Tuesday, August 25, 2020

Medicine in Ancient Egypt as seen by the Archaeological Evidence of Pap

The Ancient Egyptian civilization’s improvement revolved around the rich, green and fruitful Nile stream. Incredibly, they precisely anticipated Nile floods to create surplus yields and permit the development of society and culture. In the North of Africa, Egyptians thrived until 525 BC. The grounds were governed by ground-breaking pharaohs who gave strength and control to their kin. The Egyptians consistently lives revolved around a detailed arrangement of strict and otherworldly convictions. In tribute to their strict convictions, pharaohs and divine beings, the Egyptians assembled amazing landmarks that frequently included enhancement and pictographs that were symbolizations of their otherworldliness. The astonishing design and the riddle to how they constructed these massive structures is one of the most interesting issues of the old world. In any case, the part of society and culture likewise motivate people to pose inquiries about how the Ancient Egyptians approached the ir regular day to day existences, and how they figured out how to grow such an acculturated method of living. The delineations that decorated burial chambers, and landmarks all around Egypt included understanding into the lives of the Ancients. Alongside the advancement of composing, the portrayal of compelling use in medication got obvious. â€Å"Medicine was perhaps the most established calling in the Nile valley.†(White 1970) Their clinical practices were exceptionally best in class for their time and incorporated a few specialists and clinical practioners. Clinical consideration was given by laborers who made a case for explicit title, for example, a specailist in creature chomps. Or then again patients would turn to customary fixes passed on all through generations.(Donadoni 1990) Doctoral specialization was evidently identified with the fields of mastery and included specialists, general pr... ...nderstanding of human life structures. The Kahun Gynecological papyrus was the first to recognize the female life systems exclusively. People of yore had the option to recognize pregnancy, just as how to forestall pregnancy. The Kahun papyrus additionally remembered a short segment for veterinary medication which shows their degree of comprehension of creatures life systems too. The Hearst papyrus is made out of a few general clinical issues and how to treat them. At long last, the Berlin papyrus is comprised of a few segments including : general medicines and findings, gynecological remedies, and an enormous bit devoted to spells and enchantment. In general, as appeared by the five papyri the Ancient Egyptians had a very socialized way of diagnosing and rewarding regular aliments of their time. Their amazing information human as well as creature life systems permitted them to effectively treat patients. Medication in Ancient Egypt as observed by the Archeological Evidence of Pap The Ancient Egyptian civilization’s advancement revolved around the rich, green and prolific Nile stream. Amazingly, they precisely anticipated Nile floods to deliver surplus yields and permit the development of society and culture. In the North of Africa, Egyptians thrived until 525 BC. The grounds were controlled by ground-breaking pharaohs who gave strength and control to their kin. The Egyptians consistently lives revolved around a detailed arrangement of strict and profound convictions. In tribute to their strict convictions, pharaohs and divine beings, the Egyptians constructed stunning landmarks that regularly included beautification and pictographs that were symbolizations of their otherworldliness. The astounding engineering and the puzzle to how they constructed these massive structures is one of the most interesting issues of the antiquated world. In any case, the part of society and culture additionally rouse people to pose inquiries about how the Ancient Egyptians approached their regular day to day existences, and how they figured out how to grow such an enlightened method of living. The outlines that embellished burial chambers, and landmarks all around Egypt included understanding into the lives of the Ancients. Alongside the improvement of composing, the portrayal of viable use in medication got clear. â€Å"Medicine was perhaps the most seasoned calling in the Nile valley.†(White 1970) Their clinical practices were exceptionally best in class for their time and incorporated a few specialists and clinical practioners. Clinical consideration was given by laborers who made a case for explicit title, for example, a specailist in creature nibbles. Or on the other hand patients would fall back on conventional fixes passed on all through generations.(Donadoni 1990) Doctoral specialization was clearly identified with the fields of ability and included specialists, general pr... ...nderstanding of human life systems. The Kahun Gynecological papyrus was the first to recognize the female life systems exclusively. People of old had the option to distinguish pregnancy, just as how to forestall pregnancy. The Kahun papyrus likewise remembered a short segment for veterinary medication which shows their degree of comprehension of creatures life structures also. The Hearst papyrus is made out of a few general clinical issues and how to treat them. At last, the Berlin papyrus is comprised of a few areas including : general medicines and conclusions, gynecological remedies, and an enormous part committed to spells and enchantment. Generally speaking, as appeared by the five papyri the Ancient Egyptians had a very acculturated way of diagnosing and rewarding normal aliments of their time. Their fantastic information human as well as creature life systems permitted them to effectively treat patients. Medication in Ancient Egypt as observed by the Archeological Evidence of Pap The Ancient Egyptian civilization’s improvement revolved around the extravagant, green and ripe Nile waterway. Amazingly, they precisely anticipated Nile floods to deliver surplus harvests and permit the development of society and culture. In the North of Africa, Egyptians prospered until 525 BC. The terrains were administered by incredible pharaohs who gave predominance and control to their kin. The Egyptians consistently lives revolved around an intricate arrangement of strict and profound convictions. In tribute to their strict convictions, pharaohs and divine beings, the Egyptians manufactured amazing landmarks that regularly included enhancement and pictographs that were symbolizations of their otherworldliness. The astounding design and the secret to how they fabricated these massive structures is one of the most charming issues of the antiquated world. Be that as it may, the part of society and culture likewise move people to pose inquiries about how the Ancient Egyptia ns approached their regular daily existences, and how they figured out how to grow such a cultivated method of living. The outlines that decorated burial chambers, and landmarks all around Egypt included understanding into the lives of the Ancients. Alongside the improvement of composing, the delineation of compelling use in medication got clear. â€Å"Medicine was probably the most seasoned calling in the Nile valley.†(White 1970) Their clinical practices were exceptionally cutting-edge for their time and incorporated a few specialists and clinical practioners. Clinical consideration was given by laborers who made a case for explicit title, for example, a specailist in creature nibbles. Or then again patients would turn to conventional fixes passed on all through generations.(Donadoni 1990) Doctoral specialization was evidently identified with the fields of ability and included specialists, general pr... ...nderstanding of human life structures. The Kahun Gynecological papyrus was the first to recognize the female life systems exclusively. People of yore had the option to recognize pregnancy, just as how to forestall pregnancy. The Kahun papyrus additionally remembered a short segment for veterinary medication which shows their degree of comprehension of creatures life structures also. The Hearst papyrus is made out of a few general clinical issues and how to treat them. At long last, the Berlin papyrus is comprised of a few segments including : general medicines and analyses, gynecological remedies, and a huge bit devoted to spells and enchantment. Generally speaking, as appeared by the five papyri the Ancient Egyptians had a very humanized way of diagnosing and rewarding regular aliments of their time. Their unfathomable information human as well as creature life systems permitted them to effectively treat patients.

Saturday, August 22, 2020

The Travels Of Marco Polo By Marco Polo (approx. 1254 - 1324) Essays

The Travels of Marco Polo by Marco Polo (approx. 1254 - 1324) The Travels of Marco Polo by Marco Polo (approx. 1254 - 1324) (as advised to Rusticiano da Pisa and altered by Francis R, Gemma; initially titled A DESCRIPTION OF THE WORLD) Kind of Work: Self-portraying experience Settings Venice, Italy and overland to Eastern China (Cathay) Chief Characters Marco Polo, a youthful aristocrat, voyaging dealer and traveler Niccolo Polo, Marco's dad, likewise a dealer Maffeo Polo, Niccolo's sibling and business accomplice Kublai Khan, Emperor of China, descendent of Ghenghis Khan Verifiable Overview Preamble: (The book contains the story of Marco Polo's life and his movements from his home in Venice, Italy over Eastern Europe, the Middle East, and Asia to the court of Khan, found in the zone presently known as Beijing, China. Marco was highly enjoyed by the Emperor, who made him his envoy. The pioneer portrays his numerous undertakings during his 26-year nonappearance from home. A presentation diagrams the historical occasions (every that he himself by and by saw or heard tell by people deserving of confidence), and sets us on our way with Marco on the way to China.) Two affluent Venetian noble man shippers, Niccolo and Maffeo Polo, cruised eastbound from Venice around 1254, leaving Niccolo's newborn child, Marco, under the watchful eye of his auntie. The voyagers ventured to the extent the court of the extraordinary sovereign Kublai Khan, where they became exceptionally preferred. Subsequent to finding out a little about the outlandish Catholic religion of his visitors, the Khan dispatched emissaries to come back with them to Italy to meet with the Pope. His longing was that the Pope ought to loan the administrations of upwards of a hundred researchers to go to his court and demonstrate that the Law of Christ was generally pleasant. If they succeeded, he promised that he and every one of his subjects would become Christians. The Polos cruised into Acre, Italy in April of 1269, to the news that Pope Clement had passed on. At that point the siblings ventured on to Venice to anticipate the blessing of another pope. In any case, following quite a long while they felt worn out on of pausing and started to advance again to Kubtai's court, this time joined by youthful Marco. Again in Acre, after some backtracking, the three at last got together with the recently named Pope Gregory of Piacenza. He hesitantly consented to help out the Khan's bonus, however sent just two ministers to go with them. Be that as it may, these ministers before long became debilitated. Reluctant either to persevere through the privations the excursion would require or to forfeit their lives in the administration of agnostics, both in the long run turned around. Book-by-Book Summary Book I contains Marco's depictions of his three-and-a-half year excursion to Kublai's court. It is an entrancing account, with clear versions not just of topography, regular marvels and voyaging separations what's more, conditions, however of accounts, food readiness and creation, exchange, strict practices, and customs and oral conventions among the numerous clans furthermore, human advancements they experienced. Book II recounts life in the court of Kublai Khan. The individual of the Khan is fondly definite: He is of a decent height, neither tall nor short, however of a center tallness. He has a turning out to be sum of substance, and is shapely in the entirety of his appendages. His appearance is white what's more, red, the eyes dark and fine, the nose all around shaped and very much set on. The Khan's castles, his huge court, his legislature and armed forces are delineated. A record is given of a fight drove by extraordinary Khan himself. The story reports that when all were in fight cluster [one could hear] a sound emerge of numerous instruments of different music, and of the voices of the entire of the two has boisterously singing. For this is the custom of the Tartars.. . Depictions of court undertakings, for example, the checking of the schedule, and the festival of thousands of celebrations what's more, chasing trips, are expressively recorded. Record-keeping was significant to the Chinese. Every family unit kept close to the front entryway a rundown of the names of all the home's occupants, and the guardians of hostelries were required to record the names everything being equal and the dates of their visits. Certain parts relate a portion of the wondrous creations Marco saw while serving the Khan. He composes of such wonders as paper cash, an arrangement of express couriers, fine expressway frameworks (remainders of which are still set up), and a dark stone (coal) utilized for fuel. For these marvels Marco gives full credit to the Incomparable Khan, whom he never feels worn out on commending for his insight, influence, riches and expertise. Presently familiar with four distinct dialects, Marco turned into an important diplomat for the Emperor. Book 11 closures with brief depictions of his different missions. Book III describes in

Tuesday, July 28, 2020

Write a #FavTeacher Haiku and You May Win an EasyBib Pro Subscription (May 14th Deadline)

Write a #FavTeacher Haiku and You May Win an EasyBib Pro Subscription (May 14th Deadline) (0) With the school year coming to a close, many of us have one thing on our minds: summer fun and sun! Before you break out that sunblock, there’s one thing left to do: Thank your teachers for their dedication and getting you through the school year! National Teacher Appreciation Week this year is May 8-12. It’s your chance to join the many students, administrators, parents, and local and national businesses to say thank you to America’s educators. Show your favorite teacher how much you care on Twitter, and you could win a 5-year subscription to EasyBib Pro. To enter, simply: Write a haiku (3 lines of 5 syllables, 7 syllables, 5 syllables) about your favorite teacher. Post it on Twitter and include the hashtag #faveteacher and follow EasyBib so we can message you if you win. You can enter from May 8th-May 14th, 2017. Official Rules can be found here. For example: English came alive You brought fun, drama, passion! Thank you Mrs. Fox #favteacher #EasyBib Ideas for Showing Appreciation in Class Giving your teachers props shouldn’t only happen once a year. Wondering what you can do to show your favorite educator that you appreciate them? There are many simple and affordable ways to say thanks. You could donate a hardcover book to the school library and dedicate it to your favorite teacher. Educators also love small gifts that they can enjoy at school or at home. Small candles, fun or funky pens, stress balls, bookmarks, coffee mugs, and stationery sets are reasonably inexpensive gifts. A single flower with a spoken, heartfelt thanks is a kind gesture. Looking to spend a bit more on that favorite educator who truly inspired you? A small gift card to the local bookstore or coffee shop is an extremely thoughtful present. If you’re short on funds, see if other classmates are willing to pitch in for a group gift. The best gift of all? A handwritten note that says thanks. Throw in a blurb about a lesson or unit that resonated with you the most. Your teacher will appreciate the time and effort you took to write such a meaningful note. They may even hold onto this memento for years to come!

Friday, May 22, 2020

Persepolis The Story of a Childhood by Marjane Satrapi

Persepolis The book Persepolis: The Story of a Childhood Summary written by Marjane Satrapi is about a girl who describes her upbringing and life in her country, Iran. She enlightens us about the two main revolutions, the overthrowing of the Shah and the institution of the Islamic regime. Shah ruled with an iron fist who was helped by the British who saw nothing but the benefits and profits they stood to make. In a way we gain perspective about some of the misconceptions that are shown by the media about the Middle Eastern culture, religion, and beliefs. First off, Marjane was born during a time of war for her country, the Islamic Revolution. She was born into an upper middle class family. Both of her parents opposed Shah and constantly protested on a daily basis. Shah happened to be the last Qajar emperor of the country Iran. Many of Marjane’s family were known as communists and often jailed, held as a prisoner, or executed for their political beliefs and thoughts. The protests against Shah continuously grow and his rule becomes impossible! Shah eventually resigns to leave the country of Iran to join the oil industry in the United States. When shah steps down, most of the political prisoners are releases. Marjane discovers that her uncle who is also her hero helped declare independence from Shah. Her family grew courage and were enthusiastic about the overthrow of Shah. These events were often traumatizing to her and which is ultimately what led her to rebel againstShow MoreRelatedAnalysis Of Persepolis : The Story Of A Childhood By Marjane Satrapi758 Words   |  4 PagesIn light of the analysis of the graphic novel of Persepolis: The Story of a Childhood by Marjane Satrapi, it is clear that events portrayed in the novel represent the tribulations and tragedies that various citizens of Iran experienced upon the downfall of Reza Shah, the Islamic Revolution, and the Iran-Iraq War. In terms of plot, the story is told through the memoirs of upper middle class Tehra n female citizen, Marjane Satrapi aka â€Å"Marji†, as she recounts her perceptions and views of the overthrowRead MorePersepolis Reflection Paper1578 Words   |  7 Pagesregarding Persepolis by Marjane Satrapi the class discussed many topics. As a group, we began by talking about the genre of the graphic novel. The artistic style and technique used by Satrapi was addressed specifically. I mentioned that I appreciated the mono color, by using black and white it effected the readers by making the text more serious. Another comment was added; the use of minimal color was effective. Another main topic discussed was the characterization of Marjane Satrapi. One classmateRead MorePoint Of View In Persepolis By Marjane Satrapi1498 Words   |  6 Pageswriting. Marjane Satrapi utilizes the impact that point of view has in her graphic novel Persepolis. The story, which is written as a memoir, includes Marjane herself in the images, which makes the text seem to be told from more of a limited third person point of view, while the narration of the story is told in the first person. By including herself in the images, Satrapi is better able to explain to the reader exactly what she went through, and emphasize exactly what she felt. Writing her story exclusivelyRead MoreCultural Acceptance in Marjane Satrapis Persepolis1616 Words   |  7 Pagesï » ¿Whitfield Logan English 102 Ighade 4-7-14 Cultural Acceptance in Persepolis Marjane Satrapi‘s graphic novel Persepolis  is an  autobiography that  depicts her childhood up to her early adult years in  Iran  during and after the  Islamic revolution.  Throughout the novel Satrapi incorporates character development, religion, and the conflict of freedom vs. confinement in order to develop a greater appreciation between two opposing eastern and western cultures. When analyzing the current relationshipRead MorePersepolis : The Story Of A Childhood1164 Words   |  5 Pagessituation. In the autobiographical graphic novel, Persepolis: The Story of a Childhood by Marjane Satrapi, readers are able to focus on the honesty and emotion of stories to capture their own opinion on Iranians rather than previous assumptions. During the time of the novel, Marjane weaves through childhood in an environment that is full of war and political conflict. Slowly Iran turns into a physical and mental prison, and, like many other Iranians, Marjane struggles between finding herself and absorbingRead MorePersepolis1300 Words   |  6 PagesHas Many Meanings Persepolis is a story that is illustrated in black and white. The author, Marjane Satrapi, uses many visual techniques throughout the story to draw in the reader and develop the storyline. One of these visual techniques is that she chooses to use the color of the characters’ clothing as a representation of how they feel towards the revolution. The characters are shown wearing black, white, or a mixed black and white pattern. The characters in Persepolis are drawn with whiteRead MoreMarjane Satrapi s Depictions Of How She Lost Her Innocence1613 Words   |  7 Pages Marjane Satrapi’s Depictions of How She Lost Her Innocence Persepolis by Marjane Satrapi is a graphic memoir in which she shares her experiences growing up in Iran through her illustrations and captions. The majority of the memoir consists of Satrapi s childhood being spent observing the overthrowing of the Shah’s regime, the triumph of the Islamic Revolution, and the disastrous effects of the war with Iraq. She later spends her years in Vienna, but eventually, returns to her homeland as an adultRead MoreAnalysis Of Marjane Satrapi s Persepolis 1425 Words   |  6 Pagesdecades of research in the research field of political socialization has traced an individual’s ideology to childhood. Political socialization, the process by which an individual attains their political attitudes and values, argues that a number of agents, primarily family influences ideological development (Burnham). In Marjane Satrapi’s graphic autobiographical novel Persepolis, Satrapi affirms the notions of political socialization, specifically the importance of family as the primary agent ofRead MorePersepolis Assignment1402 Words   |  6 Pages Satrapi states in the introduction of the 2004 Pantheon version of The Complete Persepolis that Iran, an â€Å"old and great civilization[,] has been discussed mostly in connection with fundamentalism, fanaticism, and terrorism.† She expresses that, â€Å"as an Iranian who has lived more than half of [her] life in Iran, [she] know[s] that this image is far from the truth. This is why writing Persepolis was so important to [her]. [She] believe[s] that an entire nation should not be judged by the wrongdoingsRead MorePersepolis Marxism Analysis1133 Words   |  5 PagesEffects of Consumerism in Persepolis The Complete Persepolis, an autobiographical novel by Marjane Satrapi, tells the tale of Marjane’s childhood in Iran. In this story, Marjane (Marji) is brought up by communistic parents. Evidence of this Marxist upbringing is displayed several times throughout the book, like early on in the story when young Marji exclaims that â€Å"it was funny to see how much Marx and God looked like each other† (13). The audience can analyze Persepolis through a Marxist lens to

Saturday, May 9, 2020

Comparison Of Thomas Jefferson And Abraham Lincoln

America has many ideas, people, and values to which it can attribute its greatness. Every single person that has ever been born in this great country has impacted the United States in countless ways. Anyone who is fortunate enough to live the life that Americans get to live, are given the chance to create, change, or continue the legacy of America. When we think about who created the United States, we have to think about some of our forefathers. Included in those powerful people, are Thomas Jefferson and Abraham Lincoln. Jefferson did his part and then some for creating a nation on the path to greatness. Obviously, one of the big ideas that he had, was the Bill of Rights. Jefferson made sure that the citizens of this soon to be wonderful†¦show more content†¦Dr. King’s actions display an example of a man putting social justice before his own life. Dwight D. Eisenhower is an example of an individual that truly has willpower. He led an army of nearly 160,000 Allied troops into Europe. If it wasn’t for Ike’s leadership, the troops would have never gotten to shore, and all of Europe, possibly the world, would have been lost to the Nazi’s. Not only did Ike create great military change, but he also created great inventive change. The idea of the interstate highway helped millions of people across the country. When they were finally built, people could easily ship goods and services. Both of these individuals displayed valuable acts of courage and conviction. People born in America have a lot to live up to. Our ancestors, forefathers, and military men and women worked far too long, and far too much to have our wonderful nation crumble. Our forefathers dreams were to have you and me use our brains to our absolute full potential. Yes, our ancestors have worked countless hours to have us get the rights we want and deserve. But no, that does not give anyone the free pass to be lazy. These examples of courage should want to make us work harder. Even young people are working to continue this country’s legacy. Every day in school, they learn how hard those before us have worked. Boy scouts take the time to work hard and represent good values. Churches have volunteer groups that go on mission trips to help the lessShow MoreRelatedMount Rushmore National Memorial: A Shrine of Democracy Essay1341 Words   |  6 PagesDoane Robinson called in Gutzon Borglum. When South Dakota became a new state, Robinson wanted to create a monument on Stone Mountain to attract tourists. Gutzon Borglum, with the help of his son Lincoln Borglum, immediately knew what and who they wanted to carve; he proposed George Washington and Abraham Lincoln because he wanted those presidents to be remembered and honored. He incorporated methods on how to work with dynamite and pneumatic hammers. Dynamite was used to get the desired measurementsRead MoreThe Effects Of Imperialism In George Orwells Shooting An Elephant1633 Words   |  7 Pagesfrom daily life or to write things that are important to them, me being included in that number.   Ã‚  Ã‚   Example: Thomas Jefferson, The Declaration of Independence In The Declaration of Independence, Thomas Jefferson uses the facts and opinions of Americans of the time to challenge the authority of Great Britain and convey the urgency of breaking away and becoming independent. When Jefferson states â€Å"To prove this, let facts be submitted to a candid world.†, he appeals to the audience logically by givingRead MoreEssay Comparing the Gettysburg Address and Ginsbergs America1531 Words   |  7 Pagesthis. They created two important works. The first, Abraham Lincoln; a great leader in the midst of an incredible time of change and confusion, delivered the Gettysburg Address to an assembly that came to him saddened and horrified by the trials of war. These same people left, changed, that day from the cemetery. The other, Allen Ginsberg, wrote the poem America for a generation of people caught between World War II and the Cold War. The comparison between these two works is important for learningRead MoreDeclaration of Independence and Let ter from Birmingham Jail Essay1102 Words   |  5 PagesThomas Jefferson and Martin Luther King Jr. are two American men who were key leaders during very controversial periods in U.S. history, and they were instrumental in movements that forever changed American society. Although their generations, cultures, backgrounds, and motives were quite different, their cause was relatively the same. It was a cause that stood against injustice, oppression, and sought the freedom of all men. Their beliefs and struggles were evident in their writings. Two of theRead MoreHistorical Anyalysis Essay2125 Words   |  9 Pagesthe time. It only seems inevitable now because we cant imagine America being any different than it is today. Ellis also points out the significance of Thomas Jefferson and Alexander Hamilton and their role in the founding generation. Chapters 2 and 6 we really get a feel as to who these people are. In The Dinner we learn about Thomas Jefferson who seems to be the brains be hind the declaration of independence, although Ellis depicts him as not knowing much about the present issues of the time.Read MoreThe American Of The British Empire Essay1672 Words   |  7 Pagesthe Governor of Massachusetts Thomas Hutchinson refused, Samuel Adams a loyalist leader organized the tea party with about 60 members of the Sons of Liberty. They got into disguise and banned the ships. They then invaded them and emptied out the chests of tea into the deep sea. The British tea that dumped in the Boston Harbor on the night of December 16 was estimated to value about $18,000. The United States Declaration of Independence was written by Thomas Jefferson who is also known as being theRead MoreThe Changing Attitudes Toward Abraham Lincoln3932 Words   |  16 PagesCrider HIS 460 23 April 2015 The Changing Attitudes toward Abraham Lincoln Jefferson Davis, the President of the Confederate States of America, which was established in 1861 as a rebellion to the election of Abraham Lincoln, once stated that, â€Å"Next to the destruction of the Confederacy, the death of Abraham Lincoln was the darkest day the South has ever known.† In an interview with Alexander McClure in 1875, ten years after Abraham Lincoln was assassinated, Davis expressed his realization that Lincoln’sRead MoreRhetorical Analysis Of Martin Luther King Jr1689 Words   |  7 PagesMartin Luther King Junior is often known as the leader of African American civil rights in the United States. His infamous â€Å"I Have a Dream† speech brought a crowd of over two hundred and fifty thousand people to the steps and lake of the Lincoln Monument in Washington D.C. In 1963, Martin Luther King Jr. led a protest in Birmingham, Alabama that focused on the unfair treatment and the segregation of African Americans. The court ruled that he was n ot allowed to hold protests. Therefore, he was arrestedRead MoreGeorge Washington Vs. Martin Luther King Jr.1946 Words   |  8 PagesGeorge Washington or Thomas Jefferson, or leaders of worthwhile cause such as Susan B. Anthony or Martin Luther King Jr., these leaders provide a blueprint that if examined carefully, can provide useful advice for those aspiring to become great leaders. And for Donald T. Phillips, the American leader whose life â€Å"still inspires and moves people from all walks of life† and provides an example of leadership that is without equal is Abraham Lincoln (Phillips). In his book Lincoln on Leadership: ExecutiveRead MoreLetters to Birmingham Analysis1728 Words   |  7 PagesOver the course of â€Å"Letter from Birmingham Jail† (1963), the author, Martin Luther King Jr., makes extended allusions to multiple philosophers, among them Aquinas and Socrates. His comparison would seem to indicate that he shares an affinity with them. However, the c larity with which he makes his arguments and the dedication to a single premise strikes most strongly of Kant. Just as Kant’s magnum opus, Critique of Pure Reason, attempted to completely upend a previously accepted mode of thought, so

Wednesday, May 6, 2020

Zero Fee Tour-Making an Ethical Decision Free Essays

string(139) " labors and resources in order to save money, to communicate to the stakeholders and to gain others’ loyalty in order to be sustainable\." Zero Fee Tour-Making an Ethical Decision? Generally, ethic is similar to moral value that regulates the behavior of people and we use ethic to justify what is right and wrong. Business Ethic is therefore the standard to justify what is good or bad in making a business decision or in running a business (Geer, 1994). Business ethic is relevant to both conducts of individuals and business organizations. We will write a custom essay sample on Zero Fee Tour-Making an Ethical Decision? or any similar topic only for you Order Now Some of the enterprises just simple ignore the business ethics and run the business practically as profit was the sole target for them. Ethical action may not be practical to a business, while practical action may not be ethical to others. It constitutes an ethical dilemma. A manager should therefore strike a balance between â€Å"ethical† and â€Å"practical† before making a decision. In this paper, I will explore approaches to address ethical dilemma and what aspects will be considered before making an ethical business decision. I will use the tourism industry as an example to examine that can an enterprise only focus on business ethic or the profit and whether or not the business ethics are the key element for it to consider before making decision. I will examine both the positive correlation and negative correlation and draw a conclusion at last. We always wonder what are our ethical standards base on and how can we apply those standard to different circumstances. Many ethicists and philosophers have suggested several approaches to address ethical dilemma. The most common three approaches suggested are the utilitarian approach, moral right approach, justice approach (Velasquez, Moberg, Meyer, Shanks, McLean, DeCosse, Andre, Hanson, 2009). Utilitarian approach is to make a decision base on ethical action that can maximize the benefit or minimize the harm for the majority of people. It deals with consequences and emphasizes the result of a decision. According to the definition, ethical business action is an action that benefits the stakeholders, the community, and the environment most. However, it is difficult to find out what is good due to changing characters and behaviors (Velasquez, Andre, Shanks, Meyer, 2010) and people may not always have the same view on what is a good and what is harm. The moral right approach is based on human nature that people can decide what they want to do on their own. They have the right of free consent, the right to privacy, the right of freedom of conscience, the right of free speech, the right to due process and the right to life and safety (BrowneM. Neil Browne (Author)†º Visit Amazon’s M. Neil Browne PageFind all the books, read about the author, and moreSee search results for this authorAre you an author? Learn about Author Central , Giampetro-Meyer, Williamson,2003). According to this approach, ethical action is the best action to protect and respect the stakeholders’ moral right. Right also imply duty, base on this approach people also have duty to respect others’ rights. However, we cannot ensure that the companies maintain the ethical standards depend on their highest value priority. The justice approach bases on the teachings of the ancient Greek philosopher Aristotle that all equals should be treated equally. According to this approach, the ethical actions treat all people equally or fairly based on a standard which is defensible (Conroy, 2010). Favoritism and discrimination are therefore unjust and wrong. However, this approach may not have adequately accounts for the rights and needs of everyone affected and it is difficult to see if the decision is based on a defensible standard or an imbalance of power (Yuter, 2008). All approaches mentioned above help us to address ethical dilemma and to know what we do can be considered as ethical. Although, it is difficult to putting the approaches together as they explain what is â€Å"ethical† in different ways, they give us some information to determine what is ethical in different circumstance. The majority of business decisions contain ethical issues, we only have to decide how to fit the issues into the business actions and weigh how much they should be considered (Cadbury, 2002). We should have the ability to determine ethical issues and then weigh the consideration that should influence our business action in order to make a good decision (Velasquez, Moberg, Meyer, Shanks, McLean, DeCosse, Andre, Hanson, 2009). There are five elements enterprises used to think of before evaluating a decision. They are profit, fairness, reputation, community care and sustainability. Profit generally means economic profit, that is, the difference between the total revenue and the total cost (both explicit and implicit) of an enterprise. As assumed in economics, everyone is self-interested and they tend to maximize their profit to achieve profit maximization. Profit is important in business world, especially in profit-making company as profit and money give motivation for business to survive (Williams, 2010). It therefore is an essential element being considered when making business decision. Fairness and reputation is another two elements. Fairness is the mechanism of how we achieve the ideas of just, equal, good, ethical or moral (Bothamley, 1993). Reputation is the feeling or opinion of other people towards an enterprise. It can be defined as the result of what you do, what you say, and what other people say about you. When a company’s reputation for honesty or safety is damaged, it may cause serious impact on the business (Burkhardt, 2008). Community Care will be considered as an element for making business decision also. Community Care is a firm’s obligation as a moral agent extends beyond its legal and economic obligations, to the pursuit of long-term goals are good for society. Assumed that all businesses obey law and pursue economic interest, community care is done voluntarily, but not what it must do by law or they choose to do because of economic sense (Besser, 2002). Sustainability is the capacity that an enterprise can endure or survive in the market. It is about the doing business better, working with others and staying in business in long run. The enterprise should use division of labors and resources in order to save money, to communicate to the stakeholders and to gain others’ loyalty in order to be sustainable. You read "Zero Fee Tour-Making an Ethical Decision?" in category "Essay examples" Enterprises should consider these five aspects with the approaches mentioned before making business decision. For example, if an enterprise wants to make profit ethically, it should focus more on the fairness when it makes decisions. Take the Hong Kong tourism industry as an example. In March this year, a Hong Kong tour guide of Win’s Travel Agency discontented with the insufficient shopping amount of the tourists. She threatened the mainland tourists that if they did not go shopping, she would not let them to eat and did not provide hotel to them for accommodation. She used unethical method to force tourist to shop in order to earn more. A tourist recorded what she said and has spread the video online, which seriously influence the tourism image of Hong Kong (Sina, 2010). The cause of this case is the introduction of zero-fee tour. Zero-fee tour was introduced during 2003 the SARS period in Hong Kong. It is tour which charges tourists less than the basic cost of airline tickets, accommodation and attraction tickets. As this kind of tour is charged under-cost, the travel agencies can only earn a profit by receiving commission and tipping from shops (Lu, 2006). According to Wong (2010), we can examine the business ethical problems in two ways. In the view of the travel agency, that is the enterprise, they have to transfer the costs to the service providers in order to save costs of the company as the tour is charged under-cost. The travel agencies therefore do not give basic salaries to the tour guides, and force them to push shopping in order to earn commissions from different shops. Also, some of the travel agencies may require the tour guides to pay in some cost component in advance and delay the repayment to the guides. In the view of tour guides, they don’t receive any salaries in zero-fee tours. They will earn nothing if the tourists do not shop therefore they tend to force or even threaten tourists to buy in order to earn shopping commissions and tipping. This damages the tourism image of Hong Kong seriously. Using utilitarian approach, the business action should be base on ethical action that can maximize the benefit or minimize the harm for the majority of people. According to Velasquez, Andre, Shanks and Meyer (2010), to use utilitarian approach we should first determine the course of the business action and then find the benefits and harms of taking the action for all stakeholders. In this case, only Win’s Travel Agency gains benefit. The tour guide has no salary in serving a zero-fee zero, she did not earn much benefit and had to force the tourists to shop. The business action harmed the tourists, as they were treated badly by the tour guide and are forced to shop. The tourists also had to buy things in unreasonable price as the shops marked up the price of their products in order to pay for the shopping commissions. Also, the action harmed the image of Hong Kong tourism. The action is not ethical as the courses of it cannot maximize the benefit or minimize the harm for the majority of people. By using moral right approach, we should first indicate what rights are involved in a specific case, and then see if the business action conflicts with the rights (Hamilton, 2009). In this case, the tourists had the right of freedom; they can refuse to shop if they do not want to. The tour guide’s action was unethical as she threatened the tourists and forced them to shop in order to fulfill the shopping amount. Also, the tour guide’s action conflict the tourists’ right to life and safety as she threatened them that they would not be provided a place for accommodation. We should know the distribution first when using justice approach. We have to know who gain benefits and who suffer from losses, and then see if the distribution of the business action is fair (Hamilton, 2009). According to this case, Win’s Travel Agency gained benefits as it have saved costs and the tour guide suffered from losses as she did not earn any salary. It is unethical that the enterprise did not provide the tour guide with basic salary. The tour guide really provided service for the company, and it was not fair for her to receive no pay while other guides not serving zero-fee tour received salaries. Also, it is unfair that those tourists who bought few products were treated badly as all tourists joined the same tour and they had not required to shop when they joined the tour. Now, I would examine why Win’s Travel Agency made the decision to provide this kind of tour according to the five aspects mentioned. Firstly, the enterprise mainly focused on profit. Providing this kind of tour, the enterprise need not to pay salaries to the tour guides and it can receive a great deal of commission from shops as most tourists from mainland spend a lot in shopping. Also providing zero-fee tour attracts a great deal of people from mainland to visit Hong Kong, the volume of sales of the enterprise would therefore increase (TICHK, 2009). The enterprise considered less in fairness and reputation. It did not pay the tour guide any salary except the shopping commission although the tour guide deserved to get salary after providing service. It is unfair that the enterprise did this action. As the tour guide was not paid, she treated the tourists badly, this not only damaged the reputation of the enterprise but also that of Hong Kong tourism. In sustainability, the enterprise can use division labors and resources to save costs. However, it communicated to the stakeholders unsatisfactorily as it did not know what the tour guide and the tourists needed. Also, it cannot gain others’ loyalty in order to be sustainable. Finally, in community care, the enterprise did less beyond its legal and economic obligations. Other than increased the sales figure in the tourism industry, it did less that benefited the society. Win’s Travel Agency therefore made decision mainly based on profit rather than business ethics. In conclusion, different businesses would make decisions base on different aspects. They should use the utilitarian approach, moral right approach and justice approach to address ethical issues before evaluating a decision base on the five elements. According to the case above, purely base on making profit practically does not really bring much benefit to an enterprise. Enterprises should therefore strike a balance between practically making profit and the business ethics. It is very important for enterprise to consider ethical issues before making decisions as it is unavoidable. Reference Andre . C, Velasquez . M, Moberg . D, Meyer . M. J, Shanks . T (2010), Calculating Consequences:The Utilitarian Approach to Ethics Andre . C, Velasquez . M, Moberg . D, Meyer . M. J, Shanks . T, McLean . M. R, DeCosse . D, Hanson . K. O (2009), A Framework for Thinking Ethically Besser T. L (2002), The Conscience of Capitalism: Business Social Responsibility to Communities Bothamley . J (1993), â€Å"Dictionary of Theories,† London:Gale Research International Browne . M. N, Meyer . A. G . , Williamson. C (2003), Practical Business Ethics for the Busy Manager Burkhardt . R (2008), Reputation Management in Small and Medium-sized Enterprises Cadbury . A (2002), Case Histories in Business Ethics, Conroy . M (2010), An ethical approach to leading change : an alternative and sustainable application Geer . H. D. (1994), Business Ethics in Progress Hamilton J,B (2009), How to Use the Justice Test Hamilton J,B (2009), How to Use the Rights Test TICHK (2009), Travel Industry Council of Hong Kong Lu . J (2006), ‘Zero-fee’ practice damages travel industry Sina (2010), News on Sina. com Williams . W. E (2010), Profit versus Nonprofit Wong . W (2010), Chairman of Hong Kong Association of Registered Tour Co-ordinators, News Yuter R. J (2008), A Fair and Balanced Approach to Social Justice How to cite Zero Fee Tour-Making an Ethical Decision?, Essay examples

Tuesday, April 28, 2020

The Short Summary of the Film Alexander the Great Essay Example

The Short Summary of the Film Alexander the Great Essay The Short Summary of the Film Alexander the Great is about a man called Alexander, king of Macedonia. The story tells us how Alexander conquers Asia, Egypt, part of India and how he becomes the legend â€Å"Alexander the Great†. The chosen leaders for this movie are Alexander and his father Phillip. Alexander is a man with enormous dreams since his childhood and he has been called â€Å"The son of the god†. He knows and believes from the very beginning that he will create a history and become an important person for his people. Alexander is an effective and good leader in one way, but on the other hand sometimes he seems to be an ineffective leader who only searches for power and self fulfilment. ALEXANDER -Alexander’s Ability and Traits Alexander has traits to be an effective leader in wars. He born as a leader and knows how to get the soldiers to follow him and trust him. He takes an interpersonal role where he acts as a leader of his men and the population of the land that he conquers. Alexander is a good planner and organiser, he know his goal and have a strategy. We will write a custom essay sample on The Short Summary of the Film Alexander the Great specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Short Summary of the Film Alexander the Great specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Short Summary of the Film Alexander the Great specifically for you FOR ONLY $16.38 $13.9/page Hire Writer He has also great ambition to do the best for himself and his people. Alexander wants to be seen as a hero, he love to manage and conquer. He is a good negotiator, as you can see in the movie for example when he and his father conquer Greece. The traits and behaviour that Alexander has is associated with derailment is that sometimes he shows very high self-esteem and He thinks that he can manage everything because of his very individualistic nature. Also he trust anyone and anything but himself. However, he needs to learn that sometimes he also needs to listen to his people and his followers to make decisions. Furthermore, another negative trait of Alexander is that he is very much impatient since he is so much fascinated by his ambitions that he couldn’t analyze the facts. -Alexander’s Leadership Behaviours Alexander uses different leader behaviours depending on the followers. For the soldiers, he tries to motivate and recognize them and to create a culture with values and norms. He also clarifies goals and objectives for the soldiers, so everyone knows what they need to do. Alexander is also a good team builder, to be a good soldier you need to work together as a team and he displays this must behaviour. Alexander’s In-groups and Out-groups Alexander has some in and out group member in one point of view. The in-group members are: His mother, his nearest friends such as such as Ptolemy, Hephaistion, and Cassander and his tutor, Aristotle. The out group members are the other soldiers from the places he conquered. However you can also take the point of view that Alexand er tried to create a positive relationship with all of the followers and create system and network through the world, as a head leader. Soldiers need to work as a network and that’s why he needs to have positive relationships among all of the followers so they trust him. Alexander’s Leadership Styles Alexander is task oriented and uses an autocratic leadership style. On the other hand, when he has time, he used consultation with his nearest friends, mother and his tutor, Aristotle. If we look from the perspective from Ohio State University he would be a directive/autocratic leader. Alexander also use delegation the daily business to the kings of the conquer land. In our point of view he thinks that he uses the appropriate decision style but he could use more consultants and listen to the followers rather then being very task-oriented leader. -Alexander’s Sources of Power Alexander has different sources of power. He has legitimate power because of his position king of Macedonia, reward and coercive power that he can reward or punish the soldiers depending on their behaviours and ecological power because he can decide how the organization for the soldiers and the organization should look like. He has also referent power that he has charisma and the soldiers have high loyalty. -Alexander’s Influence Tactics Alexander use different influence tactics to influence his people, legitimate power, rational persuasion, exchange tactic, personal appeals, inspirational appeal, and pressure tactic. Alexander is also a charismatic leader; he has the charisma both from his personality, vision and the situation. And his vision is to conquer the whole world and being the strongest. PHILIP Even though Alexander is the leading character in the movie, King Philip plays a very important role as well. Philip is a good leader in his younger ages in terms of expanding the borders of the country and giving importance to science, art, philosophy†¦etc. Additionally, he seems to be liked and respected by his public. However, in the film we come across with his old ages, accordingly a decline of his success. Therefore, he is facing problems related not only with divided Greece but also his health problems. -Philip’s Ability and Traits Dominance, self confidence, intelligence and internal locus of control are four personality traits for Phillip. In terms of dominance criterion, we clearly see that Philip likes to take charge of things and leading people, and he actually succeeds on this aim. He rules a broad country and commands the army. He is also highly self confident. Even if he is really sick, he believes he can go to the wars alone without taking Alexander with him. His self confidence may come from his intelligence, since he knows that he has enough capability of achieving his goals and he believes he is superior to his rivals such as the kings of other nations or commanders of other armies. Most importantly he has clear internal locus of control. He wants all control in his hands. He even believes he should rule the whole world. Accompanied with his effective behaviors, Philip has also some traits which results in derailment. Here are some of them: We can say that Philip is somewhat neurotic. This low emotional stability may occur because of his age or the complex situations he is facing with. He is also defensive, meaning he resists change. Another negative aspect of his behaviors is that he is not good at delegation. The monarchic nature of his power may prevent him to share responsibility with others. He is also very self- centered and he does not want to share the success with others. -Philip’s Leadership Behaviours Basically, the behaviors that Philip employs: Planning/Organizing, Motivating, Consulting, Rewarding. As a king, planning and organizing tasks are inevitable for him; and we see it from the movie in the scenes that he tries to develop strategies for his troubled country. He believes that his country should rule the world and he motivates his followers in that way. He also applies rewarding. He organizes meetings and declares the successes of soldiers who return from wars. He has some advisors around him and the famous philosopher Aristotle. He consults them and gains insights about situations around him. -Philip’s In-groups and Out-groups We identified two characters as examples of in-group members. They are Philip’s close friends/advisors and his girl friend. They clearly more influence on Philip. On the other hand, his wife Olympia seems to be an out-group member. Philip wants to send her away since he is in love with Eurydice. He is also suspicious about her loyalty. He claims she creates gossips about him saying he has gone mad. And the queen is not happy about these conditions and she feels disappointment that Philip leaves her. -Philip’s Leadership Style Phillip uses basically two different decision making style in the movie. The most used one is autocratic decision making. As being the leader of the public and the palace Phillip makes decision alone without asking Alexander, the Queen, the soldiers and his friends. On his own Phillip investigates the conquests, wars, and the future of Macedonia and decides what should be done. After that he tells people what he decided and what would they do. -Philip’s Sources of Power Firstly, he has position power. He has legitimate power because he is the king and the leader of the public and the palace. Since Phillip can reward people for appropriate behavior and punish them for noncompliance he has both reward and coercive power. He has great information power because he has control over access and distribution of the information. He control over the physical environment and organization of the work so he has ecological power. Secondly, he has personal power: Due to his specialized knowledge and skills he has great expert power. -Philip’s Influence Tactics Phillip use legitimating tactics, inspirational appeal by arousing emotions, consultation -He only consults with his consultant in the palace. He never asks something to the public-, and pressure tactics including coercion, intimidation, and push behavior to influence the soldiers, the public, and the palace. Phillip is also a charismatic leader; his charisma emerges depend on different sources such as his personality, leadership skills, followership, and the situation. Because of his charisma he has great impact on people especially on the soldiers. Followers’ Characteristics As we watched the movie again and again, we discovered unimaginable leadership characteristics of Alexander the great at each time; however, finally we understood that only good followers can make a great leader. The question in this point is â€Å"who is a good follower? A good follower is one who understands, supports, and works for the leader’s vision and challenges the leader’s decisions that are misguided or unethical. By taking this definition as the base we determine several followers that made Alexander one of the greatest leaders ever seen. These are Macedonian great generals such as Hephaestion, Permenion, Coenus, Antigonus, Polyperchon, Crateros, Perdiccas, Attalus, Philotas, Cleitus , Pausanius, and Leonnatus. Among these Permenion and Hephaestion were the most valuable and the closest, respectively, to Alexander the great. Hephaestion grows up with Alexander and share his entire secret. Besides being a soldier, engineer and diplomat, he corresponds with the philosophers and actively supports Alexander in his attempts to integrate Greeks and Persians. Permenion, one of the most experienced warriors, is the main general in command of the army. Alexander does not make any decision without him. During the battles he can create innovative strategies and always is seem to be unbeatable. In the Gaugamela battle, while Alexander commands the right part of the army, Permenion fights in the left of the army and solely commands the entire left part. Alexander is great with these followers, without them he is just a person who has high passion to win, to create a unique empire in Europe and Asia. When Macedonians are in India, Alexander speaks to his army and tried to persuade them to march further into India but Coenus makes him to change his opinion and return. The main reason of this return is the unwillingness of the generals. However, we never forget that without a leader followers cannot succeed. Just after the Alexander death the whole empire is divided into four parts by the followers.

Friday, March 20, 2020

HIV in South Africa Essays

HIV in South Africa Essays HIV in South Africa Essay HIV in South Africa Essay HIWAIDS In south Africa South Africa has more people with HIWAIDS than any other country in the world. Over 5,700,000 South Africans are living with HIV/AIDS, which is 12% of the population of South Africa (Banerjee 63). The adult population with HIV/AIDS is 18. 1%. South Africa continues to struggle in regards to dealing with this disease. In 2007, only 28% of people with AIDS received anti-retroviral treatment (Central Intelligence Agency 1). This number has improved from 2004 however, when only 4% of people with AIDS received anti-retroviral treatment. AIDS continues to be a huge problem to the South African population. In 2007, around 280,000 South Africans died of AIDS. Thats about half of all South African deaths that year (Mid-year Population Estimates, 1). There is still great mystery as to why South Africa is so affected, especially compared to other African countries that have greater poverty. However, it is known that South Africa has made mistakes in regards to how to prevent the spread of HIV. As clarified through explanations of the prevalence of the disease, what affects economic growth and whats being done to stop the spread, economic development in South Africa is isturbed greatly by the continuous rise in HIV/AIDS. It is estimated that 10. 9% of all South Africans have HIV/AIDS. HIV is most common among female adults under the age of 40. Not much is being done to help limit the spread of HIV. Slightly more than 50% of sexually active South Africans have ever had at least one HIV test (Sub- Saharan Africa). South Africa is struggling with regards as to how they should treat the spread of HIV. What has worked best at limiting the spread of HIV has been the ability for South Africa to help educate people in regards to how to prevent HIV. Knowledge about HIV/AIDS is lowest among people older than 50 years (Banerjee 63). In 2008, more than half of South Africans with HIV reside in the most popular provinces: the KwaZulu-Natal and Gautleng provinces (Sub-Saharan Africa, 1). This just shows that some areas seem to have greater availability of resources, since areas of poverty and education vastly range from different provinces.. Expenses related to HIV/AIDS are equivalent to 4% of all salaries in South Africa. The cost of HIV/AIDS include: costs associated with greater absenteeism, reduced productivity, increased urnover, and healthcare costs (Central Intelligence Agency). To counteract these problems, two main campaigns were enacted: Soul City (a television drama for adults) and Soul Buddyz (a television series for teenagers) (Booysen, 1). While these two campaigns were effective at first, there was unfortunately a decrease in quality on condoms, creating a loss on effectiveness in HIV prevention in the 21st century. It seems as though South Africa has no successful plan in regards to effectively stopping the spread of HIV. In 1983, AIDS was first diagnosed to two patients in South Africa. By 1986, there were 46 AIDS diagnoses. In 1990, 1% of South Africans had AIDS. In 1999 the fgure had reached 10%. Now, its estimated that 6 million people currently have HIV/AIDS in South Africa (Booysen 1). A major reason as to why there was still so much of a continuation of the spread of HIV/AIDS in South Africa came from the fact that there was much AIDS denialism in South Africa. The president improve HIV/AIDS treatment was damaged by the attitude of many figures in the government when the health minister incorrectly claimed that a diet of lemon, garlic, nd olive oil could cure the disease (Booysen 1). There is hope that in the near future, there will be greater availability of resources to prevent HIV/AIDS. South Africa has the potential to turn around the amount of future diagnoses, for they have the industrial power to create affective ways for educating people as to how one becomes HIV+, and what one can do to prevent the disease from spreading. Bibliography Banerjee, AbhiJit V. , and Esther Duflo. Poor Economics: A Radical Rethinking of the Way to Fight Global Poverty. New York: PublicAffairs, 2011. Print. Central Intelligence Agency. The World Factbook. OpenGov, n. d. Web. 12 Nov. 2013. . Mid- year Population Estimates. Statistics of South Africa. User Information Services, n. d. web. 12 NOV. 2013. . Sub-Saharan Africa: AIDS Epidemic Update Regional Summary. Joint United Programs on AIDS. World Health Organization, n. d. Web. 12 Nov. 2013. . Booysen, F. R. Geldenguys,J. P. Marinkov, M. The Impact of HIV/AIDS on the South African Economy: A Review of Current Evidence. Univ ersity of the Free State. Department of Economics, n. d. Web. 12 Nov. 2013.

Tuesday, March 3, 2020

Elementary Physical Science Fair Project Ideas

Elementary Physical Science Fair Project Ideas Trying to find the topic for a science fair project can be almost as challenging as the project itself. Helping a child decide on a project that doesnt involve huge expense, constant supervision or the danger of burning down the house need not be an impossibility. Elementary school level projects should be not only informative but quick and fun. Great projects usually answer a question, rather than a general demonstration or display. Remember that the project is your childs, let them have fun with it. Here is a list of ten ideas to help get past the difficult first step. Fly a kite.Making a kite is fun and easy. Adding a tail to the kite adds stability. Does a longer tail make the kite fly better? Try different lengths of tail or vary the number of tails.Parachutes - Throwing things for science. Make parachutes with garbage bags and fishing line. See if larger parachutes are better than smaller parachutes. Are square parachutes better than round ones? Long strings better than short strings?Swinging Pendulums.Make a simple pendulum from a string and fishing weight. How does varying the length of the string affect the period? Add more weight and see what that does.Musical Glasses.Running your finger around a wine glass to make a tone is always entertaining. Does the tone change if you use different liquids in the glass? Check to see if changing the amount of liquid changes the tone.Balloons and Static Electricity.If you rub a balloon against your hair or a wool sweater, you can generate enough static electricity to stick the balloon to a wall. How many rubs does it take to this? Do fuller balloons take more or less rubbing? Does the type of hair matter? Spaghetti Bridge.One piece of spaghetti is easy to break. Bundling several pieces together can support a lot of weight. Make bundles of spaghetti to make beams that span two chairs or tables. Hang a cup from the middle of the spaghetti beam and add fishing weights or bolts until the beam breaks. Is your bridge stronger if you bind the spaghetti with thread, glue, tape or rubber bands? Try different pastas. Is flat spaghetti stronger than round?Electromagnets.You can make a simple electromagnet with a lantern battery, copper wire and a nail. Wrap the wire around the nail several times and connect the ends to the battery terminals. Use the magnet to pick up iron filings. Increase the number of windings and see how the amount of filings your magnet picks up changes.Buoyancy with eggs.If you put an egg into a jar of water, the egg will sink. If you add salt to the water, the egg will start to float. How much salt does it take to float an egg to the top of the water? What if you used suga r instead of salt? Watt about light bulbs?Light bulbs come in several styles, sizes and wattages. What does the wattage mean? Do higher watt bulbs run hotter? brighter?Battery Battle.All battery makers claim their battery lasts longer. Why not see for yourself? Are more expensive batteries better? Does one brand stand out?How Strong Is It?Test the strength of trashbags, grocery store bags, or plastic wrap.Whitest of Them All.Which tooth whitener is best at removing stains and whitening? You can stain tile or another material with coffee, tea, berries, smoke, etc., then compare the whitening power of different toothpastes. Try something similar for laundry detergents or bathroom cleaners.Haircolor ColorfastnessGrab a human hair wig and dye different areas with the same color of haircolor, except different brands. Wash the wig and see which color lasts. Do any of the colors change in unexpected ways? Dont dont have a human hair wig? Try wool or another animal hair.

Sunday, February 16, 2020

How to improve the poor customer service rating Research Proposal

How to improve the poor customer service rating - Research Proposal Example This research will help readers take corrective action in relation to customer satisfaction and improve their customer service rating. The increased use of Interactive Voice Response Systems (IVRs) has hindered personal interaction between consumers and the service providers, leading to dissatisfaction and discontentment of consumers. Therefore, there is a need to rectify this problem and divert to more consumer interactive models of customer service. The goal of this investigate is to provide an interactive customer service model that will increase customer service and in turn increase customer satisfaction and service ratings. Case studies have shown that by eliminating the barrier between customers and service providers, the customers feel more appreciated and better served. It has also been proven that this increases customer retention rates. This will be done by adopting a face to face sale of company’s products to consumers, a process that will be very interactive through product sampling, answer query session and feedback about the product. The customer will be able to interact personally with the service provider and ask questions about the product i.e. how it works, what ingredients have been used to make it, what its limitations are, how long the product will serve the customer among other questions the customer might have. This solution will also enable the customer feel well served since his/her complains/concerns will be handled immediately without the hustle of having to follow up through phone calls. By eliminating barriers, more customer interactive model will be adopted that will hel p accomplish the first objectives of this research, i.e., to make customer service interactive and also the second objective by ensuring that customers are satisfied with services provided. Most customers are not satisfied with the service they

Sunday, February 2, 2020

The Borzoi College Reader, Seventh Edition Essay

The Borzoi College Reader, Seventh Edition - Essay Example As matter of fact, the multiple reasons of immigration, assumed to be as many as the immigrants themselves, fall under similar themes that determine the immigrant’s life and how they are treated by the natives. Poverty has triggered a significant percentage of immigration. The poor move from places with low endowment of resource to seek better life’s in other places. However, no matter how promising these new places are, they don’t guarantee immigrants full satisfaction. Immigrants have continued to live filthy lives despite being in high status location. Mankind has developed a capitalistic nature, with every individual struggling to maximize his self-satisfaction. Literally, no one cares about the immigrants but instead take advantage of their vulnerability to attain self-development. Native humiliate immigrants; enslave them following the fact that, they are their financial supporters. This mistreatment corrupts he immigrants mind, creating a negative attitude towards the new environment. Racism in US has evolved, developed and even worsened due to immigration of black Africans to the whites’ territories in search for better hosting. The intercultural interaction br ings confusion, the definition of satisfaction is altered and hence most immigrants have remained in these cruel and anti-social environments so long as they receive some financial compensation. Good life, fair treatment and kindness and other social norms are no longer a priority and immigrants adapt cruelty. To quote â€Å"if we lived in Canada we could play outdoors every day in the sun†¦ sun is bad for you. Everything our parents said was good is bad†(298). Regions differ, socially and economically. Economic and social reasons significantly influence immigration. People move to acquire better healthcare, better education, and access auxiliary services as well security. The impact is

Saturday, January 25, 2020

Dilutional Hyponatremia During Intrauterine Adhesion

Dilutional Hyponatremia During Intrauterine Adhesion Severe dilutional hyponatremia in a patient during hysteroscopic of intrauterine  adhesion : A case report YE Yuzhu, LIN Lina Abstract Hysteroscopy is a minimally invasive procedure for the patients of intrauterin adhesion, but may result in potentially disastrous complication labeled transurethral resection of the prostate (TURP) syndrome. Excessive absorption of large scale of distension media under high inflow pressure by openings of venous channels in endometrium, the large volume of transfusion fluid that is beyond the modulation ability of body may produce the most dangerous situation of severe hyponatremia, hypervolemia and hypoosmolality. The consequence of hysteroscopy is mainly determined by the type of distension medium, irrigation pressure,condition of endometrium, preoperative catheterization, type of electrode system and duration of the surgery. A case of hysteroscopic resection of intrauterine adhesion in which severely symptomatic hyponatremia and hypervolemia happended with epidural anesthesia is presented. Key words: Hysteroscopy, hyponatremia, distension medium, infusion pressure, TURP (transurethral resection of the prostate ) syndrome. Introduction Hysteroscopy technique in the detection and treatment of intrauterine diseases plays an dominant role because of its unique feature of minimal invasion and remains the â€Å"gold standard† mean for the diagnosis of uterine disease, but may result in potentially disastrous complication known as TURP syndrome or hyponatremia and hypervolemia. A hysteroscopy precdure requires an intrauterin installation inserting into the uterine cavity accompanied by a suitable type of distention medium including dextrose 5% in water (D5W), 2.7% sorbitol, 0.54% mannitol and saline for the visualization of intrauterine situation. The most common fluid used clinically is D5W for its distinct features of low-viscosity, electrolyte-free, safety and lower cost. TURP syndrome appears when large scale of distension media (D5W) is overly absorbed including the following clinical signs: dyspnea, headache, nausea and vomiting, coma, and even can progress to cerebaral and pulmonary edema. Signs and syndrom es are nonspecific when the conditon is in its early stages and, as a result, it’s easy to be ignored. Vigilance and communication of the whole medical team is extremely required to avoid state of illness aggravating. Early management must be rendered as soon as possible for the critically ill patients by anesthetists. We report a case of a 36-year-old woman who developed TURP syndrome during hysteroscopic of intrauterine adhesion herein. 2. Case Report A 36-year-old, weight 62 kg , no medication or coexisting diseases, ASA physical status II , underwent hysteroscopy treatment because of her reiterative intrauterin adhesion during epidural anesthesia. Past surgical history revealed four times of previous hysteroscopies within the year, both of which were aimed to remedy for her secondary infertility but failed in acquiring satisfactory therapeutic efficacy. There were no positive fingds on the preoperative physical examination and normal values in laborarory results included blood routine test and plasmic electrolytes, and the concerntrations of sodium ion, potassium ion and blood glucose level were 139 mmol/L, 3.47 mmol/L and 4.0 mmol/L, respectively. A 12-lead electrocardiogram showed sinus rhythm. Upon arrival to surgical operating room, 500 ml lactated Ringers solution was dripped intravenously as maintenance fluid after standard monitors were placed. The heart rate was 76 beats per minute, respiratory rate was 18 breathes per minute and the oxygen saturation was 99%. Contiuous epidural anesthesia was performed successfully with 0.5% lidocaine and 0.375% ropivacaine 15ml totally within 15 minutes. Then the patient was placed in lithotomy position and no catheterization was offered because of the short operation period we had anticipated preoperatively although she expressed her micturition desire. The surgery initially proceeded unevenfully with very steady state of hemodynamics. 8,000 mL D5W as the irrigation fluid was delivered throught the hysteroscope by gravity pressure (60cm above the patient), and the irrigation pressure for uterine cavity distending was 150 mmHg. Monopolar electrode system was selected for endometrium resection, and controled the watts of electroresec tion and electrocoagulation within 40 60 watts and 60 80 watts, respectively. Simultaneous ultrasonographic monitoring was used to identify the sickness of uterus wall and uterine cavity size. A total of 1,000 mL of lactated Ringers solution was infused during the 70 minutes of surgery, with a total blood loss of 20 mL. Twenty minutes before the termination of surgery , the patient complainted of difficulty in breathing with simultaneous polypnea, shiver, and sensations of vertigo and nausea. Oxygen saturation dropped from 98% to 90% and recoverd soon after mask oxygen inhalation. Thereupon tramadol 50 mg was administered intravenously, and excellent effect obtained. Approximately 300 mL output of urine when the bladder was squeezed incautiously by ultrasound probe and the patient vomited once just the procedure completed. The patient appeared haziness of spirit-mind but responded appropriately to verbal stimulate. A dorsalis pedis artery blood sample was obtained from the patient , and electrolytes were reported using a blood-gas analyzing device. Results as follows: PH 7.31; Na+, 115 mmol/L; K+, 3.0mmol/L; ionized Ca2+, 0.93 mmol/L; Glucose, 27.8 mmol/L; HCO3—, 18.6 mmol/L. Based on the symptoms mentioned above, TURP syndrome was suspected. An indwelling urinary catheter was inserted immediately and 1,800 mL urine output was collected totlly at twice. A mixture of 50ml 10% saline and 100ml 0.9% saline was dripped to raise sodium concentration, meanwhile metoclopramide 10 mg was used for anti-nausea. But there were no diuretic and insulin used in case of aggravating of hypokalemia. Oxygen saturation maintained in 92% after oxygen mask was removed and with a progressive rise. Vital signs on permission to PACU were as follows: blood pressure, 126/79 mmHg; heart rate, 79 beats per minute; breathing rate, 20 breaths per minute; and oxygen saturation, 96%. The patient was transported to postanesthesia care unit (PACU) for continued treatments and review of blood gas analysis. On our arrival into PACU, arterial blood gas (ABG) analysis was performed when the venous transfusion of the hypertonic saline solution ended, revealing PH 7.36; Na+, 127 mmol/L; K+, 3.0mmol/L; ionized Ca2+, 1.0 mmol/L; glucose, 22.9 mmol/L; HCO3—, 21.5 mmol/L; BE, -3.6 mmol/L. The patient still had low sodium and potassium level from ABG, a mixture of 100ml 10% saline and 100ml 0.9% saline containing potassium chloride 0.5 g was supplemented in low-speed intravenously. Nurse anesthetist was asked to record vital signs every 15 minutes. 16:15~18:05, the patient got her vital signs stablized gradually and oxygen staturation could maintain over 95%. Review of her blood gas analysis showed: PH 7.36; Na+, 137 mmol/L; K+, 3.4mmol/L; ionized Ca2+, 1.0 mmol/L; glucose, 7.2 mmol/L; HCO3—, 23.2 mmol/L; BE, -3.6 mmol/L. The patient recieved 500 ml lactated Ringers solution totally in PACU, with a total urine output of 850 mL(data from PACU anesthetic chart), and sent back to the ordinary ward without any complaints and Alderete scores 10. 2. Discussion Hysteroscopy has gained widely used in diagnostic and therapeutic in gynecologic surgery for many special advantages, but is not devoid of risks especially when hysteroscopy is applied to resection of extensively endometrial lesion. Excessive absorption of irrigation fluid during hysteroscopic surgery from uterine cavity is the main cause of TURP syndrome or water intoxication, of which reported incidence is 0.2% [1]. The TURP syndrome mainly has clinical symptoms in cardiovascular system, respiratory system and nervous system including elevation of blood pressure, bradycardia, dyspnea, pulmonary edema, cerebral hemia and even death. The severity of consequence is associated with multiple factors, analysis of this case were as follows. The patient’s uterine cavity has low compliance and severe adhesion, so an intrauterine pressure (IUP) of 150 mmHg is required to obtain excellent visual conditions of bilateral tubal orifices. 8,000 mL D5W as the irrigation fluid is delivered i nto uterine for uterine distension in 70 minutes operation time. Based on clinical research, the absorptivity of distension media by body is within the range of 10 30 ml/min only when the irrigation pressure is less than 100 mmHg [2]. Therefore, we estimated 700 2,100 mL D5W is absorbed into circulatory system approximately, along with an infusion of 1,000 mL lactated Ringers solution. As a result, 1,700 3,100 mL is administered into blood intravenously at least, and even more. Hyperglycemia caused by excessive absorption of D5W produces hyperglycemic hyperosmolar status and then makes intracellular fluid transfers to outside the cell, which bings about exacerbating of hyponatremia status. The patient received high frequency hysteroscopy procedure in the short term leads to large-scale and severe damage of endometrium, allowing the distension fluid entering into blood circulation more easily, which contributes to hypervolemia in a more faster pace. As one of essential factors, ex cessive irrigation pressure plays a crucial role in distension fuild over absorption in the condition that endometrial venous sinus are widely open in hysteroscopic electric resection. In our case, we have to raise the pressure to 150 mmHg for a clear surgical vision of uterine cavity, therefore, rendering excellent chance for fluid entering into body. No catheterization was performed preoperatively, thus a large amount of fluid accumulates in bladder and circulation system. To sum up, in this case, fluid overload, hyperglycemic hyperosmolar status, high intrauterine pressure, disruption of endometrial vessles and lack of preoperative catheterization lead to a significant increasement of circulating volume and a sharply reduce of plasma colloid osmotic pressure. Extracellular free water in brain are transported from the outside to the inside of the cell, which results in cerebral edema and causes intracranial hypertension. A serious of neurological syndromes develop including dizzin ess, headache, nausea, vomiting, and haziness of spirit-mind. Likewise, as a consequence of irrigation fluid overload and dilution of the plasma protein concentration, pulmonary hydrostatic pressure elevated, leading to the accurrence of acute pulmonary edema and pulmonary interstitial edema. The ventilation/perfusion imbalance occurs, and then manifests in dyspnea, hypoxemia and a sustained downward trend of oxygen saturation, etc. Timely recognition and urgent corresponding treatment measures should be taken in the early course of water intoxication to prevent the condition deteriorated. In a general way, for every liter of hypotonic fluid absorbed, the serum sodium concentration will decrease by 10 mmol/L(10 mEq/L) [3]. The result of ABG analysis of the patient’s dorsalis pedis artery blood sample indicates severe hyponatremia (Na+ à ¯Ã‚ ¼Ã…’à ¨Ã‚ ¯Ã‚ ¥Ãƒ §Ã‚ »Ã‚ ¼Ãƒ ¥Ã‚ Ã‹â€ Ãƒ ¥Ã‚ ¾Ã‚  à ¥Ã‚ ¤Ã¢â‚¬Å¾Ãƒ §Ã‚ Ã¢â‚¬  Ãƒ ¤Ã‚ ¸Ã‚ Ãƒ ¥Ã‚ ½Ã¢â‚¬Å"à ¥Ã‚ Ã‚ ¯Ãƒ ©Ã‚ -à §Ã¢â‚¬ ¢Ã¢â€ž ¢Ãƒ ¦Ã‚ °Ã‚ ¸Ãƒ ¤Ã‚ ¹Ã¢â‚¬ ¦Ãƒ ¦Ã¢â€š ¬Ã‚ §Ãƒ §Ã‚ ¥Ã… ¾Ãƒ §Ã‚ »Ã‚ Ãƒ §Ã‚ ³Ã‚ »Ãƒ §Ã‚ »Ã… ¸Ãƒ ¥Ã‚ ¹Ã‚ ¶Ãƒ ¥Ã‚ Ã¢â‚¬ËœÃƒ §-†¡(à ©Ã†â€™Ã‚ ­Ãƒ ¦Ã‚ Ã†â€™Ãƒ ¯Ã‚ ¼Ã‚ ¶Ãƒ ¯Ã‚ ½Ã…’à ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã‹â€ Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ¼Ã‚ ®Ãƒ ¯Ã‚ ¼Ã‚ ¦Ãƒ ¯Ã‚ ¼Ã… ½Ãƒ ¯Ã‚ ¼Ã‚ ¨Ãƒ ¯Ã‚ ½Ã¢â€ž ¢Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã¢â‚¬ Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã†â€™Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã†â€™Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã†â€™Ãƒ ¯Ã‚ ½Ã¢â‚¬ Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã… ½Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬  Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã‚ Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã…’à ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¡Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ½Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ½Ã†â€™Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢ €Å"à ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã…’ à ¯Ã‚ ½Ã¢â‚¬  Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã¢â‚¬Å¾Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã… ½Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¡Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã… ½Ãƒ ¯Ã‚ ½Ã¢â‚¬ Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã¢â‚¬ Ãƒ ¯Ã‚ ½Ã¢â‚¬ Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã… ½Ãƒ ¯Ã‚ ½Ã¢â‚¬ Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã… ½Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã…’à £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ½Ã¢â‚¬ Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã… ½Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¡Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã… ½Ãƒ ¯Ã‚ ½Ã¢â‚¬Å¾Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã‚ Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ½Ã¢â‚¬ °Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã…’à ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢ à ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã†â€™Ãƒ ¯Ã‚ ½Ã¢â‚¬ Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã†â€™Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ¼Ã… ¡Ãƒ ¯Ã‚ ½Ã‚ Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã†â€™Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬Å"à ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã¢â‚¬ Ãƒ ¯Ã‚ ¼Ã‚ »Ãƒ ¯Ã‚ ¼Ã‚ ªÃƒ ¯Ã‚ ¼Ã‚ ½Ãƒ ¯Ã‚ ¼Ã… ½Ãƒ ¯Ã‚ ¼Ã‚ ªÃƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ¼Ã‚ ²Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ½Ã‚ Ãƒ ¯Ã‚ ½Ã¢â‚¬Å¾Ãƒ £Ã¢â€š ¬Ã¢â€š ¬Ãƒ ¯Ã‚ ¼Ã‚ ­Ãƒ ¯Ã‚ ½Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ½Ã¢â‚¬Å¾Ãƒ ¯Ã‚ ¼Ã…’à ¯Ã‚ ¼Ã¢â‚¬â„¢Ãƒ ¯Ã‚ ¼Ã‚ Ãƒ ¯Ã‚ ¼Ã‚ Ãƒ ¯Ã‚ ¼Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ¼Ã…’à ¯Ã‚ ¼Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ¼Ã‚ Ãƒ ¯Ã‚ ¼Ã‹â€ Ãƒ ¯Ã‚ ¼-à ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ¯Ã‚ ¼Ã… ¡Ãƒ ¯Ã‚ ¼Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ¼Ã¢â‚¬Å"à ¯Ã‚ ¼Ã¢â‚¬ Ãƒ ¯Ã‚ ¼Ã‚ Ãƒ ¯Ã‚ ¼Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ¼Ã¢â‚¬ Ãƒ ¯Ã‚ ¼-à ¯Ã‚ ¼Ã… ½(à ©Ã‚ «Ã‹Å"à ¥Ã‚ ®Ã‚ ¹Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¦Ã¢â€š ¬Ã‚ §Ãƒ ¤Ã‚ ½Ã… ½Ãƒ ©Ã¢â‚¬â„¢Ã‚  Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §-†¡Ãƒ ¥Ã‚ Ã‹â€ Ãƒ §Ã‚ §Ã‚ °Ãƒ ¦Ã‚ °Ã ‚ ´Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¦Ã‚ ¯Ã¢â‚¬â„¢) (à ¦Ã‚ ­Ã‚ £Ãƒ ¥Ã‚ ¸Ã‚ ¸Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ ¦Ã‚ µÃ¢â‚¬  Ãƒ ¦Ã‚ ¸-à ©Ã¢â€š ¬Ã‚ Ãƒ ¥Ã… ½Ã¢â‚¬ ¹ 280-320 mmol/L) (limiting correction to )à £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¦Ã‚ ºÃ‚ ¶Ãƒ ¦Ã‚ ¶Ã‚ ²Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ©Ã¢â‚¬â„¢Ã‚  Ãƒ §Ã‚ ¦Ã‚ »Ãƒ ¥Ã‚ ­Ã‚ Ãƒ ¦Ã‚ µÃ¢â‚¬Å"à ¥Ã‚ ºÃ‚ ¦Ãƒ ¤Ã‚ ¸Ã‚ Ãƒ ¥Ã‚ Ã‚ ¯Ãƒ ¨Ã‚ ¿Ã¢â‚¬ ¡Ãƒ ©Ã‚ «Ã‹Å"à ¯Ã‚ ¼Ã…’à ¤Ã‚ ¸Ã¢â€š ¬Ãƒ ¨Ã‹â€ Ã‚ ¬Ãƒ ©Ã¢â€š ¬Ã¢â‚¬ °Ãƒ ¦Ã¢â‚¬ ¹Ã‚ ©3%à ¯Ã‚ ½Ã… ¾5%à §Ã… ¡Ã¢â‚¬Å¾Ãƒ ©Ã‚ «Ã‹Å"à ¦Ã‚ ¸-à ¦Ã‚ °Ã‚ ¯Ãƒ ¥Ã…’-à ©Ã¢â‚¬â„¢Ã‚  Ãƒ ¦Ã‚ ºÃ‚ ¶Ãƒ ¦Ã‚ ¶Ã‚ ²Ãƒ ¥Ã‚ Ã…  Ãƒ ¦- ¶Ãƒ £Ã¢â€š ¬Ã‚ Ãƒ ©Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¥Ã‚ ºÃ‚ ¦Ãƒ ¨Ã‚ ¡Ã‚ ¥Ãƒ ¥Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ©Ã¢â€š ¬Ã¢â‚¬ °Ãƒ ¦Ã¢â‚¬ ¹Ã‚ ©Ãƒ ¥Ã‹â€ Ã‚ ©Ãƒ ¥Ã‚ °Ã‚ ¿Ãƒ ¥Ã¢â‚¬ °Ã¢â‚¬Å¡Ãƒ ¦- ¶Ãƒ ¥Ã‚ ºÃ¢â‚¬ Ãƒ ¦Ã‚ ³Ã‚ ¨Ãƒ ¦Ã¢â‚¬Å¾Ã‚ Ãƒ §-†¦Ãƒ ¤Ã‚ ºÃ‚ ºÃƒ ©Ã¢â‚¬â„¢Ã‚ ¾Ãƒ §Ã‚ ¦Ã‚ »Ãƒ ¥Ã‚ ­Ã‚ Ãƒ ¦Ã‚ °Ã‚ ´Ãƒ ¥Ã‚ ¹Ã‚ ³Ãƒ ¯Ã‚ ¼Ã…’à ¤Ã‚ ½Ã… ½Ãƒ ©Ã¢â‚¬â„¢Ã‚ ¾Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §-†¡Ãƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ §-†¦Ãƒ ¤Ã‚ ºÃ‚ ºÃƒ ©Ã…“â‚ ¬Ãƒ ¦Ã¢â‚¬ ¦Ã… ½Ãƒ §Ã¢â‚¬ Ã‚ ¨Ãƒ ¥Ã‹â€ Ã‚ ©Ãƒ ¥Ã‚ °Ã‚ ¿Ãƒ ¨Ã‚ Ã‚ ¯Ãƒ ¯Ã‚ ¼Ã…’à ©Ã‹Å" ²Ãƒ ¦Ã‚ ­Ã‚ ¢Ãƒ ¤Ã‚ ½Ã… ½Ãƒ ©Ã¢â‚¬â„¢Ã‚ ¾Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §-†¡Ãƒ ¥Ã…  Ã‚  Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¯Ã‚ ¼Ã…’à ©Ã¢â€š ¬Ã‚  Ãƒ ¦Ã‹â€ Ã‚ Ãƒ ¦Ã¢â‚¬ ºÃ‚ ´Ãƒ ¥Ã‚ ¤Ã… ¡Ãƒ ¥Ã‚ ¹Ã‚ ¶Ãƒ ¥Ã‚ Ã¢â‚¬ËœÃƒ §-†¡Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã‚ ¾-à ¤Ã‚ ¸Ã‚ Ãƒ ¥Ã‚ Ã‚ ¿Ãƒ ¥Ã‚ ¤Ã‚ ±Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¥Ã‹â€ Ã‚ ©Ãƒ ¥Ã‚ °Ã‚ ¿Ãƒ ¥Ã¢â‚¬ °Ã¢â‚¬Å¡Ãƒ ¤Ã‚ ¸Ã¢â€š ¬Ãƒ ¨Ã‹â€ Ã‚ ¬Ãƒ ©Ã¢â€š ¬Ã¢â‚¬ °Ãƒ ¦Ã¢â‚¬ ¹Ã‚ ©Ãƒ ¦Ã‚ ¸-à ©Ã¢â€š ¬Ã‚ Ãƒ ¦Ã¢â€š ¬Ã‚ §Ãƒ ¥Ã‹â€ Ã‚ ©Ãƒ ¥Ã‚ °Ã‚ ¿Ãƒ ¥Ã¢â‚¬ °Ã¢â‚¬Å¡Ãƒ ¥Ã¢â‚¬â„¢Ã…’à ¨Ã‚ ¢Ã‚ ¢Ãƒ ¥Ã‹â€ Ã‚ ©Ãƒ ¥Ã‚ °Ã‚ ¿Ãƒ ¥Ã¢â‚¬ °Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã‚ ¦Ã¢â‚¬Å¡20%à §Ã¢â‚¬ Ã‹Å"à ©Ã…“ ²Ãƒ ©Ã¢â‚¬  Ã¢â‚¬ ¡Ãƒ £Ã¢â€š ¬Ã‚ Ãƒ ©Ã¢â€š ¬Ã… ¸Ãƒ ¥Ã‚ °Ã‚ ¿Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¨Ã¢â‚¬ ¹Ã‚ ¥Ãƒ ¦Ã¢â‚¬ ¢Ã‹â€ Ãƒ ¦Ã… ¾Ã…“à ¤Ã‚ ¸Ã‚ Ãƒ ¥Ã‚ ¥Ã‚ ½Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã‚ Ã‚ ¯Ãƒ ©Ã¢â‚¬ ¡Ã¢â‚¬ ¡Ãƒ §Ã¢â‚¬ Ã‚ ¨Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ ¦Ã‚ ¶Ã‚ ²Ãƒ ¦Ã‚ »Ã‚ ¤Ãƒ ¨Ã‚ ¿Ã¢â‚¬ ¡Ãƒ ¦Ã‹â€ -à ¨Ã¢â‚¬ ¦Ã‚ ¹Ãƒ ¨Ã¢â‚¬  Ã…“à ©Ã¢â€š ¬Ã‚ Ãƒ ¦Ã… ¾Ã‚ Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¦Ã¢â‚¬Å¡Ã‚ £Ãƒ ¨Ã¢â€š ¬Ã¢â‚¬ ¦Ãƒ ¦Ã…“ ¯Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¥Ã¢â‚¬ ¡Ã‚ ºÃƒ §Ã… ½Ã‚ °Ãƒ ¤Ã‚ ¸Ã¢â€š ¬Ãƒ ¨Ã‚ ¿Ã¢â‚¬ ¡Ãƒ ¦Ã¢â€š ¬Ã‚ §Ãƒ ©Ã‚ «Ã‹Å"à ¨Ã‚ ¡Ã¢ ‚ ¬Ãƒ §Ã‚ ³-à ¨Ã‚ ¾Ã‚ ¾27.8 mmol/Là ¯Ã‚ ¼Ã…’à ¤Ã‚ ¸Ã‚ ´Ãƒ ¥Ã‚ ºÃ…  Ãƒ ¨Ã‚ ¯Ã¢â‚¬ ¢Ãƒ ©Ã‚ ªÃ…’à ¨Ã‚ ¯Ã‚ Ãƒ ¦Ã‹Å"Ã… ½Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã‚ ³-à ¤Ã‚ ¸Ã¢â€š ¬Ãƒ ¨Ã‚ ¿Ã¢â‚¬ ¡Ãƒ ¦Ã¢â€š ¬Ã‚ §Ãƒ ¥Ã‚ Ã¢â‚¬ ¡Ãƒ ©Ã‚ «Ã‹Å"à ¯Ã‚ ¼Ã…“20 mmol/L,à ¤Ã‚ ¸Ã‚ Ãƒ ¤Ã‚ ¼Ã… ¡Ãƒ ¥Ã¢â‚¬ ¡Ã‚ ºÃƒ §Ã… ½Ã‚ °Ãƒ ¦Ã‹Å"Ã… ½Ãƒ ¦Ã‹Å" ¾Ãƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ §-†¦Ãƒ §Ã¢â‚¬ Ã… ¸Ãƒ §Ã‚ Ã¢â‚¬  Ãƒ ¦Ã¢â‚¬ Ã‚ ¹Ãƒ ¥Ã‚ Ã‹Å"à ¯Ã‚ ¼Ã…’à ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã‚ ³-à ¥Ã…“ ¨Ãƒ ¦Ã…“ ¯Ãƒ ¥Ã‚ Ã… ½4à ¥Ã‚ °Ã‚ Ãƒ ¦- ¶Ãƒ ¥Ã‚ Ã… ½Ãƒ ¤Ã‚ ¼Ã… ¡Ãƒ ¦Ã‚ Ã‚ ¢Ãƒ ¥Ã‚ ¤Ã‚ Ãƒ ¨Ã¢â‚¬ ¡Ã‚ ³Ãƒ ¦Ã‚ ­Ã‚ £Ãƒ ¥Ã‚ ¸Ã‚ ¸Ãƒ ¦Ã‚ °Ã‚ ´Ãƒ ¥Ã‚ ¹Ã‚ ³Ãƒ ¯Ã‚ ¼Ã…’à ¦Ã¢â‚¬ ¢Ã¢â‚¬ ¦Ãƒ ¦Ã…“ ¯Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¥Ã‚ ¯Ã‚ ¹Ãƒ ¤Ã‚ ºÃ… ½Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã‚ ³-à §Ã… ¡Ã¢â‚¬Å¾Ãƒ ¦Ã‚ £Ã¢â€š ¬Ãƒ ¦Ã‚ µÃ¢â‚¬ ¹Ãƒ ¦Ã‹Å" ¯Ãƒ ¦Ã…“â‚ ¬Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¨Ã‚ ¦Ã‚ Ãƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ ©Ã‚ ¢Ã¢â‚¬Å¾Ãƒ ©Ã‹Å" ²Ãƒ ¦- ¹Ãƒ ¦Ã‚ ³Ã¢â‚¬ ¢Ãƒ ¯Ã‚ ¼Ã…’à ¤Ã‚ ¸Ã‚ ´Ãƒ ¥Ã‚ ºÃ…  Ãƒ ¤Ã‚ ¸Ã…  Ãƒ ¥Ã‚ Ã‚ ¯Ãƒ ¦Ã‚  Ã‚ ¹Ãƒ ¦Ã‚ Ã‚ ®Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ ©Ã¢â‚¬â„¢Ã‚ ¾Ãƒ ¥Ã¢â‚¬â„¢Ã…’à ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã‚ ³-à ¦Ã‚ µÃ¢â‚¬Å"à ¥Ã‚ ºÃ‚ ¦Ãƒ §Ã‚ »Ã‚ ¼Ãƒ ¥Ã‚ Ã‹â€ Ãƒ ¨Ã¢â€š ¬Ã†â€™Ãƒ ¨Ã¢â€ž ¢Ã¢â‚¬ËœÃƒ ¦Ã‹Å" ¯Ãƒ ¥Ã‚ Ã‚ ¦Ãƒ §Ã‚ »Ã¢â€ž ¢Ãƒ ¤Ã‚ ºÃ‹â€ Ãƒ ¨Ã†â€™Ã‚ °Ãƒ ¥Ã‚ ²Ã¢â‚¬ ºÃƒ §Ã‚ ´Ã‚  Ãƒ ¦Ã‚ ²Ã‚ »Ãƒ §Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ¼Ã‹â€ Ãƒ ¥Ã¢â‚¬  Ã¢â€ž ¢Ãƒ §Ã¢â‚¬ Ã‚ µÃƒ ¦Ã… ¾Ã‚ Ãƒ ©- ®Ãƒ ©Ã‚ ¢Ã‹Å" à ¯Ã‚ ¼Ã¢â‚¬ ° à ¨Ã‚ ¡Ã…’à ¥Ã‚ ®Ã‚ «Ãƒ ¨Ã¢â‚¬ ¦Ã¢â‚¬ Ãƒ ©Ã¢â‚¬ ¢Ã…“à §-†¦Ãƒ ¤Ã‚ ºÃ‚ ºÃƒ ¥Ã‚ ºÃ¢â‚¬ Ãƒ ¦Ã‚ ³Ã‚ ¨Ãƒ ¦Ã¢â‚¬Å¾Ã‚ Ãƒ ¯Ã‚ ¼Ã… ¡Ãƒ ¯Ã‚ ¼Ã‹â€ 1à ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ¨Ã¢â‚¬ ¹Ã‚ ¥Ãƒ ¦-  Ãƒ ¦Ã‚ ¤Ã… ½Ãƒ §Ã‚ ®Ã‚ ¡Ãƒ ¥Ã¢â‚¬  Ã¢â‚¬ ¦Ãƒ ©Ã‹Å" »Ãƒ ¦Ã‚ »Ã… ¾Ãƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ §Ã‚ ¦Ã‚ Ãƒ ¥Ã‚ ¿Ã…’à §-†¡Ãƒ ¯Ã‚ ¼Ã…’à ©Ã‚ ¦-à ©Ã¢â€š ¬Ã¢â‚¬ °Ãƒ §Ã‚ ¡Ã‚ ¬Ãƒ ¨Ã¢â‚¬  Ã…“à ¥Ã‚ ¤-à ©Ã‹Å" » à ¦Ã‚ »Ã… ¾Ãƒ ¯Ã‚ ¼Ã…’à ¤Ã‚ ¼Ã‹Å"à §Ã¢â‚¬Å¡Ã‚ ¹Ãƒ ¥Ã…“ ¨Ãƒ ¤Ã‚ ºÃ… ½Ãƒ §-†¦Ãƒ ¤Ã‚ ºÃ‚ ºÃƒ ¤Ã‚ ¿Ã‚ Ãƒ ¦Ã…’ Ãƒ ¦Ã‚ ¸Ã¢â‚¬ ¦Ãƒ ©Ã¢â‚¬  Ã¢â‚¬â„¢Ãƒ §Ã…  Ã‚ ¶Ãƒ ¦Ã¢â€š ¬Ã‚ Ãƒ ¯Ã‚ ¼Ã…’à ¦Ã‚ °Ã‚ ´Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¦Ã‚ ¯Ã¢â‚¬â„¢Ãƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ §-†¡Ãƒ §Ã…  Ã‚ ¶Ãƒ ¨Ã†â€™Ã‚ ½Ãƒ ©Ã¢â€š ¬Ã… ¡Ãƒ ¨Ã‚ ¿Ã¢â‚¬ ¡Ãƒ ¨Ã‚ ¯Ã‚ ¢Ãƒ ©- ®Ãƒ ¦- ©Ãƒ ¥Ã‚ Ã¢â‚¬ËœÃƒ §Ã… ½Ã‚ °Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¤Ã‚ ½Ã¢â‚¬  Ãƒ ¥Ã…“ ¨ à ¥Ã¢â‚¬ ¦Ã‚ ¨Ãƒ ©Ã‚ ºÃ‚ »Ãƒ ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¦Ã¢â‚¬ °Ã¢â€š ¬Ãƒ ¦Ã…“†°Ãƒ ¥Ã‚ Ã‹Å"à ¥Ã…’-à §Ã… ½Ã‚ °Ãƒ ¥Ã‚ Ã¢â‚¬ ¡Ãƒ ¤Ã‚ ¼Ã… ¡Ãƒ ¨Ã‚ ¢Ã‚ «Ãƒ §Ã¢â‚¬ ºÃ¢â‚¬ËœÃƒ ¦Ã…  Ã‚ ¤Ãƒ ¤Ã‚ »Ã‚ ªÃƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ ¦Ã‚ ­Ã‚ £Ãƒ ¥Ã‚ ¸Ã‚ ¸Ãƒ ¤Ã‚ ½Ã¢â‚¬Å"à ¥Ã‚ ¾Ã‚ Ãƒ ¦Ã¢â‚¬ °Ã¢â€š ¬Ãƒ ¨Ã‚ ¦Ã¢â‚¬  Ãƒ §Ã¢â‚¬ º-à ¨Ã¢â€š ¬Ã…’à ¦-  Ãƒ ¦Ã‚ ³Ã¢â‚¬ ¢Ãƒ ¤Ã‚ ºÃ¢â‚¬  Ãƒ ¨Ã‚ §Ã‚ £Ãƒ §-†¦Ãƒ ¤Ã‚ ºÃ‚ º à ¥Ã¢â‚¬  Ã¢â‚¬ ¦Ãƒ §Ã… ½Ã‚ ¯Ãƒ ¥Ã‚ ¢Ã†â€™Ãƒ ¦Ã¢â‚¬ Ã‚ ¹Ãƒ ¥Ã‚ Ã‹Å"à £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ¼Ã‹â€ 2à ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯Ãƒ ¥Ã¢â‚¬ °Ã‚ Ãƒ ¥Ã‚ Ã‚ ¯Ãƒ ¥Ã‚ Ã… ¡Ãƒ ©Ã‚ ¢Ã¢â‚¬Å¾Ãƒ ©Ã‹Å" ²Ãƒ ¦Ã¢â€š ¬Ã‚ §Ãƒ ¤Ã‚ ½Ã‚ ¿Ãƒ §Ã¢â‚¬ Ã‚ ¨Ãƒ ¦Ã¢â‚¬ Ã‚ ¶Ãƒ §Ã‚ ¼Ã‚ ©Ãƒ ¥Ã‚ ­Ã‚ Ãƒ ¥Ã‚ ®Ã‚ «Ãƒ ¥Ã¢â‚¬  Ã¢â‚¬ ¦Ãƒ ¨Ã¢â‚¬  Ã…“à ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã‚ ®Ã‚ ¡Ãƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ ¨Ã‚ Ã‚ ¯Ãƒ §Ã¢â‚¬ °Ã‚ ©Ãƒ ¥Ã¢â‚¬ ¡Ã‚ Ãƒ ¥Ã‚ °Ã¢â‚¬ËœÃƒ ¦Ã…“ ¯ à ¤Ã‚ ¸Ã‚ ­Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã‚ ®Ã‚ ¡Ãƒ ¥Ã‚ ¼Ã¢â€š ¬Ãƒ ¦Ã¢â‚¬ Ã‚ ¾Ãƒ ¥Ã¢â‚¬â„¢Ã…’à ¥Ã¢â‚¬ ¡Ã‚ ºÃƒ ¨Ã‚ ¡Ã¢â€š ¬[5],à ¥Ã‚ »Ã‚ ºÃƒ ¨Ã‚ ®Ã‚ ®Ãƒ ¦Ã…“ ¯Ãƒ ¥Ã¢â‚¬ °Ã‚ Ãƒ §Ã¢â‚¬ ¢Ã¢â€ž ¢Ãƒ §Ã‚ ½Ã‚ ®Ãƒ ¥Ã‚ ¯Ã‚ ¼Ãƒ ¥Ã‚ °Ã‚ ¿Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯Ãƒ §Ã¢â‚¬ Ã‚ µÃƒ ¥Ã‹â€ Ã¢â‚¬ ¡Ãƒ ¨Ã‚ ¿Ã¢â‚¬ ¡Ãƒ §Ã‚ ¨Ã¢â‚¬ ¹Ãƒ ¥Ã‚ ºÃ¢â‚¬ Ãƒ ¦Ã… ½Ã‚ §Ãƒ ¥Ã‹â€ Ã‚ ¶Ãƒ ¨Ã¢â‚¬  Ã‚ ¨Ãƒ ¥Ã‚ ®Ã‚ «Ãƒ ¥Ã… ½Ã¢â‚¬ ¹Ãƒ ¥Ã…  Ã¢â‚¬ ºÃƒ ¤Ã‚ ¸Ã‚ º 80~100mmHg6]à ¯Ã‚ ¼Ã…’à ¥Ã‚ °Ã‚ ½Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¦Ã… ½Ã‚ §Ãƒ ¥Ã‹â€ Ã‚ ¶Ãƒ ¨Ã¢â‚¬  Ã‚ ¨Ãƒ ¥Ã‚ ®Ã‚ «Ãƒ ¦Ã‚ ¶Ã‚ ²Ãƒ ¤Ã‚ ½Ã¢â‚¬Å"à ©Ã¢â‚¬ ¡Ã‚ Ãƒ £Ã¢â€š ¬Ã‚ Ãƒ §Ã‚ ¼Ã‚ ©Ãƒ §Ã… ¸Ã‚ ­Ãƒ ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯Ãƒ ¦- ¶Ãƒ ©- ´60minà ¤Ã‚ ¹Ã¢â‚¬ ¹Ãƒ ¥Ã¢â‚¬  Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ¼Ã‹â€ Ãƒ ¥Ã‚ ¼Ã¢â‚¬ ¢Ãƒ §Ã¢â‚¬ Ã‚ ¨anaethestic considertionà ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ¯Ã‚ ¼Ã‹â€ Ãƒ ¦Ã… ½Ã‚ §Ãƒ ¥Ã‹â€ Ã‚ ¶Ãƒ ¥Ã…“ ¨90minà ¥Ã¢â‚¬  Ã¢â‚¬ ¦Ãƒ ¯Ã‚ ¼Ã… ¡Ãƒ ©Ã†â€™Ã‚ ­Ãƒ ¦Ã‚ Ã†â€™Ãƒ ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ¯Ã‚ ¼Ã…’ à ©Ã‹Å" ²Ãƒ ¦Ã‚ ­Ã‚ ¢Ãƒ ¦Ã‚ ¶Ã‚ ²Ãƒ ¤Ã‚ ½Ã¢â‚¬Å"à ¥Ã‚ ¤Ã‚ §Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¥Ã‚ ¿Ã‚ «Ãƒ ©Ã¢â€š ¬Ã… ¸Ãƒ ¨Ã‚ ¿Ã¢â‚¬ ºÃƒ ¥Ã¢â‚¬ ¦Ã‚ ¥Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã‚ ®Ã‚ ¡Ãƒ §Ã‚ ¨Ã¢â€š ¬Ãƒ ©Ã¢â‚¬ ¡Ã…  Ãƒ ¤Ã‚ ½Ã¢â‚¬Å"à ¦Ã‚ ¶Ã‚ ²Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ¼Ã‹â€ 3à ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ¥Ã‚ ¯Ã¢â‚¬  Ãƒ ¥Ã‹â€ Ã¢â‚¬ ¡Ãƒ ¨Ã‚ §Ã¢â‚¬Å¡Ãƒ ¥Ã‚ ¯Ã… ¸Ãƒ ¨Ã¢â‚¬  Ã‚ ¨Ãƒ ¥Ã‚ ®Ã‚ «Ãƒ ¦Ã‚ ¶Ã‚ ²Ãƒ ¥Ã¢â‚¬ ¦Ã‚ ¥Ãƒ ¥Ã¢â‚¬ ¡Ã‚ ºÃƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¥Ã‚ ·Ã‚ ®Ãƒ ¯Ã‚ ¼Ã…’à §Ã¢â‚¬ Ã‚ µ à ¨Ã‚ §Ã‚ £Ãƒ ¨Ã‚ ´Ã‚ ¨Ãƒ ¨Ã¢â‚¬  Ã‚ ¨Ãƒ ¥Ã‚ ®Ã‚ ®Ãƒ ¦Ã‚ ¶Ã‚ ²Ãƒ ¥Ã‚ ·Ã‚ ®Ãƒ ¯Ã‚ ¼Ã… ¾1.5Là ¦Ã‹â€ -à ©Ã‚ Ã… ¾Ãƒ §Ã¢â‚¬ Ã‚ µÃƒ ¨Ã‚ §Ã‚ £Ãƒ ¨Ã‚ ´Ã‚ ¨Ãƒ ¥Ã‚ ½Ã‚ ­Ãƒ ¥Ã‚ ®Ã‚ ®Ãƒ ¦Ã‚ ¶Ã‚ ²Ãƒ ¥Ã‚ ·Ã‚ ®Ãƒ ¯Ã‚ ¼Ã… ¾1.0Là ¯Ã‚ ¼Ã…’à ¥Ã‚ ºÃ¢â‚¬ Ãƒ ¦Ã… ¡Ã¢â‚¬Å¡Ãƒ ¥Ã‚ Ã…“à ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯(Issacson à ¦Ã…  Ã‚ ¥Ãƒ ©Ã‚ Ã¢â‚¬Å"à ¯Ã‚ ¼Ã…’à ¦Ã‚ ¯Ã‚ Ãƒ ¥Ã‚ Ã‚ ¸Ãƒ ¦Ã¢â‚¬ Ã‚ ¶ 1000 mlà ©Ã‚ Ã… ¾Ãƒ §Ã¢â‚¬ Ã‚ µÃƒ ¨Ã‚ §Ã‚ £Ãƒ ¨Ã‚ ´Ã‚ ¨Ãƒ ¨Ã¢â‚¬  Ã‚ ¨Ãƒ ¥Ã‚ ®Ã‚ «Ãƒ ¤Ã‚ »Ã¢â‚¬ ¹Ãƒ ¨Ã‚ ´Ã‚ ¨Ãƒ ¯Ã‚ ¼Ã…’à ¨Ã‚ ¡Ã¢â€š ¬Ãƒ ©Ã¢â‚¬â„¢Ã‚  Ãƒ §Ã‚ ºÃ‚ ¦Ãƒ ¤Ã‚ ¸Ã¢â‚¬ ¹Ãƒ ©Ã¢â€ž ¢Ã‚  10 mmol/Là ¯Ã‚ ¼Ã…’à ¥Ã‚ »Ã‚ ºÃƒ ¨Ã‚ ®Ã‚ ®Ãƒ ¥Ã‚ Ã‚ ¸Ãƒ ¦Ã¢â‚¬ Ã‚ ¶Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¨Ã‚ ¾Ã‚ ¾1000 à ¯Ã‚ ½Ã… ¾2000 ml à ¦- ¶Ãƒ ¥Ã‚ Ã‚ ³Ãƒ ¥Ã‚ ºÃ¢â‚¬ Ãƒ ¥Ã‚ Ã…“à ¦Ã‚ ­Ã‚ ¢Ãƒ ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯:Issacson KBà ¯Ã‚ ¼Ã… ½ Complications of hysteroscopyà ¯Ã‚ ¼Ã‚ »Jà ¯Ã‚ ¼Ã‚ ½Ãƒ ¯Ã‚ ¼Ã… ½ Obstet Gynecol Clin North Amà ¯Ã‚ ¼Ã…’1999à ¯Ã‚ ¼Ã…’26(1):39à ¯Ã‚ ¼Ã‚ 51à ¯Ã‚ ¼Ã… ½ )à ¯Ã‚ ¼Ã…’à ¦Ã‚ £Ã¢â€š ¬Ãƒ ¦Ã‚ µÃ¢â‚¬ ¹Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ ¦Ã‚ ¸Ã¢â‚¬ ¦Ãƒ ©Ã¢â‚¬â„¢Ã‚   à §Ã‚ ¦Ã‚ »Ãƒ ¥Ã‚ ­Ã‚ Ãƒ ¦Ã‚ µÃ¢â‚¬Å"à ¥Ã‚ ºÃ‚ ¦Ãƒ ¯Ã‚ ¼Ã…’à ¦Ã‚ £Ã¢â€š ¬Ãƒ ¦Ã‚ µÃ¢â‚¬ ¹Ãƒ §Ã¢â‚¬ Ã… ¸Ãƒ ¥Ã¢â‚¬ËœÃ‚ ½Ãƒ ¤Ã‚ ½Ã¢â‚¬Å"à ¥Ã‚ ¾Ã‚ Ãƒ £Ã¢â€š ¬Ã‚ Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ ¦Ã‚ °Ã‚ §Ãƒ ©Ã‚ ¥Ã‚ ±Ãƒ ¥Ã¢â‚¬â„¢Ã…’à ¥Ã‚ ºÃ‚ ¦Ãƒ ¥Ã¢â‚¬â„¢Ã…’à ¥Ã‚ °Ã‚ ¿Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ¼Ã‹â€ 4à ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ©Ã… ¡Ã‚ Ãƒ ¦- ¶Ãƒ §Ã¢â‚¬ ºÃ¢â‚¬ËœÃƒ ¦Ã‚ µÃ¢â‚¬ ¹Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã¢â‚¬ Ã‚ µÃƒ ¨Ã‚ §Ã‚ £Ãƒ ¨Ã‚ ´Ã‚ ¨Ãƒ §Ã… ¡Ã¢â‚¬Å¾ à ¥Ã‚ Ã‹Å"à ¥Ã…’-à ¯Ã‚ ¼Ã…’à ¥Ã‚ Ã… ¡Ãƒ ¥Ã‹â€ Ã‚ °Ãƒ ¦- ©Ãƒ ¦Ã…“Å ¸Ãƒ ¥Ã‚ Ã¢â‚¬ËœÃƒ §Ã… ½Ã‚ °Ãƒ ¤Ã‚ ½Ã… ½Ãƒ ©Ã¢â‚¬â„¢Ã‚  Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §-†¡Ãƒ ¯Ã‚ ¼Ã…’à ¦- ©Ãƒ ¥Ã‚ ¤Ã¢â‚¬Å¾Ãƒ §Ã‚ Ã¢â‚¬  Ãƒ ¦- ©Ãƒ ¦Ã‚ ²Ã‚ »Ãƒ §Ãƒ ¯Ã‚ ¼Ã…’à ©Ã‹Å" ²Ãƒ ¦Ã‚ ­Ã‚ ¢Ãƒ §-†¦Ãƒ ¦Ã†â€™Ã¢â‚¬ ¦Ãƒ ¦Ã‚ Ã‚ ¶Ãƒ ¥Ã…’-à £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ¼Ã‹â€ 5à ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ¦Ã…“ ¯Ãƒ ¥Ã‚ Ã… ½ à ¥Ã‚ ¿Ã¢â‚¬ ¦Ãƒ ©Ã‚ ¡Ã‚ »Ãƒ §Ã‚ §Ã‚ ¯Ãƒ ¦Ã… ¾Ã‚ Ãƒ ¨Ã‚ ·Ã… ¸Ãƒ ¨Ã‚ ¸Ã‚ ªÃƒ §-†¦Ãƒ ¤Ã‚ ºÃ‚ ºÃƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ ¤Ã‚ ½Ã¢â‚¬Å"à ¥Ã‚ ¾Ã‚ Ãƒ ¥Ã‚ Ã‹Å"à ¥Ã…’-à £Ã¢â€š ¬Ã¢â‚¬Å¡ à ¦Ã‚ °Ã‚ ´Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¦Ã‚ ¯Ã¢â‚¬â„¢Ãƒ ¥Ã…“ ¨Ãƒ ¥Ã‚ ¤-à §Ã‚ §Ã¢â‚¬ËœÃƒ ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã‚ °Ã‚ ¤Ãƒ ¥Ã¢â‚¬ ¦Ã‚ ¶Ãƒ ¨Ã¢â‚¬ ¦Ã¢â‚¬ Ãƒ ©Ã¢â‚¬ ¢Ã…“à ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã…’†¦Ãƒ ¦Ã¢â‚¬ ¹Ã‚ ¬Ãƒ ¥Ã‚ ®Ã‚ «Ãƒ ¨Ã¢â‚¬ ¦Ã¢â‚¬ Ãƒ ©Ã¢â‚¬ ¢Ã…“à £Ã¢â€š ¬Ã‚ TURPà §Ã‚ ­Ã¢â‚¬ °Ãƒ ¯Ã‚ ¼Ã…’à ¨Ã¢â‚¬ ¹Ã‚ ¥Ãƒ ¤Ã‚ ¸Ã‚  à ¤Ã‚ ºÃ‹â€ Ãƒ ¤Ã‚ »Ã‚ ¥Ãƒ ©Ã‚ «Ã‹Å"à ¥Ã‚ ºÃ‚ ¦Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¨Ã‚ §Ã¢â‚¬  Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã‚ °Ã¢â‚¬  Ãƒ ¥Ã‚ ¸Ã‚ ¦Ãƒ ¦Ã‚ Ã‚ ¥Ãƒ ¤Ã‚ ¸Ã‚ ¥Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ ¥Ã‚ Ã… ½Ãƒ ¦Ã… ¾Ã…“à ¯Ã‚ ¼Ã…’à ¦Ã¢â‚¬ °Ã¢â€š ¬Ãƒ ¤Ã‚ »Ã‚ ¥Ãƒ ¥Ã…“ ¨Ãƒ ¤Ã‚ ¸Ã‚ ´Ãƒ ¥Ã‚ ºÃ…  Ãƒ ¤Ã‚ ¸Ã…  Ãƒ ¤Ã‚ ¸Ã¢â€š ¬Ãƒ ¦- ¦Ãƒ ¥Ã‚ Ã¢â‚¬ËœÃƒ §Ã… ½Ã‚ °Ãƒ ¦Ã‚ °Ã‚ ´Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¦Ã‚ ¯Ã¢â‚¬â„¢Ãƒ ¥Ã‚ ¿Ã¢â‚¬ ¦Ãƒ ©Ã‚ ¡Ã‚ »Ãƒ ¥Ã‚ Ã…   à ¦- ¶Ãƒ ¥Ã‚ ¤Ã¢â‚¬Å¾Ãƒ §Ã‚ Ã¢â‚¬  Ãƒ ¯Ã‚ ¼Ã…’à ©Ã‹Å" ²Ãƒ ¦Ã‚ ­Ã‚ ¢Ãƒ ¦Ã‚ Ã‚ ¶Ãƒ ¥Ã…’-à ¨Ã¢â€š ¬Ã…’à ¥Ã‚ Ã‚ ±Ãƒ ¥Ã‚ Ã…  Ãƒ §-†¦Ãƒ ¤Ã‚ ºÃ‚ ºÃƒ §Ã¢â‚¬ Ã… ¸Ãƒ ¥Ã¢â‚¬ËœÃ‚ ½Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡ Reference [1] Jansen FW, Verdevoogd CB, Ulzen KV, et al. Complications of hysteroscopy: aprospective multicenter study [J], Obstet Gynecol, 2000, 96 (2): 266 270. [2] Rhymer JS, Bell TS, Perry KC, et al. Hyponatremia following transurethral resection of the postate [J].Br Jurol, 1985, 57(4): 450à ¯Ã‚ ¼Ã‚ 452. [3] Prost AM, Liberman RF, Harlow BL, Ginsburg ES. Complication of hysteroscopic surgery: predincting patients at risk. Obster Gynccol. 2000; 96:517-520 [4] Cooper JM Brady RM. Intraoperative and early post-operative complications of operative hysteroscopy. Obstetric and Gynecology Clinics of North America 2000; 27: 347-365 [5]Romer T. Benefit of GnRH analogene treatment for hysteroscopic surgery in patients with bleeding disorders [J].Gynecol.Obstet Invest,2003,50:112-120. [6]Murdoch JA. Tong JG. Anesthesia for hysteroscopy. Anesthesiol Clin North Am. 2001;19:125-140 [ J ].à ¤Ã‚ ¸Ã‚ ­Ãƒ ¥Ã¢â‚¬ ºÃ‚ ½Ãƒ ¥Ã‚ ¾Ã‚ ®Ãƒ ¥Ã‹â€ Ã¢â‚¬ ºÃƒ ¥Ã‚ ¤-à §Ã‚ §Ã¢â‚¬ËœÃƒ ¦Ã‚ Ã¢â‚¬Å¡Ãƒ ¥Ã‚ ¿-,2009,9(12):1097-109 à ¨Ã¢â‚¬Å¾Ã‚ ±Ãƒ ©Ã‚ «Ã¢â‚¬Å"à ©Ã… ¾Ã‹Å"à ¯Ã‚ ¼Ã… ¡Witz CA, Silverberg KM, Burns WN, Schenken RS, Olive DL. Complications associated with the absorption of hysteroscopic fluid media. Fertil Steril 1993;60:745-56.

Friday, January 17, 2020

Assignment on Annual Report

Assignment On Mercantile Bank Limited Annual Report for the year ended 31st December, 2009 Topics are to be discussed here (Context) 01. Letter to Transmittal 02. Notice of 11th Annual General Meeting 03. Mission, Vision & Objectives 04. MBL Timeline 05. Credit Rating 06. Sponsors of the Bank 07. Board of Directors 08. Corporate Structure 09. Management Team 10. Head Office & Branch Network 11. Where We Locate 12. Financial Summary 13. Economic Impact Report 14. Message from the Chairman 15. From the Desk of Managing Directors and CEO 16. Directors’ Report 17. Managing Directors and CEO’s Report on Risk Management 18. Report on Corporate Governance 19. Compliance Report on SEC Notification 20. Report of Audit Committee 21. Report on Corporate Social Responsibility 22. Report on Customer Service 23. Report on Human Capital 24. Recognition 25. Signing of Financial Statements 26. Auditors’ Report 27. Financial Statements 28. Notes to the Financial Statements 29. Annexure A-G 30. Highlights of Mercantile Bank Limited 1. Letter to Transmittal: Here the Executive Vice President and Company Secretary wrote a letter to all shareholders informing the important items of the Annual Report. Such as Balance Sheet, Income Statement, Cash Flow Statement of the year. 2. Notice of 11th Annual General Meeting: In the notice the date, year, day, time and place of the AGM clearly (in bold letter) described. Important Agenda also represented in the notice. There are 5 Agenda are mentioned. In addition 6 footer Notes also published here. Important notes are record date of the share (March 07, 2010), amount of dividend (22%) etc. Executive Vice President and Company Secretary give his signature with date. 3. Vision, Mission & Objectives: The Vision of the back is make finest corporate institution. Mission is making the make profitable by caring, equitable growth by required and proper distribution of recourses. Strategic Objectives: to positive Economic Value Added, market leader in product innovation, achieve cost efficiency, be in the top five financial institution in Bangladesh. Financial Objectives: to achieve stable (? 20%) return on shareholders’ equity. Moreover Core value for Customers, Shareholders, Employees and Community 4. MBL Timeline: Here the development of Mercantile Bank Limited stated. It started incorporation in business and commercialization in 1999. Circulated Primary Share (IPO) in 2003. Got listed in both Bangladesh Stock Exchanges (Dhaka & Chittagong) in 2004 and end of year 2009 it has 50 braches all over the country. 5. Credit Rating: As per Credit Rating and information Services Limited (CRISL), Mercantile Bank Limited rated as â€Å"A† (Pronounced as Single A) in the long term and ST-2 rating in the short term on the basis of Financial Statements as on December 31, 2008. High certainty of timely payments, strong liquidity factors, good company fundamentals, easy excess to capital market and minimal risk factors are the key issues of the rating. 6. Sponsors of the Bank: Here the 27 sponsors’ names with photos are representing clearly. 7. Board of Directors: 22 Directors’ name and photo with their designation stated here. There are 1 Chairman, 2 Vice Chairmen and 18 Directors and 1 Managing Director and CEO in the Bank managing committee. 8. Corporate Structure: In Corporate Structure there are 8 different government body represented. Including Board of Directors (22 persons), Executive Committee (18 persons), Audit Committee (3 persons), Managing Director & CEO (1 person), Chief Financial Officer (1 person), Company Secretary (1 person), Auditors (2 persons) and Tax Advisor (1 person). . Management Team: Here the detail list of different managing committee separately represented with their designation. There are 10 categories of designation. Such as Managing Director & CEO, Additional Managing Director, principal, Deputy Managing Director, Senior Executive Vice Presidents, Executive Vice Presidents, Senior Vice Presidents, Vice Preside nts, First Vice Presidents and Assistant Vice Presidents. 10. Head Office & Branch Network: Under this title the details addresses of bank’s all 50 banking branches, SME braches and Brokerage House with Phone, Mobile and Fax number given. 1. Where We Locate: Here the map of Bangladesh given and all 53 (3 SME/Agro Branches) branches marked by company’s logo under district wise. 12. Financial Summary: Under Financial Summary Company’s last 5 years Net Interest Margin (NIM), Profit after Tax, Return on Assets (ROA), Cost Income Ratio, Return on Equity (ROE), Operating Efficiency Ratio and in the last 8 years comparable company’s Income Statement, Balance Sheet, Foreign Exchange Business, BIS Capital Measure, Credit Quality, Share Information, Operating Performance Ratio and Other Information represented. 3. Economic Impact Report: Here Economic Impact described in two ways; Direct Impact and Indirect Impact. Direct Impact are employment opportunities, paymen t of tax to the government, increase value to the Shareholders. Indirect Impact created by catering financial services, Bank generated wealth in the economy and profit for itself which is ultimately distributed amongst the shareholders and other participants in different form. In 2009, total value added by MBL was BDT 2,559. 96 (millions) and direct contribution to the economy was BDT 855. 26 (millions). There are two value added statements (Economic and Market) showed by column chart. A pie chart showed for distribution of Value Addition (maximum for government tax 33. 4%). Bank added BDT 129. 5 (million) under Economic Value Addition and BDT 4229. 48 (million) under Market Value Addition. 14. Message from the Chairman: At the first of the message the Chairman invited Shareholders to the 11th Annual General Meeting. There are some topics the Chairman discussed briefly. Those are: World Economy in 2009: here the impact of sub-prime mortgages landslip discussed. Bangladesh Economy in 2009: here the benefit of growth Bangladesh economy in the particular year stated. Performance of the Bank in 2009: here the actual amount of bank’s deposits collection, loan and advance, import business, export business and foreign remittance described. Diversified Business Activities of the Bank: under this section the details activity of bank represented here. Such as Deposits, Loan and Advances, Import & Export Business and Inward Foreign Remittance. SME: here bank’s SME structure described. Card Business: here bank’s different card business represented. Such as Credit card, Debit Card, VISA dual prepaid card, VISA Dual Hajj Card. Described it’s features and services. Corporate Governance Practice: here the responsibilities and activities of Board of Directors to the business operation represented. CSR Programs: here the guideline of management of the bank informs the board on CSR activities and is responsible to implement a specific line of approving authority, control and monitoring for financial support of such activities. Customer Service: here the Chairman describe how the bank server to the customer for achieve highest customer satisfaction. Human Resources Development: here the promotion and intensives to the employees represented for their superior performance. Recognition and Award: here the different achievements and rewards stated that in 2009 the bank gets thorough out the year. Future Outlook: here the challenges and opportunities for the bank in upcoming years described thoroughly. Challenges in 2010: here the economic effect on the bank in year 2010 is represented. Such as global downturn, slower growth of exports and workers’ remittance etc. Acknowledgement: here the Chairman gives his thank you notes and committed a stable growth of back where shareholder can rely on. 15. From the Desk of Managing Directors and CEO: Here the CEO describes the banks’ situation in the year 2009. He also represented Bank’s performance during the year 2009, its prospects and potential challenges in 2010. Such as Positive Growth: A Step Further: describing here the growth of the bank during the year. Prospects in 2010: he describe the opportunity, hope for the bank in upcoming year. Reviewing Our Business in 2009: here the business operation during the year stated clearly. Assets and Liabilities Position, International Business, MBL’s Products and Services, MBL’s Card Business, Agro-Based Financing, SME Financing, Our Priorities, Operation, Customer Relationship, Technology, Human Capital Development, Corporate Social Responsibilities (CSR), MBL Brokerage House, Mobile Banking, Commitment to Government, Base I-II Capital Accord, Anti Money Laundering, Network Expansion, Challenges in 2010, Our Preparation and Acknowledgement are the main topics he discussed. 6. Directors’ Report: The parts of the Director’s Report are World Economy, Bangladesh Economy (GDP, Inflation, Investment and Saving, Broad Money, Domestic Credit, Export, Import, Trade Balance, Remittance, Foreign Exchange Market, Prospect of Bangladesh Economy in 2010), Business Review (Deposit and Deposit Mix, Loan and Advance, Import Trade, Export Trade, Foreign Remittance, Treasury Operation and Fund Management, Earning Base in Assets, Asset Portfolio, Funding Structure, Capital, Statutory Reserve, Capital Adequacy, Number of Shareholders, Contribution to National Exchequer and Economy, Acquisition of IDLC Share, Purchase of Land, Branch Network, Board of Directors, Board and Committee Meeting, Corporate and Financial Reporting, External Auditors, Correspondence Relationship , R&D, Information Technology, Financial Products and Services, Different Deposit Products, Different Loan Products), Financial Review (Different Profit Incomes, Different Expenses, Different Tax, Dividend, EPS, O/E Ratio), Outlook 2010 and Acknowledgement are represented here. After that it repeated in Bengali Language. 17. Managing Directors and CEO’s Report on Risk Management: Here start with basic discussion on Risk Management. Such as Risk Management Realities, Approach, Oversight, Process etc. And later describe different types of Risk Management described with photo and tree table. Such as Credit Risk Management, Market Risk Management, Interest Rate Risk Management, Foreign Exchange Risk Management, Operational Risk Management, Internal Control and Compliance Risk Management, Equity Risk Management, Money Laundering Risk Management, Information Technology Risk Management, Liquidity Risk Management, Marketing Related Risk Management, Human Resource Related Risk Management etc. 18. Report on Corporate Governance: At first different names of Corporate Governance with responsibility and duty in the bank represented. Such as Board Of Directors, Board’s Supporting Committee, Management Committee, Control Environment Committee. Each of every committee are presented with meetings photo. 19. Compliance Report on SEC Notification: It is the notification issued by The Security and Exchange Commission for all listed companies in order to improve Corporate Governance on ‘Comply or Explain’ basis. There are three tables. First is Complied or Not Complied table. Only 3 rules are not complied by the bank among 43 rules which are under review. In second table the numbers with names of Directors attained Board Meeting during the year. And the last one is The Patter of Shareholding where shows the nos. and percentage of shares hold by Directors. 20. Report of Audit Committee: Here the name of Auditor with photo presented. And also some other topics such as composition of the Audit Committee, Role of the Audit Committee, Internal Control, Meetings, Financial Reporting, Internal Audit and Inspection, External Audit, Regulatory Compliance and Miscellaneous issues given here. 21. Report on Corporate Social Responsibility: Here the roles and responsibilities of the bank toward society described. In this section a table shows how much the bank contributed their profit to the society. The highest donation went to health sector. MBL has slogan to be the â€Å"Banglar Bank†. MBL has given different awards to different sectors. Photos and arenas are mentioned here. 22. Report on Customer Service: The importance of customer to the bank is presented here. Some core demands of customer are fulfilling by the back. Such as Bringing Mass and More people into the Banking net, Addressing Unique Needs of the Customers, Meeting Demand of Customers through Alternative Banking Channels, Response from the People etc. 23. Report on Human Capital: In this topic the process of giving service in effective manner the back took some steps such as Nursing the People with Utmost Care, Recruiting the Best People (bonus, promotion, recognition, training etc), Managing the people, Performance from the People etc. 24. Recognition: An award giving ceremony’s (ICAB Award-2008) photo given here. 25. Signing of Financial Statements: Here a photograph of Directors represented where they all present there for signing Financial Statements – 2009. 26. Auditors’ Report: At first Auditors declared those elements that they audited. Such as Balance Sheet, Profit and Loss account, Cash Flow Statement, Statement of Changes in Equity, Statements of Liquidity Analysis and Explanatory notes to Financial Statements. Also mention their responsibilities. In the auditor’s report they include Scope, Opinion (14 opinions), Auditors Firm Names, Auditor Signatures, Auditor Designation, Place and Date. 27. Financial Statements: In the Financial Statements there are 7 part of it. At first there is Balance Sheet (Classified Statement of all types of Assets and Liabilities), then Off-Balance Sheet Items (Contingent Liabilities and Other Commitments), Profit and Loss Account (Include all types of Incomes and Expenses, Provisions, Appropriations etc. , Cash Flow Statement (Net Cash Inflow and Outflow recorded here), Statement of Changes in Equity (Capital gain/reserve and losses/dividend), Liquidity Statement (assets and liabilities maturity analysis), Notes to the Financial Statements (details of financial statement such a s calculations, principals, disclosures etc). 28. Annexure A-G: In Annexure A all related asset’s depreciation charges calculated here, Annexure B described number of shares hold by Directors with their positions, Annexure C represented different Investment in Shares during the year. Annexure D stated market adjustment of approved Securities HTM and HFT shares. Annexure E mentioned maturity analysis of other assets (like as advanced deposits, stamps in hand etc. , Annexure F represented Compliance of BAS and BFRS (among 29 BAS 6 are not applied and among 4 BFRS none are applied), Annexure G provide Computation of Risk- Weighted Assets list. 29. Highlights of Mercantile Bank Limited: Here all necessary information towards the investors are presented here, such as paid-up capital, total assets, total deposits, ROA, ROI, EPS, NI per share, P/E Ratio etc. 30. Proxy Form: It is the application printed and provided by the firm to shareholders incase of his absence, shareholder can give voting power to his nominated person. Need to fill up the gaps and attach revenue stamps and send to the authority before particular date. It has two parts, one for office and other for shareholder. ————-END————–