and keep up with the LIBOR rates to adjust the floating rate note. However, with collecting the original $125,000 and then gaining the 75 basis points in fees, they will be able to cover all of their expenses in the swap and make this a profitable investment. For the Goodrich and Rabobank this is a win-win situation for them. Because of entering the swap and analyzing the numbers from the case, both of them will end up saving money. The rates they would have had if they sold their notes without swapping would have been higher than what they end up having to pay now. Even with having to pay fees to Morgan, saving 20 to 30 basis points is a big deal. The only people that this could be a loss for are the investors that are buying the notes. They could be viewed as not as well off because they are not getting as good of a rate on the notes that they bought. However, both of the investments are still very good and pay close to the standard amount.

Tuesday, November 26, 2019

SOCRATES PLATO and ARISTOTLE IN EARLY GREECE essays

SOCRATES PLATO and ARISTOTLE IN EARLY GREECE essays As one of the greatest Greek philosophers, Socrates had a passionate concern to discover valid guidelines for leading a just life and to prove that justice is better than injustice under all circumstances which in effect gave a new direction to Greek philosophy and teaching. Compared to most of his contemporaries, Socrates lived in poverty and publicly disdained material possessions, but as a teacher, Socrates spent a good deal of his time in conversation and contemplation with his fellow Athenians, especially the young people of Greece. Socrates wrote nothing and all of our knowledge of his ideas comes from the writings of others, especially those of Plato, his one-time pupil. Plato's dialogues portray Socrates as a great teacher who often conversed about philosophy, the arts and pedagogy. By using what has come to be called the Socratic method, Socrates never directly instructed his students; instead, he led them to draw their own conclusions in response to many probing questions concerning numerous cherished by unexamined assumptions about life and sometimes death. Along with Socrates, Plato's ideas were basically aimed at attempting to describe the ideal political and social organization to be headed by leaders imbued with philosophical wisdom. After his death, many of his views and ideas attracted little attention among philosophers for the next two centuries until they were revived as important points for debate in the Roman era. Nevertheless, the sheer intellectual power of Plato's thoughts and ideas and the controversies they have created since his lifetime have won him fame as one of the world's greatest philosophers and teachers. Much like his great teacher Socrates, Plato's idea that humans possessed immortal souls distinct from their bodies established the concept of dualism, being a separation between the spirit and the physical. This idea of the...

Friday, November 22, 2019

Famous people under 30, who have achieved a lot in advertising sphere

Famous people under 30, who have achieved a lot in advertising sphere Creative people under 30 in Advertising It happens very often that a person devotes all his or her time, efforts and abilities to one certain sphere, which becomes his/her lifework. Lots of such professionals gain their experience during the whole life and establish their own contributions or ideas within the dozens of years. We got adjusted to the fact that only skilled and practiced people understand the core points and able to astonish with creative ideas. Perhaps, it is really so in most cases, when we speak about scientific field or other resource-consuming areas, which require custom approach. When it refers to modern business forms or such highly developed world of advertisements, the standard rules do not work here. We have thousands of examples when young even not very skilled but amazingly creative people make a real breakthrough in a certain sphere. It proves the fact the new generation possesses modern and progressive way of thinking and understands up to date trends, which can caught attention of millions of people. So we selected a number of outstanding people within the advertisement sphere, who even have not reached their thirty, but already are famous for their achievements. Chelsea Cumings She is only 28 and occupies the position of the freelance art director. So what is her work significant for? The previous year several of her works were awarded for brilliant performance. Thus, 2016 she became an owner of the Gold Clio, One Club â€Å"One to Watch†, two DAD Pencils, four Cannes Lion Bronzes. She has experience of work with such brands as Traget, Adidas, HP.   One of her most outstanding works was executed for Expedia. It was devoted to the story of children’s dreams coming true due to cooperation of St Jude Children's Research Hospital and travel company, which embodied children’s dreams by means of the VR room. Daniel Barak Daniel is VP and creative director at Saatchi Saatchi Los Angeles at the age of 28.2016 was for Barak rich for awards. His work for Volkswagen's Golf R "Unleash Your Rrr." launch campaign was honored by Cannes Lions, ANDYs and One show Pencils. Due to pioneering of the AI use in the advertising, this campaign is archived by New York MoMa. Rohan Cooke and Laura Petruccelli They are 27 and 26 correspondingly and already are hired as associate creative directors at Goodby Silverstein Partners. This Australian duo became real headliners in the advertisement field in the past few months. They are famous for their campaign called â€Å"Unacceptable Letters†, which tells about sexual violation, from which suffer a lot of women in college. One more of their campaign was designed for Instagram. It was a square milkshake designed for the app's square format. For these campaigns Rohan and Laura were awarded by a number of awards, comprising Cannes Lions. This pair is also included in the number of global top lists of the creative people in advertisements. Andrew Kong and Curtis Petraglia Andrew deals with copywriting and Curtis works as an art director at Deutsch. They both are at the age of 29 and are known as â€Å"Curtis and Kong†. This duo joined the Deutsch team two years ago and already managed to work over the campaigns for such famous brands as Snapple, Pizza Hut, Dr Pepper, Taco Bell, and Nintendo. According to the information, provided by their agency, developed by guys campaign â€Å"Make time for Snapple† resulted in the highest return on investment, achieved by the brand campaign. Curtis and Kong were the participants in the first YouTube Creative Hack, held in Singapore. They needed to produce an advertisement with six-second duration for Singapore tourism board and were awarded a first place for their videos. Florian Marquardt Florian is employed as a senior creative at Goodby Silverstein Partners. Marquardt is only 28, but he worked on a number of famous campaigns and achieved great results in it. Among these campaigns are the following: Doritos â€Å"No choice†, NYPD’s â€Å"Invisible faces†. He has already made a strong contribution to Goodby Silverstein achievements. Except his day job Florian has a lot of ideas, interesting undertakings and number of creative projects, one of the most famous of them is the â€Å"#Help50Cent† tongue-in-cheek Kickstarter campaign. So follow the example of this people and do not take your age into account. It does not matter who and how old you are, the things that really matter is your creative mind and endless fresh ideas, which can excite the curiosity of the required audience.

Wednesday, November 20, 2019

Interdisciplinary Team Approach for Asthma Essay

Interdisciplinary Team Approach for Asthma - Essay Example This paper illustrates that 20-year-old James, an engineering student, was admitted to the adult ward with complaints of a cough, chest tightness, wheezing since one day and difficulty in breathing for 2 hours. Prior to the onset of these symptoms he suffered from running nose for a couple of days. He had no fever, vomiting or abdominal pain. A cough was worse in the nights and in the early morning. Exercise and exposure to cold increased a cough. On further inquiry into the past history, the patient complained that he suffered from repeated attacks of a cough and chest tightness on and off since 6 months, especially when he had the running nose or was exposed to the cold environment. Since the symptoms were not severe, James did not see a doctor then for those symptoms. However, breathlessness in the current episode made him come to the hospital. James was a smoker and smokes about 3-4 cigarettes a day. He consumes alcohol occasionally. He did not have hypertension or diabetes. He h ad no known allergies. His father is a known patient with asthma. On examination, James was alert and oriented to time, place and person. He was finding it difficult to talk continuously. He preferred to sit and talk and avoid lying down. He had no cyanosis or peripheral edema. He appeared mildly pale. Respiratory rate was 25 per minute, pulse rate was 100 per minute, temperature normal, blood pressure 130/80mmHg. Auscultation of the chest revealed presence of breath sounds bilaterally with prolonged expiration. Rhonchi were heard in the basal areas of the chest. Occasional crepitations were also heard. Saturations were 90 percent. Examination of the other systems was unremarkable. In view of the severity of the condition and low saturation on pulse oximetry, James was admitted to the adult ward for further, evaluation, observation, and management. James was accompanied by his parents.

Tuesday, November 19, 2019

Adolf Hitler was Evil but not Monstrous Essay Example | Topics and Well Written Essays - 750 words

Adolf Hitler was Evil but not Monstrous - Essay Example The entire Germany and the entire army welcomed most of Hitler’s policies. As a leader, he was very effective in perpetuating his foreign policy because the public supported him. Now, does this make the whole German public evil or monstrous as well? There was a desire to raise Germany from defeat and humiliation and Hitler shared this goal. The claim of being evil and being a monster is largely driven by Hitler’s foreign policy because he looked after the welfare of his people. His actions oriented towards the outer world are the ones that could be considered evil and monstrous. But this is even complicated by the fact that Germany was at war and it was bound to commit atrocities and may have partly been compelled to do evil in order to win.Adolf Hitler was also affectionate towards his people; he brought about many reforms and actions that benefit the German public in the local policy making domain. He has also had the capacity for human emotions and the ability to exp ress them. This is excellently depicted in the movie made in 2004 with a title, â€Å"The Downfall† (Palmer). The movie showed Hitler’s last few days during the Second World War. It told us of a complex man with capabilities for affection as he interacted with people and responded to circumstances. The movie depicted Hitler as a man who expresses a wide range of human and positive emotions especially those close to his life. On this account, one cannot argue that Hitler is utterly or completely monstrous.

Saturday, November 16, 2019

Why Academic Wring Is Different Fom Other Uses of English Essay Example for Free

Why Academic Wring Is Different Fom Other Uses of English Essay Academic writing is employed when writing text in school and other formal organizations. It requires a specific formal structure that makes it unique. It is also important to use standard english. It is concise, simple and straight to the point. It usually focuses on an idea which can then be expanded to or explained in more detail. Academic writing should be independent, objective, comprehensive, and critical. It is very important to note punctuation marks and insert them appropriately. Whereas other styles of writing do not require any of such rules above, they are flexible and can be written in a form the author sees fit. Writing academically is usually intended for literate and informed audience. The information written is based on careful research and deductive reasoning on the topic so that there is evidence supporting your claim. The ideas should be comprehensible and easy to decipher. Unlike other forms of english, which is written for everybody, is structured and written carefully. Formal standard english is the only language allowed to be used in the academic style of writing. Informal aspects of english must be avoided to fully differentiate between academic standards and other forms of english. Academic writers are encouraged to write everything in its full form, avoid unnecessary abbreviations and the use of personal language. Grammar is also very important when writing academically. Academic writing basically requires a person to write complete sentences, starting each one with a capital letter and not using slangs. The writer should also be able to use complete homophones which are often confused example is their and there. Being able to write correctly the commonly misspelled words using standard english. Writers must also be able to create a paragraph starting with a topic sentence.  In conclusion, other forms of english are usually informal and grammar rules do not apply to them.

Thursday, November 14, 2019

Is equality for all a realistic and desirable aim within society? :: essays research papers

Equality exists in many contexts. It can exist in the political level; individuals have the same rights under the law. It can exist in a social level, between categories of people, for example gender, or race. It can even exist on an individual level, as to how each person is treated. Equality cannot be confined to simply equal opportunities for all; for an equal and fair process is still equality. An equal and fair result is also equality. At each of the different level, equality shifts from being realistic or being desirable, sometimes both, or sometimes neither. Modern societies often take for granted that social quality is desirable. Democratic values mean people from all backgrounds should be given an equal say to affect decisions in the country. All individuals should be given the equal right to education, and a chance at success in life. While this is amiable, one must consider if such a notion is in fact a realistic one. There is only so much that society can do to ensure equality. Taking a case of two boys, Tom and Jerry. Tom is from a respectable multibillion-dollar company owning family. Jerry on the other hand lives alone with his single mother along the streets. Assuming the every effort of equality, both Jerry and Tom are offered places in the same college. Upon entry to the college, Tom is instantly the popular guy with the hippest clothes and accessories, while Jerry is ostracized for his faded wear. The situation is simply not equitable. Tom comes from a ‘normal’ family and has potentially the love of both parents. Jerry has had to come to terms with only one parent. Hence in terms of psychological development, they are not equal. There are too many factors, too complicated to be realistically resolved within society’s reach. It is thus, unrealistic for society to aim to ensure equal chance at success for people. Society may also aim to provide equal opportunities for people. This could be done through education, hence the rich and the poor will both be admitted on grounds of meritocracy; if they do equally well they should have equal chances at the same job. However this is not always the case. Tom’s parents may have connections, which obviously Jerry’s mother would not have, giving him an edge in finding a job. His upbringing in a family business, may instil a keen eye for business in him, again giving him an edge over Jerry.

Monday, November 11, 2019

Engineering Ethics Essay

â€Å"The need for safety is proportional to the danger of having an accident. Nothing is fool-proof, yet we must try to minimize risks. If the public is willing to run or to take such risks, who are engineers to refuse? † In my opinion, the above argument is very valid and it indeed reflects the position of engineering as a process. The reason why I support this argument is because first of all, the advancements the society has been able to make are due to the milestones that have been achieved by engineers. There will always be a demand for innovation so that life may become what the society wants it to be: smooth and efficient (Davis, 1998). To design the systems which are able to bring about these comforts, we as engineers must base our practice on the mathematical and physical principles that have been established through empirical research (Baura, 2006). Any measures to safeguard the safety in the use of systems and devices designed by engineers are constant and depend on certain constants; and these constants are in turn dependent on external factors. When this chain of determinants fails to hold up, then risks will arise. Nevertheless, it is our professional responsibility as engineers to bring innovation to the society. Due to unforeseen circumstances, engineering processes or the products of these processes may malfunction, causing danger to their users or other third parties. But through exhibiting an affinity for these processes and products, the society is virtually signing an agreement to face the associated risks as a matter of choice; and engineers cannot dissuade them (Davis, 1998). However, all engineers have a role of ensuring that the profession is approached with diligence so that the risks emanating from its processes are as low as can be possible (Davis, 1998). This is our obligation to the society, our conscience and our employers and the profession. That is what makes a holistic engineering practice. Relationship between risk and safety To understand the relationship between risk and safety it is important to first understand the meaning and implication of the two terms. Risk in the engineering context can be defined as the probability of an accident arising from an engineering project or a product of an engineering project (Baura, 2006). Safety on its part can be defined as the state of having a defined degree of certainty that adverse effects or accidents will not result from a process or the use of a specific device or system. With the above definitions in mind, it can be concluded that risk and safety are inversely proportional entities. Applied to engineering ethics, their implication is that we as engineers must strive, as a matter of being professionally competent, to minimize risks as much as can be possible so that safety can be increased (Baura, 2006). Risks have many dimensions in that they can occur in any stage of engineering, raging from design, implementation of the design and in the application of the product of the design (Davis, 1998). The same is translated to safety since the two are mutually interdependent, related by the rule of inverse proportionality: the higher the risks associated with a system or a process, the lesser the safety of the people interacting with it. Determining whether an engineer is responsible for an accident Under the unfortunate eventuality that an accident has occurred in an engineering project or in the use of a product or system designed through the engineering process, whether or not an engineer should be held responsible is a matter resolved by examining if he or she stuck by the pre-defined standards of professionalism and ethics (Baura, 2006). This is one of the main concerns of engineering ethics. It is a field in the study and practice of engineering that deals with the setting and unilateral enforcement of the standards that govern the practice of engineering as a profession. According to these standards, an engineer is supposed to exhibit diligence, morality and high levels of engagement to the process (Rabins, Pritchard & Harris, 2008). When these attributes are not followed to the letter, safety may be compromised. In case an accident happens and the engineer in charge of the event or system that caused the accident is found to have diverged from recommended standards of competence, then he or she should be held responsible for the accident (Baura, 2006). As discussed above, all engineering processes always involve some risks no matter how minimal. An accident may occur not because of negligence on the part of the engineer in charge but because of other factors outside his or her control (Davis, 1998). Determining if an engineer is responsible for an accident therefore is a matter of evaluating the circumstances that led to the accident. If there is sufficient proof of negligence, then the engineer should be blamed; but if all evidence shows that the engineer stuck to the recommended standards of professionalism and ethical responsibility, then he or she should not be blamed (Davis, 1998). It is just part of the risks involved in the job. Standards of due diligence Moral, ethical and professional standards of diligence applying to the practice of engineering are defined for each specific discipline by societies comprised of experienced engineers. These societies define an elaborate set of standards which an engineer needs to be familiar with and show competence in before he or she is licensed to practice. Among these is the National Institute of Engineering Ethics (NIEE), the Institute of Electrical and Electronic Engineers (IEEE), the Society of Automotive Engineers (SAE) and the American Society of Mechanical Engineers (AMSE). In different countries, national societies exist which liaise with the international societies for easier implementation of these standards of due diligence (Rabins, Pritchard & Harris, 2008). Regulating and enforcing Standards Professional engineers who have garnered sufficient experience in the profession have the moral and professional obligation of inducting graduating engineers to the practice. They, in collaboration with engineering societies and educational institutions should ensure that student engineers are taught engineering ethics as part of the regular curriculum. Upon graduating, engineering students should be made to undertake competence courses and examinations so that the required standards of ethical and professional are ingrained into their conscience before they can be licensed to operate as engineers (Davis, 1998). There should be levels so that an engineer graduates from one level to another depending on experience garnered; experience which should be evaluated in terms of his or her level of competence. Practicing licenses should be suspended for engineers who show incompetence in their practice. Competence, Personality and Morality Good (competent) engineers are those who apply the standards of diligence prescribed in the engineering code of ethics. A bad (incompetent) engineer is one who does not value the above standards (Rabins, Pritchard & Harris, 2008). The are parameters (or standards of due diligence) include being knowledgeable, having the skills or expertise necessary for a given task and having the ethical stand to be able to take responsibility for the process itself incase of any unforeseen eventuality (Baura, 2006). A good engineer wholeheartedly dedicates his service to his clients, employer and to the society. When all or any of these virtues are missing, then we have a bad engineer. No matter how skilled an engineer may be, he or she can be branded incompetent if he does not inject ethics into his or her practice. There is a relationship between being a good engineer and being a good person since all ethics have a common foundation. Morally competent people are more likely to be professionally competent (Baura, 2006). A person of good character in personal life transfers the virtues that define good character into his or her profession. Based on this analogy, good people are likely to make good engineers and vice versa. An individual’s moral competence can be established by evaluating his or her approach to issues requiring decisiveness and strength of character (Rabins, Pritchard & Harris, 2008). This is when morality and ethics come into play. Morally incompetent people tend to place the end before the means whereas morally competent people exhibit dexterity in balancing between their acts and the likely outcomes, putting into consideration the welfare of other people directly or indirectly affected by the issue at hand. Evaluation of an individual’s morality is extremely hard since morality is essentially an intrinsic characteristic (Rabins, Pritchard & Harris, 2008). Every human being develops a unique moral outlook based on the environment and the experiences that he or she had while growing up. Since these are unique to each individual, no one has the moral right to impose his or her moral values on another (Baura, 2006). Morality can never be universal, just like knowledge. However, moral evaluations are still very necessary since as human beings and as engineers, we must build a consensus tending to those competencies which can be agreed upon as binding so that we live and practice harmoniously, exhibiting collective social and professional responsibility. References Baura, G. (2006) Engineering Ethics: An Industrial Perspective. Burlington, MA: Academic Press. Davis, M. (1998). Thinking like an Engineer: Studies in the Ethics of a Profession. Oxford: Oxford University Press Rabins, M, Pritchard, M. S. & Harris, C. (2008) Engineering Ethics: Concepts and Cases. Belmont: CengageBrain.

Saturday, November 9, 2019

Research Design Essay

In determining a research question it is important to know that this is the most critical aspect of the research. The research question will define the process, it will also guide the direction of the arguments and inquiries. The research question will provoke the interest of the reviewer. When there is a research question that does not work, it does not matter how strong the research is, it will be unsuccessful. In order to write a strong research question, it takes time. It is important to determine what lead you to the topic. Why does it matter? Start to formulate the questions by following the interest in the research question. A lot of time should be spent on researching and writing about the anticipated project. I have chosen bullying laws, should the state or federal government put laws into place to prevent bullying. This is important to me because it is something that I can relate to. Bullying has received a lot of attention in a lot of school shooting and other related incidents of violence. Bullying is a serious issue and is worth of rational attention, awareness and action. My hypothesis will be, bullying has become a major problem in schools and has been shown to lead to a lot of problems, even later in life. Bullying has become something that a lot of people have been thinking about and is something that has received a lot of different forms of attention. But, this is something that will be explored in elementary students, to put it better, why do certain students become bullies. This hypothesis is definitely both null and alternate because the null hypothesis states that just because the null hypothesis is not rejected does not mean that the statement is true. For example, some people believe that kids will be kids so it is no big deal, but that is why it is important to pin point why the child is doing what he/she is doing. The alternate studies different avenues when exploring the hypothesis. This hypothesis I believe is a quantitative design. I think this because the quantitative design s a formal, objective, systematic process for obtaining information about the world. A method is used to describe, test relationships, and examine the cause and effect relationships. So, when determining whether certain laws should be in place is always something that should be formal and systematic. The cause and effect relationship could be that bullying sometimes cause deaths which is the effect of bullying. This hypothesis is a descriptive design. Typical descriptive design examines the characteristics of a single sample. The hypothesis relates to comparative descriptive design because it compares two or more groups that occur naturally in a setting, while exploring differences. A case study is something that will need to be done in order to test the hypothesis. A case study is an intensive exploration of a single unit of study such as, the person, the family, the group, the community or the institution. Nominal scale is basically a way to categorize or group behavior. This is when the actual numbers are simple labels and identifiers. For example, if you wanted to know who endures the most bullying, you can separate them into female aggression and male aggression and then label the groups â€Å"1† and â€Å"2. † Ordinal scales are more precise than nominal scales. An ordinal scale is basically a set of rankings. So when using the ordinal scale you can put kids in to a ranking by popularity. You can have the kids placed in groups by the number of friends that they have. So those who don’t have any friends will be 1 and those having more than one friend will be 2 and so on. The interval scale is the same as the ordinal scale, but just showing differences of those 1 and 2 on an interval scale is the same as the difference between 4 and 5. Descriptive statistics are important because if presented with raw data it would be difficult to visualize what is showing in the data. This is especially true when there is a lot of data to read. Descriptive statistics will enable the data to present it in a meaningful way. This will allow for a less complex interpretation of the data. For example if we polled 100 students on whether or not they have ever been bullied, we may be interested in the overall behavior of those students. We would be interested in the gender and age of those students. Descriptive statistics will allow us to be able to do this. It will allow us to accurately describe data through statistics and graphs in a vital subject and to be discussed in other guides. There are many times when we do not have access to the entire population that you are interested in investigating. For example you might be interested in the bullying in the UK. It is not reasonable to measure all the bullying in the schools in the UK. It would be more logical to measure smaller samples of students, like 100 students, which will be used to represent the larger population group of students in the UK. I believe that descriptive statistics would be a better choice for this study. Frequency distribution shows the summarized grouping of data, it is divided into mutual select classes.

Thursday, November 7, 2019

The Global Feedbacks of Greenhouse

The Global Feedbacks of Greenhouse Introduction The greenhouse effect entails conditions that allow short wavelengths from sunlight to be absorbed through transparent media. However, these media cannot permit the passage of long wavelengths that are re-radiated from animated substances. Therefore, high temperatures that occur due to overheating are usually experienced.Advertising We will write a custom essay sample on The Global Feedbacks of Greenhouse specifically for you for only $16.05 $11/page Learn More This arises because the long wavelengths are tapped and thus causing variations in the atmosphere. It is a major issue in the world today since climatic changes cause precipitation and global warming. The accumulations of anthropogenic supporters and induced greenhouse gases encourage temperature variations. However, the greenhouse gases are transparent to the inflowing solar radiations. These gases include CFCs (chlorofluorocarbons), O3 (troposphere ozone), N2O (nitrous oxide), CH4 (meth ane), CO2 (carbon dioxide), and water vapor. The gases attract and change the inward radiations to long wavelength. Hence, they cause thermal energy. Besides, some activities carried out by man tend to increase the amount of gases retained in the atmosphere. This causes the greenhouse effect (Emanuel 2320). This study investigates the greenhouse effect. It also looks at the increase in trace-gases concentration, and the global feedbacks of greenhouse. Views on the greenhouse effect A greenhouse is a phrase that scientists originally used in the fiscal 1980s. It was used to explain the purpose of trace-gases that naturally occurred. This hardly imposed pessimistic implications on the atmosphere. However, the atmospheric scientists saw that the greenhouse effect was attached to most climatic change anxieties. Recently, negative expressions have taken center stage as to what constitutes the greenhouse effect (Lindzen 8339). These concerns are connected to the probable impact of the gre enhouse effects. Therefore, research shows that life would not have been possible without the greenhouse effects. In fact, the temperature of the earth is dependent on the atmospheric actions of the greenhouse effects. Several factors affect greenhouses. This is because of its effects in cooling and heating the atmosphere. An essential facet of the atmospheric orangery is the nature of plane that is initially hit by rays. The surfaces such as cities, deserts, ice caps, ocean surfaces, grasslands, and forests, tend to absorb, reflect, and emit radiations in different ways.Advertising Looking for essay on environmental studies? Let's see if we can help you! Get your first paper with 15% OFF Learn More A white glacier tends to reflect back sunlight that is falling on its surface. This leads to low atmospheric conditions that accrue from some amount of heat. In contrast, dark desert soils have the capacity to absorb sunlight (Arrhenius 239). This contributes to t he maximum heating of surfaces and lowers the atmospheric temperature. Moreover, the cloud coverage affects the greenhouse warming. It decreases the quantity of solar radiation that is getting into the ground. It also minimizes the degree of energy and waves that are discharged into the atmosphere. Thus, scientists have characterized a fraction of astrophysical vigor that is reproduced by such reflective planes (Reiter 54). This has helped scholars and other people to comprehend the global, regional, and local percentages. The greenhouse effect has therefore helped in the prediction of climatic changes around the world. The greenhouse effect and increase in trace-gases concentration Temperatures of surfaces and those of the atmosphere respond quickly to variations in the absorption of greenhouse gases. Increase in the concentration of clouds or greenhouse gases above the normal levels results into variations in altitude (Lindzen 8340). For instance, improved methane concentrations w ill move the altitude upwards. As a result, the temperature of the upper troposphere will change by half due to increase in surface temperature. This is apparent in a humid surface and its deviation from the altitude. Changes in the concentration will help in calculating the surface and atmospheric temperature changes. For example, double concentration of carbon dioxide increases the world average surface temperature by one degree centigrade. Furthermore, climate systems and mechanisms affect atmospheric greenhouse gas concentration. Plants depend on carbon dioxide for photosynthesis. Hence, they reduce the concentration of gases in the atmosphere (Emanuel 2325). The conservatory absorption in the environment is amplified by individuals’ actions. This is seen in industrial actions that lead to the clearance of forests and smoldering of fossil fuels. Introducing further greenhouse gas in the atmosphere strengthens the greenhouse effect. Greenhouse effect feedbacks Several feed back mechanisms depict the rate at which the globe is warming. Atmospheric warming accrues due the increment in the level of greenhouse gases. The water vapor that is found in the atmosphere also increases. This in turn increases the greenhouse effect. Therefore, excessive global warming is experienced. From such an experience, the vapor found within the reinforcing self-cycle also causes further increment in the greenhouse effect. Due to additional carbon dioxide in the atmosphere, the greenhouse effect can be doubled. Furthermore, clouds constitute an important feedback mechanism. The absorption of infrared radiation by clouds has an impact on the greenhouse that eventually causes global warming (Arrhenius 239).Advertising We will write a custom essay sample on The Global Feedbacks of Greenhouse specifically for you for only $16.05 $11/page Learn More Clouds furthermore echo the received planetary rays to generate the chilly upshots on the crusts’ plane. Therefore, the extent at which clouds cool or warm the earth depends on the changes in clouds, life span, shape, particle size, altitude, water content, position and nature (Schneider 1). Some changes restrain the global warming while others intensify it. Researches on the feedback mechanisms as regards to global warming are still on track. Conclusion It can be concluded that greenhouse gases work by absorbing the infrared radiation. Hence, some energy is radiated back towards the earth surface. This surface also receives radiation from the clouds and the atmosphere. Studies show that clouds and water vapor are the most important greenhouse components in the atmosphere. Nevertheless, water vapor quickly cycles through space, and its concentration is observed as feedback. The ozone, nitrous oxides, methane, carbon dioxide, and clouds are also important elements in the greenhouse. They increase the global warming and its absorption of various gases provided there are excessive concentrations. Arrhenius, Svante. â€Å"On the Influence of Carbonic Acid in the Air upon the Temperature of the Ground.† Philosophical Magazine 20 Oct.1896: 237-276. Print. Emanuel, Keynes. â€Å"A Scheme for Representing Cumulus Convention in Large-Scale Models.† Journal of Atmospheric Sciences 48.2 (1991): 2313-2335. Print. Lindzen, Rodgers. â€Å"Can Increasing Atmospheric CO2 Affect Global Climate?† Journal of the National Academy of Science 94.4 (1997): 8335-8342. Print. Reiter, David. The Greenhouse Effect, Brisbane, Australia: Interactive Publications, 2004. Print.Advertising Looking for essay on environmental studies? Let's see if we can help you! Get your first paper with 15% OFF Learn More Schneider, Stephen. Greenhouse Effect. 4 Sept. 2010. Web. http://hyperphysics.phy-astr.gsu.edu/hbase/thermo/grnhse.html.

Monday, November 4, 2019

The Company of Wolves Essay Example | Topics and Well Written Essays - 1000 words

The Company of Wolves - Essay Example While her mother mourns, she goes to spend some time with her grandmother (Angela Lansbury), who tells her stories and warns about wolves and men, intuitively and effortlessly drawing parallels between both species; After she returns to her parents, and while taking a walk in the woods with a friend, they find that a wolf has entered town to lay siege on their cattle. They run into town to alert the men, who hunt down the wolf and kill it. However, the carcass transforms into a human corpse. The rest of the story is reminiscent and full of the symbolisms from Perrault’s Little Red Riding Hood. It also includes the usual suspects – huntsman, wolf, granny etc. But that is where the likeness ends – it does not end or even proceed as would be expected. Based on Carter’s short stories, which, according to Merja Makinen, are (in)famous for the â€Å"excessiveness of their violence and, latterly, the almost violent exuberance of their excess,† The Company of Wolves delivers on its promise of violence and morbid dispositions. It is also very vicious in its attack on and reversal of the damsel-in-distress tradition present not only in Perrault’s Little Red Riding Hood, but in fairy tales, generally. For example, in one scene, where Rosaleen is cornered by a wolf, she has the courage to grab a rifle and shoot at it (as opposed to the helpless/hapless young girl crying for help). It is also ‘laden’ with sexual innuendo and symbolic portraits of female sexual liberation, which can be deduced in the scenewhere she gives up her bright red shawl (which is said to symbolise her virginity) of her own volition, not out of coercion. The wholesomeness of the plot, however, is brought to question by the director’s barely comfortable employment of the â€Å"Chinese Box† structure in the film. Throughout all four stories narrated in the movie, I was conscious of the separateness of the

Saturday, November 2, 2019

COPD Case Study Example | Topics and Well Written Essays - 1000 words

COPD - Case Study Example The chances of having COPD grow the more one smokes and the longer one has been smoking. This is because smoking inflames and irritates the lungs, which consequences in damaging. Over several years, the irritation steers to long-lasting variations in the lung. The partitions of the air-passage thicken and more secretion is generated. Injury to the subtle walls of the alveoli in the lungs results to emphysema and causes the lungs to lose their regular elasticity. The minor alveoli become damaged and contracted (Ellen & Kirkhorn, 2015).  These variations results in the symptoms of coughing, breathing difficulty and phlegm related to COPD. A patient named R.S. comprised of pathological variations in four different partitions of the lungs (pulmonary vasculature, lung parenchyma, peripheral airways and central airways), which are patchily available in R.S. with the COPD. Tobacco smoking is the main risk factor for R.S. patient with COPD, however, other inhaled toxic particles and gases may contribute. Therefore, treating tobacco use and dependence should be regarded as a primary and a speciï ¬ c intervention for R.S. condition. His smoking should be evaluated routinely whenever the patient avails himself to a healthcare facility and should be provided with the best opportunity to treat his condition. This results in an inï ¬â€šammatory reaction in the lungs, which is blown up in this particular patient who is a smoker and drives to the distinguishing pathological destruction of the lungs of the patient (Ellen & Kirkhorn, 2015). Furthermore to lung inï ¬â€šammation, antiproteinases and an imbalance of proteinases in the lungs and oxidative stress are also essential in the pathogenesis of the patient. The variant pathogenic mechanisms generate the pathological variation which, subsequently, develop the following physiological defects in R.S patient: cilliary dysfunction and mucous hypersecretion; hyperinï ¬â€šation and airï ¬â€šow limitation; gas