Logistics and Supply Chain Management Essay Example | Topics and Well Written Essays - 2500 words

Logistics and Supply Chain Management - Essay Example It studies how it can be improved and gives recommendations. Since Zara is one of the industry leaders and has one of the best supply chains, it required fewer recommendations for improvement. Finally, the paper analyzes the location of the company’s plants and distribution centers to see whether they are optimal. In Zara’s case, they are in the short run but may cause problems in the long run. Zara is a Spanish flagship store of the Inditex Group and a key player in the European fashion retail market. It started operations in 1975 by opening its first store in La Coruna and since then has been operating as a fast fashion company. It is one of the largest brands, by the Inditex Fashion Retail Group, that has 723 stores in 56 countries making sales of Euro 3.8 billion (India Supply Chain Council, 2006). Its business model is simple; it imitates fashion off the runway and distributes it to the customers in the shortest time possible, even before designers themselves can reach the customers. Therefore, it has shorter lead times, more styles but scarce supply of these styles. To manage this kind of efficiency, Zara’s supply chain management must be efficient and that, it is. Zara uses a vertical supply chain management system, one of the best in the industry that allows it to implement its business model of fast fashion effectively. Zara’s position is an industry leader in the fashion retail market. It has a very high product turnover – it produces more than 11,000 products annually. It caters to the trendy, middle class man and woman of ages 14 to 35. The mother buys Zara because it is affordable and the daughter buys from Zara because it is trendy (Dutta, 2002). This paper will study Zara in the light of its Logistics and Supply Chain Management. It will be broken down into four main parts. First of all, the importance of measuring the performance of Zara’s Supply Chain will be analyzed. Secondly, key performance indicators or KPIs will

Environmental sustainability Essay Example | Topics and Well Written Essays - 1500 words

Environmental sustainability - Essay Example With a surplus of paper in the market of China, excess paper in Britain became very problematic (The Mail on Sunday 2009, 1). As stated by the representative of the Environment Agency: â€Å"We are expecting the market to bounce back in the next month or so. We want people to hold their nerve—we don’t have the space in landfill if people stop recycling. We can’t lose sight of that in the face of this temporary blip in the market† (The Mail on Sunday 2009, 1). Activists all over Britain have expressed anxiety over the tons of glut recycling mounting up on a national scale. This paper hence discusses the methods of recycling paper. The next section is a thorough review of literature about the increasing necessity and existing methods of recycling paper. The third section is a critical evaluation of the methods of recycling paper. The fourth section presents the possible future developments in paper recycling in the UK. And the last section wraps up the entir e discussion. Literature Review Paper recycling has become ever more imperative over the recent decades, especially for developed countries like the U.S. and the UK. The motivators for this change involve governmental and ecological factors. In paper production, the method of drying brings about structural alterations in the paper filaments, which lessens the consequent bonding capacity of the filaments and avoids rehydration (Limbachiya, Newlands & Dhir 2001). Enhanced purifying, while reviving the capacity to bond, has a negative impact on the looseness and capacity of the soft tissue to dry (Limbachiya et al. 2001). The review of literature below illustrates these concerns with paper recycling methods. An extensive review of literature on the features and functions of paper mill sediment was amassed. This is a vital issue because management of waste is important to paper mills. This issue is particularly important for paper mills where in derivative fibre is applied (McKinney 199 4). Methods of disposal, treatment, segregation, and contents of sediments have to be dealt with. A number of studies examined the contents of sediments stemming from the process of paper production and pulp and explored the similarities and differences between virgin filament and derivative filament methods (Limbachiya et al. 2001). The deposit from independent methods was described, suggesting the content of the different waste flows in the paper mill. Other methods of disposal were also reviewed in accordance with these features. The assumption of several studies was that the ultimate sediment use may be derived from its composition, leading to more productive application of the deposit. An analysis of the existing technology for fractionation of filament is also conducted by several studies (McKinney 1994). Available tools for processing of filament fractionation is explored alongside the qualities of collected paper that are regarded fit for fractionation. Due to the fact that filament fractions usually have uniquely different characteristics, they respond distinctly to the different processes like purifying or blanching (Rader 1995). Other studies discuss the features of the fractions, fractionation design, other

Community Health Nursing Assignment Example | Topics and Well Written Essays - 250 words - 2

Community Health Nursing - Assignment Example These flies can easily spread the disease when they come to contact with clean food to be consumed by human beings. This often leads to an outbreak of cholera, a deadly disease if treatment is not quickly sought. However, of notable concern is the fact that cholera is a preventable disease if necessary precautions are taken. As such, the nurses play different roles in environmental health. They can take a leading role in educating people about the need to maintain a clean environment in order to prevent the outbreak of deadly diseases such as cholera. These health professionals can also enlighten people about the importance of taking safety precautions such as washing hands before eating any food. These are preventive measures that can help mitigate the problem identified. The nurses can also educate people about the measures they can take once they have witnessed symptoms of deadly diseases like

Environmental sustainability Essay Example | Topics and Well Written Essays - 1500 words

Environmental sustainability - Essay Example With a surplus of paper in the market of China, excess paper in Britain became very problematic (The Mail on Sunday 2009, 1). As stated by the representative of the Environment Agency: â€Å"We are expecting the market to bounce back in the next month or so. We want people to hold their nerve—we don’t have the space in landfill if people stop recycling. We can’t lose sight of that in the face of this temporary blip in the market† (The Mail on Sunday 2009, 1). Activists all over Britain have expressed anxiety over the tons of glut recycling mounting up on a national scale. This paper hence discusses the methods of recycling paper. The next section is a thorough review of literature about the increasing necessity and existing methods of recycling paper. The third section is a critical evaluation of the methods of recycling paper. The fourth section presents the possible future developments in paper recycling in the UK. And the last section wraps up the entir e discussion. Literature Review Paper recycling has become ever more imperative over the recent decades, especially for developed countries like the U.S. and the UK. The motivators for this change involve governmental and ecological factors. In paper production, the method of drying brings about structural alterations in the paper filaments, which lessens the consequent bonding capacity of the filaments and avoids rehydration (Limbachiya, Newlands & Dhir 2001). Enhanced purifying, while reviving the capacity to bond, has a negative impact on the looseness and capacity of the soft tissue to dry (Limbachiya et al. 2001). The review of literature below illustrates these concerns with paper recycling methods. An extensive review of literature on the features and functions of paper mill sediment was amassed. This is a vital issue because management of waste is important to paper mills. This issue is particularly important for paper mills where in derivative fibre is applied (McKinney 199 4). Methods of disposal, treatment, segregation, and contents of sediments have to be dealt with. A number of studies examined the contents of sediments stemming from the process of paper production and pulp and explored the similarities and differences between virgin filament and derivative filament methods (Limbachiya et al. 2001). The deposit from independent methods was described, suggesting the content of the different waste flows in the paper mill. Other methods of disposal were also reviewed in accordance with these features. The assumption of several studies was that the ultimate sediment use may be derived from its composition, leading to more productive application of the deposit. An analysis of the existing technology for fractionation of filament is also conducted by several studies (McKinney 1994). Available tools for processing of filament fractionation is explored alongside the qualities of collected paper that are regarded fit for fractionation. Due to the fact that filament fractions usually have uniquely different characteristics, they respond distinctly to the different processes like purifying or blanching (Rader 1995). Other studies discuss the features of the fractions, fractionation design, other

Malcolm a Homemade Education Essay Example for Free

Malcolm a Homemade Education Essay Down syndrome is the most common cause of mental retardationDown syndrome is the most common cause of mental retardation. It is caused by the presence of an extra chromosome. Chromosomes contain sequences of DNA called genes that represent the genetic information that exists within a cell. Twenty-three distinctive pairs of chromosomes which is 46 in total. They are located within the nucleus (a region of the cell that is bounded by a specialized membrane, and which houses the genetic material). When a sperm cell fertilizes an egg cell, the newly created zygote normally receives 23 chromosomes from each parent. The contribution of genetic information from each parent is what makes each baby a distinctive blend of both characteristics. In Down syndrome a mistake during division of the sperm or egg cell produces a cell with an extra chromosome 21. This event occurs during cell division and is referred to as nondisjunction, or the failure of all chromosomes to separately properly resulting in retention of one of the chromosomes in one of the two new daughter cells. This is also called trisomy 21 and is accounted for 95% of all Down syndrome patients. A rare number of Down syndrome cases the original egg and sperm cells begins with the correct number of chromosomes but shortly after fertilization during the phase where cells are dividing rapidly a single cell can divide abnormally creating a line of cells with an extra chromosome 21. It’s called a cell line mosaicism. The individual with this type of down syndrome has two types of cells: some 46 chromosomes which is the normal number and some with 47. Individuals who are mosaic for trisomy 21 typically have less sever sign and symptoms of the disorder. Another are location that can cause down syndrome is called a chromosome translocation. This is an even that unlike the numerical abnormally causing trisomy 21, there is a structural abnormality. Exchange of material from two different chromosomes during the production of sex cells can take place such that there is a whole chromosome 21 attached to another chromosome but the chromosome number is normal. [1]These types of translocation involving chromosome 21, occur in about 3-4% of cases of Down syndrome. Ancient cultures, such as those in Greece, Rome, and Egypt, put disabled infants to death. Compassion toward the disabled was awakened by the early Christian church, but its charitable influence waned during the middle ages. Down syndrome also affected this people due to no one really caring about what was going on with the ill children. Down syndrome has a lot of causes and this is normally what some parents want to know is why their child is born with this syndrome. Most times this is why they tell you while you are carrying your child you need to watch very closely and look for all signs of genetic disorders with pregnant. Down syndrome is a chromosomal disorder as I said before. A baby is usually identified at birth through observation of a set of common physical characteristics. Babies with Down syndrome tend to be overly quiet. When I say that I mean less responsive with weak floppy muscles. With that being said a number of physical signs might be present. This includes a flat bridge of the nose which is smaller than normal. It’s a low set nose. They will tend to have a small mouth with a protruding tongue, upward slanting eyes and also extra folds of skin located at the corner of each eye, near the nose. They will have small outwardly rotated ears and small hands as well. Usually they have an unusual deep crease across the center of the palm and a malformed fifth finger. They will have a wide space between the big and the second toes and unusual creases on the soles of the feet. They also experience shorter than normal height later on in their childhood. Before genetic testing became available, Down syndrome was diagnosed based on certain typical physical characteristics. Not all people with Down syndrome have all these characteristics though. This can vary from certain people and are caused by the extra chromosomes. Individuals with Down syndrome also have joints that are looser than normal. Their skulls are short and broad. Newborns usually have extra skin on the back of their neck, and as the child gets older the neck often appears short and wider than usual. [2]Facial shape is round in the newborn and also during infancy. When the child gets older their face shape becomes oval like. This is due to the underdevelopment they go through. Their cheeks are round and the teeth develop late and in an unusual order. Although Down syndrome is not curable and there will be no cure for it, parents, researchers, and also the Down syndrome individuals try to make the best out of life and try dealing with it. Advances in medical treatment over the past 40 to 50 years for conditions such as heart defects and respiratory disease have led to dramatic increases in the life expectancy of those with Down syndrome. [3] Half of the children born with Down syndrome during the late 1960s survived to age 5. Bronchopneumonia, a respiratory illness and heart defects were the most common causes of death. Now about 80% of those born with it survive to age 10, and about 50% of them survive to age 50 or beyond. The recent statistics from various study places show that the place of incidence of Down syndrome anywhere from 1 in 600 to 1 in 1,000 live births. An analysis published by various people. Bray and colleagues in 1998 of combined data from nine different studies found that the incidence varies from 1 in 1,445 live birth mothers at age 10 to 1 in 25 live births to mothers at age 45. Down syndrome really is a hard disorder to live with but at the same time it has its advantages. Down syndrome has no treatment options but they have a lot of programs to help cope with this syndrome. The development of a child is a joyous thing. It involves amazing ohhs and ahhhs that would shock you every day your child does something new. All kids from the time their able to sit up by them and walks are learning new things everyday. Even as adults we learn new things everyday but still with Down syndrome, everything that they accomplish is outstanding. All kids learn to develop their fine motor skills but there are different aspects when it comes to Down syndrome children. The development of motor skills is very hard. The first thing you have to do is have a laid out foundation of how you plan on teaching that child. This is very dependent on stability. [4]Stability is being able to push open a heavy door. It’s being able to put on your shoes without falling. It is carrying a tray full of drinks. Its really a list that goes on but with this syndrome most things aren’t accomplished because down syndrome babies lack stability. Most of the people diagnosed wit this syndrome also tends to walk a little strange. They walk from side to side and always have their head twisted. Now as kids get older and reach their age past ten, then your not exactly ok, but you can breathe a little. Most researchers are still concerned about the older ones but its really the babies that most are worried about. They tend to go through a lot as newborns and unto there early infants stages. [5] Babies with Down syndrome suffer a lot. They have a lot they feel and go through, but being an infant and not being able to talk doesn’t help at all. Being born with Down syndrome you experience how it is from that point on and for the rest of your life. Children with this syndrome almost always have some degree of intellectual disability. That is why they learn slower and have difficulty with complex reasoning and judgment. The degree of intellectual impairment various tremendously. These kids do learn and what they do learn they will not forget. Down syndrome can not be prevented but it is People with Down syndrome, whatever their age, are people first. They are people with abilities, strengths and weaknesses like everyone else. They may have additional needs but first they have the same needs as everyone else of their age group. The quality of health care, education and community support provided to children and adults with Down syndrome makes a real difference to their progress throughout life. This module provides an introduction to all the issues that need to be addressed to enable individuals with Down syndrome, and their families, to enjoy full and happy lives within their communities. It offers an overview of the development of individuals with Down syndrome from infancy to adult life. It also provides a summary of the causes of Down syndrome, the incidence and prevalence of the condition, life expectancy and associated education and health care needs. Children with down syndrome experience problems with their digestive tract at a rate that is much higher than that of other children. [6] some of these problems such as blockage of the digestice tract can be life threatening and can require emergency surgery. Blockage or atresia of the esophagus or the duodenum can cause starvation if not corrected. Atresia occurs when the anal opening does not develop. This condition prevents solid waste from being eliminated from the intestinal tract and must be corrected surgically. Anal stenosis will allow waste products to pass, but will cause constipation. Gastroesophageal feflux is also more common in individuals with down syndrome. During this stage food reenters the esophagus from the stomach. This can cause vomiting and irritation of the esophagus. You can also have vision problem s with down syndrome to. Theses problems are common with those suffering with down syndrome. Strabismus in which one or both euyes either truns in or out. Occurs in 43% of theses chuldren. It is caused by abnormal or incomplete development of the cneters in the brain that control the coordination of eye movements. This condition may require an eye patch, special glasses or even surgery. Vision therapy may also be benificial and should be considered before surgery. Hearing problems also come with syndrome. [7] anatomical differences that result from trisomy 21 contribute to the larger percentage of hearing difficulties founf in individuals with down syndrome. Appromately 53% in children with down syndrome have hearing problems. This makes it more difficult to examine the ars for wax buildup and infection. The middle ear is smaller than normal, as well. This contributes to the presence of chronic ear infections in 40% to 60% of children with downs syndrome. The shallow nasal bridge founfd in 61% of individuals with down syndrome also contributed. Collapse or blockage of the eustachian tube, which leads from the ear to the throat, causes fluid to build up in the middle ear and increases the risk of middle ear infection. [8]In children with down syndrome the eustachian tubes are often smaller tha normal and have lowered muscle tone. Problems with fluid build up in the middle ear occur in 60% of indiviuals with down syndrome this fluid buildup interferes with hearing and can cause permanent hearing loss if it remains for a long peopif of time. Estimates of hearing loss in people with down syndrome range from 60% to 80%. Hearing loss in children can contribute to language and speech difficulies as well as auditory attention. Monitoring for fluid buildup and infections of the middle ear should begin before the age of six months and should continue into adulthood. Hearin aids may be a choice as well. Another problem that occurs in down syndrome individuals is problems with thyroid gland. Weighing less than one ounce the thyroid is actually one of the largest endocrine glands. Thyroid hormones help regualte the synthesis of growth factore and many hormones. Thyroid hormones are crucial for proper brain development during pregnancy. They are also important in normal growth. Because they are composed of the amino acid tyrosine, to which iodine molecules have been atattched adequate iodine in the diet is esstenial for their production. Another hormone produced by the thyroid gland is calcitonin which regulates the levels and metabolism of calcium. The hormones tri-iodothyonine and tetraiodothyonine are produced by the thyroid gland in a ratio of 1;14. t4 is secreted by the thyroid gland in responses to TSH. The active form, T3 is formed in the kidney, liver, and pleen by removal of one iodine molecule from T4. individuals with down syndrome also are 10 to 30 times more likely to develop Leukemia. [9] This is a type of cancer caused by the production of abnormal qhite blood cells by the bone marrow. These abnormal cells eventually crowd out normal white and red blood cells. There are two main types of leukemia. Acute and chronic. Acute leuk emias develop slowly and the patienst condition worsens slowly. Chronic leukemia develops rapidly and the patients syptoms worsen quickly. About 10% of babies born with down syndrome develop a transient leukemia that usually goes away by 3 months of age. About 20% to 30% of those with this transient condtion go on to develop acute leukemia. Babies who do not have down syndrome rarely have the transient form of leukemia. This higher risk of leukemia is in contrast to the risk of other types of cancer in individuals with down syndrome. The incidence of most types of solid tumors is muh smaller than in the general population. Down syndromes rates has also increased. From 1979 to 2003, the prevalence (total number of cases of a disease in a population at a specific time) of Down syndrome (DS) at birth increased by 31 percent, from 9 to 12 per 10,000 live births in 10 US regions. Within the 10 regions, birth prevalence of DS ranged from a low of 9. 7 in Arkansas to a high of 13. 7 in Utah during 1997-2003. The number of infants born with DS was almost 5 times higher among births to older mothers (38. 6 per 10,000) than among births to younger mothers (7. 8 per 10,000). In 2002, DS was found to be present in about 1 of every 1,000 children and adolescents aged 0 to 19 living in 10 chosen regions of the United States, which means that approximately 83,000 children and adolescents with DS were living in the United States during that year. Prevalence of DS by age group was the highest in 0-3 year olds at 11. , declining to 10. 3 among 4-7 year olds, 9. 8 among 8-11 year olds, 8. 3 among 12-15 year olds, and 6. 0 among 16-19 year olds. A screening test will help identify the possibility of Down syndrome. Screening tests do not provide conclusive answers, but rather, they provide an indication of the likelihood of the baby having Down syndrome. An abnormal test res ult does not mean that your baby has Down syndrome. The goal with a screening test is to estimate the risk of t baby having Down syndrome. If the screening test is positive and a risk for Down syndrome exists, further testing may be recommended. Diagnostic tests can identify Down syndrome before the baby is born. January issue of Obstetrics Gynecology, the American College of Obstetricians and Gynecologists released guidelines recommending screening for Down syndrome to all pregnant women during their first trimester. Agnostic tests tend to be more expensive and have a degree of risk; screening tests are quick and easy to do. However, screening tests have a greater chance of being wrong; there are â€Å"false-positive† (test indicates the baby has the condition when the baby really does not) and â€Å"false-negatives† (baby has the condition but the test indicates they do not). As far as those individual kids with Down syndrome there is a lot that they can do, just as the regular ones. Kids with Down syndrome tend to have a sense of humor. Those with this disorder have slurred words and stutter but what you can understand they have pretty good conversation. Also in about 4 percent of all down syndrome cases the individual possesses not an entire third copy of chromosome 21 material, which has been incorporated via a translocation into a no homologous chromosome. In translocation pieces are swapped between two non-related chromosomes forming hybrid chromosomes. The most common translocation associated with Down syndrome is that between the long arm (down gene area) of chromosome 21 and an end of chromosome 14. [10] The individual in whom the translocation has occurred shows no evidence of the aberration since the normal complement of genetic material is still present only a different chromosomes location. The difficulty arises when this individual forms gametes. A mother who possesses the 21/14 translocation, for example has one normal 21 one normal 14 and the hybrid chromosomes. She is a genetic carrier for the disorder because she can pass it on to her offspring even though she is clinically normal. The mother can produce three types of viable gametes: one containing the normal 14 and 21. the presence of an extra copy of the long arm of chromosome 21 causes defects in many tissues and organs. One major effect of Down syndrome is mental retardation. The intelligence quotients of affected individuals are typically in the range of 40-50. The IQ varies with age but being higher in childhood than in adolescence or adult life. The disorder is often accompanied by physical traits. Trisomy 21 is one of the most common chromosomal aberrations occurring in about 0. 5 percent of all conceptions and in one out of every seven hundred to eight hundred live births. About 15 percent of the patients institutionalized for mental deficiency suffer from Down syndrome. Before the chromosomal basis for the disorder was determined the frequency of Down syndrome births was correlated with increased maternal age. For mothers at age twenty the incidence of down syndrome is about 0. 5 percent which increases to 0. 9 percent by the age thirty-five and 3 percent at age forty-five. Comparing the chromosomes of the affected offspring with those of both parents have shown that the nondisjunction event is maternal about 75 percent the time. The maternal age effect is thought to result from the different manner in which the male and female gametes are produced. Gamete production in the male event in females. Formation of the femaleâ €™s gametes begins early in embryonic life, somewhere but between the eight and twentieth weeks. During this time, cells in the developing ovary divide rapidly by mitosis forming cells called primary oocytes. These cells then begin meiosis by pairing up the homologues. The process is interrupted now and the cells are held in a state of suspended animation until needed in reproduction, when they are triggered to complete their division. Most individuals with Down syndrome have intellectual disability in the mild (IQ 50–70) to moderate (IQ 35–50) range, with individuals having Mosaic Down syndrome typically 10–30 points higher. Dr. Weihs notes the mental qualities of people with Down syndrome to be unisexual, playful, affectionate, mischievous and imitative. [21]Language skills show a difference between understanding speech and expressing speech, and commonly individuals with Down syndrome have a speech delay. Fine motor skills are delayed and often lag behind gross motor skills and can interfere with cognitive development. Effects of the condition on the development of gross motor skills are quite variable. Some children will begin walking at around 2 years of age, while others will not walk until age 4. Physical therapy, and/or participation in a program of adapted physical education (APE), may promote enhanced development of gross motor skills in Down syndrome children. A 2002 literature review of elective abortion rates found that 91–93% of pregnancies in the United Kingdom and Europe with a diagnosis of Down syndrome were terminated. [54] Data from the National Down Syndrome Cytogenetic Register in the United Kingdom indicates that from 1989 to 2006 the proportion of women choosing to terminate a pregnancy following prenatal diagnosis of Down syndrome has remained constant at around 92%. In the United States a number of studies have examined the abortion rate of fetuses with Down syndrome. Three studies estimated the termination rates at 95%, 98%, and 87% respectively. Medical ethicist Ronald Green argues that parents have an obligation to avoid genetic harm to their offspring, and Claire Rayner, then a patron of the Downs Syndrome Association, defended testing and abortion saying The hard facts are that it is costly in terms of human effort, compassion, energy, and finite resources such as money, to care for individuals with handicaps People who are not yet parents should ask themselves if they have the right to inflict such burdens on others, however willing they are themselves to take their share of the burden in the beginning some physicians and ethicists are concerned about the ethical ramifications of the high abortion rate for this condition. [59] Conservative commentator George Will called it eugenics by abortion. 60] British peer Lord Rix stated that alas, the birth of a child with Downs syndrome is still considered by many to be an utter tragedy and that the ghost of the biologist Sir Francis Galton, who founded the eugenics movement in 1885, still stalks the corridors of many a hospital†. Doctor David Mortimer has argued in Ethics Medicine that Downs syndrome infants have long been disparaged by some doctors and government bean counters. Some members of the disability rights movement believe that public support for prenatal diagnosis and abortion based on disability contravenes the movements basic philosophy and goals. Peter Singer argued that neither hemophilia nor Downs syndrome is so crippling as to make life not worth living from the inner perspective of the person with the condition. To abort a fetus with one of these disabilities, intending to have another child who will not be disabled, is to treat fetuses as interchangeable or replaceable. If the mother has previously decided to have a certain number of children, say two, then what she is doing, in effect, is rejecting one potential child in favor of another. She could, in defence of her actions, say: the loss of life of the aborted fetus is outweighed by the gain of a better life for the normal child who will be conceived only if the disabled one dies. Individuals with Down syndrome have a higher risk for many conditions. The medical consequences of the extra genetic material in Down syndrome are highly variable and may affect the function of any organ system or bodily process. Some problems are present at birth, such as certain heart malformations. Others become apparent over time, such as pilepsy. Other things Down syndrome patients go through are very emotional. For people with Down syndrome it is very hard to cope with the everyday activities. It is also hard on the family, especially the parents. It can be very frustrating for the parents to cope with having a child with Down. People born with Down syndrome require so much more extra attention than that of a normal child. Suggestions from some psychologists are for the parents to go to some kind of group sessions to talk to other parents who have children with Down. Therefore, someone else can understand the frustrations that they go through in raising their child. People with Down syndrome have a lot of different emotions running through their mind and body. People with Down syndrome, whatever their age, are people first. They are people with abilities, strengths and weaknesses like everyone else. They may have additional needs but first they have the same needs as everyone else of their age group. The quality of health care, education and community support provided to children and adults with Down syndrome makes a real difference to their progress throughout life. This module provides an introduction to all the issues that need to be addressed to enable individuals with Down syndrome, and their families, to enjoy full and happy lives within their communities. It offers an overview of the development of individuals with Down syndrome from infancy to adult life. It also provides a summary of the causes of Down syndrome, the incidence and prevalence of the condition, life expectancy and associated education and health care needs. Further modules in this series address each of these issues in detail. Down syndrome patients also have another way to look at things. The most of the time feel different and out of place. Most would like to know who Down syndrome affects. For instance what race and what are the ratios of living past a teenager Children and adults with Down syndrome have a wide range of abilities. A person with Down syndrome may be very healthy or may have unusual and demanding medical and social problems at virtually every stage of life. It’s important to remember that every person with Down syndrome is a unique individual. Each child will develop at his or her own pace. It may take children with Down syndrome longer than other children to reach develop Down syndrome cannot be cured. However, early treatment can help many people with Down syndrome to live productive lives well into adulthood. Children with Down syndrome can often benefit from speech therapy, occupational therapy, and exercises to help improve their motor skills. They might also be helped by special education and attention at school. Some of the medical problems common in people with Down syndrome, like cataracts, hearing problems, thyroid problems, and seizure disorders, can be also treated or corrected. It has been suggested that children with Down syndrome might benefit from medical treatment that includes amino acid supplements and a drug known as Piracetam. Piracetam is a drug that some people believe may improve the ability of the brain to learn and understand. However, there have been no controlled clinical studies with Piracetam to date in the U. S. or elsewhere that show its safety and efficacy. The life expectancy for people with Down syndrome has increased substantially. In 1929, the average life span of a person with Down syndrome was nine years. Today, it is common for a person with Down syndrome to live to age 50 and beyond. In addition to living longer, people with Down syndrome are now living fuller, richer lives than ever before as family members and contributors to their community. Many people with Down syndrome form meaningful relationships and eventually marry. Now that people with Down syndrome are living longer, the needs of adults with Down syndrome are receiving greater attention. With assistance from family and caretakers, many adults with Down syndrome have developed the skills required to hold jobs and to live semi-independently mental milestones, but many of these milestones will eventually be met.

The strengths and weaknesses of the EU

The strengths and weaknesses of the EU In 2005 Turkish Foreign minister stated I believe that Turkey will become a full member of the EU in the end. Then those who have some hesitations about Turkey will have totally different views. In fact, Turkeys orientation towards the institutions of the West dates from the creation of the Turkish Republic in 1923. Since then, commitments to Westernization and modernization have been central themes of Turkeys state ideology.Indeed, Turkish political elite considers that accession to the EU is a symbol for the successful completion of the longà ¢Ã¢â€š ¬Ã‚ term Ataturk revolution On the other hand, from the European perspective and according to the last European progress report; Turkey has significant deficiencies from a political, economic and even institutional perspective. And so, Turkeys membership might not be very well perceived from the European angle. In fact, even thought significant political and economic changes were made, Turkish accession to the EU is still at a slow pace. Some consider that this is due to the fact that turkeys membership will push the European borders to some troubled region, and as a consequence the EU will acquire direct contact with region of instability. And so, if for some, Turkey will weaken the EU because not only it does not belong to the EU geographically and identically but also because it has many structural and institutional weaknesses for others a literate and qualified Turkish population will make a positive impact on the EU . Therefore, the question here will be whether the Turkish membership will strengthen or weaken the European Union. And my thesis is that Turkeys membership could affect not only the nature but also the functioning of the EU. In order to answer this question, focuses will be made on the liberal intergovernmentalism theory. In fact this theory considers that members will calculate the advantages of enlargement in terms of the cost and benefits of socioeconomics interdependence of various types. And so, liberal intergovernmentalism seeks to analyze how can we rescue and adapt the nation states mainly by analyzing state preferences not only in economical but also in geopolitical and ideological field. Hence to achieve this Chapter I will approach how Turkeys membership will strengthen the European Union Chapter II will analyze how Turkey can weaken the EU and finally Chapter III will be a synthesis. Main part: The European Union has never been an exclusive club. From the beginning of the integration process, fellow European countries were welcome to apply for membership. However, as the Union was deepening its integration and growing in size, the question of where and when to stop the enlargement became controversial. In fact, with Turkeys possibility to join the EU many debates seems to be emerging. Therefore, it seems necessary to the EU to a democratic governance system to ensure that a Union of 28 or 30 or more countries can function effectively not become a recipe for stagnation or even implosion. For the accession to be possible Turkey has also to maintain its progress in both economic and political because regression would be fatal to its goal of EU membership. 2.1- Turkey Weakening the EU: Many European leaders have argued that the European identity will be lost if Turkey joined the European Union. For instance, former German Chancellor Helmut Kohl once said that a Muslim country like Turkey does not belong in Europe. In addition, the former President of France, Valà ©ry Giscard dEstaing stated in an interview in Le Monde in 2002 that a future inclusion of Turkey in the Union would be the end of Europe since Turkey is not a European country. In fact, from the unions perspective the accession of a country is rational if it provides security to the union and raises the economical benefit. However since Turkey has a small economy and has limited trade volume, many assume that it will have marginal effect on growth in the current EU. As the numbers that were published concerning this subject shows Turkey is considered to have the poorest income in the region. And so, Turkish accession (à ¢Ã¢â€š ¬Ã‚ ¦) would increase regional economic disparities in the enlarged EU by an estimated 9%, representing a major challenge for cohesion policy. In addition to that, Turkeys demography is also considered as a burden to the EU. In fact, Turkeys population estimated at 73 million is considered one of the largest populations in Europe. And so, with the accession of Turkey there is a risk that migration from Turkey to other European countries raises. Moreover, Turkeys demography might also affect negatively the decision making in the European Union. As Laffan and Stubb note there are fears that Turkey as one of the largest states in the EU could deteriorate not only the voting relations between the members states but also the whole political and institutional European architecture. And so, with a population predicted to increase to 83 million by 2014, Turkey will be the most powerful country in the voting system. In fact, if Turkey joined the EU, Turkey will have right to 96 members in the European parliament and by this she will be joining the club of the big countries such as France, Germany, Italy and the United Kingdom. So with this sharing system Turkey will have a proportion of 12, 8% of votes. This is why smaller countries such as Holland are opposed to this enlargement. Actually, they refuse the idea that Turkey, a new coming country will play such an important role in the decision making of the union whereas their role is being reduced with every enlargement. In fact, with Turkeys adhesion, and a European union with 28 countries, Germany, France, the United Kingdom and Turkey will be deciding the future of the 24 others. Turkish demography is also considered a problem because the Turkish population in mainly Muslim. In fact, some government insisted to mention the Christian nature of the EU in the draft of the European constitution in 2003 and this shows to what extent some might refuse the idea that countries without Christian tradition become members of the EU. Moreover, recent polls show that the majority of Europeans now oppose further enlargement of the European Union, and that Turkey receives particularly low levels of support in France, and across Europe more broadly, mainly because it is perceived as religiously different . Furthermore, Turkish accession means that the EU in reality swaps the instability problems of a stable neighbor with severe instability problems of Iran Iraq and Syria. In fact, Turkeys difficulties in gaining EU membership might be better understood as practical geopolitical problems associated with enlargement. And so, being caught between the Middle East and the Caucasus would make the enlarged EU more exposed and vulnerable. Finally, Turkeys relation with its neighboring European countries does not bring any help and so Turkey faces two local rivals (Greece and Cyprus) in the EU who hold veto power over Turkish accession. 2.2- Turkey Strengthening the EU: In opposition, Turkey might positively influence the European Union. First of all, and from an economical perspective, Turkey is considered as one of the largest market in the world. It is the seventh major import partner with the EU and the fifth major export partner. As Avery notes its growing economy and young labor force would bring benefits for the single market. And so, since EU will need in the future young and cheap labor, Turkeys accession might then be helpful for the future development and the economic growth of the European Union. Besides, Turkey is a large country with a large demography, and so its potential as a market of good is important. In fact, as the statistics shows turkey is the seventh major important partner of the EU and the fifth major import partner. In addition, and since the construction of the oil pipeline Baku-Tbilisi-Ceyhan Turkeys role as a key transit country for energy supplies is also imperative to the EU. And so, It can be argued that in economic terms Turkey not only is important to the EU both for its impact on internal and external economic relations but also that it will strengthen the EUs economic capabilities. Secondly, Admission of Turkey to the European Union would provide undeniable proof that Europe is not a closed Christian Club . In fact, with Turkeys accession the union will appear as a more tolerant society. And so, with this integration Europe could play an inestimable role in future relations between the West and the Islamic world. This can also help promoting the soft power of the European Union and reinforcing it. Moreover, due to her geo- strategic position Turkey would add new dimensions to the Unions foreign policy efforts in such vitally important regions as the Middle East, the Mediterranean, Central Asia and South Caucasus.And so; this will help the union gain an important role in those regions. For instance, concerning the Middle East region, Turkeys membership would be very helpful to the EU. In fact, the good relations that Turkey entertains with both Israeli and Palestinians will help increasing the unions weight and this could be put to good use in common efforts towards peacemaking and stabilization in this strategically critical region. Furthermore, concerning the European Security and defense policy Turkeys considerable military capabilities and the countrys potential as a forward base would be important and much-needed assets. In fact, Turkey has participated in the work of the convention to the future of Europe and brought her own vision to improve the European security and defense policy so that she can be able to face todays challenges. In addition, As one of the strongest NATO partners, with a clear orientation toward ESDP, Turkey would be of great value for the European defense system. Finally, refusing the integration of Turkey, might affect the credibility of the EU. In fact, as Smith notes The sense of responsibility toward the candidate countries, the sense of shared European identity, the strategic imperatives favouring big bang enlargement and the fact that the EU could not have backed down from its promises without a serious loss of credibility and legitimacy all helped to sustain the momentum. Synthesis: Turkey has two souls: one secular and European, the other Asian and Muslim. And this is where the whole problem stands. On one hand, Turkey tend to join the EU and resemble to the European countries and on the other questions about whether Turkey is European or whether Turkey should join the EU are still subject of debates. In fact, another problem needs to be raised here: The Turkish public opinion. Actually, The Turkish public is becoming increasingly resentful towards the EU because of a perception that, while the country is negotiating membership, the EU itself is still debating whether or not it should be allowed in. Even thought Turkey has made many reforms in order to attain the European standard, some changes still needs to be done. First of all and from a political perspective, Turkey has ratified two UN treaties the first concerning civil and political rights and the second social and economic rights but this is still not sufficient. The European Commission still argues that political, civil, economic, social and cultural rights are not fully guaranteed and that more efforts are needed to enhance the coherence of legal provisions and practice. From an economic point of view Turkeys recent economic reforms have shown it capable of lowering inflation and promoting enterprise growth while weathering two recent, regional economic shocks. And so, if liberal intergovernamentalists, such as Moravcsik, perceives economic groups as the key driving force for integration then with the changes that were made Turkey can be perceived as capable of being member of the EU since both Turkey and the EU will benefit from this integration. In fact and as we said before, Turkey is an important market of good for the EU and can provide the young labor force that the union needs which makes it eligible to be a member. From a religious point of view, its true that Turkey is a big country with a population mainly Muslim, but lets not forget that 12 million Muslims live already in Europe and many more are likely to make their way to Europe. In addition, Albania and Bosnia-Herzegovina are also Muslim countries and potential candidate to the EU and no one is objecting their potential candidature. Finally, a NO to Turkey-now or in the very near future-would have extremely grave and negative consequences not only for the nearby region but also for European security interests. And so, the thesis that Turkeys membership could affect not only the nature but also the functioning of the EU is proven. In fact, even if the arguments that proves that Turkey will strengthen the EU seems to be more convincing from my perspective, the idea that Turkey will bring changes to the nature of the EU seems to be a fact whatever ones conviction is. However, the changes can be seen differently according to ones perspective. And so, being convinced that Turkey will weaken the EU, then the changes will be seen negatively and vice versa. 3. Conclusion: In his recent book, The Limits of Europe, EU Commissioner Frits Bolkestein warns against European overstretch. Turkish accession, he argues, would reduce Europe to a glorified customs union, and create risks for the European project. What Bolkestein meant, as he made clear in September 2004, was that Turkeys large population might well create a more Muslim Europe, either by intra-European migration or by EU voting mechanisms weighted by population size (à ¢Ã¢â€š ¬Ã‚ ¦)The advantages for an enlarged Europe, he argues, lie in exporting stability but at the risk of importing instability. However, And based on the arguments showed below, we can say that the conditions that are presented as weakening the EU are not very convincing anymore. In fact, since the enlargement in 2004, things have changed. And so, if the European Union would like to prove today, that shes a united international actor, and if the European Union would like to prove that having one purpose might bring together actors no matter how different they are, but willing to work for that purpose, then the EU should accept Turkish membership. But what about the alternative presented by the French president Nicolas Sarkozy? Will turkey become a privileged partner instead of a full member? And what about the possibility to make some changes for reducing Turkeys influence before Turkeys entry to the EU, as it was the case with the Nice Treaty before the eastern enlargement?

Analysis - Rockin Beats is a music store which has two branches :: Business and Management Studies:

Analysis - Rockin Beats is a music store which has two branches located in the United Arab Emirates. One branch is located in Sharjah and the other in Dubai. Analysis Rockin Beats is a music store which has two branches located in the United Arab Emirates. One branch is located in Sharjah and the other in Dubai. The Rockin Beats store in Dubai offers:  · Latest titles in pop, rock and dance  · The expanding collection offers over 1000 CD's including live versions  · CD's are digitally re-mastered for the best sound  · Reasonable prices and special offers Rockin Beats has a total staff of 19 who are constantly working to provide the best service. The staff of 19 consists of 6 shop assistants, 1 sales manger, 3 sales staff, 1 accountant and 1 assistant accountant, 1 sound engineer, 1 purchasing manager, 3 cashiers, 1 storekeeper, 1 secretary and the chairman Mr Jason Smith. Current System In order to investigate the problem with the current system there had to be some research done, which involved interviewing the chairman, Mr Smith and the customers. Mr Smith, aged 42 has lot of experience in the trade and is constantly trying to make the store more profitable. His main concern seems to be the inefficiency of the system as it's a manual system. In order to increase the efficiency, the current system will have to be automated. At present, shop assistants are concentrating more on there manual work rather than giving time for customers. An automated system will create friendly customer service and increase the efficiency there by making Rockin Beats a more profitable organisation. In the current system, when a CD arrives to the store the name of the CD, album name and price are noted down on a sheet and placed in alphabetical order in a filing cabinet, which is placed in the store. When a customer buys a CD, an invoice with the price and album ID, handwritten by the cashier is given to the customer. After the cashier has about ten invoices, the invoices are sent through a shop assistant to the accounts department which takes about 10 minutes. An accountant searches for the sales file in the filing cabinet and writes down the sold CD's and places the file back in the sales cabinet. The invoices are then passed on to the store keeper who ticks off the CD's sold on the stock control file and then removes the CD's from the filing cabinet in the store. Copies of the invoices are stored in another filing cabinet in alphabetical order of the album name.