Heres why youre never too old for a career change

Heres why youre never unreasonably old for a lifelong change It’s consistently frightening to change employments. Be that as it may, it can appear to be out and out alarming on the off chance that you have given years (or decades!) to voyaging one profession way and need to do a total switch. Don’t let dread keep you down now and then, conditions call for strong strokes. Regardless of whether you have an objective your present position won’t permit you to come to, a rundown of disappointments, or just are exhausted and need to roll out an improvement, you can do it. Here are a couple of reasons why it’s never past the point of no return for you to land the position (and the profession) you’ve consistently needed. Rolling out an improvement may include difficult work and hazard, however on the off chance that you center and truly need it, change is feasible at any age.Your abilities can transfer.You’ve effectively invested energy in the working scene, which implies you’ve gained two arrangements of aptitudes: general delicate aptitudes that apply to any jobâ (think time the board, correspondence, office behavior) and aptitudes explicit to your picked industry. The previous will work well for you regardless of where you land.What you don’t know, you can learn with time and difficult work. Furthermore, what you do know can without much of a stretch be moved into another field, position, industry, or way. Your activity explicit abilities may in any event, carry a new component to your new profession that would make you an alluring candidate.You’ve sufficiently earned to float.At this point in your vocation, you’re most likely agreeable enough to have given yourself a pleasant pad to accepting a decrease in salary to do what you love. That doesn’t mean you ought to stray into the red or work for short of what you are worth-simply think of it as not the apocalypse to make less for a brief period. Gauge your bliss against the pay misfortune and see wh at comes out on top.You won't appear flaky.Just in light of the fact that you picked a field in your mid twenties doesn’t mean you’re stayed with it for good. Needing a change, even a significant one, doesn’t make you whimsical or hesitant. It just methods you’ve grown up and recognized your inclinations. Uplifting news! You’re expected to develop! Overlook individuals who state you don’t recognize what you need to do with your life. The inverse is valid: youâ do know, and you’re effectively seeking after it.Your enthusiasm will be infectious.Wouldn’t you rather be splendid, sparkly, and positive about something once more? On the off chance that you’re getting up each early daytime fearing your work day, it may be the ideal opportunity for you to think about a change. Life’s excessively short and you’re using up all available time! Roll out the improvements you have to carry on with the existence you need. Your drive and fervor will seep into all that you do inside and outside of work.It’s never past the point where it is possible to begin something new, so don’t keep yourself down in light of the fact that you think it’s wrong. Remember: you may need to begin gradually, which is fine! You’ll need to evaluate the holes you may have in your aptitudes or training, and afterward work to fill them before you become an appealing competitor. However, in the event that you think there is a way, you ought to presumably go for it. You’ll never know until you attempt.

Marilyn Monroe Sings Happy Birthday to JFK

Marilyn Monroe Sings Happy Birthday to JFK On May 19, 1962, entertainer Marilyn Monroe sang â€Å"Happy Birthday† to U.S. President John F. Kennedy during an occasion observing JFK’s 45th birthday celebration at the Madison Square Garden in New York City. Monroe, wearing a skin-tight dress shrouded in rhinestones, sang the normal birthday tune in such a steamy, provocative way that it stood out as truly newsworthy and turned into a notable snapshot of the twentieth century. Marilyn Monroe Is â€Å"Late† Marilyn Monroe had been taking a shot at the film Something’s Got to Give in Hollywood when she flew to New York to take an interest in President John F. Kennedy’s birthday festivity at Madison Square Garden in New York City. Things had not been working out positively on the set, generally on the grounds that Monroe had been as often as possible missing. In spite of her ongoing sicknesses and issue with liquor, Monroe was resolved to make a terrific exhibition for JFK. The birthday occasion was a Democratic Party pledge drive and included numerous well known names of the time, including Ella Fitzgerald, Jack Benny, and Peggy Lee. Rodent Pack part (and JFK’s brother by marriage) Peter Lawford was the emcee and he made Monroe’s well known delay a running joke all through the occasion. A few times, Lawford would present Monroe and the spotlight would look the rear of the phase for her, yet Monroe would not step out. This had been arranged, for Monroe was to be the finale. At last, the finish of the show was close and still, Lawford was poking fun at Monroe not showing up on schedule. Lawford expressed, â€Å"On the event of your birthday, the exquisite woman who isn't just pulchritudinous [breathtakingly beautiful] however timely. Mr. President, Marilyn Monroe!† Still no Monroe. Lawford professed to slow down, proceeding, â€Å"Ahem. A lady about whom, it really might be stated, she needs no presentation. Let me just say†¦here she is!† Again, no Monroe. This time, Lawford offered what appeared to be an offhand presentation, â€Å"But I’ll give her a presentation at any rate. Mr. President, in light of the fact that throughout the entire existence of Broadway, maybe there has been nobody female who has implied so a lot, who has done more†¦Ã¢â‚¬  Mid-presentation, the spotlight had discovered Monroe at the rear of the stage, strolling up certain means. The crowd cheered and Lawford turned around. In her skin-tight dress, it was difficult for Monroe to walk, so she rushed over the phase on her pussyfoots. At the point when she arrives at the platform, she reworks her white mink coat, pulling it away from plain view. Lawford set his arm around her and offered one final joke, â€Å"Mr. President, the late Marilyn Monroe.† Monroe Sings â€Å"Happy Birthday† Under the steady gaze of leaving the stage, Lawford helped Monroe take off her coat and the crowd was given their first full look at Monroe in her naked shaded, skin-tight, sparkly dress. The enormous group, shocked however energized, cheered boisterously. Monroe trusted that the cheering will fade away, at that point put one hand on the receiver stand and began singing. Glad birthday to youHappy birthday to youHappy birthday, Mr. PresidentHappy birthday to you Apparently, the typically to some degree exhausting â€Å"Happy Birthday† tune had been sung in a provocative manner. The entire version appeared to be much increasingly personal on the grounds that there had been bits of gossip that Monroe and JFK had been having an illicit relationship. Additionally the way that Jackie Kennedy was absent at the occasion caused the tune to appear to be significantly progressively intriguing. At that point She Sang Another Song What numerous individuals don’t acknowledge is that Monroe at that point proceeded with another tune. She sang, Much obliged, Mr. PresidentFor all the things you’ve done,The fights that you’ve wonThe way you manage U.S. SteelAnd our issues by the tonWe thank you to such an extent At that point she opened her arms up and hollered, â€Å"Everybody! Cheerful birthday!† Monroe at that point bounced all over, the ensemble started playing the â€Å"Happy Birthday† tune, and a gigantic, lit cake was brought out from the back, continued posts by two men. President Kennedy at that point came up onto the stage and remained behind the platform. He trusted that the huge cheering will subside and afterward started his comments with, â€Å"I would now be able to resign from legislative issues subsequent to having had ‘Happy Birthday’ sung to me in such a sweet, healthy way.† (Watch the full video on YouTube.) The entire occasion had been significant and end up being one of the last open appearances of Marilyn Monroe †she kicked the bucket of an obvious overdose under a quarter of a year later. The film she had been dealing with could never be done. JFK would be shot and killed year and a half later. The Dress Marilyn Monroe’s dress that night has become almost as well known as her interpretation of â€Å"Happy Birthday.† Monroe had needed an extremely exceptional dress for this event thus had solicited one from the best ensemble fashioners of Hollywood, Jean Louis, to make her a dress. Louis structured something so alluring thus interesting that individuals are as yet discussing it. Costing $12,000, the dress was made of a flimsy, substance shaded souffle bandage and canvassed in 2,500 rhinestones. The dress was tight to such an extent that it must be truly sewn onto Monroe’s bare body. In 1999, this notorious dress went available to be purchased and sold for a stunning $1.26 million. As of this composition (2015), it remains the most costly garment at any point sold at closeout.

PESTEL Analysis of Tesco Business Essay

PESTEL Analysis of Tesco Business Essay PESTEL analysis is one of the strategic analytical tools used for business environment analysis; it mostly concerns the company’s external environment and factors affecting its operation. PESTEL is an abbreviation for political, economic, social, technology, environmental, and legal factors influencing the company. This business essay applies PESTEL analysis to evaluate the environment of Tesco. Political factors stand for the impact of the government on the business (Dooley Dransfield, 2006). In this domain, Tesco has strong connections with the Labor party (though the company’s authorities deny any connections and political affiliations), and produces a strong impact politically on the policies of tax reduction and expansion permissions. Economic factors relate to the state economy’s status and the way in which the domestic economic situation affects demand for the firm’s products (Harrison, 2013). The global economic crisis hit Tesco sharply, with consistent reporting of slowing earnings. However, they did not turn into losses thus far, only reflecting the falling expandable income of population stricken by the crisis and facing numerous layoffs. Social factors mean the population’s trends and features affecting the company’s popularity and performance (Dooley Dransfield, 2006). The major social factor to be considered by Tesco is the gradual ageing of the UK population, which requires going more mobile and offering flexible delivery options. Moreover, people are getting ever more health-conscious, so a stronger emphasis on healthy food offers may also attract more customers to Tesco. In the conditions of continuing consequences of the global financial crisis, keeping prices low and competitive enough may also be a beneficial approach in terms of preserving positive attitudes and popularity among consumers. Technological factors are evaluated as the state of technological progress, new technology adoption, etc. affecting the promotion of company’s products (Harrison, 2013). A globally dominant technological factor affecting Tesco at present is the increasing adoption of online shopping and mobile internet technology. Hence, shopping in physical supermarkets becomes less popular, especially among individuals who work and have scarce time for shopping. In connection with that, Tesco may preserve its competitiveness by offering more interactive tools to users, such as online pre-order of goods or online ordering of delivery. A mobile shopping application may also manifest Tesco’s embrace of the current technological trends and renew popularity among some categories of consumers losing their interest in physical shopping in favor of mobile and online options. More free time? Better grade? Click on this button nowOrder Now Environmental factors determine the customers’ attitude to the company as eco-friendly and environmentally sustainable, which determines the demand for its products and its reputation (Dooley Dransfield, 2006). In this regard, Tesco follows an explicit environmental strategy including control over greenhouse gas emissions, striving to zero net deforestation by 2020, sustainable sourcing of seafood, and focusing on the sustainable agricultural supply chains. Tesco also boasts next to zero discharge of hazardous chemicals and active involvement into reuse and recycling initiatives (Tesco, 2017). The legal environment of a business relates to the new and existing laws in the country of business’s operation and ways in which they affect company’s functioning (Harrison, 2013). In the legal domain, Tesco’s main concern is about monopoly and competition laws, which is the primary basis of its competitive advantage and survival in the increasingly competitive market. After the crisis, many small businesses have experienced problems with retail market entry, but Tesco should still monitor the situation to maintain a competitive edge and popularity among consumers.

China s Effect On The Global Economy - 1285 Words

RaghuRam Prasad Ms. Wienkes English 9 Accelerated 7 April 2016 China s Effect on the Global Economy Over the last two decades, what was once a developing country has grown into the economic superpower that is China. China passed Japan to become the world’s second-biggest economy in terms of GDP in the second quarter of 2010 and was said to be on track to surpass the United States in 2027, with an annual GDP of $14 trillion (Bloomberg). Since China became a larger and more influential country, it is now important to realize that the global economy depends heavily on China’s actions. Their exports have lowered consumer prices across the board, and their imports have impacted commodity prices. However, in recent times, China’s economy has†¦show more content†¦Plus, trade makes up 10% of Chile’s economy. If China’s economy suddenly slows down or even falls, countries like Chile are going to be hit very hard. Direct trading partners with China aren’t the only ones that will be hit, however. Individual companies like John Deere are also affected. Almost 40% of John Deere’s sales are overseas. They have reported that their sales in South America have gone down. Coincidentally, some countries in South America have China as their main trading partner. If those countries cannot export their goods, they cannot make money. Without money, they can’t import goods from other countries. In the end, John Deere cannot sell their equipment to Chile since Chile can’t sell their goods to China. This is called a domino effect. Another example would be the Standard and Poor (SP) 500 index. Even though only 2% of SP 500 revenues come from China, 44% of SP 500 revenues come from outside the US in total. Those revenues come from other countries who have a larger trade relationship with China. If they can’t trade with China, then those countries can’t pump money into the SP 500, ultimately causing an effect in the United States (Gillespie). For China to be a major exporter, they have to obtain vast amounts of materials to produce those goods. In fact, China is one of the biggest importers of both goods and commercial services. If China’s economy starts to slide, they can’t import as much goods and services. Many

Top Cima - Analysis of YJ - 1443 Words

centercenterTO From Date review of issues facing YJ 8820090900TO From Date review of issues facing YJ ANALYSIS The potential 12 fields could be considered as question marks. If these 12 turn out to be unsuccessful then it will be a dog amp; a decision has to be taken whether to kill or not. Current 3 fields are cash cows. Potential fields with good reserves can be stars. This is a highly capital intensive industry amp; it is normal to have a high debt to equity ratio. At the time the loan was taken in 2008, it was the time of the sub-prime crisis or the credit crunch. At this time no one was willing to lend. 11% of interest rate is high amp; this may be due to the risk of lending was high at that moment. YJ could consider in taking†¦show more content†¦However COS is likely to include several amortized costs. In this case payables are also not necessarily associated with COS. Payables maybe linked to new investment activities (surveying, licencing, test drilling etc†¦) Although the gearing is high the company may be able to borrow depending on availability of proven licenced oil reserves. Future cash flows maybe collaterized for new borrowings.(securitization) Due to the residual dividend policy all the profits have been re-invested. With the new CEO’S strategy it is unlikely there will be any dividends in the foreseeable future also. Upto now YJ has completely used up its tax losses. Going forward full tax at 24% has to be paid. Potential issues YJ may have with outsourcers is Control – HSE issues with regard to their companies. Timing – Availability of suppliers at the time YJ requires. Delays Major accidents. Bad employment conditions. Negotiation issues – pricing. Potential issues with new CEO’S strategy for faster growth. Lack of funds Staff – only 200 Finding outsourcers Licencing Work pressure, stress amp; dissatisfied employees. Bribes Conflict with shareholders-companies risk profile will change.(even CFO might object) Challenges to sustainability – Because operations going at a faster rate. (HSE issues). With the availability of alternatives such as shale gas, gas prices could come down. In such a case revenue for YJ could drop. Jason speaking to Oliver regarding bribes. Why former ceo Maybe

Skin and Foot Assessment of a diabetic mellitus patient Free Essays

string(34) " give a falsely high measurement\." Introduction In this article, we will discuss a case scenario related to diabetic mellitus patient. After understanding the case, we will state what is our main concern in this scenario and why will we focus on this aspect rather other aspect. Also we will introduce some tools to do an assessment in order to predict the outcome. We will write a custom essay sample on Skin and Foot Assessment of a diabetic mellitus patient or any similar topic only for you Order Now If we understand the possible outcome, we may anticipate the outcome of this patient and understand the possible worse situation too. In this scenario, foot assessment will be focused on. Case scenario Ms Wong, 47 years old woman who was a housewife, arrived at hospital due to get dizzy, fatigue and fall in the floor at home with little bleeding. After she arrived at emergency department, nurse discovered she got a wound in the left heel but she didn’t feel pain, nurses suspected she got the wound during she fell in the floor. Her vital sign was normal; body temperature was37.5C, pulse 70/min, blood pressure 126/80 mmHg, respiration 18/min. After having a blood glucose test, we knew that she was suffering from hypoglycemia and her blood glucose index was 2 mmol/d. As nurse provided glucose water and wound dressing to her, she recovered and transferred to ward for continuing observation. Her past history was that she was suffering diabetic mellitus for 7 years and having regular oral diabetic mellitus medication without daily blood glucose test by herself and her BMI was over 25, she was overweighed. Her parents had diabetic mellitus too but they passed away. After tackling her emergency problem which is lower blood glucose level, we will focus on the further investigation in order to find out the reason why she don’t get any feeling of her wound as well as to investigate how the sensation change and what is the possible outcome so as to give some recommendations to her and prevent the serious consequences. As early detection and treatment of diabetic foot complication could reduce the prevalence of negative outcome. (Prakash, 2011) In the following part, we will focus on the foot assessment. For foot assessment Foot assessments include the following aspects such as demographics, musculoskeletal system, neurologic system, peripheral vascular system and skin. Assessments will though inspection, palpation, sensation and using tools so as to obtain the result. For demographics To obtain data from interview, it includes regarding type of diabetes, gender, any smoking habit, presence of hypertension, retinopathy, nephropathy and suitability of footwear. (Thompson, Nester, Stuart Wiles, 2004) For musculoskeletal system Assessment includes postures, gait, strength, flexibility, endurance and range of motion. It includes evaluation for any deformity because imbalance of foot muscles frequently. (Khanolkar, Bain Stephens, 2008) Other muscles problems like claw toes, hammer toes, heel spurs, calluses, cracks and corns. (Chan, Yeung, Chow, Ko, Cockram Chan, 2005) The website shows how to have the musculoskeletal assessment to the patient. (BJSM, 2008) Inspection and palpation can be applied into this assessment, note the size and contour of the joint which is including knee and ankle, inspect the skin and tissue of the foot for color, swelling and any masses, any lesion or deformity, pay attention of the skin integrity. Palpation is including skin for temperature, muscles, bony articulations and area of joint capsule, notice any heat, tenderness, swelling. The most important is to palpate radial and brachial pulse. If the peripheral pulse is weak, we need to have a further assessment. Neurologic system Assessment should include asking neuropathic symptoms such as burning, tingling, numbness and nocturnal leg pains. Assessment related to sensory assessment, pressure assessment, and vibration sensation too. For sensation Pinprick sensation test is used to test pain. Lightly apply the sharp point or dull end to the foot skin randomly, unpredictable order and ask the patient to say sharp or dull depending on the sensation felt. If the result of pinprick sensation test is abnormal, temperature sensation test will be applied. Fill two test tubes, one with hot water and one with cold water and apply the bottom ends to the patient’s skin randomly and ask them to say which temperature is felt. Another method to test sensation is light touch. Apply a wisp of cotton to the skin, stretch a cotton ball to make a long end and brush it over the skin in a random order and irregular intervals and ask the patient to say yes when touch is felt. (Jarvis, 2004) Pressure sensation is usually assessed by using the10gnylon Semmes-Weinstein monofilament. (Khanolkar, Bain Stephens, 2008) For vibration Tuning fork can be used to test vibrations over bony prominences. Strike the tuning fork on the heel of your hand and hold the base on a bony surface of the fingers and great toe and ask the patient to indicate when the vibration starts and stops. If no vibrations are felt, move proximally and test ulnar processes and ankles, patellae. Also compare the vibration of both sides. (Jarvis, 2004) For peripheral vascular system The Doppler ultrasonic stethoscope is a device to detect a weak peripheral pulse and to measure a low blood pressure or blood pressure in a lower extremity. The Doppler stethoscope magnifies pulsatile sounds from the heart and blood vessels. Place a drop of coupling gel on the end of the handheld transducer. Place the transducer over a pulse site, swiveled at a 45-degree angle. Apply very light pressure and locate the pulse site by the swishing, whooshing sound. (Jarvis, 2004) Nurses should apply both Doppler ultrasonic stethoscope and ankle-brachial index. The Ankle-brachial Index is to apply a regular arm blood pressure cuff above the ankle and determine the systolic pressure in either the posterior tibial or dorsalis pedis artery. Then divide that figure by the systolic pressure of the brachial artery. The normal ankle pressure is slightly greater than or equal to the brachial pressure. However, the ankle-brachial index may be less reliable because of calcification which makes their arteries non-compressible and may give a falsely high measurement. You read "Skin and Foot Assessment of a diabetic mellitus patient" in category "Essay examples" (Jarvis, 2004) Skin assessment If patient have wound or skin impair, nurses should do wound assessment to record the size and the characteristic such as redness, edema, pain and heat. It is used to follow the wound healing progress. If necessary, nurses may have a bacteria test to confirm either the wound have microbe or not. (Worley, 2006) The outcome of having foot assessment The assessment findings can be used to indicate or predict the problems of their diabetic foot. The most positive outcome is no diagnostic findings. It is including integrated skin with normal sensation. However, other possible findings are neuropathy, ischemia, ulceration, infection and necrosis. The most serious alive consequence is amputation. Outcome of musculoskeletal syste The possible finding of musculoskeletal system is foot deformity. Deformity should be recognized early and accommodated in properly fitting shoes before ulceration occurs. If nurses assess the footwear, the chance of foot deformity will be reduced. Deformities include the Charcot foot which refers to bone and joint destruction that occurs in the neuropathic foot. Early diagnosis is important to prevent severe deformity. The foot presents with unilateral erythema, warmth and edema. (Edmonds, 2008) Outcome of neurologic assessment The outcome of neurologic assessment is either absent of sensory neuropathy or not. If patient loss of sensory neuropathy, they cannot sense pain or pressure and has a lack of identity with their feet. Also, motor neuropathy where muscular loss results in the clawed toes, high arch, foot drop and an absent ankle reflex. Due to absence of sweat and sebum production of autonomic neuropathy, the skin is dry and inelastic. In addition, pressure sensation test can be further confirmed their pain sensation is true or not. If patient can feel the pressure from the filament, the protective pain sensation is present. It is important to avoid areas of callus when carrying out this procedure as applying the filament to a plaque of callus may lead to a false diagnosis of neuropathy being recorded. (American Diabetes Association, 2010) Outcome of peripheral vascular assessment The outcome of Doppler ultrasonic stethoscope is to indicate the presence of peripheral vascular disease though listen the pulse qualities. The normal range of ankle-brachial index is 1.0 to 1.2. If the ankle-brachial index is of 90% or less, it indicates the presence of peripheral vascular disease. If the index is 0.9 to 0.7, it indicates a mild claudication, 0.7 to 0.4 indicates moderate to severe claudication, and 0.4-0.3 indicates severe claudication usually with rest pain except in the presence of diabetic neuropathy. The most serious outcome of this assessment is the index less than 0.3; it is diagnosing ischemia with impending loss of tissue. (Jarvis, 2004) Ischemia or peripheral arterial occlusive disease is the possible outcome too. It eventually will reduce in arterial perfusion severely and result in vascular compromise of the skin, often precipitated by a major trauma. Also ischemia is always associated with neuropathy. (Wilson, 2003) Infection process is the main reason for major amputation following ulceration. It can complicate the neuropathic and the neuro-ischemia foot ulcer. As infection originate from skin trauma or ulceration, often spreading to soft tissue then bone. Associated with neuropathy or ischemia, mean infection is often missed because of an absence of pain or loss of ability to mount an inflammatory response. Also there is no increase in temperature, white blood cell count and C – reactive protein. (Wilson, 2003) Outcome of skin assessment The most positive skin assessment outcome is integrated skin and no wound. However, if diabetic patient have wound, healing is usually protracted. It is because patients with neuropathy continually traumatize their foot wounds by walking freely upon them. It is difficult to tell patient to take rest when they don’t feel pain during walking. Also patients with ischemia cannot mount an adequate inflammatory response to fight infection and achieve healing. Another reason is related to the healing process. Macrophages and neutrophils are important agents in wound healing, particularly at the inflammatory stage which is fundamental to all ensuing stages. However, the above function of diabetic is impaired. Thus the wound will hard to heal. If the wound decay, it will become foot ulceration. (Bentley Foster, 2007) Necrosis is a grave implication that diagnosis necrotic foot, threatening the loss of the lumbs, and is caused by infection or ischemia or both. It is classified as either wet or dry, each with its specific management. If it is in the neuropathic foot, necrosis is invariably wet initially and is nearly always due to a septic arteritis secondary to soft tissue infection complicating a digital or metatarsal ulcer. The arterial lumen is often occluded by a septic thrombus. Both wet and dry necrosis can occur in the neuroischemic foot. The common cause of a black toe is again septic arteritis, exacerbated by large vessel disease in the leg. Dry necrosis can also develop in the neuroischemic foot and is secondary to a severe reduction in arterial perfusion. (Edmonds, 2008) For Amputation The combined impact of neuropathy, ischemia and infection are so great that is amputation. It is preceded by foot ulceration and infection. It is because diabetic related to an artery disease which reduces blood flow to the feet. If the blood flow reduces, the healing process will be slowly. Even with preventative care and prompt treatment of infection and complications, there are instances when amputation is necessary to remove infected tissue in order to save a limb or even save a life. (Wilson, 2003) If missing the above assessment, nurses cannot diagnosis the problem of this patient. The most serious consequence will be happened. Conclusion Diabetic foot assessment indicates lots of different outcomes. Patient with diabetic should not look down upon their wound; it will be have a serious consequence which is amputation. In order to have a quality of life, an impaired skin’ diabetic patient must need the further foot assessment so as to prevent the negative outcome. Reference American Diabetes Association. (2010). Foot Complications. Retrieved Mar 23, 2011, from http:// www.diabetes.org/living-with-diabetes/complications/foot- complications.html Bentley, J., Foster, Ali. (2007). Multidisciplinary management of the diabetic foot ulcer. Wound Care, S6, S8, S10, S12. BJSM. (2008). Knee Exam (5 of 27): Neurovascular evaluation: supine. Retrieved Mar 23, 2011, from http://www.youtube.com/user/BJSMVideos#p/u/38/xe W7dwcBZCI Chan, C. N. J., Yeung, T. F. V., Chow, C. C., Ko, T. C. G., Cockram, C. S., Chan, N. N. (2005). A manual for management of diabetes mellitus a Hong Kong Chinese perspective (revised ed.). Hong Kong: TheChineseUniversity ofHong Kong. Edmonds, M. (2008). A natural history and framework for managing diabetic foot ulcers. British Journal of Nursing, 17(11), S20, S22, S24, S25-S29. Jarvis, C. (2004). Physical Examination Health Assessment (4th ed.).Philadelphia:Elsevier Khanolkar, M. P., Bain, S. C., Stephens, J. W. (2008). The diabetic foot. Q J Med, 101, 685-695. Prakash, S. (2011). Early Screening to Cure from Type 2 Diabetes. Retrieved March 23, 2011, from http://topnews.us/content/237118-early-screening-cure-type-2 -diabetes Thompson, L., Nester, C., Stuart, L., Wiles, P. (2004). Interclinician variation in diabetes foot assessment- a national lottery?. Diabetic Medicine, 22, 196-199. Wilson, D. J. (2003). Amputation and the diabetic foot: learning from a case study. Wound Care, S18, S20, S22, S24. Worley, C. A. (2006). Neuropathic Ulcers: Diabetes and Wounds, PartI.Etiology and Assessment. Dermatology Nursing, 18(1), 52-53. How to cite Skin and Foot Assessment of a diabetic mellitus patient, Essay examples

Emerging Technologies and Innovation (Information Technology)

Question: Discuss about the Emerging Technologies and Innovation (Information Technology). Answer: Introduction: The interaction of the individuals over the social networking sites is on continuous increase. The people are more or less always connected with the help of the social networking sites. These social networking sites are used by the individuals for various purposes, either for the business purpose or for the purpose of communicating with other individuals over the personal matters. The users today are enjoying the facilities of remaining in contact with each other at any point of time and even if they reside at any place. For the people in the earlier days it had been a wonder to stay in touch with each other when they are residing in different countries or territories. The innovations and the new inventions made by the emerging science and technology led to the emergence of the software and the related sites that started making the connections among the individuals for various purposes much more smooth and easy that can be done within a few seconds (Feng et al. 2014). The social networking sites such as Twitter, Facebook , Flickr, MySpace, and other messaging sites such as the mobile messengers that can be used through the mobile networks are gaining more and more popularity among the Internet users (Cheminod et al. 2013). The Internet users are very much engaged in utilizing the advantages of such networking media. The sharing of the data has now turned to be a broad application and one of the essential parts of everyday life. People nowadays or rather in todays digital world cannot think of leading their lives without the presence of such social networking sites, at every stance, or rather at every moment they are in need of remaining connected or on line via the medium of such data. The popularity and increasing usage of the data sharing allow the real time communication among the users, they allow instant messaging as well as internet calling among the users even though they reside at different locations. The users of the OSN or the online soc ial networking sites, such as Facebook, Twitter, Instagram, MySpace are able to share the required information or data very easily. These social networking sites provide the spaces to the people through which they can easily carry connect with the people who are unknown to them and can develop new contacts. However, this act of enjoying the anonymous communication or sharing the data privately can lead to various disadvantages. There always remains a risk of the data getting hacked by the internet hackers or when such data will be exploited for the adversarial actions, as for instance when the individuals make an access to the private network without any legal permission and share the data in an illegal manner by the means of profiling the owner of the data whose private information is breached by such adverse action(Galliers Leidner, 2014). The digital world today has given rise to many advantages and the people can receive many valuable data regarding a plethora of aspects, people nowadays hardly need to wonder or rack their brains for searching any meaning or any information. The presence of Internet and all the kinds of informative software applications have made it quite possible. However, the use of the online social networking sites for the purpose of communicating with the help of the messengers in Facebook, chats, hangouts, MySpace, Twitter and many other applications or networking sites, have brought to the forefront many privacy issues as these networking sites always remain susceptible to diverse risks such as the leakage of information, corruption of data and also the breach of privacy (Li et al.2012). The information, thus, which is shared by the individuals engaged personally and the data shared by the corporate sectors for the need to be kept safe and secured from being illegally exploited. The corporate business sectors possess a great necessity of preserving their information related to the business interests. Therefore, the organizations save their critical information with the help of the International Standard known as the Information Security Management system (ISMS), thereby preserving the vital data from security discloses. An ISMS is the security system that uses the ISO standards in order to protect the privacy and confidentiality of the critical information (Hill et al. 2014). Significance of the study: The major purpose or the importance of this in depth study is to acquire the required information from the studies made earlier regarding the similar topic and to integrate the similar information acquired with that of the opinions that he himself possess and thus, in the process, make the readers understand and get knowledge about various aspects of the online social networking sites and the issues related to the maintenance of privacy of the communication that is conducted with the help of the means of such social networking sites. The report has attempted to undertake an in-depth study of the Industrial Control Systems (ICS) that is used for protecting the safety of the information related to the public infrastructures that is very vital for the country. The researcher thus gives information about all the security measures and standards that can be adopted and are usually adopted by the companies both the private and public sectors in order to secure the privacy of the information and most important data (Hahn et al. 2013). Specific aims of the Report: ISMS can easily protect the information and retain the privacy of certain matters; however it is not taken to be much suitable for the purpose of tackling the critical information. Although ISO 27001 marks the infrastructure of the ISMS, and it can save the privacy of the general information systems and can be implemented easily, it cannot provide the safety that is needed by the infrastructure owners of IC, who therefore actually follow the safety standards of IEC 61508 and IEC 61511. Therefore, as a result, for the maintenance of the confidentiality, availability, security and privacy of the entire information systems or the ICS a new Information Security Management System is required to be developed (Lees 2012). Therefore, the purpose of this report is to identify a new model SNSM for anonymous communication schemes in social network Security model after studying the standards such as the ISO, NIST SP 800-53s and the IEC 61511 standards. Thus, the researcher in this pursuit will deal with the following aims that would help in conducting the study or the research: To identify the importance characteristics of the anonymous communication schemes in the social network To find out the processes by which the security and privacy are working in the anonymous communication schemes in the social network To study and identify the security control or requirements of three international standards, namely, IEC 61511, NIST SP 800-53s and ISO Thus, the researcher would try to deal with the above aims and conduct the study in order to know the probabilities of designing a new system of Information or a new model that can help in the preservation of the data sharing (Wirth et al. 2016). Issues (Problem Statement): In this very section the researcher will provide the readers an in-depth study about the feature of the communication systems, the modes of data sharing and several other aspects regarding the importance of security in the communication systems. Through the collection of information about different aspects related to the topic from the secondary data sources the report would make the readers aware of each aspect through a profound and thorough study of the issues (Chretien Kind, 2013). The issues that usually arise are regarding the exposure of the identities of the users who may not like to get their real identities revealed, however, by default some of the social networking sites or websites may require the users to reveal their true identities for the sake of creating their profiles in those online social networking sites. Such privacy issues affect largely the perspectives of various users to use those sites for conducting certain important communication or work. Thus, two major issues can be identified based on this present scenario of privacy concerns. These two issues entail the identity of the users and the anonymity of the users. The users after revealing their true or real identities in the social networking websites get an exposure and their profiles or the accounts formed in such sites become known by other users too. Now, often it may happen that the hackers or the attackers of the privacy of the profiles with help of search engines try to index the ac counts of certain users if they are the users of a common social networking site. This in turn enables the hacker of the accounts to find the information about the victims or the users with the help of the search results, and thereby expose the anonymity of the users of such social networking websites or applications. There are other ways too which can be used by the attackers, namely the Neighborhood Attack and De-Anonymization attack, for the purpose of accessing the privacy of the profiles of certain users (Rock et al. 2013). Literature Review: This section would deal with an in depth study related to the International standards that are adopted by the business organizations in order to protect the breach of the private and vital communication. Through this section the readers will become aware about the importance of such international standards that are implemented by the companies as well as the significance of safeguarding the security of such information that takes place among various organizations and among the individuals regarding the personal issues. With the help of the secondary data sources this report will try to answer and deal with the identification of the features of the anonymous schemes, the incorporation and the issues related to such incorporation of the ISO, NIST and IEC and the explanation of their models finally would also inform about the solutions to such issues that can ensure the permanent safety of the social networking sites from the online hackers. The researcher in this section of the report would make a combined study by taking in consideration the studies conducted by previously by other researchers and also by integrating with it the researchers own views (Litt, 2013). Introduction and Application of the International Standards (ISO 27001, NIST SP 800-53, IEC 61511) and the issues related to them: (Model Explanations) ISO 27001: These international standards form the basis for the management of the security of the professional or corporate data as well as they are capable for safeguarding the personal information. ISO is one such International standard.ISO is the International standard that can be termed as the determination for the security of the data in the administration framework. This standard has proved to be very useful in protecting the information or the privacy of the organizations and thereby it can be termed as the information security management system of the organizations. This security management system had replaced the BS 7799 part 2. Although this standard has proved to be very useful for the business organizations, it cannot be used by the organizations for the authorization of the particular information and security controls, the reason is that wide ranges of organizations use this international standard. This standard enables the organizations to preserve the privacy of the assets, such as the financial data, details of the users as well as the details of the third parties. The certification to the ISO is possible for the organizations as per the set standards of the security management, but it is not mandatory (Kass-Hout Alhinnawi, 2013). NIST SP 800-53: NIST or National Institute of Standards and Technology is one such international standard that forms one of the parts of the particular publication series that is the 800 series; it helps in dealing with the programs in the risk management series or framework that deal with the security control. This international standard helps in providing the U.S. federal information systems a catalog of security controls. This standard aid the federal agencies in the incorporation of the Federal Information Security Management Act of 2002, so that the companies or the federal organizations can manage the cost effective programs in order to preserve or save their information systems and the data sharing that is done for conducting the communication with other parties. The special publication of NIS that is known as the Guide for Assessing Security Controls in Federal Information Systems and Organizations enable the evaluation of certain security control measure in order to identify what will be th e correct modes of the security controls. This is undertaken for the sake of protecting the privacy of the information of the families, individuals and other organizations and the nation. NIST is also known as the NIST special publication, which deals with the assortment of some of the fundamental set of baseline security controls that are used to recommend the security control measures for the federal information systems and organizations (Vyrynen et al. 2013). The fourth version of the NIST had taken a more holistic and different approach by hardening the systems with the help of applying the new forms of architecture in order to safeguard the information systems from the cyber attacks. It has been observed by many that the NIST is more concerned with the check box compliance rather than the actual security (Wirth et al. 2016). Many issues have reported against the security control measures of the NIST SP 800-53 or more probably the revised version 4. It has been observed that this version of the NIST is making the companies too much contended regarding the security of their information systems. It has been also reported that the mechanisms used by the NIST are not that much new and are rather obsolete, and therefore very less time is spent in solving the issues regarding the security control. Many companies even after the incorporation of the NIST SP are not that much safe as they are still vulnerable and are on the verge of being attacked by the cyber attack (Vyrynen et al. 2013). IEC 61511: IEC 61511 is another technical international standard that has been applied by many organizations for the preservation of the information related to the instrumentation of the firm. The firm incorporates IEC 61511 in order to protect the engineering systems of the companies and the information related to them. This international standard adapted by the organizations in order to analyze the probable risks and in order to ensure the certification of the SIS or Safety Instrumented Systems. This is for increasing the security controls among the users of the online social networking sites. The companies those adapt the IEC 61511 for the protection of the information or more precisely for the reduction of the risks undertake the Certification of Compliance with the IEC 61511, because this is very much important for the Process Industry Segment. The companies for the reduction of the risks use this particular technical standard, the risk reduction is set as the major priority by the IEC 615 11. Many critics or scholars such as Rahman and others have opined that for the purpose of the reduction of the risks there should be a graph in the facebook in order to design and assure a photo-based authentication that will preserve the privacy of the users by reducing the risks. Some other critics or researchers like Zhou have proposed that for the sake of maintaining smooth communication throughout the indirect social relationships via the media of the online social networking sites, there should be the introduction of the holographic encryption. This will also allow the free access of the resources throughout such indirect social relationships; however, there need to be exclusive information about the third party who is the owner of the resources (Jkl Berki, 2014). IEC61511 is very much useful in assuring the companies regarding the provision of the safety functions, reduction of the risks at every step and thereby the protecting the information systems of the organizations and management of the functional safety through the proper evaluation of the risks (Schumacher et al. 2013). However, there are some of the issues that challenge the proper execution of the IEC 61511 in the organizations. One of those issues is that IEC is that the there remains many steps in the process of the implementation of the IEC 61511, which make the entire process lengthy, that is the SIS design cycle becomes lengthy. Therefore, it requires very well planning and proper scheduling of the entire methodology of the application of IEC 61511, so that the SIS design cycle can be well managed to rescue it from the involvement into more critical dimensions (Jkl Berki 2014). Need for an advanced approach for securing anonymous communication scheme for social networking: Importance of Security in Anonymous communication scheme in social networking: In accordance with the opinions of the critics namely Danezis and Mittal, the use of layered encryption is very much needed for receiving the full control over the members of the online social networking sites, such as the facebook, MySpace and Twitter, etc. This is because the encrypted keys will be able to utilize to encode the information of the manager or the actual owner of the data. This will in turn ensure that the other users or the members of the online social networking sites are not able to get an access to the data and thereby the privacy or the safety of the data is conformed. It has been observed that among all other social networking sites, it is Face book that has the provisions for safeguarding or rather encrypting the real data by the process of filtering the whole of the URL that is able to connect the users to the website that is peripheral. Many critics or researchers have stated that Face book is able to provide warning to the users when they are on the verge of clicking on any website that is completely a fraudulent one. If the users are not warned about the fraudulence that is carried out by the hackers of the profiles and the information contained in the accounts or the profiles of the victims, the users will be always at loss and they may continue using the unknown websites, thereby falling victims to the traps of those hackers. The users of the face book may not remain aware of such fraudulence messages or the websites and therefore in such a case the user can compress the continue button or can click on the cancel button. Therefore, the concept or the aspect of the security is applicable to both the anonymity and the security of the data sharing through the online social networking sites (Hill et al. 2014). Significance of the Privacy in Anonymous Communication Scheme in the Social Networking: The owner of the data should be very much aware of the need to preserve the privacy of the data and therefore the owner of the data should undertake the execution of the privacy preservation configuration whenever there is a need to share the personal data (Bennett et al. 2015). Thus, the privacy preservation scheme by the medium of the well-managed revocation of the online social networks is the major concern of todays digital world. The privacy of the data of an OSN user is the liability of the user or the owner himself. The owner of the data possesses the exact control over the pictures, videos, and other copyrighted materials and the owner of the data is himself or herself responsible for the revelation of the information that is contained in his or her profile (Li, 2014). It is usually presumed that the information contained in the profile of a particular user is private and safe with the owner in case of Face book or Twitter or any other such online sites. However, in reality t he other members of the group who are there in the contact list of the owner are aware of the personal details of each other. The OSN applications such as the Facebook and the Twitter are not at all the anonymous online applications because these are such applications that require the users to reveal the identity of the users while signing in and opening their profiles. Thus, it is quite visible and evident that the privacy that is assumed to be maintained by the users regarding their profiles are actually show or reveal the information or the identity of the users through the means of the photos or the video that are uploaded by the users (Knapp Langill, 2014). Value or the Significance of the safety in the Anonymous Communication Scheme in Social networking: There is a tremendous need for the safety of the anonymous communication as such communication and the data related to such communication suffer positive or the passive and active attacks in the ad-hoc network routes (Feng et al. 2014). In case of the passive attacks, the intruder is not able to adapt the message stream and thereby the invader cannot perform any such function, this makes the invader incapable of making disrupting the function of the routing protocol (Roman et al.2013). Therefore, theses are attacks are the passive attacks. On the other hand, the attacks become active when the flow of the data is prevented as well as degraded. The active attacks delete the data as well as modify the data. In accordance with the critics and the researchers like Pishva and Hoang, besides these active and passive attacks, there are also the intersection attacks as well as the predecessor attacks and time attacks (Roman et al. 2013). Solution to the issues: The issues that have been identified with regard to the communication and sharing of the data among the users of the online social networking sites as well as the issues or the problems that cause hindrances during the installation or application of the International standards by te companies also have certain solutions. The solutions can be the following: Anonymity via Virtual Private Network (VPN) - This is the higher mode of the security control that helps in solving the problem of the proxy (Valente, 2012). The usage of the Virtual Private Network enables the encryption of the information or the data sent from the PC of the clients and then the information is again sent to the server of the VPN through the VPN tunnel that remains secured (Guerrero et al. 2013). The major strength of the Virtual Private Network is that the information packets that are sent from the source or the Pc of the clients remain encrypted and then are decoded after reaching the servers through the VPN tunnel. The hackers will try to retrieve the privacy of the data shared between the source clients and the servers and this will be done through the decrypting of the message after hacking the security key of the VNP (Knapp Langill, 2014). Preservation of the anonymity by the use of TOR (The Onion Router)- Here comes the another method that would help in the protection of the privacy of the data that is shared among the individuals for the sake personal matters and among the business organizations. This can be presumed to be one of the best modes as it helps in the transmission of the fully unique and safe encrypted information to the destination clients. This is because the messages that are transferred or that originate from the source client have to undergo or pass through a number of assessment procedures. The methodology of TOR is a very complex internal working mechanism. It helps to trace the activity of the users very easily (Galliers, Leidner, 2014). Although it may seem to be a complicated process, this is a good one as it makes the utilization of the cryptography and various layers of encryption. When the data is transmitted from the source to the destination clients, the information in this method is required to pass through various hubs, where the data is scrambled, de-encode and re-encoded with the help of the open key or the codes of the hubs. Thus, in each of the hub, the message that is under transmission will have to pass through the decoding of the encryption for the revelation of the next layer of the encryption, in accordance with the rules of the methodology of TOR (Lees, 2012). The entire process, thus, leads to the formation of the Onion Ring as the name itself suggests. As and when the information or the messages enter the last hub, the data need to pass through a final decryption of the encryption and finally the unique data gets delivered to the destination where it needs to reach without the breach of its privacy (Knapp Langill 2014). Therefore, the incorporation and adaptation of the TOR will be the most suitable means for the protecting the entire process of anonymous communication that is being carried through the online social networking sites (OSN) and thereby the safeguarding the privacy of the data sharing through decryption and encryption processes (De Coster McEwen, 2015). 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