Tim berners lee :: essays research papers

Tim Berners-Lee graduated from the Queen's College at Oxford University, England, 1976. Whilst there he built his first computer with a soldering iron, TTL gates, an M6800 processor and an old television. He spent two years with Plessey Telecommunications Ltd   (Poole, Dorset, UK) a major UK Telecom equipment manufacturer, working on distributed transaction systems, message relays, and bar code technology. In 1978 Tim left Plessey to join D.G Nash Ltd (Ferndown, Dorset, UK), where he wrote among other things typesetting software for intelligent printers, and a multitasking operating system. A year and a half spent as an independent consultant included a six month stint (Jun-Dec 1980)as consultant software engineer at CERN, the European Particle Physics Laboratory in Geneva, Switzerland. Whilst there, he wrote for his own private use his first program for storing information including using random associations. Named "Enquire", and never published, this program formed the conceptual basis for the future development of the World Wide Web. From 1981 until 1984, Tim worked at John Poole's Image Computer Systems Ltd, with technical design responsibility. Work here included real time control firmware, graphics and communications software, and a generic macro language. In 1984, he took up a fellowship at CERN, to work on distributed real-time systems for scientific data acquisition and system control. Among other things, he worked on FASTBUS system software and designed a heterogeneous remote procedure call system. In 1989, he proposed a global hypertext project, to be known as the World Wide Web. Based on the earlier "Enquire" work, it was designed to allow people to work together by combining their knowledge in a web of hypertext documents. He wrote the first World Wide Web server, "httpd", and the first client, "WorldWideWeb" a what-you-see-is-what-you-get hypertext browser/editor which ran in the NeXTStep environment. This work was started in October 1990, and the program "WorldWideWeb" first made available within CERN in December, and on the Internet at large in the summer of 1991. Through 1991 and 1993, Tim continued working on the design of the Web, coordinating feedback from users across the Internet. His initial specifications of URIs, HTTP and HTML were refined and discussed in larger circles as the Web technology spread. In 1994, Tim founded the World Wide Web Consortium at the Laboratory for Computer Science (LCS) at the Massachusetts Institute of Technology (MIT). Since that time he has served as the Director of the World Wide Web Consortium which coordinates Web development worldwide, with teams at MIT, at INRIA in France, and at Keio University in Japan.

Business Information Systems

Business Information Systems HA(IT) My questions: 1. Define the concept information system and its constitutive elements; describe the broad categories of computer-based information systems, providing relevant business examples for each category identified; explain how computer-based information systems can support managers at each level of an organisation. 2.Explain the main elements and steps of the project management process and, considering your essay writing as a project, provide a concrete description including numbers for that project; relate the main project management steps to the main phases of the systems development life cycle model; how are the life cycle phases handled in the V-model and the spiral model? 3. What is the Information Systems and Information Technology Function in an organization; what needs to be managed; how can the IS/IT function be organized; what does outsourcing mean and which role does it play in this context?Characters (with spaces) and 1 figure: 2 2645 Question 1 Information Systems To understand and define an Information System (IS) thoroughly, it’s important to separate the two words and understand them separately. Information is produced by processing data so that it is meaningful which can be not only understood by the recipient but also used to meet a specific goal or requirement. To understand information, data needs to be understood as well. Data are raw facts like a specific date or measurement. Data needs to be processed and transformed into information; this process is called the transformation process. E. . data regarding sales of a firm is useless unless putting it in the correct context. But if you sort the sales after type of product, you will be able to see what product has been sold the most. By using data to gain relevant information, it’s possible to reduce the uncertainty of different questions and thereby improve the decision making. A system can be found in every part of the world. A system is a set of interrelated components that work together towards a common goal. The solar system might not a have an obvious goal while a firm might have several goals like gaining profit or making the best product possible.To achieve these specific goals the system will need to obtain inputs and transform these into outputs, like described in the transformation process, data is seen as the input and information as the output. But to transform input into output isn’t enough. The output needs to be relevant compared to the objective(s) of the firm. For systems to be more effective the system can contain a feedback and control stage as well. By using the information we have just gathered it’s possible to define IS. IS is defined as the way people and organizations are gathering, storing and processing information.In a business the IS will contribute to making the correct decisions. But IS isn’t solely used for managers and workers’ decision making it can als o be used in other ways, like feedback for an organization’s quality. Computer-based information systems Today most IS involve Information Technology (IT) to create management information also called computer-based information systems. This is because of the many disadvantages it gives not having a computer-based information system. An IS can be divided into two categories called Operations Information Systems (OIS) and Management Information System (MIS).OIS contains 3 sub-systems each contributing in the daily running of a business. The 3 sub-systems of the OIS are: The Transaction Processing System (TPS), Office Automation Systems (OAS) and the Process Control Systems. The TPS is managing the many transactions occurring on daily basis on the operational level of an organization like withdrawal of money from an ATM, or orders and payments for goods and services. Even though the TPS is marked by a lot of repetitive tasks and routine, the function of it is essential and missi on-critical to an organization. A TPS will e. g. secure that an ATM is running correctly.If a person wants to withdraw money from his account via an ATM, the TPS will make sure that there’s enough money on the customer’s account so that the money can be withdrawn. The transaction will only take place if all tasks in the process can be completed. OAS is a common system within the OIS. OAS refers to the way that basic tasks in an office have been computerized. Before creating, storing and managing information was done physically, but by computerizing the office the time taking to create documents or arrange meetings is done faster, giving more time for the organization to take care of other tasks.The OAS helps making the office more than just an area for typing but an area for exchanging important knowledge about the organization by still reducing costs as well. If a manager wants to set up a meeting instead of giving a paper to each participant, he can choose to send an e-mail to all the participants even though they aren’t at the same location. The process control system deals with large amounts of data created by production processes.The process control system is used to control and support the different manufacturing processes of an organization. The process control system will automatically control the flow of the manufacturing process by a specific limit set by the user, and might e. g. support the production of a standard product like the Model T Ford car. The MIS contains three sub-systems. All three systems are supporting decision-making in a business and are called: Decision Support Systems (DSS), Information Reporting Systems (IRS) and the Executive Information Systems(EIS).DSS uses raw data along with different business models to provide useful information for the manager which he can use for making tactical and strategic decisions, being especially semi-structured or unstructured. The DSS is often created by end-users, because t hey often have the much needed knowledge about the organization compared to a bespoke or on-the-shelf package developed by a third party. An example is the expert system which contains the knowledge and decision making skills of specialists, giving none-specialists enough knowledge to make decisions.In the world of medicine, it’s possible for a nurse to enter the symptoms of a patient. The system will then compare the entered symptoms with all the different symptoms of different diseases already stored in a knowledge base and provide a diagnosis. A problem with the DSS is that the more options the system has the more complex it gets. IRS uses information to produce predefined reports for the day-to-day decision-making. There are two commonly known reports used by the IRS being the periodic and exception reports. The periodic reports is required by decision makers at regular intervals, it can e. . provide a report showing the sales of a product from day-to-day. The exception r eport is only being produced when needed; it might be produced automatically if a performance measure moves outside a predefined range. EIS is mostly used for the strategic decision making by senior managers to monitor, compare and analyze and thereby support the decision-making process of the senior manager. EIS could e. g. notify the senior manager with specific information about a facility anywhere in the world underperforming, giving him enough information to make a decision about the future of the facility.The different IS just described are each used at different levels of an organization. The top leaders of an organization are all placed in the strategic level, where unstructured decisions are a big part of the management. They mainly use EIS to support their decisions but it’s important to notice that their decisions tend to rely on their own knowledge and experience as well. At the tactical level of an organization the expert and decision support systems are used to support the semi-structured decisions being made at this level.The operational level of an organization makes a lot of structured decisions because of their little authority; therefore the TPS is used by the workers at this level on a day-to-day basis. The higher up we come in the organization the more unstructured the decisions are because of the level of authority rises. But this isn’t always true; it is possible to make unstructured decisions at the operational level as well as structured decisions at the strategic level. E. g. in a hospital the doctors (who work at the operational level) often have the authority to make important and less structured decisions.Question 2 The project management process There are three key elements of the project management process being time, cost and quality. BIS (Business Information Systems) projects are likely to consume a lot of time and money and involve many parts of the specific organization; the project manager therefore has a big responsibility for the failure or success of a project and whether or not the project is following the time, cost and quality requirements given. The use of a well-structured project management process has the ability to highly reduce the chance of a BIS projects failure.The project management process has four steps being: Estimation, schedule/plan, monitoring and control, documentation. The estimation step gives the project manager time to plan how much time and effort the project will take to fulfill the given requirements. The overall project requirements will be compared to the available resources. In the early stages of the project it’s often hard for the project manager to give precise estimations because of the great amount of uncertainty, but the project will often be constrained by a deadline or the type of people and hardware available.Effort time and elapsed time is two important terms used to explain the amount of work different tasks will take. Effort time explai ns the total amount of work needed to complete a task while the elapsed time indicates how many calendar days the task will take. A project’s estimation will often change a lot from the start and to the end of a project because of the many constraints and changes that can occur. The requirements might change or hardware might break down, but a good estimation is essential to the success or failure of a project.The schedule/planning step is about determining when a project should be executed; the finished schedule is then called the plan. There are two main terms important to notice called the serial and parallel relationship. The serial relationship describes how some activities have to be completed before another activity can start. The parallel relationship explains how some activities can be totally independent, but that four activities might need to run in parallel before an implementation can occur. Monitoring and control is a very important step which ensures that the t asks of a project are meeting the requirements.This is done by monitoring the different tasks; if the project isn’t running as planned and is deviating from the given requirements, controls might need to be made for the project not to fail. To disseminate the information provided during project execution an essential step is documentation. It’s the project manager’s task to make sure that good documentation is provided from the different parts of the project. With poor documentation or without any information at all, the project might not deliver on time and the expenses of maintenance will most likely increase.It’s also important that the documentation provided is acceptable and understandable. My project: To support my project planning a Gantt chart was made to show an overview of the activities. Project startup describes my first day of the project; I chose my questions and estimated the overall process of the project. I wanted to use three days on eac h question, all though I have to use four days on question 2 because of other homework. My writing will compared to my estimation be finished on the 30-okt and I will thereafter be editing the project. The product has to be finished and delivered on the 2-Nov.If the project isn’t delivered on the 2-Nov the project will fail. The different tasks being question 1, 2 and 3 are in this project all independent but I chose to run them in a parallel relationship with the editing task so that before the editing task can occur, the three questions have to be answered. This gives me an overview of the size of my project and whether or not the project has to be shorter. I have been executing the project as planned so far regarding time (today 22-okt), but looking at the size of my project so far, I’m going need more time than estimated on cutting the project in the editing phase.Relation between the project management steps and the SDLC The main phases of the System Development L ife Cycle (SDLC) are by order: Initiation, feasibility study, requirement analysis, system design, build, implement, maintain and kill. The estimation step is used in almost all of the SDLC stages, and will be used more frequently in some stages depending on the type of project. In the initiation stage of the project the project manager will use estimation to make an overview of the project, estimating the different resources that are required to carry out the project, but the estimation isn’t detailed yet.A detailed estimation will be produced when the project has been determined feasible and is under or close to production. The leader will estimate whether or not the project is feasible at the feasibility stage by using the information granted through interviews and reports. In the analysis stage the requirements for the new system will be specified. After the requirements have been established it’s possible to make a detailed estimation of especially the work requir ed at the design and build phase.The estimations will often be much more precise if timings from the previous projects are available. The scheduling and planning step runs alongside the estimation step. By knowing how much time and effort is needed for the project, it’s possible to make a more precise schedule of the process of the project. It’s important to always have a schedule of the plan for the project, but the most effective schedule will be made after the detailed estimation has been produced at the analysis phase (it can be produced at other steps depending on the project).Once the schedule has been produced, the monitoring and control step will monitor the performance at all of the SDLC stages and ensure that the project is following the schedule/plan and fulfilling the requirements. It’s essential to monitor all of the SDLC stages since deviating from the plan can result in a project failure. Documentation is important during the whole project but esp ecially essential at the development and maintenance phases. This is because most projects are based on team efforts.Not only does the documentation allow monitoring and controlling, but it allows the different members of a development team to disseminate their design information between each other, making their work more effective. The V- and spiral model The V-model’s V describes the graphical overview of the relationship between the different tests and SDLC phases, but the V is also a synonym for verification and validation. The verification will check if there is any better solution to the design of the product, and that the design we are building is without errors or bugs.The validation is used to test the design of the product and check whether the design is fulfilling the requirements. Validation and verification forms the basis for producing tests. The tests shown in the V-model are used during implementation which is why the model has the V-shape. But it’s i mportant to notice that the life cycle phases on the left side have to occur, before the tests on the right side of the model can occur. A concern about the V-model is that it has no maintenance phase, meaning that it’s possible to believe that the product is finished and bug-free when signed off.The SDLC can also be used via the spiral model. The spiral model is an iterative system. The three stages of analyzing, design and coding often tend to be repeated as a part of the prototyping process, and this is why the spiral model was made. The spiral model consists of four main activities: Planning, risk analysis, engineering and customer relation. The model contains all of the elements of the SDLC but it also contains risk assessment. By being able to make several iterations it’s possible to make a more detailed production and to add in new elements to the production because of the repetition. Question 3 The IS/IT functionThe goal of using IS/IT is the hope that it will generate more benefit than the costs used on it. The function of IS in an organization, is to make the management process effective and support it. IT is the tools like hardware and software that the organization uses so IS can run and be built. Managing the IS/IT functions When managing IS there are different areas that need to be managed. It’s important to manage the development of the different business systems. When migrating from one system to another it’s important to have a project leader, as well as to manage and make sure that the migration is going as planned.When inventing end-user applications, it’s important to have management to make sure that the software being produced isn’t full of bugs, and isn’t a reinvention. Other important areas that needs to be managed is the database administration, user support and training, shared services and the IS/IT staffing. It’s also important to manage different areas of IT. Some of the areas that need to be managed are which hardware platforms to use in the organization, the manager might choose to only use the client/server environment.Good network architecture is also vital to an organizations sharing of information, and therefore it’s important that this area is managed. Many organizations use a lot of money on IT, and many big organizations have large amounts of IT including development tools. If this area isn’t managed, new tools being bought might not be compatible with the chosen database management systems or the selected hardware platforms. If an organization is using legacy systems, these needs to be managed so that it can still operate with newer systems (this might be an IS area as well).A final important area to manage is the operations management which contains hardware management, capacity planning, security, technical support, telecommunications and network management. Organizing the IS/IT functions To organize the different functions of I S/IT isn’t easy, but an essential part of making IS/IT more effective in a business. It’s possible to ether centralize or decentralize when organizing the IS/IT function in a business. When centralizing, the IS/IT management will be placed in one specific spot in the organization from where all of the functions of IS/IT will be managed.This could for example be the MIS, which will then be reporting to an IT director or another head of the department. Decentralization is the opposite of centralizing and means that the IS/IT functions will be spread out across the organization by having small IS/IT groups stored in different parts of the organization. It’s hard for organizations to be 100 % centralized or decentralized all though many organizations tend to focus on one of them. Outsourcing Outsourcing is a term used when a company chooses to subcontract a service to a third party. This service can be catering, cleaning, public relations and IS.Outsourcing of IS ma nagement has become a major term in many companies in the world today because of its many benefits and uses. Some of these are cost reduction, quality improvement, risk reduction and to enable a focus on the core business. In a 2009 IBM survey of 2500 CIO’s worldwide 76% of the respondents anticipate to have a strongly centralized infrastructure in five years. A highly centralized IS/IT function does as mentioned before contribute to cost reduction, and having the function in one place makes it easier for companies to take advantage of developments like outsourcing.By seeing more companies outsourcing and more companies wanting to centralize which both contribute to a lower cost might not be a coincidence, and can be a way of saying that IT is more than just a support capacity for the outsourcing/centralizing organizations. Outsourcing plays a huge role in the management process as well. The problem with outsourcing and its relationship with the management process is the impo rtance of making outsourcing work. Outsourcing might be a huge trend, but this doesn’t necessarily mean that it’s going to work.Many company’s outsourcing projects tend to fail because of bad management and contracts with the third-party. The failure of many outsourcing projects can have a connection between the management and organizing of the IS/IT functions. If the management and organizing of the IS/IT functions isn’t managed well or if the company isn’t seeing IS/IT as an important part of the company’s strategy, outsourcing has a bigger chance of failing. Litteraturliste * Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 * http://www. omputerworld. com/s/article/347073/Swinging_Toward_Centralization (29-10-2011, klokken 13:10) ——————————————– [ 1 ]. Business Information Systems, fourth edit ion, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 8 [ 2 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 43 [ 3 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 44 [ 4 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 249 [ 5 ].Business Information Systems, fourth edition, Paul Bocij Andrew Greasley, Simon Hickie, 2008 s. 687 [ 6 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley, Simon Hickie, 2008 s. 254 [ 7 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley ,Simon Hickie, 2008 s. 262 [ 8 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley, Simon Hickie, 2008 s. 262 [ 9 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 346 [ 10 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hicki e, 2008 s. 351 [ 11 ].Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 355 [ 12 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 356 [ 13 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 544 [ 14 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 544 [ 15 ]. Business Information Systems, fourth edition, Paul Bocij Andrew Greasley Simon Hickie, 2008 s. 547 [ 16 ]. http://www. computerworld. com/s/article/347073/Swinging_Toward_Centralization (29-10-2011, klokken 13:10)

Burden Invasive Pneumococcal Disease Health And Social Care Essay

Streptococcus pneumoniae claims 1 million child deceases every twelvemonth worldwide ( 1 ) . Approximately 90 % of deceases occur in developing states. For every 1 kid that dies of pneumonia in a developed state, more than 2000 kids dice of pneumonia in developing states ( 2 ) . The SAARC states overall are in the zone with high incidence of pneumococcal disease ( 1 ) but no survey has attempted to happen out the same. The child mortality rates ( & lt ; 5 ) are high in the part ; runing from 17/1000 for Srilanka to 149/1000 for Afghanistan. Pneumonia claims 11 % of U5 child deceases in India, Maldives, Bangladesh and Pakistan ; 23 % of U5 child deceases in Afghanistan and 19 % in Bhutan with lowest in Srilanka 6 % . ( 3 ) . Pneumonia is the taking cause of U5 decease in Pakistan ( 4 ) but merely 50 % receive antibiotic intervention ( 5 ) . The Million Death Study reported that pneumonia accounted for 27AÂ ·6 % deceases out of entire 12260 deceases in kids from 1-59 months ( 6 ) . S. pneumoniae is one of the major causes of fatal pneumonias in kids ( 7 ) . Besides pneumonia S.pn is besides known to do meningitis which is another fatal status for kids. Many more diseases are to the name of S.pn like ague otitis media, joint gushs and bacteraemia etc. Estimates of pneumococcal disease load are needed so as to use the resources for kid endurance. In Bangladesh, the theoretical account predicts a pneumococcal disease incidence of 3351 instances per 100,000 kids younger than 5 old ages. A population-based, active-surveillance, active-case sensing survey measured an invasive pneumococcal disease rate of 447 instances per 100,000 kids younger than 5 old ages ( 8 ) . Unfortunately the grounds for appraisal of pneumococcal disease in low/middle income states is less. The load of pneumococcal disease is highest in kids and the aged population in both more and less developed states. The intervention of pneumococcal infections is complicated by the world-wide outgrowth of opposition to penicillin and other antibiotics ( 9 ) . The pneumococcal conjugate vaccinums are helpful but the effectivity of these vaccinums is dependent upon the pneumococcal disease load and serotype coverage of the vaccinum. ( 10 )Aim:The primary aims of this systematic reappraisal are To cognize the load of invasive pneumococcal disease. To find the demand for debut of pneumococcal conjugate vaccinum in the immunisation agenda.Methods:We performed a systematic hunt of the published literature and besides tried to get information about the unpublished literature from assorted research workers of the part.Beginnings of Datas:The hunts were current as of January 2013 and we identified articles with information on pneumococcal invasive disease among kids & lt ; 5 old ages of age. We searched 3 Databases: Pubmed, Embase and The Cochrane library. The mention lists of the obtained articles were farther searched for surveies. Non English articles were non included. The hunt inside informations are given in the appendix I. Searching were done by 2 writers ( NJ, HK ) . HK helped in obtaining full text articles.Definitions Used:SAARC states: South Asian Association for Regional Co-Operation includes Afghanistan, Pakistan, India, Nepal, Bhutan, Bangladesh, Srilanka and Maldives. Burden of pneumococcal disease: We have defined load of pneumococcal disease as the figure of positive pneumococcal isolates from the suspected population.Pneumonia:Symptoms: cough or hard external respiration, and marks: external respiration & gt ; 50 breaths per minute for infant aged two months to less than one twelvemonth, take a breathing & gt ; 40 per minute for kid aged one to five old ages, and no thorax indrawing, stridor or danger marks. ( 11 )Severe pneumonia:Symptoms: cough or hard eupneic plus any general danger mark or chest indrawing or stridor in a unagitated kid. General danger marks for kids aged two months to five old ages: unable to imbibe or suckle ; pukes everything ; paroxysms ; lethargy or unconscious ( 11 ) . Clinical diagnosing of meningitis is more straightforward than that of pneumonia. The definition of pneumonia is based on the incorporate direction of childhood infections ( IMCI ) attack, which includes other ague lower respiratory tract infections and deficiencies specificity. In add-on, aetiologic diagnosing of bacterial pathogens is easier in CSF than in blood.Meningitis: ( 11 )Suspected: Any individual with sudden oncoming of febrility ( & gt ; 38.5 AÂ °C rectal or & gt ; 38.0 AÂ °C axillary ) and one of the undermentioned marks: cervix stiffness, altered consciousness or other meningeal mark. Probable: A suspected instance with cerebrospinal fluid ( CSF ) scrutiny demoing at least one of the followers: cloudy visual aspect ; leucocytosis ( & gt ; 100 cells/mm3 ) ; leucocytosis ( 10-100 cells/ mm3 ) AND either an elevated protein ( & gt ; 100 mg/dl ) or decreased glucose ( & lt ; 40 mg/dl ) . Confirmed: A instance that is laboratory-confirmed by turning ( i.e. culturing ) or placing ( i.e. by Gram discoloration or antigen sensing methods ) a bacterial pathogen ( Hib, Diplococcus pneumoniae or meningococcus ) in the CSF or from the blood, in a kid with a clinical syndrome consistent with bacterial meningitis ( WHO, 2003 ) . Non Pneumonia Non Meningitis: All infections other than pneumonia and meningitis have been categorized under this header. Invasive Pneumococcal disease: When Diplococcus pneumoniae has been identified from one of the otherwise unfertile sites of the organic structure like blood, CSF, pleural fluid etc either by civilization or by LAT/PCR or other technique. The surveies where the defined instances have some other parametric quantities or if there were some other standards no effort was made to standardise them.Inclusion standards:Surveies ; prospective/retrospective ; with kids & lt ; 5years of age as /or portion of the studied population. Surveies done in infirmary or community scene. Surveies with possible informations available on S.pneumoniae isolated from kids & lt ; 5 old ages of age. Surveies with at least 12 months of surveillance were included in order to get the better of the seasonal nature of pneumococcal diseases. Surveies conducted in SAARC states. The inclusion was decided by 2 writers ( NJ, KK ) and choice appraisal was done by 2 writers ( NJ, KK ) . Discrepancies, if any, were resolved by treatment with 3rd writer ( MS ) and the finding of fact was considered concluding. If the exact information was non available we have contacted the writers and tried to decide the disagreements The surveies which have commented merely on pneumococcal serotypes & A ; /or antibiotic opposition have been excluded from pooled analysis. We excluded instance studies, columns, vaccinum surveies, literature reappraisals and the surveies in which nasopharyngeal aspirates, pharynx swabs or oropharyngeal swabs were the lone samples to find the causative being.Data aggregation and direction:Three writers ( BE ; AK, SS ) abstracted informations individually from the included surveies in a predesigned tabular array that included survey design, puting, no. of suspected instances, no. civilization samples taken & amp ; positive civilizations obtained, and no. positive civilizations for Diplococcus pneumoniae. The information from Hospital based surveies and population based surveies were abstracted individually. To decide the disagreements sing the abstracted informations treatment with the other referees were done and consensus was reached. Sing some losing informations the writers were contacted and if the disagreements were non resolved they were non taken up for pooled analysis. The community based surveies available merely give information about pneumococcal pneumonia instances in the community.Datas analysis:Data analysis was done utilizing CMA V2 by 4 writers ( NJ, MS, KK, and AA ) . The similar surveies were pooled together. Sub group analysis for finding the IPD load in India was done and besides sub-group analysis for finding IPD in kids & lt ; 5 old ages was done. The community based surveies, infirmary based prospective and retrospective surveies have besides been analyzed individually.Consequences:Datas reviewed:We found 700 published articles through electronics and manual searching. After rubric and abstract testing 40 full text articles were retrieved and 21 surveies ( 8, 12-31 ) were included for the reappraisal and 19 were excluded ( 32-50 ) ( fig 1 ) Community based surveies were non available from Afghanistan, India, Nepal, Bhutan & A ; Srilanka. Because the life conditions are about same and there is besides geographic similarity we have considered the surveies from Bangladesh and Pakistan as representative of the SAARC states. Similarly there were no infirmary based surveies from Afghanistan and Bhutan so we have taken the surveies from remainder of the states and generalized them for these states. We have included a sum of 21 surveies for this systematic reappraisal & A ; mentioned in tabular array I. The inclusion was decided by 3 writers ( MS, NJ, KK ) and quality marking was done by 3 writers ( MS, NJ, KK ) . The surveies with mark of 6 or more were considered to be good quality grounds.Hospital Based Prospective Surveies:SAARC states:We identified 15 infirmary based prospective surveies ( 12-19, 22, 24-27, 29, 31 ) from assorted SAARC states and analyzed them for finding the invasive pneumococcal disease load in kids populating in these states and besides did a subgroup analysis for kids less than 5 old ages of age. These surveies show that 3.5 % ( 95 % CI 1.9-6.4 ) of kids admitted to infirmaries with diagnosing of invasive diseases like terrible pneumonia or meningitis or sepsis are due to S. pn ( fig 3 ) . Eight surveies ( 13, 15, 16, 18, 24-27 ) show that 1.5 % ( 95 % CI 0.6-3.4 ) of kids admitted as terrible pneumonia have S. pn as the causative being ( Fig 5 ) . Ten surveies ( 12, 14, 16, 17, 19, 22, 24, 26, 27, 29 ) of the included surveies show that 7.6 % ( 95 % CI 4.1-13.7 ) of kids with likely or confirmed meningitis have S.pn as a causative being ( fig 7 ) . S.pn is one of the major bacteriums doing 20 % ( 95 % CI 12.9-29.9 ) of invasive bacterial diseases ( fig 4 ) . 11 % ( 95 % CI 6.5-17.9 ) of terrible bacterial pneumonia are caused by S.pn ( fig 6 ) . S.pn has been an aetiologic agent in 33.1 % ( 95 % CI 23.1-44.8 ) instances of bacterial meningitis ( fig 8 ) .Children less than 5 old ages of age:Out of the 15 surveies merely 11 surveies ( 13, 15, 17, 18, 22, 24-27, 29, 31 ) have clear information on invasive pneumococcal disease in kids less 5 old ages of age. The surveies show that S.pn causes 2.7 % ( 95 % CI 1.1-6.2 ) hospitalizations due to all invasive disease ; in kids & lt ; 5 old ages of age ( fig 9 ) . Merely 7 surveies ( 13, 15, 18, 24-27 ) had clear information on pneumococcal pneumonia in kids & lt ; 5 old ages of age and showed that 1.5 % ( 95 % CI 0.5-4.3 ) of terrible pneumonias are due to S.pn ( fig 11 ) . Similarly 6 surveies ( 17, 22, 24, 26, 29 ) showed that S.pn is the being responsible for 7.1 % ( 95 % CI 2.6-17.5 ) meningitis instances in the age group ( fig 13 ) . S.pn remains the major bacterial cause of all invasive diseases in kids U5 old ages of age doing 19.2 % ( 95 % CI 11.5-30.3 ) of invasive bacterial diseases ( fig 10 ) . 10.8 % ( 95 % CI 6.4-17.6 ) terrible bacterial pneumonias are due to S.pn ( fig 12 ) and 35.1 % ( 95 % CI 22.1-50.8 ) of pyogenic meningitis is due to S.pn. ( fig 14 ) .Bharat:We found 9 surveies from India ( 12-19, 22 ) which showed that S.pn causes 7.9 % ( 95 % CI 3.8-15.7 ) of invasive diseases in kids ( fig 15 ) . S.pn has been an aetiologic agent in 3.9 % ( 95 % CI 1.2-11.7 ) kids with terrible pneumonia ( fig 17 ) and is besides a major bacterial cause of pneumonia in kids doing 14 % ( 95 % CI 5.8-30.1 ) of bacterial pneumonias ( fig 18 ) . S.pn has been a causative agent in 10.4 % ( 95 % CI 5.8-18.1 ) of kids with meningitis ( fig 19 ) and once more a major bacterial cause of pyogenic meningitis ( fig 20 ) . The hospital prevalence of S.pn in Indian kids is more than that of all other SAARC states.Children les s than 5 old ages of age:Five surveies ( 13, 15, 17, 18, 22 ) gave clear information on pneumococcal diseases in kids under 5 twelvemonth of age in India. The image does non alter in this age group of Indian kids where S.pn is prevailing in 8.2 % ( 95 % CI 4.1-16.6 ) of all hospitalized kids with suspected invasive bacterial disease ( fig 21 ) and S.pn becomes a major bacterial cause of invasive bacterial diseases with 21.2 % ( 95 % CI 9.4-41.0 ) of all invasive bacterial diseases are due to S.pn ( fig22 ) . 5.4 % ( 95 % CI 2-14.1 ) of terrible pneumonias in infirmary wards are due to S. pn ( fig 23 ) & A ; 16.5 % ( 95 % CI 12.8-16.2 ) meningitis in kids less than 5 old ages describing to infirmaries are due to pneumococcus. In 13.6 % ( 95 % CI 5.5-29.8 ) of all bacterial pneumonia ( fig 24 ) & A ; 39.3 % ( 95 % CI 27.5-52.6 ) of pyogenic meningitis ( fig 26 ) S.pn has been isolated and is a major cause of these diseases in India.Hospital Based Retrospective Surveies:Two infirmary b ased retrospective surveies ( 21, 28 ) from India were included in this reappraisal. The pooling of these surveies together showed that 15.5 % ( 95 % CI 0.5-88 ) of invasive pneumococcal disease instances amongst the entire admitted patients with invasive bacterial diseases ( Fig 27 ) . The assurance intervals for this group are broad because one survey ( 21 ) which is merely on bacterial meningitis and has a little sample size with comparatively more proportion of pneumococcal isolates.Population Based Surveies:Four surveies ( 8, 20, 23, 30 ) from the SAARC states were included in the reappraisal. These surveies are from Pakistan and Bangladesh. These surveies merely discuss the kids under 5 old ages of age. These surveies show that approximately 13.4 % ( 95 % CI 6.7-25 ) of all invasive bacterial diseases in community are due to S. pn ( fig 29 )Inference of all the analysis:The consequence from the population based surveies ( 13.4 % ) is comparable to that from the infirmary based prospective surveies ( 19 % ) and besides to those obtained from retrospective surveies ( 15.5 % ) . The pneumococcal disease prevalence in SAARC states varies between 13 % – 19 % of all invasive bacterial diseases.Discussion:Our findings show that S. pn is prevailing in 19 % of all hospitalizations in kids of SAARC states and is hence one of the major cause of concern every bit far as child wellness is concerned. Pooling the Indian surveies we found that pneumococcal diseases are 25 % of all invasive bacterial diseases in kids of India. These figures might be an underestimation of the current state of affairs as the surveies discuss merely hospitalized instances, the milder signifiers may travel unreported. S.pn is a major bacterial cause for terrible pneumonia and besides for pyogenic meningitis in kids of this part. The community based surveies besides show that in 13 % of bacterial instances were due to S.pn but once more these surveies besides discussed the terrible dis eases merely and did non describe the milder signifiers. The consequences of our reappraisal are comparable to other reappraisals ( 1 ) which showed high prevalence of pneumococcal diseases in India. The consequences of community based surveies show that __ % of all bacterial invasive diseases in community are due to pneumococcus which is comparable to the consequence from the infirmary based prospective surveies. An unpublished information from one site of a multicentric test ( ISPOT survey ) from India showed that approx 38 % of kids with terrible pneumonia ( Radiologically confirmed ) had S. pn isolated from the nasopharyngeal aspirates or pharynx swabs. The survey besides showed that unwritten Amoxil administered at place was effectual in handling terrible pneumonia. The No Shots survey from Pakistan ( 51 ) concluded that place intervention with high dose unwritten Amoxil in instances of terrible pneumonia is tantamount to WHO recommendations of hospitalizations and i/v antibiotics. Similarly in another survey from Pakistan showed that local wellness workers were able to handle terrible pneumonia instances at place with high dosage Amoxil ( 52 ) . Survey from Bangladesh ( 53 ) reports the rhinal passenger car rate of 47 % and besides reports the early colonisation in rural population. The survey besides reports that 69 % of invasive strains were immune to cotrimoxazole. The ANSORP survey reported 41 % non-susceptible strains to penincillin in Srilanka and approximately 4 % in India ( 54 ) . The IBIS survey ( 16 ) reported 60 % opposition to chloramphenicol, Principen, trimethoprim-sulfamethoxazole, or Erythrocin ; with 32 % isolates resistant to more than 3 antimicrobic drugs. Kunango et Al ( 55 ) reported that out of 150 clinical isolates from invasive pneumococcal infections, merely 11 ( 7.3 % ) isolates were comparatively immune to penicillin, although 64 were immune to one or more antibiotics particularly cotrimoxazole, Achromycin and Chloromycetin. In the ISCAP test ( 56 ) the opposition form of S. pneumoniae to assorted antibiotics was: cotrimoxazole 66.3 % , chloramphenicol 9.0 % , oxacillin 15.9 % and erythromycin 2.8 % .So the antibiotic opposition becomes another menace. In India, the most common serogroups colonising the nasopharynx of kids are 6, 14, 19, and 15 ( 38, 57 ) . IBIS survey ( 16 ) studies serotype 1,6 and 19 to be the most common serotypes isolated from either blood or CSF samples of the kids with invasive disease. Rijal et Al ( 49 ) found that serotypes 1,5 & A ; 4 were most normally isolated from the patients of IPD and besides reported that 52 % of isolates were immune to cotrimoxazole.Decision:The systematic reappraisal concludes that S. pneumoniae is a major bacterial cause of invasive bacterial diseases in kids of SAARC states. The outgrowth of immune strains of Diplococcus pneumoniae are indicating towards the demand for revisiting the intervention recommendations and besides do a call for explicating preventative steps to decrease the prevalence of invasive pneumococcal diseases. The usage of antibiotic which is less immune and easy to administrate should be considered. Pneumococcal conjugate vaccinum, after cognizing the preval ent serotypes and there coverage, should be considered by the policy shapers. Conflict of Interests: None stated Role of the Funding Agency: The reappraisal was supported and funded by ICMR, New Delhi. The support bureau did non interfere with the reappraisal procedure or the consequences. Recognitions: We would wish to thank Dr. Samir K Saha ( ICDDR, Bangladesh ) , Dr. Z.A. Bhutta & A ; Dr S.Q. Nizami ( AKU, Karachi, Pakistan ) for supplying us with their publications on pneumonia ; we would besides wish to thank Dr. Kay Dickerson of John Hopkins University U.S. for assisting us with the statistical methods.

Ema Essay

The main reason for this is the radical changes put in place so rapidly with immediate effect. This resulted in lack of structure and consistency throughout the whole chain stores, as you gave each store manager to much autonomy to change the store i. e. decor, food menu etc. , the business culture values as a whole was lost and that was what made the business a success before. I understand some changes had to be made but not so drastically. The loss of business culture and lack of dimension of structure had a lot negative effect in the business especially demographic and sociology factor wise as regular customers dislike the changes and constant change in staff router, the reason for this was staff/managers never has any incentive target to work towards so they would leave after short while which causes extra expenditure cost. Some good ideas drawn from the case study but presented in a quite unstructured way Part b) In Study session 1 we introduced a series a metaphors to describe a business one of them was business as a culture which is a pattern of belief and expectation shared by the organisational members. These beliefs and expectation produces norms that powerfully shape the behaviour of individual and groups within the organisation. As you recruited new staff with no experience and gave managers freedom to change each branch to their liking it took away the business identity and culture. The cause of this is inadequate training giving to new staff and lack of knowing the root/history of the business. A good example is how Disney world recruit and trains their staff, after passing the first phase the second is enrolling at university of Disney land where they undergo forty-hour apprenticeship programme, employee learn about the history and philosophy of Disneyland, and the regulation and procedures that govern work. The way Disney recruits is essential to keep hold of the business ethics and culture. OK but make sure the TMA maintains focus on the set question. Another example by Drennan (1992), who proposed 12 key factor that shape the culture of the business some of these are: The influence of a dominant leader-the vision, management style and personality of the founder or leader in a business often has a significant influence on the value that the business tries to promote The history of the business – how things has always been done The customers of the business who are they and what they expect The reward system and the measurement of performance c) These factor (above) could be useful to you to address your business problems vague and general in the future if put in place other suggestions are: Practices: These are the rites, ritual and ceremonies of the business. These can take many forms, and would include the annual office party, employees and inner site completion (what does this mean? ). (as mentioned before) Physical form: these include location, open plan or individual plan or individual office. Not relevant in a restaurant. Communication: Stories of notable events in the past tend to become part of the culture of the business and can influence behaviour explain how this relates to the case. A common language: jargon is common to many business. It is a convenient short hand form of communication, but is also effect behaviour. Disney employees are â€Å"cast crew† while McDonalds employee are â€Å"crew Members†. You have to be careful to hold on to the facts of the case, and not to go off at a tangent. Part 2 One of topics I found interesting through reading and taking part in discussion (book1 TMA01 Activity 1. 3) through TGF, which was the concept of business culture & whether a business culture can be changed. At first I thought how a culture integrates in a business metaphorically and the more I read and researched the more I understood the big role it plays in a successful business. Many cultural element of a business is not obvious, but there has been attempts in the academic literature to develop definition and identify influencing factors. It is possible to see, or feel, that one business is different from another, and that this involves more than just how it present itself to the outside world.. During our discussion on whether a business culture can be changed, I felt that as human we have to adapt to new cultures to understand each other so for a business is imperative for changes to be put in place to modernise the business culture where needed to evolve the business. Some key factors influencing culture are: Which industry or sector he business is in, and how much and what type of competition it faces The procedures and policies within the business – ever-evolving, but often a good indicator of underlying values. The reward system and the measurement of performance Good summary Where is your references list? Where is your word count? MARKING GRID Part I Maximum Marks Your Marks Question 1 (a) Identify the problems faced by Lodge Bistro that relate to the study session chosen Explicit identification of the study session chosen20 List of problems106 Why these are problems and how these affect Lodge Bistro1814 Total marks Q1(a)30 20

How important is salary and benefits to fresh graduates when accepting Case Study

How important is salary and benefits to fresh graduates when accepting their first job offer - Case Study Example People with a normal degree and master degrees are normally included in the graduates list. Upcoming generation is keen in improving their living standards as much as possible. For many of the upcoming graduates, the major aim of education is for getting a decent job or profession. The life expenses are increasing day by day and only the educated people are getting good salaries and profession. In the case of U.K., graduates struggle a lot in finding decent jobs at present because of the unhealthy economic growth. It should be noted that UK is one country which suffered a lot as a result of the recent recession problems. Even though many of the recession hit economies including America shows signs of a revival, UK’s economic growth is still inadequate considering the economic growth in some other countries like India and China. Inman (2009) mentioned that ‘the unemployment in UK may cross more than 3 million in near future itself as Britains manufacturers, retailers and service industries feel the full effects of the downturn†. Thousands of employees working in UK’s private and public sectors have either lost their jobs or faced salary cuts in recent times because of the recession problems. For example, Tesco, one of the biggest retailers in UK, have planned to terminate the employment of 5000 of its workers. Many other retailers also followed the path of Tesco. â€Å"The retail sector recruited around 236000 employees between the years 1999 and 2003; and retail employment had reached a little over 3 million by the summer of 2003. However, between 2004 and 2007, they started exhibiting negative results, with stagnant employment of three million employees, till 2008† (Macneil & O’Brien, 2010, p. 88). From the above statistics, it is evident that the graduates in UK are currently struggling a lot in finding a decent job. It is very much important for the fresh graduates to get a decent salary and benefits when they

Communicating across genders Essay Example | Topics and Well Written Essays - 750 words

Communicating across genders - Essay Example However, I feel that even this is unnecessarily divisive. In my experience, Adler's findings that gender difference amounts to just 1% of the variance of speech (186) between any two people is more important. This paper will look at three conversations within and between two groups of people to show that shared experience and goals facilitate communication better than shared gender. It is necessarily difficult to give concrete examples of gender communication being more similar than different, because it is generally easier to disprove than prove something, but two personal conversations in which I took part are good examples of how shared experience facilitates communication better than shared gender – and that, equally, different experiences hinder communication. These two conversations involved separate groups of people, both composed of mixed genders but similar politics and ideology. Both conversations discussed the case of Representative Anthony Weiner, who recently resi gned after revelations that he had been attempting to engage numerous female political admirers in (usually unwanted) sexual conversation. In the first conversation, both men and women condemned Weiner unanimously for the sexual harassment of sending explicit photographs of his anatomy to non-consenting women who had merely expressed their support of his policies. Men and women used the same sentence structures and argumentative styles, appealing to reason and emotion equally: most sentences used personal pronouns (I, you, he), for example. One interjection in the conversation was taken badly by the other members, as it was a joke that was highly inappropriate, which had been made by a woman – not something that Adler would expect (184). In fact, this conversation happened online with most people using gender-neutral pseudonyms, and the only way I could figure out who was of which gender was by specifically asking them. The second conversation happened after someone made the assertion that Weiner was simply guilty of sexual harassment, and his resignation neither inappropriate nor adequate punishment for his crime. The communication style was similar to the previous group's in that most people used 'I' statements and littered their messages with pronouns; however, in this group most people were more skeptical of the idea that Weiner's behaviour was criminal. In one unusual exchange, a woman made the statement that â€Å"Flashing someone virtually is the same as flashing someone in person†, and a man responded â€Å"I think you meant to say that you 'think/feel' they are the same.† In this example, a woman used concrete language (or rather, a male conversational style [185]) to express an opinion and was told by a man that she should revert to female conversational style. The same man then said â€Å"the decisions we make in our lives brand us†, arguing that when considering Weiner's sexual harassment of Ms Ginger Lee, one should bea r her career choice (she is a former porn star) in mind. Clearly his usage of a male conversational style was acceptable. A different woman dismissed Lee's claims by saying â€Å"You know as well as I do that women are just as bad as men, when it comes to manipulation.† Her appeal to an emotional relationship is, Adler argues, typically feminine. It may be interesting to note that the first group do not believe that there is any material difference

Engineering Research Paper Example | Topics and Well Written Essays - 750 words

Engineering - Research Paper Example It is essential that appliances which were introduced earlier (with usage of old technologies), prevail in energy consumption distribution; see Table above. For instance, energy consumption of the light bulbs, the kettle, and the electric oven takes over than 50% of total energy consumption. Simultaneously, usage of notebook, TV, and CD/DVD player takes less than 10% of total energy consumption in the household. Then, introducing of numerous appliances with high power inputs reflects in ecology due to necessity to make more electric power stations. It is essential that energy consumption can be reduced significantly without compromising human needs. There are several means to reduce adverse effects of usage of appliances with high energy consumption. First step is in limited usage of such appliances, e.g. switching-off non used light bulbs, unplugging seldom-used appliances and chargers for cell phone and other personal gadgets, setting computer to "sleep mode" or "hibernate mode", etc. Next step is more radical. This is replacement of appliances with high power inputs by equivalent appliances with less power inputs. For instance, replacement of old CRT monitor or TV by new TFT monitor or TV panel can significantly reduce energy consumption because these appliances are often used. ... However, these appliances need for enormous power supply and engineering support of appropriate infrastructure. It is essential that appliances which were introduced earlier (with usage of old technologies), prevail in energy consumption distribution; see Table above. For instance, energy consumption of the light bulbs, the kettle, and the electric oven takes over than 50% of total energy consumption. Simultaneously, usage of notebook, TV, and CD/DVD player takes less than 10% of total energy consumption in the household. Then, introducing of numerous appliances with high power inputs reflects in ecology due to necessity to make more electric power stations. 3. How to save energy in the household It is essential that energy consumption can be reduced significantly without compromising human needs. There are several means to reduce adverse effects of usage of appliances with high energy consumption. First step is in limited usage of such appliances, e.g. switching-off non used light bulbs, unplugging seldom-used appliances and chargers for cell phone and other personal gadgets, setting computer to "sleep mode" or "hibernate mode", etc. Next step is more radical. This is replacement of appliances with high power inputs by equivalent appliances with less power inputs. For instance, replacement of old CRT monitor or TV by new TFT monitor or TV panel can significantly reduce energy consumption because these appliances are often used. Replacement of standard light bulbs (100W) by low-energy fluorescent bulbs (less than 20W) is another example of such strategy. Many of new appliances use half the energy of those from decade ago. It is necessary to note that usually new appliances ar e more ergonomic and safe. Finally, there are