Friday, May 22, 2020
The word genre has different meaning to different people. Lealand and Martin (2001) explain how Ã¢â¬Å"the television industry uses the term to categories and identify the various parts of its programming mix. The audiences use it to identify and choose their viewing preferencesÃ¢â¬ (p. 59). The Graham Norton Show comes under the genre of a celebrity talk show, but holds its own comedic spin. Norton creates uniqueness to the show through the way he cracks jokes and interacts with his audience and guests. The show begins with a witty introductory monologue of who will be on the show, then moves into the classic couch interviews, and finishes with a celebrity music performance, conventions that all fit with the talk show genre (Miller, Boddy Shattuc, 2008). The show focuses largely on the guests and their lives, along with promoting what they are currently involved in, relating it back to the purpose of the talk show genre (Miller, Boddy Shattuc, 2008). A subcategory of this gen re is a late night celebrity talk show, which The Graham Norton Show can also come under. According to Timberg, Bernard and Robert (2010), Ã¢â¬Å"the late night version is based on congenial, playful encounters between guests and the host, who is more often then not a singer or comedianÃ¢â¬ (p. 7). This subcategory became popular on television in the 1950s, and increased in popularity thanks to shows such as The Tonight Show (Timberg, Bernard and Robert, 2010). Since then they have become a lighter form ofShow MoreRelatedSolution Manual, Test Bank and Instructor Manuals34836 Words Ã |Ã 140 PagesLane Keller (TB) A Friendly Introduction to Numerical Analysis,Brian Bradie (ISM) A Guide to International Financial Reporting Standards, 3rd Edition_Belverd E. Needles, Marian Powers (SM+TB) A Guide to Modern Econometrics, 4th Edition_Marno Verbeek (SM) A History of Modern Psychology, 10th Edition _ Duane P. Schultz, Sydney Ellen Schultz ( IM+TB) A Microscale Approach to Organic Laboratory Techniques, 5th Edition _Donald L. Pavia, George S. Kriz, Gary M. Lampman, Randall G. Engel (IM) A PeopleRead MoreContemporary Issues in Management Accounting211377 Words Ã |Ã 846 Pagesproviding a voice of reason amidst all the consultancy excitement of seemingly new ways of costing the business world. He has played a similar role in the area of accounting standard setting, both taking forward the British tradition of the economic analysis of financial accounting and, of possibly greater significance, providing some very original analyses of the possibilities for meaningful accounting standardization. With an agenda as rich as this, it is all the more praiseworthy that Michael maintainedRead MoreWho Are You Calling Old? Negotiating Old Age Identity in the Elderly Consumption Ensemble Michelle Barnhart Ãâ¬Ã º Lisa Penaloza18943 Words Ã |Ã 76 PagesOther negative stereotypes include inÃ¯ ¬âexibility, lack of productivity, senility, frailty, lethargy, incompetence, and helplessness (Cardinali and Gordon 2002; Cuddy, Norton, and Fiske 2005). The entertainment industry ha s marginalized the elderly largely through omission. In 2003, fewer than 3% of Ã¯ ¬ ctional characters depicted on television were over age 65 (Vesperi 2004). It will be interesting to see whether the strong, charismatic characters played by Betty White in Hot in Cleveland and Clint EastwoodRead MoreCertified Accounting Technician Examination42724 Words Ã |Ã 171 Pages+ $1 (2 marks) 7 The following statements have been made about linear regression analysis: (i) (ii) (iii) (iv) It provides more accurate estimates than the high low technique. It can only be used to estimate variable cost It assumes that cost behaviour is linear. It only takes into account two observations of cost and output Which of the following statements about the use of linear regression analysis in cost estimation are true? A B C d (i) and (ii) (i) and (iii) (ii) and (iii) (iii) andRead MoreStrategic Human Resource Management View.Pdf Uploaded Successfully133347 Words Ã |Ã 534 PagesPrentice-Hall, Inc. A Pearson Education Company Upper Saddle River, New Jersey 07458 Compilation Copyright Ã © 2003 by Pearson Custom Publishing All rights reserved. This copyright covers material written expressly for this volume by the editor/s as well as the compilation itself. It does not cover the individual selections herein that first appeared elsewhere. ii Permission to reprint these has been obtained by Pearson Custom Publishing for this edition only. Further reproduction by anyRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words Ã |Ã 656 Pageslamentable. Taken together, the key themes and processes that have been selected as the focus for each of the eight essays provide a way to conceptualize the twentieth century as a coherent unit for teaching, as well as for written narrative and analysis. Though they do not exhaust the crucial strands of historical development that tie the century togetherÃ¢â¬âone could add, for example, nationalism and decolonizationÃ¢â¬âthey cover in depth the defining phenomena of that epoch, which, as the essays demonstrateRead MoreA Descriptive Study of the Practice of Music Therapy in Hong Kong17388 Words Ã |Ã 70 Pagestherapy, it later came to Asian countries like Japan and Taiwan. In the past decade, many Asian music therapists who were trained abroad returned to their homeland and practiced music therapy. Music therapy first came to my attention as I saw a television program about 2 music therapy in Hong Kong broadcasted in 1998. The way music helped children with autism, Down syndrome and physical disabilities amazed me a lot and inspired me to want to become a music therapist. therapists in HongRead MoreMarketing Mistakes and Successes175322 Words Ã |Ã 702 Pagesfollowing classification of cases by subject matter to be helpful. I thank those of you who made this and other suggestions. Classification of Cases by Major Marketing Topics Topics Most Relevant Cases Marketing Research and Consumer Analysis Coca-Cola, Disney, McDonaldÃ¢â¬â¢s, Google, Starbucks Product Starbucks, Nike, Coke/Pepsi, McDonaldÃ¢â¬â¢s, Maytag, Dell, Hewlett-Packard, Newell Rubbermaid, DaimlerChrysler, Kmart/Sears, Harley-Davidson, Boeing/Airbus, Merck, Boston Beer, Firestone/FordRead MoreOrganisational Theory230255 Words Ã |Ã 922 Pagesmanaging, organizing and reflecting on both formal and informal structures, and in this respect you will find this book timely, interesting and valuable. Peter Holdt Christensen, Associate Professor, Copenhagen Business School, Denmark McAuley et al.Ã¢â¬â¢s book is thought-provoking, witty and highly relevant for understanding contemporary organizational dilemmas. The book engages in an imaginative way with a wealth of organizational concepts and theories as well as provides insightful examples from theRead MoreVarian Solution153645 Words Ã |Ã 615 PagesEach ad in the business magazine will be read by 1,000 recent M.B.A.Ã¢â¬â¢s and 300 lawyers with hot tubs. Fact 3: Each ad in the consumer publication will be read by 300 recent M.B.A.Ã¢â¬â¢s and 250 lawyers who own hot tubs. Fact 4: Nobody reads more than one ad, and nobody who reads one magazine reads the other. (a) If Harry spends his entire a dvertising budget on the business publication, his ad will be read by 10,000 recent M.B.A.Ã¢â¬â¢s and by 3,000 lawyers with hot tubs. (b) If he spends his entire
Thursday, May 7, 2020
nbsp;nbsp;nbsp;nbsp;nbsp;Throughout Ã¢â¬Å"The Catcher in the RyeÃ¢â¬ , Holden Caufield longs for intimacy with other human beings. One of HoldenÃ¢â¬â¢s main problems is that he sees childhood as the ideal state of being. He thinks that all adults are phonies. nbsp;nbsp;nbsp;nbsp;nbsp;One of the first relationships that is mentioned in the story, is HoldenÃ¢â¬â¢s relationship with D.B., his brother. Throughout his childhood, it is obvious that Holden has idolized his older brother. Now that D.B. is a writer for Hollywood, Holden considers him a phony, and accuses him of prostituting himself by agreeing to work for the film industry. nbsp;nbsp;nbsp;nbsp;nbsp;Holden has a close relationship with his younger sister, Phobe. They are totalÃ¢â¬ ¦show more contentÃ¢â¬ ¦He fantasizes what their sex life could have been like, but he is not mature enough to actually have one. nbsp;nbsp;nbsp;nbsp;nbsp;This is shown when Holden meets Sunny, a prostitute at a hotel. He pays her, but sends her back without having sex with her. He feels depressed and sorry for her. The next morning Holden has a date with an old girlfriend, Sally Hayes. Here, Holden desperately wants to escape the phony, corrupt world, so he proclaims his love to her, and asks her to runaway with him. She tells him that he is crazy and leaves him. It is very clear that Holden is immature. One of the most obvious times that this is shown is when Holden is talking with Luce. Luce says, Ã¢â¬Å" Same old Caulfield. When are you gonna grow up?Ã¢â¬ (Salinger 144). At the time, they were talking about sex, and Holden acted very childish by frequently asking questions, and by becoming obnoxious. He even commented on how his own sex life is lousy. Luce then commented, Ã¢â¬Å" Naturally. Your mind is immature (Salinger 147). nbsp;nbsp;nbsp;nbsp;nbsp;Although Holden is extremely cynical and struggles with relationships, he is not all bad. Inside he is moral and generous. He was very charitable when he gave a considerable donation of twenty dollars to the nuns. Holden has a strange way of loving people. Many times throughout the book Holden starts having strong feelings for a particular person for no reason at all. It is very confusing forShow MoreRelatedCatcher in the Rye-Holdens Relationship with Women1530 Words Ã |Ã 7 PagesHoldenÃ¢â¬â¢s Relationship with Women The novel Ã¢â¬Å"The Catcher in the RyeÃ¢â¬ by J. D. Salinger is about a 17-year-old boy named Holden. Holden gets in a very bad condition after his younger brother Allie dies from Leukemia. He gets mentally ill and suffers from serious depression. Holden goes through tough times in which he has a lot of trouble finding friends and keeping good relationships. Relationship and sexuality are big motifs in the novel, which come up very often. Holden is always on the look forRead MoreEssay on Relationships with Holden in The Catcher in the Rye1954 Words Ã |Ã 8 PagesRelationships with Holden in The Catcher in the Rye Ã¢â¬ËThe Catcher in the RyeÃ¢â¬â¢ is written from a first person narrative to be able to convey to the reader Holdens thoughts and feelings and this makes his character seem more believable. Holden describes what he himself sees and experiences, providing his own commentary on the events and people he describes. It takes the form of, perhaps, a session with a psychoanalyst or a one sided conversation with the reader during which Holdens attitudesRead MoreCatcher in the Rye-Holdens Relationship with Women1517 Words Ã |Ã 7 PagesHoldenÃ¢â¬â¢s Relationship with Women The novel Ã¢â¬Å"The Catcher in the RyeÃ¢â¬ by J. D. Salinger is about a 17-year-old boy named Holden. Holden gets in a very bad condition after his younger brother Allie dies from Leukemia. He gets mentally ill and suffers from serious depression. Holden goes through tough times in which he has a lot of trouble finding friends and keeping good relationships. Relationship and sexuality are big motifs in the novel, which come up very often. Holden is always on the look forRead More salinger Essay843 Words Ã |Ã 4 Pagesthe Catcher in the Rye. Salinger is also known for many of his writings such as Franney and Zooey, Nine Stories, and Raise High the Roof Beam, Carpenters. The summer of 1930 he was voted Ã¢â¬Å"The Most Popular WriterÃ¢â¬ . Ã¢â¬Å"Salinger is a beautifully deft, professional who gives us a chance to catch quick, half-amused, half-frightened glimpses of ourselves and our contemporaries, as he confronts us with his brilliant mirror imagesÃ¢â¬ (Lomazoff 1). In th e novel, Catcher in the Rye, there is a relationship betweenRead MoreCharacter Analysis Of Holden Caulfield s The Catcher Of The Rye 1733 Words Ã |Ã 7 PagesD.G. In the novel The Catcher in the Rye by J.D. Salinger, Holden Caulfield is faced with multiple Ã¢â¬Å"phoniesÃ¢â¬ that divert him from those he really holds affection for. Throughout the novel Holden shows disgust for certain characters but his ability to build relationships of intimacy are most eminent. Through Allie Caulfield, Holden is able to make a more personal connection. Seeing as how he is now dead, Allie is a savior in the eyesÃ¢â¬â¢ of Holden when he is in the time of need. PhoebeRead More Comparing A Separate Peace and The Catcher in the Rye Essay example1500 Words Ã |Ã 6 PagesComparing A Separate Peace and The Catcher in the Rye The coming of age novels, The Catcher in the Rye, written by J.D. Salinger, and A Separate Peace, written by John Knowles, both interpret the lives of adolescent boys journeying through their conflicts and inner confusion to reach the level of maturity. Salinger and Knowles both discern the literal ways a typical teenager grows up with the help of literary elements such as plot, setting, character development, conflicts, irony, symobolismRead MoreCriticism Of Salinger s The Rye1382 Words Ã |Ã 6 PagesCRITICISM SalingerÃ¢â¬â¢s Catcher in the Rye has been into continuous dispute and controversy since its publication in 1951. Some critics think that Salinger s narrative of the human plight is engrossing and enlightening, yet incredibly depressing. The leading character, Holden Caulfield, serves as the basis for critical discussion due to his psychological conflict. Salinger s portrayal of Holden, which encloses incidents of dejection, nervous breakdown, impulsive spending, sexual exploration, andRead MoreCatcher in the Rye and Dead Poetry Society Compression Essay640 Words Ã |Ã 3 PagesCatcher In The Rye and Dead Poets Society Essay Sometimes in literature, two different forms of writing tell two different stories with lots of similarities through characters. The book The Catcher and The Rye by J.D Salinger and the movie The Dead Poets Society directed by Peter Weir is a perfect example of two different literary works that share similarities through characters. The Dead Poet Society follows half a school year of 5 main characters at Welton Academy each with a different connectionRead MoreCatcher in the Rye984 Words Ã |Ã 4 PagesENG 4U1 June 12, 2012 Catcher In The Rye Essay A role model can be can classified as one of many things, but what is it exactly that distinguishes a good one from a bad? The novel, The Catcher in the Rye, written by J.D Salinger is utilized to present the character Holden Caulfield as an unsuitable role model. Firstly, Holden relies on drugs for a way out of his problems instead of facing them. Also, he cannot find his place in the world, which arises, from his natural inclination to lie andRead MoreComparison and Contrast of a Separate Peace and Catcher in the Rye1515 Words Ã |Ã 7 PagesComparison and Contrast Essay A Separate Peace and The Catcher in the Rye The coming of age novels, The Catcher in the Rye, written by J.D. Salinger, and A Separate Peace, written by John Knowles, both interpret the lives of adolescent boys journeying through their conflicts and inner confusion to reach the level of maturity. Salinger and Knowles both discern the literal ways a typical teenager grows up with the help of literary elements such as plot, setting, character development, conflicts
Wednesday, May 6, 2020
string(235) " A larger figure of participants have been utilised in the survey by Louis and his co-workers Ã¢â¬Ë \( 2001 \) to determine the impact of indispensable shudder towards functional disablement by utilizing a disablement questionnaire\." Upper limb shudder is defined as the rhythmical, nonvoluntary agitating motion happening at any parts of the upper appendage such as shoulder, cubitus, carpus or fingers ( Deuschl et al. , 1998 ; Siresena, 2009 ) . The happening of shudder during task public presentation can be badly disenabling. We will write a custom essay sample on Study Into Upper Limb Tremor Health And Social Care Essay or any similar topic only for you Order Now Patients may hold important physical damage ( Feys et al. , 2003 ; Heroux et al. , 2006 ; Louis et al. , 2001 ) and a markedly decrease quality of life due to quake ( Louis A ; Rios, 2009 ; Nguyen et al. , 2007 ) . Burdening schemes are widely recommended to cut down shudder. Occupational therapy text edition ( Pedretti A ; Early, 2001 ; Radomski A ; Trombly, 2008 ) suggest the usage of leaden utensils and leaden carpus turnups to ease public presentation in day-to-day life undertakings. Leaden contraptions are besides commercially available for people with upper limb shudder regardless of their types. Despite the broad acknowledgment of burdening schemes to relieve shudder, there is presently no systematic grounds to back up the usage these schemes as effectual methods to cut down shudder. Therefore, the concern of this systematic reappraisal was to underscore the effects of burdening schemes on people with different types of upper limb shudder basically for occupational therapy service suppliers. CLASSIFICATIONS OF TREMOR Harmonizing to the Movement Disorder Society, shudder may attest in two different conditions ; remainder and action ( Deuschl et al. , 1998 ) . Tremor which occurs in a organic structure portion that is non supported against gravitation and non voluntarily activated is called remainder shudder while action shudder refers to any sort of shudder that is produced by voluntary contraction of musculuss looking during the public presentation of an activity ( Deuschl et al. , 1998 ; Jankovic A ; Fahn, 1980 ) . Action shudder which consists of postural shudder, kinetic shudder and isometric shudder ( Table 1 ) may besides look on both sides of the organic structure or one-sidedly. The visual aspect of shudder can be described by its frequence ; either it is low ( lt ; 4 Hz ) , medium ( 4-7 Hz ) or high ( gt ; 7 Hz ) . Table 1: Definitions of Action Tremor Postural shudder Tremor which is produced while keeping a place against gravitation. Kinetic shudder Tremor which occurs during any voluntary motion. 2.1 Simple kinetic shudder Kinetic shudder which occurs during voluntary motions that is non target-directed. 2.2 Intention shudder Kinetic shudder which occurs during visually guided motions where the amplitude of shudder additions towards the terminal of motion. 2.3 Task-specific shudder Kinetic shudder that appears during specific activities. Isometric shudder Tremor which occurs as a consequence of musculus contraction against a stiff stationary object. Tremor can besides be addressed diagnostically harmonizing to specific syndromes. Harmonizing to Deuschl et Al. ( 1998 ) , the syndromic categorization of shudder is the footing for farther probe and curative processs. Twelve classs have been suggested ; physiologic shudder, enhanced physiologic shudder syndrome, indispensable shudder syndromes, dystonic shudder syndromes, parkinsonian shudder syndromes, cerebellar shudder syndromes, Holmes Ã¢â¬Ë shudder, palatine shudder syndrome, drug-induced and toxic shudder syndromes, shudder syndromes in peripheral neuropathy, psychogenetic shudder and unclassified shudders ( Table 2 ) . Table 2: Syndromic categorization of shudder Physiologic shudder Tremor which is present in every normal topic and every articulation or musculus that is free to hover. Enhanced physiologic shudder syndrome Easy visibleness of shudder, chiefly postural and high frequence. No grounds of underlying neurologic disease ; the cause of shudder is normally reversible Essential shudder syndromes Bilateral, mostly symmetrical postural or kinetic shudder affecting custodies and forearms that is seeable and relentless. Dystonic shudder syndromes Tremor in a organic structure portion affected by dystonia. Parkinsonian shudder Syndromes Pathologic shudder in patients with Parkinson Ã¢â¬Ës disease with bradykinesia. Cerebellar shudder syndromes Pure or dominant purpose shudder, one-sided or bilateral. Holmes Ã¢â¬Ë shudder Rest and purpose shudder with sometimes irregular presentation. Palatal shudder syndromes Rhythmical motions of the soft roof of the mouth. Drug-induced and toxic shudder syndromes Tremor occurs in a sensible time-frame following drug consumption or poisoning. Tremor syndromes in peripheral neuropathy Tremor develops in association with a peripheral neuropathy Psychogenic shudder Tremor which its amplitude lessenings during distraction. Unclassified shudder Tremor which can non be classified. CAUSES OF TREMOR Despite assorted categorizations of shudder have been established, the causes of shudder remain unknown. Tremor is frequently described to tie in certain diseases including familial diseases such as Parkinson Ã¢â¬Ës disease and besides metabolic diseases ( e.g. thyrotoxicosis ) . These conditions are frequently accompanied by the happening of one or more phenomenon of shudder to certain organic structure parts ( Jankovic A ; Fahn, 1980 ) . Besides, shudder is normally seen in people with intellectual diseases such as multiple induration ( Alusi et al. , 2001 ; Koch et al. , 2007 ) every bit good as in peripheral neuropathies patients ( e.g. Guillain-Barre syndrome ) where postural shudder normally manifests. Tremor may besides happen in people with idiopathic diseases and sometimes look due to other external and internal factors such as drugs and intoxicant consumption ( Deuschl et al. , 1998 ) . Badness of shudder may besides be increased due to factors such as anxiousness, empha sis, weariness, hungriness, febrility or excessively much of caffeine consumption ( Bear et al. , 2006 ) . THE IMPACT OF UPPER LIMB TREMOR Most of the undertakings in day-to-day lives require complex manus use. Upper limb action shudder has proven to be more interfering in day-to-day life activities because it is activated by motion ( Feys et al. , 2003 ; Heroux et al. , 2006 ; Louis et al. , 2001 ) and may look bilaterally or one-sidedly. Harmonizing to a cross-sectional survey conducted by Feys et Al. ( 2003 ) , upper appendage shudder of their 32 multiple induration respondents was perceived to interfere their day-to-day life activities peculiarly in undertakings necessitating all right motor accomplishments such as feeding, imbibing, personal hygiene and written communicating. These findings were elicited from both standardized observations of 16 points in Functional Independence Measure ( FIM ) and a structured interview necessitating the participants to rate the degree of intervention of shudder in the FIM points, shaving or using make-up, picking up a pen, handwriting, runing a distant control, family and leisure activities. A larger figure of participants have been utilised in the survey by Louis and his co-workers Ã¢â¬Ë ( 2001 ) to determine the impact of indispensable shudder towards functional disablement by utilizing a disablement questionnaire. In this survey, 85 per centum ( 76 respondents ) of the 89 respondents have reported disablement on more than one point on the questionnaire ( Louis et al. , 2001 ) . However, the relationship between disablement and upper limb shudder in both aforesaid surveies was non really clear because other symptoms of multiple induration may besides act upon the degree of independency in day-to-day life accomplishments. A descriptive case-series survey conducted by Heroux and his co-workers ( 2006 ) to 30 participants with indispensable shudder has besides described disablement in relation to upper limb shudder from another dimension. The survey was designed to find the extent of disablement in the survey population by utilizing time-based, standardized steps of upper appendage map ( Heroux et al. , 2006 ) . Significant differences have been determined between the topics with indispensable shudder in comparing to 28 healthy controls in different degrees of all right pinch clasp, gross grasping, object transit, and preciseness arrangement undertakings supplying a better grounds of the impact of upper limb shudder on manus use undertakings. In drumhead, the extent of disablement is high for people with upper limb shudder in conformity to activities of day-to-day life undertakings and manus use undertakings. This may hold a negative impact on quality of life and self esteem of an single and require extreme attending. Therefore, this survey focuses on shudder that occurs on the upper appendage during public presentation of undertakings ( postural and intention shudder ) . SIGNIFICANCE OF UPPER LIMB TREMOR The intervention effects in this survey were observed merely on upper limb postural and purpose shudders based these grounds: The gilded criterion of categorization of shudder is clinical categorization ( Deuschl et al. , 1998 ) . Disabling pathological shudders of the upper limb manifested largely by postural and intention shudders ; indispensable shudder syndromes ( postural and intention shudder ) , parkinsonian shudder syndromes ( remainder and postural shudder ) , and cerebellar shudder syndromes ( purpose shudder ) . Handss are the most common site for shudder to attest ( Siresena, 2009 ) . Subsequently, the prevalence of upper limb shudder is presumptively high as indispensable shudder is found to be as one of the most common neurological motion upsets ( Louis, 2005 ) and upper appendage shudder is reported to happen in approximately one tierce of patients holding multiple induration ( Alusi et al. , 1999 ) . The act of keeping manus place against gravitation and executing target-directed motions utilizing the custodies are of import in undertaking completion, therefore shudder happening at these phases have a major impact of functional public presentation and leads to disablement in the battle of activity ( Feys et al. , 2003 ; Heroux et al. , 2006 ; Louis et al. , 2001 ) . The findings are extremely of import and relevant to occupational therapy. LITERATURE REVIEW The intent of this subdivision is to reexamine the primary literature relevant to upper limb shudder. Literature of the bing processs used to cut down shudder, burdening schemes, methods to mensurate shudder, taking to the intent and aims of this systematic reappraisal will be reviewed. OTHER EXISTING PROCEDURES Primary literature was reviewed to seek for other bing processs normally used to handle upper limb shudder besides burdening schemes. From the hunt, it can be assumed that the major intervention end of upper limb shudder is to minimise functional disablement and better quality of life. Treatment methods available include pharmacotherapy, and surgical processs. In some patients, indispensable shudder can be partly suppressed by medicine. Diagnostic drug intervention is tailored harmonizing to the types of shudder ( Charles et al. , 1999 ) . For illustration, parkinsonian shudder requires the effects of drug from combination of L-dopa and carbidopa to stamp down shudder. On the other manus, indispensable shudder may be relieved by propranolol or Mysoline while isioniazid may be utile in handling cerebellar shudder associated with multiple induration. Similarly, propranolol may command intoxicant backdown shudder while clonazepam may cut down orthostatic shudder. Although drugs may cut down shudder continuity, the effects on shudder is normally impermanent and accompanied by side effects. In a non-randomized, comparative survey of 25 patients who received long-acting propranolol 80-160 mg/day and 25 who received primidone 50-250 milligram at bedtime. Approximately 10 per centum of the patients experienced short-run side effects ( faint and bradycardia ) and 20 per centum of them experienced long-run side effects ( bradycardia, weariness, and erectile disfunction ) that required discontinuance of therapy ( Koller et al. , 1989 ) . Alternatively, surgical methods such as thalamotomy and deep encephalon stimulation are normally considered in terrible instances where primary drug therapy fails to command the happening of shudder ( Chan A ; Swope, 2003 ) . Thalamotomy is a surgical technique based on theories that lesion in ventralis intermedius karyon of the thalamus will interrupt shudder activity. Thalamotomies are normally performed to one side of the encephalon which is contralateral to the badly affected limb. The efficaciousness of one-sided thalamotomy is high, with more than 80 % of patients sing durable suppression of shudder ( Schuurman et al. , 2000 ) . However, uncomplete lesioning of the ventralis intermedius will ensue in mild residuary shudder or re-emergence of shudder. On the other manus, the most recent surgical attack, deep encephalon stimulation ( DBS ) besides has been proven to successfully relieve shudder without making a lasting lesion as a consequence of thalamotomy ( Della Flora et al. , 2010 ) . However, the disadvantages of both surgical processs are dearly-won and increased potency hazard of redness and infection ( Chan A ; Swope, 2003 ) . Weight Scheme Burdening schemes is a common method used to stamp down the happening of nonvoluntary tremorogenic conditions of the custodies. The attack has persisted in some rehabilitation scenes since the first clip limb weighting was being introduced to a group of patients with upper limb shudder in early 1960s ( Chase et al. , 1965 ) . Assorted theoretical thoughts have been created to explicate the pertinence of burdening schemes for this population. One of the theories proposed that adding sufficient tonss to a section of the organic structure exerts suppressive control over motor fluctuation ( Schalow et al. , 2005 ) . Harmonizing to dynamic systems theory, motion forms are influenced by undertaking restraints ( e.g. weight of utensils ) and personal features ( e.g. neurophysiological factors ) . It is plausible that the thought of utilizing weights to relieve parkinsonian shudder has persisted because of an feeling that the size of shudder of an object held in the manus may be reduced. The effects of limb weighting are believed to ease co-contraction and stableness of musculuss by increasing proprioceptive input to the cerebellum from the centripetal variety meats of the musculuss and articulations ( Wood A ; Eames, 1989 ) . On the other manus, it has besides been hypothesized that the usage of weights on dist al portion of the limb will suppress the being of shudder due to muscle weariness ( Wood A ; Eames, 1989 ) . Common weighting schemes for people with upper limb shudder are weighted wrist turnup and leaden utensils/appliances. Leaden carpus turnup is Weighted utensils is In occupational therapy, compensation techniques are utile to optimise map upon disablement. The commissariats of weights have been supported in old occupational therapy literature ( Wood A ; Eames, 1989 ) . In contrast to the theories by Wood and Eames ( 1989 ) , long term usage of leaden AIDSs were found to hold negative effects on the happening of shudder ( Kovich A ; Bermann, 1988 ) . The remotion of leaden AIDSs will take to hyperbole of shudder due to gradual adjustment of the upper appendage musculuss to the excess weight provided by the weights ( Kovich A ; Bermann, 1988 ) . Furthermore, the penchant of the type of leaden AIDSs ( wrist turnup and weighted utensils ) has besides been a conflicting issue as the latter 1s are non easy modified and controlled ( Dahlin-Webb, 1986 ) . In the state of affairs of persons with upper appendage shudder, the commissariats of leaden AIDSs to the upper appendage have been a common method to handle the job. Leaden carpus turnups which were designed to supply opposition to dorsal surface of the manus have been the most preferable method to cut down shudder ( Dahlin-Webb, 1986 ) . Alternatively, ready-made leaden equipments such as leaden utensils are besides commercially available for the same intent. TREMOR MEASUREMENT The effectivity of a intervention process can be determined by measuring the primary or secondary impacts of shudder to a peculiar individual ( Bain, 1998 ) . Primary consequence refers to direct impact of the intervention process on shudder features such as frequence of shudder and besides the degree of shudder badness while secondary consequence refers to alter in the individual Ã¢â¬Ës functional public presentation or life position. Therefore, the usage of a multidimensional attack of nonsubjective and subjective result steps is valuable to measure the effectivity of leaden AIDSs. There are four methods to accomplish the intent of survey which include physiological techniques, subjective clinical steps, nonsubjective functional public presentation trials and impact of shudder on patients Ã¢â¬Ë lives ( Bain, 1998 ) . Accelerometry Tremor was recorded in the plane of flexure and extension of the manus with illumination piezoresistive accelerometers, base on balls set DC i? 100 Hz, mounted on the back of the manus between the 2nd and 3rd metacarpals with surgical tape. Tremor frequence and magnitude were measured with a Solartron 1220 Signal Processor. On the footing of 1-min samples of shudder a computation was made of the norm of six spectra derived from overlapping samples of shudder within the 1-min period. The spectra ranged from DC 50 Hz with 500 lines of spectral declaration and 90 dubnium dynamic scope. For moderate to terrible shudder, the averaged spectrum has a individual dominant extremum. The magnitude of acceleration at extremum was converted into supplanting arithmetically. For mild indispensable shudder the averaged spectrum typically had important constituents at a wide spread of frequences reflecting its multiple constituent beginnings, as is the instance for normal physiological shudder. This was true for both shudder recorded during undertakings and maintained position. The magnitude of mild indispensable shudder was characterised by the magnitude of the largest constituent nowadays. It should be noted that as tremor badness increased the figure of extremums greater than 50 % of the magnitude of the dominant spectral extremum decreased, be givening towards zero if harmonics were excluded. Accelerometry was performed on each patient during kept up position, when keeping a cup full of H2O and whilst transporting out a tracking undertaking. Volumetric appraisal The patients were required to keep a 100ml cup full of H2O between the pollex and finger with the cubitus supported and flexed by about 20AÃ ° with the forearm in a semi-prone place and somewhat elevated, as if about to raise the cup to imbibe. The cup was made of plastic, weighed 20 g, had a 5 centimeter diameter, was 6 cm deep, and was ab initio full to the lip with H2O. The cup was held for 1 minute after which a measuring was made of the liquid staying in the cup. Volumetric appraisals were made three times for each manus and the agencies of the values for each manus employed in the consequences. Tracking undertaking The patients were tested with joystick trailing of a consecutive mark line which swept horizontally across the center of a 10 centimeter storage CRO screen. The tracking missile was a similar line which had to be maintained in super-imposition on the mark line. Both mark and missile were externally controlled so that they moved abreast at the same speed. The topic was seated in forepart of the CRO at normal sing distance. The control stick was mounted on the arm of the chair and was held between the pollex and fingers of the manus with forearm supported. The control stick control adjusted the perpendicular disparity of the missile so that any unwanted manus motion would do the projectile hint to hover above and below the intended flight. Each test consisted of a 1-minute expanse of the hints across the screen. Tracking mistake was characterised by the integral of the modulus of the distance of the projectile hint from a 1 millimeter deep impersonal zone about the mark. The system was tested on 15 healthy control topics who all produced zero mistake, irrespective of the manus used. In the instance of the patients tracking appraisals were made three times for each manus and the mean of the tonss ( for each manus ) utilized. Spirography The patients were instructed to pull a coiling with each manus in bend, with the pen held in a normal manner. The shudder seeable in a spiral was the independently scored ( from 0-10 ) by three Ã¢â¬Å" blind Ã¢â¬ raters, with zero bespeaking a normal spiral and ten an highly quavering one. The agency of the three raters Ã¢â¬Ë tonss for each patient were used in the consequences, with each manus scored individually. Significance TO OCCUPATIONAL THERAPY What is a systematic reappraisal? What are the groundss that it is the best solution? AIMS OF STUDY To analyze the effectivity of leaden AIDSs to handle persons with upper limb shudder To analyze the effectivity of different types of leaden AIDSs for persons with upper limb shudder Research OBJECTIVES Aim 1: To analyze the effectivity of leaden AIDSs to handle persons with upper limb shudder Aims: To find the consequence of leaden AIDSs on the upper limb on shudder frequence To find the consequence of leaden AIDSs on the degree of badness of shudder To find the consequence of leaden AIDSs on the functional public presentation of the person with shudder To find the consequence of leaden AIDSs on the quality of life position of the person with shudder To find the consequence of leaden AIDSs on the disablement position of the person with shudder Aim 2: To analyze the effectivity of different types of leaden AIDSs for persons with upper limb shudder Aim: To compare the results of leaden carpus turnups and weighted utensils following upper limb shudder 1.10 RESEARCH QUESTIONS Question 1: Does the proviso of leaden AIDSs on the upper limb an effectual method to handle persons with upper limb shudder? Does the proviso of leaden AIDSs on the upper limb of persons with shudder reduce/increase the upper limb shudder frequence? Does the proviso of leaden AIDSs on the upper limb of persons with upper limb shudder reduce/increase the degree of badness of shudder? Does the proviso of leaden AIDSs on the upper limb improve/decline the functional public presentation of the person with shudder? Does the proviso of leaden AIDSs on the upper limb improve/decline the quality of life of the person with shudder? Does the proviso of leaden AIDSs on the upper limb improve/decline the disablement position of the person with shudder? Question 2: Which type of leaden assistance is the most effectiveness to better the results following upper limb shudder? Leaden carpus turnup Weighted utensils Summary This chapter has described the country of focal point of the survey including an account of upper limb shudder, current intervention available, background literature and relevancy to the field of occupational therapy. The research aims and inquiries have been set and initial justification for the methodological analysis of pick explained. How to cite Study Into Upper Limb Tremor Health And Social Care Essay, Essay examples
Monday, April 27, 2020
A paper which examines the works of American artist Andy Warhol and what makes his art so popular. An examination of the art of Andy Warhol and the reasons his work is so well-known. The paper explores his methods of production mostly silk screen printing and his series producing several images of a certain subject. The paper discusses how Warhol, in his various struggles to create art, was attempting to redefine and popularize American art by making it commercial and also by making the focus upon commercialism in his art a comment upon society. Warhols art blurs the relationship between what comes first, the reality or the image. More and more people construct their lives around what they see on television. Warhol, in his own work, From a to b and Back Again, that: A whole day of life is like a whole day of TV. (Warhol 5) Both, he says, are never ending and never shut off. We will write a custom essay sample on The Work of Andy Warhol or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The never-ending nature of life, Warhol also made use of in his epic, virtually unwatchable films. The intention by making such long films as Warhol did was to suggest that rather than art trying to change and reinterpret life, art should reflect life and be as much like life as possible. As life is no longer interior and private and personal, art should also be exterior public and impersonal.
Thursday, March 19, 2020
What's the Deal with Improving Sentences SAT Writing Section Guide and Advice SAT / ACT Prep Online Guides and Tips ThereÃ¢â¬â¢s nothing harder than trying to figure out what someone else thinks is Ã¢â¬Å"the best,Ã¢â¬ and Improving Sentences asks you to do just that. Luckily, weÃ¢â¬â¢ve got a few tricks up our sleeve that allow you to move through these questions with confidence. In this post,weÃ¢â¬â¢ll look at the writing skills these questions are designed to test and how to use those skills to answer the questions correctly. Improving Sentencesquestions havea section of a sentence underlined and 4 alternatives (plus the option to keep the sentence the way it is). The instructions say that these questions Ã¢â¬Å"test correctness and effectiveness of expression.Ã¢â¬ This means that the sentences arenÃ¢â¬â¢t necessarily wrong (though they usually are), they can also just be bad or confusing. We have to find the best, rather than simply the correct, way of saying something. But the types of choices and mistakes are the same in every test, so let's talk about the most common one and how to Ã¢â¬Å"improveÃ¢â¬ it. #1 Issue: Conciseness, Conciseness, Conciseness Almost all Improving Sentences questions involve conciseness; even if itÃ¢â¬â¢s not the main problem in the question, some of the incorrect answer choices will be wordy to the point of sounding like nonsense. Just to get a feel for what we mean by this, Here are some concise sentences and their less concise evil twins: Most dinosaur nests were hidden beneath vegetation from potential predators. Most dinosaurs laid eggs in hidden nests on the ground that was extremely well protected from other dinosaurs so that they would be more unlikely to be eaten by them. You can see that all the information in the longer sentence is included in the shorter one: things can only be hidden beneath vegetation if it's on the ground, and the word Ã¢â¬Å"predatorsÃ¢â¬ means hunting animals. The phrase Ã¢â¬Å"hidden from...predatorsÃ¢â¬ can only mean that the point is to keep the eggs safe. HereÃ¢â¬â¢s another fun one: Because bacteria and other organisms can penetrate eggshells and decompose the contents, very few fossilized eggs found today contain any embryonic material. For the reason that the walls of eggs can be penetrated by bacteria and other small organisms that feed on organic material, the stone-like fossilized eggs people find today are usually lacking any remnants of embryos, whether intact or not. Okay, the second sentence here is a bit long even for the SAT, but it drives home the point that there is virtually no limit to the amount of irrelevant and repetitive information that can be stuffed into a sentence. And the SAT loves to push that particular envelope. The key is the information: can the same meaning be conveyed in fewer words? Below, we look at the information in the sentences above: Short Sentence Long Sentence Because For the reason that bacteria and other organisms can penetrate eggshells and decompose the contents the walls of eggs can be penetrated by bacteria and other small organisms that feed on organic material very few...contain any embryonic material are usually lacking any remnants of embryos, whether intact or not fossilized eggs found today the stone-like fossilized eggs people find today As you can see, any extra information that the second sentence offers is not relevant to the point of the sentence: the appearance of the eggs, what organisms feed on (thatÃ¢â¬â¢s obvious from the fact that theyÃ¢â¬â¢re eating dino eggs), and whether the embryos are intact or not. Those things donÃ¢â¬â¢t matter here, because the sentence is about the absence of embryonic material in the eggs. Common Problem: Repeated References to Something Another way to spot an SAT-designed bad sentence is repeated references to a person or thing, like so: The dinosaur eggs, those which had been incubated by machines, they were almost ready to hatch. Can you spot the nouns and pronouns in this sentence that refer to the same thing (the eggs)? Go ahead, weÃ¢â¬â¢ll wait. There are three: Ã¢â¬Å"eggs,Ã¢â¬ of course, Ã¢â¬Å"those,Ã¢â¬ and Ã¢â¬Å"they.Ã¢â¬ In this case, you can just take out the second two and the sentence is SAT-approved. Generally, we only need to use a pronoun when there are two things going on in the sentence: After the incubators had warmed, turned and monitored them for two months, the eggs were ready to hatch. Above, thereÃ¢â¬â¢s the actions the incubators took in gestating the eggs, and then the statement that they are ready to hatch. That makes the two references, Ã¢â¬Å"eggsÃ¢â¬ and Ã¢â¬Å"they,Ã¢â¬ necessary. In the previous sentence, the only thing thatÃ¢â¬â¢s happening is that theyÃ¢â¬â¢re ready to hatch; the rest of the information is extra. Even More Common Problem: Gerunds, a.k.a. Ã¢â¬Å"-ingÃ¢â¬ verbs First of all, letÃ¢â¬â¢s get one thing straight: a gerund, or Ã¢â¬Å"-ingÃ¢â¬ verb, cannot by itself be the only verb in a sentence. LetÃ¢â¬â¢s take Ã¢â¬Å"feelingÃ¢â¬ as an example: Can we say Ã¢â¬Å"She feeling betterÃ¢â¬ ? No, we have to say she is feeling better. We can use it to start a sentence, like Ã¢â¬Å"Feeling better, she walked downstairs.Ã¢â¬ But the operative verb in this sentence is walked, not feeling. Students overuse Ã¢â¬Å"-ingÃ¢â¬ verbs, because they are more all-purpose than other verb conjugations. But they have limited utility in good writing, and even less utility on the SAT. (Bonus SAT vocab lesson: Ã¢â¬Å"utilityÃ¢â¬ means usefulness.) The SAT is constantly presenting us with these kinds of sentences: The dinosaur eggs were very delicate, the reason for this being that they needed to be incubated. Then theyÃ¢â¬â¢ll give us some alternatives to the underlined section: (A) (same as original) (B) and the reason being you have to incubate them (C) for the reason that incubation was needed by them (D) because of the fact that their incubation is necessary and vital (E) because they required incubation Strategy: How to Eliminate Carefully and Effectively The key to maneuvering successfully through the SAT is elimination. The choices are designed to overwhelm and confuse students, which is part of the reason theyÃ¢â¬â¢re overhauling the test in 2016. This is also one of the many reasons the SAT requires preparation- the strategy of elimination is actually quite refined and powerful, if you do it correctly. So rather than point out why the right answer is right, weÃ¢â¬â¢re going to use the Ã¢â¬Å"-ingÃ¢â¬ verbs example above to give you a sample of our elimination strategy. Step 1: Which choice is the longest? Above, itÃ¢â¬â¢s (D), and ItÃ¢â¬â¢s almost never the answer. You can safely eliminate it on this question type: if the others all seem blatantly wrong, then consider it. Step 2: Which is the most straightforward? Active voice is always better than passive voice: Ã¢â¬Å"they required incubationÃ¢â¬ is always preferable to Ã¢â¬Å"incubation was needed by themÃ¢â¬ - eliminate (C). The second person- Ã¢â¬ youÃ¢â¬ - is oftenwrong on the SAT, unless the writer is speaking directly to the reader. When itÃ¢â¬â¢s used to mean Ã¢â¬Å"a person,Ã¢â¬ itÃ¢â¬â¢s confusing, vague, and inaccurate. Eliminate (B). These steps leave us with only (A), the original, and (E), the shortest answer choice. Hopefully (E) clearly sounds better to you (see, here IÃ¢â¬â¢m talking directly to you, the reader, so the second person in appropriate). This strategy allows us to work through questions methodically and efficiently without losing our respective minds. It works for all the Reading and Writing questions (and some Math ones), but is especially necessary when your choices are just heaps of words with one Ã¢â¬Å"bestÃ¢â¬ option stuck in between. If you liked this post you may like: What is a good SAT score? A bad SAT score? SAT Writing Guide Part II: Essays SAT Writing Guide Part I: Improving Paragraphs
Tuesday, March 3, 2020
Battle of Fallen Timbers - Northwest Indian War The Battle of Fallen Timbers was fought August 20, 1794 and was the final battle of the Northwest Indian War (1785-1795). As part of the treaty ending the American Revolution, Great Britain ceded to the new United States the lands over the Appalachian Mountains as far west as the Mississippi River. In Ohio, several Native American tribes came together in 1785, to form the Western Confederacy with the goal of dealing jointly with the United States. The following year, they decided that the Ohio River would serve as the border between their lands and the Americans. In the mid-1780s, the Confederacy began a series of raids south of the Ohio into Kentucky to discourage settlement. Conflict on the Frontier To deal with the threat posed by the Confederacy, President George Washington instructed Brigadier General Josiah Harmar to attack into Shawnee and Miami lands with the goal of destroying the village of Kekionga (present-day Fort Wayne, IN). As the US Army had essentially been disbanded after the American Revolution, Harmar marched west with a small force of regulars and approximately 1,100 militia. Fighting two battles in October 1790, Harmar was defeated by Confederacy warriors led by Little Turtle and Blue Jacket. St. Clairs Defeat The following year, another force was dispatched under Major General Arthur St. Clair.Ã Preparations for the campaign began in early 1791 with the goal of moving north to take the Miami capital of Kekionga. Though Washington advised St. Clair to march during the warmer summer months, incessant supply problems and logistical issues delayed the expeditions departure until October. When St. Clair departed Fort Washington (present-day Cincinnati, OH), he possessed around 2,000 men of which only 600 were regulars. Attacked by Little Turtle, Blue Jacket, andÃ Buckongahelas on November 4, St. Clairs army was routed. In the battle, his command lost 632 killed/captured and 264 wounded. In addition, almost all of the 200 camp followers, many of whom had fought alongside the soldiers, were killed. Of the 920 soldiers who entered the fight, only 24 emerged uninjured. In the victory, Little Turtles force only sustained 21 killed and 40 wounded. With a casualty rate of 97.4%, the Battle of the Wabash marked the worst defeat in the history of the US Army.Ã Armies Commanders United States Major General Anthony Wayne3,000 men Western Confederacy Blue JacketBuckongahelasLittle Turtle1,500 men Wayne Prepares In 1792, Washington turned to Major General Anthony Wayne and asked him build a force capable of defeating the Confederacy. An aggressive Pennsylvanian, Wayne had repeatedly distinguished himself during the American Revolution. At the suggestion of Secretary of War Henry Knox, the decision was made recruit and train a legion which would combine light and heavy infantry with artillery and cavalry. This concept was approved by Congress which agreed to augment the small standing army for the duration of the conflict with the Native Americans. Moving quickly, Wayne commenced assembling a new force near Ambridge, PA at a camp dubbed Legionville. Realizing that previous forces had lacked training and discipline, Wayne spent much of 1793 drilling and instructing his men.Ã Titling his army the Legion of the United States, Waynes force consisted of four sub-legions, each commanded by a lieutenant colonel. These contained of two battalions of infantry, a battalion of riflemen/skirmishers, a troop of dragoons, and a battery of artillery. The self-contained structure of the sub-legions meant they could operate effectively on their own.Ã Moving to Battle In late 1793, Wayne shifted his command down the Ohio to Fort Washington (present-day Cincinnati, OH). From here, units moved north as Wayne built a series of forts to protect his supply lines and the settlers in his rear. As Waynes 3,000 men moved north, Little Turtle became concerned about the Confederacys ability to defeat him. Following an exploratory attack near Fort Recovery in June 1794, Little Turtle began to advocate in favor of negotiating with the US. Rebuffed by the Confederacy, Little Turtle ceded complete command to Blue Jacket. Moving to confront Wayne, Blue Jacket assumed a defensive position along the Maumee River near a copse of fallen trees and close to British-held Fort Miami. It was hoped that the fallen trees would slow the advance of Waynes men. The Americans Strike On August 20, 1794, the lead elements of Waynes command came under fire from Confederacy forces.Ã Quickly assessing the situation, Wayne deployed the his troops with his infantry led by Brigadier General James Wilkinson on the right and Colonel John Hamtramck on the left.Ã The Legions cavalry guarded the American right while brigade of mounted Kentuckians protected the other wing.Ã As the terrain appeared to preclude the effective use of cavalry, Wayne ordered his infantry to mount a bayonet attack to flush the enemy from the fallen trees.Ã This done, they could be effectively dispatched with musket fire. Advancing, the superior discipline of Waynes troops quickly began to tell and the Confederacy was soon forced out of its position. Starting to break, they began to flee the field when the American cavalry, charging over the fallen trees, joined the fray. Routed, the Confederacys warriors fled towards Fort Miami hoping that the British would provide protection. Arriving there found the gates closed as the forts commander did not wish to start a war with the Americans. As the Confederacys men fled, Wayne ordered his troops to burn all of the villages and crops in the area and then withdrawal to Fort Greenville. Aftermath Impact In the fighting at Fallen Timbers, Waynes Legion lost 33 dead and 100 wounded. Reports conflict regarding the Confederacys casualties, with Wayne claiming 30-40 dead on the field to the British Indian Department stating 19. The victory at Fallen Timbers ultimately led to the signing of the Treaty of Greenville in 1795, which ended the conflict and removed all Confederacy claims to Ohio and the surrounding lands. Among those Confederacy leaders who refused to sign the treaty was Tecumseh, who would renew the conflict ten years later.
Saturday, February 15, 2020
Human resource development in multinational companies - Essay Example To cope up with the competition, they are required to plan and implement strategies to develop the companyÃ¢â¬â¢s human resources. In todayÃ¢â¬â¢s globalized environment, it has become difficult for the managers to completely eliminate the threats that globalization has brought. Multinational companies face many of such difficulties in acquiring efficient staff in other countries. Multinational companies aim to build up their brand name and reputation. They need to provide the same quality and facilities in every country they are working in. However, the human resources available in different countries bring different challenges for them. They need to develop a plan to accumulate a workforce which could perfectly carry out the job the company aims to achieve. The concept of repatriation and expatriation is also worth mentioning here as the human resource development program must consider these concepts. As an expatriate gets the assigned work done in the other country and moves b ack to the host country, he faces the adjustment problems all over again. A complete and viable HRD strategy must also take in to account these workers who are sent abroad while working permanently in some multinational organization. Objective: The aim of this paper is to identify the key challenges faced by senior managers in todayÃ¢â¬â¢s globalized business environment in achieving competent human resources. The paper also focuses on the researches made in this regard. In addition it provides recommendations to lessen or eliminate the difficulties in human resource development and reduce the employee turnover rate in the organizations. The study is designed in such a manner that would help in achieving the objective successfully. In the first step it provides a brief introduction about multinational organizations and their place in todayÃ¢â¬â¢s business world. In the next step it