Risks Of Free Trade - 1753 Words

Robert Knighton Pol. Sci. 1300 Kate Ivanova April 23, 2015 Risks of Free Trade If someone mentions an argument against free trade aloud, the typical person might withdraw curiously: against free trade? Indeed, such a statement does require explanation, as the connotation behind the word can differ slightly even if the primary meaning succeeds. Not to mention the ambiguity that accompanies such a phrase, as the speaker likely means they support regulated trade because of the risks that free trade involves. Indeed, the risks of free trade are so steep that it requires regulation, albeit with surgical precision. (what I mean by this is that regulation is required, but in small amounts. Heavy regulation would be as bad if not worse than no regulation) What is meant by free trade, exactly? First, it is important to note that while the terms â€Å"free trade† and â€Å"fair trade† are often used interchangeably in colloquial speech, they are completely different things. In fact, free trade is anything but fair (except to private corporate profits). Free trade, according to mainstream economic policy, has zero restrictions on imports and exports. There are no tariffs, quotas, subsidies, etc. Often, free trade agreements surpass the sovereignty of nations in order to guarantee the corporate interest in private capital gains. Michael Palenti, in his article, â€Å"Globalization and Democracy: Some Basics†, vocalizes this concern with free trade agreements, saying that, â€Å"†¦[corporations] seek aShow MoreRelatedDisadvantages Of Free Trade For Canada Essay1468 Words   |  6 PagesDisadvantages of Free Trade for Canada: For every upside, there is a downside, and this certainly is the case for free trade in Canada. The successes listed above, also appeared in the United States and Mexico, which impacted our country. For every job that was created for them, some were lost elsewhere. Ontario, in result of jobs created elsewhere,: Lost hundreds of thousands of good manufacturing jobs. Those jobs went to States in the U.S. where unions are made weak by legislation, and to MexicoRead MoreBusiness Development in a Global Market Essay1452 Words   |  6 Pagesminimizing the risks. Core fundamentals include, indentifying potential markets, product competition, risks involved, future growth potential, entry strategy and costs involved to enter the market place. When identifying potential markets we must consider the benefit, risks and costs associated with each market. There are several questions that need to be asked. The first one being, what is the political stability and economic growth rate of the country. This will determine how high the risks are to enterRead MoreBusiness Development in a Global Market1442 Words   |  6 Pagesminimizing the risks. Core fundamental include, indentifying potential markets, product competition, risks involved, future growth potential, entry strategy and costs involved to enter the market place. When identifying potential markets we must consider the benefit, risks and costs associated with each market. There are several questions that need to be asked. The first one being, what is the political stability and economic growth rate of the country. This will determine how high the risks are to enterRead MoreThe World Trade Organization And Its Effect On National Security1476 Words   |  6 Pagesâ€Å"There are gains from trade. Because of trading, we are now driving the fancy sporty cars such as Lamborghini and Ferrari which are produced by Italy; and Italian are using the hottest smart phone which designed by American†. Trading brings a huge benefit for these two countries which is sharing and gaining their superior production to each other. However, nothing can be accomplished without norms or standards. Although trading has diversified advantages, it could be some risks hidden back. For instanceRead MoreLiterature Review Of Globalization989 Words   |  4 Pagesfoc us was on the manufacturing industry, and he argues that the benefits of globalization are very quickly being threatened by the escalation in the production of risks. These risks can be seen escalating in the new changing conditions of economic change. He uses an example of industry that is related to production, he argues that risks involved in that industry are hoisted, because they can easily spread and it can affect the whole globalized market. This view could mean that there could be a dominoRead MoreFree Trade Agreements And The Trade Agreement909 Words   |  4 PagesFree trade agreements are established around the world by countries to limit restrictions on trade and investment in hope of benefiting both countries’ economies. A free trade agreement removes barriers to trade eliminating most quotas and removing tariffs on goods and services that can be exported or imported. Many free trade agreements also remove other barriers to trade, like property protection or res trictions on foreign service provider’s industry. 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These global organizations are not always efficient, and can lead to imbalances in trade currency. â€Å"For more than a decade, the U.S. and other countries castigated China for its currency policy, saying the yuan’s level gave the country’s exporters an unfair advantage at theRead MoreCase Study: Ameritrade Essay1238 Words   |  5 PagesExecutive Summary: In mid-1997 Joe Ricketts the Chairman and CEO of Ameritrade, decided that Ameritrade’s new mission would be to become â€Å"the largest brokerage firm worldwide based on the number of trades.† In order to accomplish this mission Ameritrade would need to invest significantly in technology and advertising. This strategy would require large expenditures relative to Ameritrade’s existing capital. In order to gauge the financial impact of these large expenditures, there needed to beRead More world trade organization Essay examples637 Words   |  3 Pagesthere has been a constant controversy over whether the World Trade Organization should enforce global free trade. The primary idea is to establish in which all are happy. Although there are many advocates for trade liberalization, as well as many who oppose. I believe free trade may be advantageous for both large and small-industrialized countries, but it does not favor the smaller developing countries needs prim arily. If the World Trade Organization eliminates tariffs and quotas, it could create

Avoid Being Late Free Essays

Avoid Being Late Lasonya Dawson Grand Canyon University PSY-102 October 24, 2010 Avoid Being Late The act of being late can be avoided by taking certain measures. The first thing you have to be able to do is admit that you had a problem with being on time. The next thing you have to do is be able to identify what causes you to be late. We will write a custom essay sample on Avoid Being Late or any similar topic only for you Order Now The next thing that you have to be is willing to do is make the necessary changes to correct the issues. The issue can be corrected with acknowledging all of the above and realize that this can be a very career threatening thing.The admittance that you have issue with being on time is the very first step in starting the process is resolving the issue. When you are late the problem starts in the preparation of the day before or the day of. One has to be able to picture in their mind what needs to be the day before and have a backup plan if needed. If one is in denial that they have a problem being on time, then there is little that can be done to correct the issue. Once you have acknowledged the issue then you can find a solution or set up some type of system to resolve it. One has to be able to identify what triggers or causes them to be late.When you realize the point when time starts to get in a bit of a crunch could be sign of you being late. You have to be able to figure out is it the day before preparation or is it that you may have to try to multitask. Multitasking is the act of doing several things at the same time to get all completed in a timely manner. One should be able to see the pattern and the signs that occur when they are about to be late. When you are able to make the necessary changes to eliminate being late then you will be able to see what a positive effect it has on all things in your life. Once the changes are made to correct the issue you should become a more productive person. The key to being on time is time management. If you are able to manage your time well usually you are always on time. I pride myself on being on time. I start the day before if I know I have to be somewhere at a certain time the next day. I start by doing everything that I can possibly do the day before so that it will not slow me down the next day. I start with the kids. I ironing their clothes, getting their snacks together, and making sure I know how much time I am going to need to get them ready.I can say that I am rarely late to anything that I am expected to be on time to. I accredit it to the fact I feel like I am going to miss something if I am late and I hate to be in a hurry or having to do things at the last minute. The issue will not just be resolved in just one attempt. You have to be willing to try different things over a period of time. You have to be able to set a realistic time frame that you will be able to say that you have the issue under control. One has to set short term goals and follow through with them. You can start as simple as doing some things the day before that you would normally do the day of to save time.One may follow up next with trying to multitask and take care of several things at once but, do not overwhelm yourself. Finally you can use what you have been training yourself to do on a family outing and set a time that you expect yourself to be there. You can even go so far as to grade yourself. There should also be some consequences for you being late. You can make an agreement with yourself to take away things that you like to do. You should also reward yourself for being on time until you have gotten the issue under control. I could start by taking away television time from you or even internet time from yourself.You can reward yourself by buying something that you like. There should always be penalties for allowing you to be late as well as rewards for being on time. The main thing that one has to realize is the negative effect that being late has on your career. Being late shows signs that you are not dependable. You should think it as if you are going to an interview and that if you are late then you are not going to get the job that you so desperately need. If one can place that kind of pressure on themselves then you should be able to always How to cite Avoid Being Late, Papers

Oscillometric And Auscultators Blood Pressure - Myassignmenthelp.Com

Question: Discuss about the Oscillometric And Auscultatory Blood Pressure. Answer: Introduction The essay focuses upon the concept of evidence based practices in nursing care. The evidence based practise methods helps in redesigning a safe, efficient and effective care. It helps the practitioners approach questions related to health care in an evaluative and qualitative manner. A study has been conducted in the assignment researching the benefits of using automated device for measuring the blood pressure of children in hospitals rather than manual devices. There are different school of thoughts both stating for and against the use of automated measurement devices over the manual ones. The question raised here has been supported through sufficient evidences and resources which have been further critically reviewed for reliability and validity. Problem and answerable question The blood pressure can be measured using both manual and automated measuring techniques. The manual device is also known as the auscularity device whereas the automated device is known as oscillometric device. As commented by Myers (2014), measuring accurate blood pressure helps in monitoring the proper functioning of different body systems and organs. The erroneous blood pressure measurement may result in wrong treatments being administered to the patients. Therefore, acute measurements procedures and techniques need to be developed. The focus of the assignment is use of automated blood pressure devices over manual devices for measuring the blood pressure of children within hospitals. A number of arguments have been placed in favour of use of the automated techniques over manual measurement processes. As commented by Mansoor et al.(2016), the automated readings helps in representing the true blood pressure because of the built-in deflation rate of the device. However as argued by Da skalopoulou et al.(2015), the clinicians suggest occasional checking of the automated blood pressure readings against the mercury sphygmomanometer. This is done to remove the chances of any errors which may have crept during the process of blood pressure measurement. However, finding the right size of cuff for accurate measurement of blood pressure in children often becomes difficult (Lin, Chang, Chou Lin, 2014). Therefore, the emphasis is shifted upon the use of automated blood pressure measurement devices with a built-in deflation rate. The research has been further substantiated with the help of developing a proper research question. The question has been developed in the PICO format where the P stands for Population, I stand for intervention, C stands for comparison and O stands for Outcome. Therefore, the question which can be raised over here is: Is using an automated blood pressure monitoring system (I) on children (P) more accurate in monitoring the level of blood pressure (O) compared to manual sphygmomanometers (C)? Locating the evidence A number of evidence bases have been referred to in order to retrieve adequate information regarding the benefits of choosing automated blood pressure measuring techniques over manual sphygmomanometers. In order to understand the differences one needs to develop sufficient idea regarding the different types of blood pressure measuring devices, their functioning and efficiencies. The blood pressure is divided into two components- systolic and diastolic pressure. The systolic pressure is when the heart is pumping and the diastolic pressure is recorded when the heart is at rest. In this respect, mercury sphygmomanometers are one of the old school manual methods of measuring blood pressure. The physician has to manually inflate or deflate the cuffs around the arm till the systolic and diastolic pressures are recorded (Benmira et al., 2016). However as argued by Chu et al.(2017), there are a number of limitations of using the manual method of recording blood pressure such as appropriate a djustment of the cuff while measuring the blood pressure. Children have thin arms resulting in loose fitting of the cuff, which often results in erroneous recording of blood pressure. Additionally, the children often become impatient during manual recording of the blood pressure which takes longer. The automatic recording of blood pressure takes lesser time comparatively. The inflatable part of the cuff needs to cover atleast 80% of the part of the patients arm (Neuhauser, Ellert, Thamm Adler, 2015). A childs cuff measures less than 24 cms in diameter. Therefore, using a large cuff may result in low blood pressure readings. However as argued by Benmira et al.(2016) most of the hospitals lack different sized cuffs which affects accurate measurements. As commented by Lin et al. (2016), fraudulent marking of the lower meniscus of mercury can also result in inaccurate measurements being taken. Another variation which can be used over here is an aneroid sphygmomanometer. The features of the devices are similar to mercury sphygmomanometer excepting that here instated of using mercury for recording the blood pressure, a dial gauge is used, which is connected to the cuff. As argued by Neuhauser, Ellert, Thamm Adler (2015), the dial gauge of the aneroid sphygmomanometers requires recalibration on a frequent basis further questioning the accuracy of the device. The automated blood pressure monitoring device measures the oscillations of the arteries using pressure sensors. The oscillations are processed using an algorithm to convert them into systolic and diastolic values which are displayed on a digital interface. The electronic sensors attached with the cuff can accurately sense the systole and diastole pressures which control the defla tion rate tightly (Duncombe, Voss Harris, 2017). Moreover, slight movement during the measurement of the blood pressure also affects the recording. Most of the times the children fail to sit quietly during the process of blood pressure monitoring resulting in false pressure data. Diagram: Flowchart depicting the process of blood pressure monitoring in children (Source: Author) Appraising the evidence There are contradictory opinions regarding the use of automated digital sphygmomanometer versus manual sphygmomanometers for measuring blood pressure. There are a number of limitations of the use of automatic digital sphygmomanometers such as faulty built-in deflation rate. As commented by Rinfret et al. (2017), the devices have to be checked against the manual sphygmomanometers in the initial stage to ascertain the accuracy of readings. The installation of the devices requires huge amount of expenditures such as investment behind battery replacements. As mentioned by Flynn et al. (2017), for large arm cuffs the devices have to be connected to an AC adaptor. The high cost associated with the devices does not restrict the purchasing ability of the same. As argued by De Caen et al. (2015), the blood pressure reading is also affected by the general health conditions of the patient. For example, the ones suffering from hypertension might depict elevated levels of mercuric pressure. The p roblem situation may be further analysed to find out the presence of some other health concerns such as presence of high cholesterol content in the blood. This results in narrowing of the blood vessels resulting in high pressure of blood within the arteries. As argued by Franssen et al. (2017), the chances of human errors in automatic digital sphygmomanometers is minimum as most of the critical operations are performed automatically. Another concern which has been raised by experienced physicians regarding the manual sphygmomanometers usage has been termed as clinical inertia. As mentioned by Daskalopoulou et al. (2015), a physician can heat the onset of the korotkoff sounds somewhere between 140 and 138. Therefore, in most cases the physician to choose upon a particular number. Therefore, the diagnosis often takes a hypothetical turn which may affect the quality of the care services. However, as argued by Neuhauser, Ellert, Thamm Adler (2015), children have higher level of foetal haemoglobin which has less oxygen carrying capacity. In order to cope up with the deprivation the heart has to pump more blood which raises the normal blood pressure level. Therefore, along with the recording techniques in place certain degree of medical expertise is also required. As argued by Rinfret et al. (2017), wrong interpretation of the results may affect the particular treatment methods being administered to the child. Database: CINAHL, Cochrane library , MEDLINE, Joanna Briggs Is it appropriate to use automated blood pressure monitoring devices instead of manual sphygmomanometers on children in hospital? Search topic Number of hits generated Blood pressure monitoring devices 52 Automated blood pressure monitoring devices 65 Use of automated blood pressure monitoring devices in children 20 Benefits of manual sphygmomanometers over automated blood pressure monitoring devices 10 Peer reviewed journals only 44 Limit the journals to last ten years only 42 Limit the journals to English language only 40 Table: search criteria for evidence-based articles (Source: author) Summary of practice The manual sphygmomanometers are the most accepted old school method of monitoring and recording blood pressure. A loose end in the cuff of a blood pressure monitoring device may result in the recording of wrong results (Sheppard et al., 2014). On the other hand the automated blood pressure monitoring devices work with the help of electronic sensors and sense the systolic and diastolic pressure automatically at the same controlling the deflation rate. However, the automated devices require huge amount of investments making it difficult for maximum number of hospitals to purchase them (Benmira et al., 2016). Therefore, most of the hospitals are still using the manual methods of blood pressure recording. Thus, both the methods need a certain amount of medical expertise which will help in focussing upon the general health condition of the patient before arriving at a result. Additionally, maintaining standard cuff sizes will help in measuring the blood pressure accurately across a wide age group (De Caen et al., 2015). The devices should be calibrated frequently to provide accurate results along with controlling the cost of the medical equipments and devices. Conclusion In this respect, a number of issues have been identified with both the manual and the automated methods of blood pressure recording. However, the accuracy is dependent upon the cuff sizes which are different depending upon the age and health of an individual. A healthy individual may require a wider cuff whereas a lean child may need a thinner cuff. The automated blood pressure monitoring devices though easier to use specially with the children requires huge investments. Therefore, there are loopholes pertaining to the use of both the device and requires suitable policies and intervention strategies. References Benmira, A., Perez-Martin, A., Schuster, I., Aichoun, I., Coudray, S., Bereksi-Reguig, F., Dauzat, M. (2016). From Korotkoff and Marey to automatic non-invasive oscillometric blood pressure measurement: does easiness come with reliability?.Expert review of medical devices,13(2), 179-189. Chu, G., Zhang, Z., Xu, M., Huang, D., Dai, Q. (2017). Validation of a smartphone auscultatory blood pressure kit Accutension XYZ-110 in adults according to the ANSI/AAMI/ISO 81060-2: 2013 standard.Blood pressure monitoring,22(5), 290-294. Daskalopoulou, S. S., Rabi, D. M., Zarnke, K. B., Dasgupta, K., Nerenberg, K., Cloutier, L., ... McKay, D. W. (2015). The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.Canadian Journal of Cardiology,31(5), 549-568. De Caen, A. R., Berg, M. D., Chameides, L., Gooden, C. K., Hickey, R. W., Scott, H. F., ... Schexnayder, S. M. (2015). Part 12: pediatric advanced life support.Circulation,132(18 suppl 2), S526-S542. Duncombe, S. L., Voss, C., Harris, K. C. (2017). Oscillometric and auscultatory blood pressure measurement methods in children: a systematic review and meta-analysis.Journal of hypertension,35(2), 213-224. Flynn, J. T., Kaelber, D. C., Baker-Smith, C. M., Blowey, D., Carroll, A. E., Daniels, S. R., ... Gidding, S. S. (2017). Clinical practice guideline for screening and management of high blood pressure in children and adolescents.Pediatrics, p.1904. Franssen, M., Farmer, A., Grant, S., Greenfield, S., Heneghan, C., Hobbs, R., ... Milner, S. (2017). Telemonitoring and/or self-monitoring of blood pressure in hypertension (TASMINH4): protocol for a randomised controlled trial.BMC cardiovascular disorders,17(1), 58. Lin, Z. M., Chang, C. H., Chou, N. K., Lin, Y. H. (2014, April). Bluetooth Low Energy (BLE) based blood pressure monitoring system. InIntelligent Green Building and Smart Grid (IGBSG), 2014 International Conference on(pp. 1-4). IEEE. Myers, M. G. (2014). Replacing manual sphygmomanometers with automated blood pressure measurement in routine clinical practice.Clinical and Experimental Pharmacology and Physiology,41(1), 46-53. Neuhauser, H. K., Ellert, U., Thamm, M., Adler, C. (2015). Calibration of blood pressure data after replacement of the standard mercury sphygmomanometer by an oscillometric device and concurrent change of cuffs.Blood pressure monitoring,20(1), 39-42. Rinfret, F., Cloutier, L., L'Archevque, H., Gauthier, M., Laskine, M., Larochelle, P., ... Van Nguyen, P. (2017). The gap between manual and automated office blood pressure measurements results at a hypertension clinic.Canadian Journal of Cardiology,33(5), 653-657. Sheppard, J. P., Holder, R., Nichols, L., Bray, E., Hobbs, F. R., Mant, J., ... McManus, R. J. (2014). Predicting out-of-office blood pressure level using repeated measurements in the clinic: an observational cohort study.Journal of hypertension,32(11), 2171.