Thursday, October 31, 2019

Analyst Report on Bridgestone Tyres Essay Example | Topics and Well Written Essays - 1500 words

Analyst Report on Bridgestone Tyres - Essay Example The net income Bridgestone Corp performed extraordinarily In Europe where sales increased by 17% followed by Americans where sales increased by 1%. However, the net sales in Japan remain unchanged compared to 2011. The total assets of the company increased by 14% to 3,038.3 billion in 2012; this increase in the assets by financed by a 12% increase in the total liabilities and 3% increased in the total equity. The company returns showed a strong growth as well. The return on stockholders’ equity increased by 4.6 percentage points to 13.7% and return on assets increased by 2.2 percentage points to 6.0% in 2012. The company promises significant returns as well as strong value addition in future. Company Profile Ticker symbol: 5108.T Mission Statement: Serving Society with Superior Quality Corporate headquarters: Tokyo, Japan Date of Incorporation: March 1st, 1931 Public Auditor: Deloitte Touche Tohmatsu Limited Name of CEO: Masaaki Tsuya Name of CFO: Koki Takahashi Stock classifi cations: Common Stock Authorized: 1,450,000,000 shares Issued: 813,102,321 shares Exchange: Tokyo Stock Exchange Dividends: 21.9 billion Industry Profile Market Sector The company belongs to the Consumer Discretionary Sector. It is a sector of the economy that comprises businesses that sell non-essential products or services. Leaders Toyota Motor Corp Comcast Corp Amazon.com Inc Industry The company belongs to the Auto Components Industry. The industry comprise companies that supply low value to high value component to auto makers around the world. Stock Comparison with Competitors Bridgestone Corporation’s stock has shown a remarkable growth since January 2012 as compared to Pirelli’s and Goodyear’s stock as shown in the figure. The graph notes some of the major events – dividends, earnings and news. The news article states that the company has invested billions of yen into the research and development to produce tyres with maximized durability and value . The company, currently, has invested millions of yen into a new North American desert plant to extract a new form of natural rubber for tyre manufacturing. This stresses that the company continues to strive hard fpr excellence. The graph shows that company has continued to announce dividends and interim dividends at year ends and half year ends respectively. This has strengthened the belief of the investors in the stock value. Likewise, the company announced promising earnings which has allowed the company to maintain number one position in the global tyre market. Both the dividends and earnings have an impact on the stock price – in this case, the company’s stock price has risen par the competitors’ value after continuously posting strong earninsg and dividends. Market Capitalization Company Market Capitalization Bridgestone Corp 20.24B Goodyear 3.9B Continental 27B Michelin 14.4B Market capitalization is basically the market value of the company’s out standing shares. It determines the size of the company which allows for conclusion on asset allocation and risk factor. The analysis shows Bridgestone Corp has the largest capitalization compared to its three giant competitors – Goodyear, Continental AG and Michelin. With the capitalization of â‚ ¬20.24 billion, it falls in the ‘large cap’ pool of companies with a strong asset allocation and less risk. Global Presence Bridgestone Corpo

Tuesday, October 29, 2019

Human Genetic Engineering and Religious Views Essay

Human Genetic Engineering and Religious Views - Essay Example    Likewise, human genetic engineering is been carried out to change physical appearances, metabolism or even enhance mental abilities such as intelligence and memory and refine physical capabilities.    Interestingly, as medical sources have surged deep into this form of human modification, more issues and debate over the authenticity of such an activity is erupting and climbing at a rapid pace. The basic questions that form into people’s mind regarding this subject are that ‘is carrying out genetic engineering a sin?’ or ‘is it unethical or ethical to perform such a task?’ or ‘is this modification a substitute of robbing us of our freedom?’ The main argument concerning human genetic engineering is that it is wrong to modify or manipulate a gene of a fetus, without their agreement. The second issue that parents have the right to remold their unborn child and the third debate is that every child has the right to come into this world without any deadly disease. Moreover, other researchers show that where people are already spending thousands of money and waste their time in enhancing their beauty by plastic surgeries, cosmetic, injections, diet, and exercise, it is better than they perform engineering for once, which is less tiring than these daily ventures. Similarly, it is an act of humanity if through genetic engineering a person is freed from the fatal illness. Nonetheless, the role of religious belief comes into play at this moment, where people need to make decisions. No matter how high a person is educated, when debatable issues emerge such as genetic engineering people always refer to their respective religion in order to shape their action.  

Sunday, October 27, 2019

Prevention Strategies for the Development of Pressure Ulcers

Prevention Strategies for the Development of Pressure Ulcers This assignment will examine the process and methods used when gathering empirical evidence, for a chosen based care issue, using different search strategies and medical databases. An appraisal and discussion of the chosen evidence will also be made, identifying how the evidence was gathered and its relevance to the chosen based care issue. The process of collecting such evidence and the importance of its use will be reflectedupon using a specific reflective model. The practice based care issue which has been chosen is ‘prevention of pressure ulcers’. A pressure ulcer is an area of localised damage to the skin and underlying tissue (EPUAP, 2009) which develops when there is persisting pressure on a bony site, obstructing healthycapillary flow , leading to tissue necrosis (Lyder, 2003).The rationale for selecting this type of research is due to the high prevalence rate of pressure ulcer among patients and the current lack of knowledge concerning guidelines of pressure ulcer prevention (Moore Price, 2004). I am very interested in this topic and feel a deeper knowledge of pressure ulcer development and risk assessment tools will enable me to provide better clinical practice. According to Davies (2008) health care professionals are striving constantly to improve and develop standards of care which evolves from the integration of research evidence, clinical expertise and patient needs and values (Institute of Medicine, 2001),this is al so known as evidence-based practice. The reflective model that I will be using is Rolfe et al (2001) ‘what’ model which composes of three main areas, what? So what? Now what? This model aims to identify the following; what was I trying to achieve? What is my new knowledge of understanding? What information is needed to face a similar situation again? Ichose this particular model compared to John’s model of reflection (1994) as I found it the easiest model for organisation and meaning to the process of reflection. .Reflection involves accessing previous experience to help in developing tacit and intuitive knowledge (Johnsand Freshwater, 2005) and the main principles of reflection include becoming mindful, understanding and learning from experience. Reflection facilitates an evaluation of one’s own practice, both as individuals and with their teams (Sines, Saunders Burford, 2013). It is vital that Nurses reflect and practice reflectively as it allows them to learn from experience and make better future judgement, becoming critical practitioners and facilitating excellent patient care. The critique model I will be using for the critical appraisal and discussion is the Critical Appraisal Skills Program (CASP) as it is a clear tool which identifies the worth of the articles I have found (CASP, 2013). Critical Appraisal After researching for relevant articles, I decided to choose three of the most relevant articles to critically appraise. Each of these three articles involves a study evaluating the effectiveness of prevention strategies for the development of pressure ulcers. The first single blind randomised control study by Webster et al (2011) aimed to evaluate the effectiveness of two pressure-ulcer screening tools against clinical judgement in preventing pressure ulcers. This study had a very clear and focused objective which stimulated the reader to continue reading due to the study avoiding the use of jargon or buzz words (Carr, 2001). This was an experimental and correlation study showing the link between two factors with the aim of producing quantative results. 1231 patients were randomly allocated to either a water low or ramstadius screeningtool or to a clinical judgement group. Randomised Control Trials (RCT) are comparative studies with an intervention group and a control group; the assignment of the subject is assigned through randomisation(Melnick Everitt, 2008). The advantages of using RCT are that it removes potential of bias in the allocation of participants and that randomisation tends to produce comparable groups; that is, measured as well as unknown or unmeasured prognostics factors and characteristics at the time of random allocation will be balanced (Friedman, Furberg Demets, 2010). The researchers ensured that patients allocated were excluded if their hospital stay was expected to be less than 3 days or if they had been in hospital 24 hours prior to the baseline assessment occurring. This is to allow thorough and regular direct observation of the incidence of hospital acquired pressure ulcers, allowing the researcher to attempt to control the studies validity and reliability (Marshall, 2004). In a research study it is vital that the researcher ensures that the subjects are aware of the process of the study and have given informed consent. In the case of this study, for pressure ulcer screening and observation, consent was not required. However, signed consent was sought from any patient who developed a pressure injury in order to validate the assigned pressure ulcer through clinical photography. The researchers also obtained institutional ethics approval which included the right to access the patient’s medical record for audit purposes. The incidences of hospital acquired pressure ulcers were similar between all groups. The authors found no evidence to show that two common pressure ulcers risk assessment tools were superior to clinical judgement to prevent pressure injury. The authors felt that resources associated with the use of these tools might be better spent on careful daily skin inspection and improving management targeted at specific risks. This is supported by the work of Sarabahiand Tiwari (2012) who suggests a regular and rigid schedule of inspection must be followed as part of the patients daily routine. Nurses undertaking the trial were more familiar with the Water low scoring system which could have led to contamination in the clinical judgementgroup. The limitation of this study is that they did not use patients from acute settings who could be at risk and therefore cannot use these results as a representation of all hospital settings. The second randomised controlled study by Nixon et al (2006) aimed to compare whether differences exist between alternating pressure overlays and alternating pressure mattresses in the development of new pressure ulcers. This criterion for this study involved participants aged at least 55 years who had been admitted to vascular, orthopaedic, medical, or care of elderly wards, and had limited mobility. The methodology used for this study was pragmatic, open, multicentre and randomised controlled trial. An open label study is where the investigator and experimental units knows which treatment the experimental unit is to receive. Although this type ofstudy is simple and easy to design, it could cause the individual to favour the type of treatment, leading to possible bias (Ambrosisus, 2007). A multicentre method involves the study being conducted by several institutions. An advantage to conducting a multicenter is that it increases the number of patients available to participate (Bhandari Joensson, 2011), which in the this trial is a large 1972, leading to the findings beinghighly likely to be representative of what would happen in usual clinical practice. The design of this study involved patients beingallocated to either an alternating pressure overlay or an alternating pressure mattress, within 24 hours of hospital admission, with the expected length of stay of at least seven days. Clinical research nurses assessed skin status twice weekly for 30 days and then once a week up to 60 days for the development of pressure ulcers. A limitation of this study is the lack of blinded outcome assessment due to difficulty in disguising or masking the mattresses, however, according to Khan, Kunz, Kleijen Antes (2011) only few observational studies manage to implement appropriate measures to achieve blinding. The researcher tried to combat this through independent skin assessments which were taken by the Nurses to avoid any bias.Ethical approval for this study was approved by theNorth West multicentre research ethics committee and local ethics committees in order to undertake this research. This study had a clear aim to evaluate the effects on p ressure ulcer risk and was able to undertake the study with fairly low rates of ulcer incidence, meaning the patients were subjected to minimal harm.The most important issue arising in the ethical review of scientific research involves preventing human participants, is risk of harm (Smith Waddington, 2013)therefore it was extremely important that the researchers were able to conduct this study with low incidence rates. The results of this study were that the patients allocated to either an alternating pressure overlay or alternating pressure mattress that developed a new pressure ulcer of grade 2 or worse did not differ, highlighting the need for other preventive measures. The final study by Moore et al (2011) aimed to compare the incidence of pressure ulcers among older persons nursed using two different repositioning regimens. The researchers aim is very clear, evaluating the effectiveness of positioning patients 3 hourly and 6hourly at night time. The methodology used was a pragmatic, multi-centre, open label, prospective and cluster-randomised controlled trial, similar to the study above, the findings are highly likely to be representative of what would happen in usual clinical practice due to a multicentre approach being commonly accepted as providing a more representative population (Luchetti Amadio, 2008). Cluster randomised control trial involves randomizing professionals so it is much easier to keep the intervention separate from the control groups but methodological, statistical and ethical issues must be taken into account in making sense of cluster trials(Gilbody Bower, 2010). This study did indeed ensure that ethical approval was received by participants before the study commenced. The results obtained through the research were that repositioning patients with a pressure ulcer every three hours at night, using the 30 degree tilt, reduces the risk of pressure ulcers compared with usual care which issupported by the recommendations of the International pressure ulcer prevention guidelines (2009). Arguably, the research is well written with a good amount of supporting literature, stating clearly the incidence of pressure ulcers with a good rationale for the studies aim. This study included results of other similar researchers who have found similar results of repositioning, giving scope for further research such asDefloor et al (2005). The limitation of this study is that the target of 398 participants was hard to find which caused the variance in the size of the clusters to be different, which could have had a major effect on the research gathered. Another limitation is that most participants were 80 years or older which means it cannot be a representative of mos t patients, as expected. Reflection Using the Rolfe et al (2001) reflective model, I will evaluate the actions in undertaking my searches and what I found. As mentioned above, the stages of the reflective model includes what? So what? Now What? The first stage (what?) involved the process of searching for my articles in relation to the subject issue‘pressure ulcer prevention’. Using the databases,Pubmed, Scopus and JSTOR I searched for articles using key words such as, prevention, pressure ulcer, pressure sore and risk assessment. In order to limit the amount of results gathered I used the Boolean operators ‘and’ and ‘or’ as well as advanced searches such a ‘UK based’ and ‘No older than 2005’; ensuring a realistic amount of hits were gathered, relevant to the subject issue. In order to identify relevant articles, I read through the titles and abstracts, as this gave me an idea of how relevant the articles were. Once I read through a few studies, I was able to choose 3 studies to critically evaluate. The second stage (So what?) involved identifying the difficulties which I encountered when conducting the search. I found the searching quite challenging as many of the results either came back as a large amount of hits or a small number of hits based around irrelevant research to my subject. Using keywords and re wording phrases such as ‘pressure sores’ instead of ‘pressure ulcers’ enabled me to widen my search. The final stage (Now what?) involved reflecting on the search which I had undertaken as well as the results obtained. I had to conduct many different searches and keywords to find effective results. The problem I encountered was that many results obtained were regarding wound care and not prevention; if I was to repeat this search again I would ensure I put ‘NOT wound care’. I feel further exploration of medical databases would be beneficial for future research to give me a better understanding of search terms and criterion available. Prior to carrying out this assignment, I was certain that risk assessment tools played a major part in the role of pressure sore prevention. However, risk assessments such as water low, have been criticised due to its poor validity, particularly for the tool to underestimate the numbers at risk (Pancorbo Fernandez, 2006). Thestudies which I have critically evaluated have made it clear that observation and repositioning is key to pressure sore prevention. As identified by Guyatt et al, (2000) Nurses do not feel sufficiently competent to be able to appraise research findings because they lack the necessary understanding of information retrieval techniques, research design and data analysis and therefore it is important that Nurses are educated in pressure sore management, for clinical practice to be effective. This assignment has expressed the importance of evidence based practice for effective clinical practice,although contradictory findings from different sources and a lack of critical appraisal skills can make interpretation of evidence difficult. It has taught me the value of observation when caring for patients and made me become mindful of reading and evaluating research to learn and improve my clinical practice. I am aware that repositioning and skin integrity checks are a major pressure ulcer prevention and that risk factors such an nutrition also need to be monitored closely, I feel I will confidently use the knowledge I have obtained when in practice. This assignment has put into perspective the importance of identifying all factors when caring for a patient and aiming to prevent pressure sores. For future development I would like to do further research on methodology as I believe this will help me to evaluatethe studies in much more depth, especially seeing ascertain study methodological designs are likely to be more reliable compared to others. Conclusion In conclusion, this essay demonstrates an effective search strategy for research studies on ‘preventing pressure ulcers’ which have each been critically appraised. A reflection on the process of the research was carried out using Rolfe model of reflection (2001) highlighting learning outcomes as well as encouraging me to exploreimprovements for my future practice and search strategies.

Friday, October 25, 2019

Mental Illness Essay -- Psychology Mentally Sick Essays

Mental Illness Mental illness is an issue that hits extremely close to home. Both of my uncles on my fathers side developed schizophrenia in their 20’s. One of them, upon being diagnosed, committed suicide. This happened before I was born, but the fall-out is still visible in my family. The other now lives in a home for those with mental illness. He is on medication, which helps with many of the symptoms, and has been an important pillar in my life. There is a fair chance that either my brother or I may contract schizophrenia, and for these reasons, mental illness will always be a large part of my life. I say this, not to arouse pity, but simply to make a point that no matter where you stand on mental illness, chances are that you or someone close to you will endure some type of mental illness. We are all responsible to aid those who are in need of it, and the way we respond to the call will define us as human beings. Definition A concise definition or idea of mental illness is fairly difficultly obtainable. Mental illness covers an extremely wide range of cases, symptoms and patients, which makes a cumulative definition hard without leaving out many main areas. A definition of mental illness is further impeded by taking into account the personal subjective ness of a mental illness (eg: some may view homosexuality as a mental illness). One of the more inclusive definitions describes mental illness as: â€Å"A pathological state of mind producing clinically significant psychological or physiological symptoms (distress) together with impairment in one or more major areas of functioning (disability) wherein improvement can reasonably be anticipated with therapy. In addition, for the purpose of definition only, mental illness includes alcoholism, and drug abuse and other controlled substance (drug) abuse.† The Individual The above definition misses much of the individual experiences of mental illness. Mental illnesses will disrupt a person’s feelings and emotions, the way they think and view their surrounds, and their moods. Mental illnesses will also affect a person’s ability to communicate and relate to others. Although symptoms and diagnosis of mental illnesses are fairly well known and classified into separate afflictions, the causes are less understood. In many ways the cause of mental illness boils down to a debate of nurture vs. nature: whether... ...d that is the saddest fact of all.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Ideally, our society should be there to help those with mental illnesses. We should treat these people with the same respect and dignity that we would treat any other person. The article makes a point of telling us that we should start to see these people the same way we would see someone with a different physical affliction, like a broken leg, or measles. We should help these people when they need it, but let them help themselves, and maintain a sense of independence. We would let them know that we are here to help, but not overstep our boundaries. We would breakdown stereotypes and stigmas that tell us that mental illness is a danger, or is something to be ashamed of. Closing Mental illness is not something that is going to magically disappear. It has been with us for centuries, and we must learn to embrace is as another part of human society. Until we can do so, our society will be drastically flawed. The world we live in is home to people that come from all different situations and circumstances. If we are unable to treat people with basic respect and accept them for who they are, then I ask you; who is really crazy?   Ã‚  Ã‚  Ã‚  Ã‚  

Thursday, October 24, 2019

Kids & Cops Essay

My essay is about what drugs can do to you. Drugs and the people who supply drugs do not care about you and what happens to you as a person. The people who give children drugs are not your friends! Drugs can take a healthy child and change them within a matter of minutes. Drugs can sometimes put you in a hospital never to return home to your family, pets, friends, or school. Taking drugs can cause people to never want to play with you or be friends with you. Drugs can change your entire personality.Parents will never let their kids play with other kids that do drugs. Kids who don’t us drugs are afraid of people who use them. Parents and other people look down on people that do drugs and think less of them. Not only does drugs affect your outer looks it kills brain cells and causes you to do things without thinking of the consequences. You should always stay drug-free because drugs can lead to death. Drugs can cause brain damage, heart failure, lung cancer, kidney failure and a lso car accidents.If you are using drugs while driving a car you could easily have a wreck and not only hurt yourself but take another life. Please don’t use drugs. No matter what anyone says, drugs are BAD in any city, state, or country. Drugs and the people that use drugs and supply drugs are going nowhere in life. If you stay drug-free you can rest assure you have the chance of a very successful life. Please use good judgement now and always, stay drug-free and don’t hurt the people that love you the most!

Wednesday, October 23, 2019

Macbeth: The Role of Gender and Position Essay

In Macbeth, many elements that affect the story’s plot and outcome; however, gender and position of power play the most important role of the story. For example, Lady Macbeth continuously wants to be changed into a man in order to get certain duties done that Macbeth is hesitant to do. Also, Lady Macbeth uses the power of belittling Macbeth’s masculinity to further drive his actions in the play. Lastly, the witches’ predictions of Macbeth’s future affect and change him through the position of power he will soon possess. Overall, many aspects of the play foreshadow and affect the ending of the play; however, sex (gender) and power have the biggest impact. Throughout the course of the play, Lady Macbeth constantly exerts the fact that she does not want to be a female. Lady Macbeth wants to be changed into a man because she would hold more power, and be able to escape the stereotypes associated with being a female. Such stereotypes include, not being capable to do certain activities men can, being fragile, and having a frail attitude about oneself. One example of Lady Macbeth wanting to become a male is when she states â€Å"Come, you spirits that tend on mortal thoughts, unsex me here . . .† (Shakespeare 33) Lady Macbeth’s statement implies the obvious, which is, due to her being a female she is unable to murder Duncan (aside from his resemblance to her father) and wants to be â€Å"unsexed†. Another example of Lady Macbeth despising being a female is when she states â€Å"That no compunctious visitings of nature shake my fell purpose, nor keep peace between th’ effect and it,† (Shakespeare 33). Lady Macbeth’s statement basically states that she wants to be ridden of the â€Å"visitings of nature† because they distract her from her purpose and goal. Lady Macbeth’s gender affects her role in her husband’s life, and she despises the fact. Lady Macbeth continuously despises being a female. In Macbeth, Lady Macbeth constantly manipulates her husband Macbeth by testing his masculinity. In order to manipulate Macbeth and get him to do certain actions, Lady Macbeth simply makes comments testing his masculinity such as â€Å"When you durst do it, then you were a man . . .† (Shakespeare 43). In the passage, Lady Macbeth convinces Macbeth to kill Duncan because the murder will prove himself being a man. Lady Macbeth constantly uses Macbeth being a male against him. Mark Lugris states â€Å"Influenced by his wife, Lady Macbeth, the general kills the reigning King and steals the throne,† (Lugris). Lugris’ statement best explains the reason Macbeth murders Duncan. Without his wife’s influence, Macbeth probably wouldn’t have killed Duncan. Mahatma Gandhi states â€Å"Man’s nature is not essentially evil. Brute nature has been known to yield to the influence of love. You must never despair of human nature,† (Gandhi). Gandhi’s statement applies to Macbeth’s situation because, like the quote states, Macbeth is not essentially evil; however, his love for his wife influences his decisions; furthermore, the only reason Lady Macbeth has influence on Macbeth is because of her constant testing of his manhood. Lady Macbeth is able to have influence on Macbeth and his decisions because she uses his manhood against him. Throughout the play Macbeth, Macbeth’s attitudes and goals change all because of his strive for power. At the beginning of the play, Macbeth is loyal, and trustworthy. Towards the end of the play, however, Macbeth is power-hungry, delusional, and disloyal. Macbeth states â€Å"I know I am thane of Glamis, but how of Cawdor?† (Shakespeare 19). At the moment when Macbeth makes his comment doesn’t believe the witches’ predictions because he is loyal to Duncan and would never kill him; however, Macbeth ends up committing the murder of Duncan because of his crave for power. Macbeth eventually lets his new position of power get to his head and orders for Banquo, who was once his best friend, to be killed. After Banquo is murdered, Macbeth tells the murderers â€Å"Thanks for that. There the serpent lies,† (Shakespeare 101). Macbeth’s statement shows the fact that he only cares about himself. Abraham Lincoln states â€Å"Nearly all men can stand adversity, but if you want to test a man’s character, give him power,† (Lincoln). Lincoln’s statement applies to Macbeth because Macbeth is only corrupt when given power. Also, Jimmy Hendrix states â€Å"When the power of love overcomes the love of power, the world will know peace,† (Hendrix). Jimmy’s statement demonstrates Macbeth because if Macbeth would have chosen his love for his friends and family, he wouldn’t have become corrupted by his power. Lastly, the young siward states â€Å"The devil himself could not pronounce a title more hateful to mine ear,† (Shakespeare 183). The Young Siward’s comment is a realization in the play because towards the end of Macbeth, Macbeth has built a bad reputation for himself. He was noble and just in the beginning, but now, people are fearful and hateful towards him. Macbeth has now become a tyrant due to his position of power. Overall, power greatly influences the play Macbeth. Throughout the play Macbeth, the fact is vividly clear that many themes and ideas play a role in the outcome; furthermore, the most influential factors of the play are gender, and position of power. The factors, gender and power, evolve into conflicts amongst the characters. Such conflicts include, Macbeth killing Banquo, and Lady Macbeth influencing Macbeth. Gender and power are the key elements of the play.