Friday, November 29, 2019

The Roaring Twenties free essay sample

Roaring Twenties The Roaring Twenties was period of continual economic prosperity and the distinguishing artistic edge in cities during the sass throughout the united States. For the first time in a long time, Americans lived in cities, rather than on farms. America was turned into a consumer society with the Nations total wealth more than doubling between 1920 and 1929. There was a rise in wages and real income, easy credit and installment plan buying, and in mass advertisement.Jazz and dance rose in popularity, and the twenties are sometimes known as the Jazz Age because of all of the blues in New Orleans and Memphis, with artists such as Lie Armstrong and George Gershwin. The 1 us was a time of economic and cultural prosperity which helped the twenties become a Golden Age throughout United States history. The united States and Canada became more anta-lamination in viewpoint during this period. The American Immigration Act of 1924 Limited Immigration from countries where 2% of the total U. We will write a custom essay sample on The Roaring Twenties or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page S. Population, per the 1890 census, not counting African Americans, were immigrants from that country. The substantial incursion of Europeans that had come to America during the first two decades of the century slowed down. The sass brought new styles of music into the typical American culture. Jazz became the most popular form of music for young people and the flapper culture. Famous jazz performers and singers from the 1 sass include Louis Armstrong, James P. Johnson, and Being Crosby.Prohibition made illegal the manufacture, import and sale of beer, wine and hard liquor, but it did not make drinking Illegal. Americans continued desire for alcohol under prohibition led to the rise of organized crime as exemplified by AY Capons. Speakeasies became popular and abundant as the Prohibition years progressed and led to the rise of gangsters such as Lucky Lucian and Sam Macho. They commonly worked with associates to organized crime and liquor smuggling. While the U. S.Federal Government agents raided such places and arrested many of the smugglers, they rarely managed to get he big bosses. The sass were a period of significant change for women as well. The 19th amendment was passed in 1920, giving women the right to vote, and women began to pursue both family life and careers of their own. America began to create her own culture and people began to spend money on more leisure activities, and through economic, cultural, and musical prosperity, the roaring twenties are able to represent Americas Golden Age throughout history.

Monday, November 25, 2019

A literary analysis of tea in Hope and Other Dangerous Pursuits

A literary analysis of tea in Hope and Other Dangerous Pursuits Free Online Research Papers The serving and the drinking of tea is part of the warp and woof of Middle and Far Eastern culture. Laila Lalami has taken pains to express the nuances that surround this Moroccan cultural feature. Tea is present at turning points in the plot or the thoughts of a character. It acts as a flag for the motif of unanswered questions and lack of resolution. Lalami’s emphasis of the social and emotional connection between the characters and tea is clearly revealed. The role it plays shifts between what I will term, the anesthetic, the apathetic and the amalgamator. Written by Kazuko Okakura, The Book of Tea gives the history and the philosophy of tea drinking in the Far East. Of the history he writes, â€Å"Tea began as a medicine and grew into a beverage. In China, in the eighth century, it entered the realm of poetry as one of the polite amusements.†(Okakura 1) He further states that out of the amusement grew a cultish adoration of tea. In chapter two of his book, he states that a person or a culture can be known by the little things that they do and enjoy, and that the vintages of tea and the methods of preparation reveal even more. It is upon this point that Lalami also focuses her attention. Laila Lalami has recognized that tea is used for more than quenching one’s thirst. She is aware of the cultural dynamic, the environments in which tea is consumed change as often as the characters. The anesthetic is first introduced in Larbi’s office environment (Lalami 20). Its use here suggests a daily habit that alludes to his personality, but more keenly points to his state of mind at the time. Larbi takes this drink before delving into his daily tasks. Lalami writes†¦Ã¢â‚¬ but for now he took his time reading the paper and sipping his tea† Choosing to momentarily partake of a Moroccan tradition in favor of zealously attacking his work can be viewed as a character trait. Tea helps us see that Larbi’s love for Morocco tends to shift, due to some personal desire to escape if not personally then vicariously. Lalami links Salma and the apathetic, she writes ,â€Å"Salma, for whom watching football was only slightly more exciting than waiting for a pot of tea to brew went to take a nap†(Lalami 25). This makes the reader aware of an adiaphoric bent in Salma. This will reveal itself further as Larbi and Salma attempt to deal with their daughter. Salma remains fairly aloof, primarily speaking at emotionally charged moments. The amalgamator is rebuffed by Larbi, when following a heated debate, he leaves the dinner table. â€Å"He didn’t say anything for the rest of the meal, rudely getting up from the table before tea was served† (Lalami 44). Here Lalami acquaints us with the idea that rejecting tea after dinner in Morocco is a cultural taboo. It is obvious that Larbi’s presence would have been both the polite and the traditional thing to do. Since Larbi dislikes Faten however, he could not bring himself to remain at the table especially when some of her rhetoric touched his conscience. Halima’s story begins with her leaving for her mother’s home to imbibe the anesthetic. â€Å"Fatiha made a pot of mint tea and served it†Ã¢â‚¬ ¦ (Lalami 53) In desperate need to find comfort, Halima goes to a place that she deems safe. Immediately, her mother acts as one might expect from a woman that has unquestioningly embraced all that Moroccan life tends to offer women. Her mother’s second statement isn’t made until after she lights the tea kettle! After taking her mother’s advice things temporarily get better for Halima. The amalgamator appears at ebb of the recurring flow of abuse. Lalami writes â€Å"After the children had gone back to school, Maati and Halima settled down for tea† (Lalami 61). Tea is never given his chance however, because abuse follows Halima’s questions about her husband loss of his job. Tea in Hope and Other Dangerous Pursuits follows the vicissitudes of life in Morocco. The Moroccan characters in book overlook its centrality as they overlook their roles in their varying story outcomes. Lalami, like the famed mint tea, draws the reader into a world that is rich with turmoil and fragrant with hope. Research Papers on A literary analysis of tea in Hope and Other Dangerous Pursuits19 Century Society: A Deeply Divided EraHonest Iagos Truth through DeceptionEffects of Television Violence on ChildrenComparison: Letter from Birmingham and CritoQuebec and CanadaThe Effects of Illegal ImmigrationThe Spring and AutumnAssess the importance of Nationalism 1815-1850 EuropeThree Concepts of PsychodynamicInfluences of Socio-Economic Status of Married Males

Thursday, November 21, 2019

The Great Depression and African American Movements Essay

The Great Depression and African American Movements - Essay Example The Great Depression was addressed by President Roosevelt’s New Deal when he assumed office as a President of the United States on March 4, 1933. President Roosevelt’s New Deal involved a series of economic programs focused on Relief, Recovery and Reform of the economy not only to address the Great Depression but also to avoid the repetition of the same. Among the programs of his new deal was the obtained permission to reopen most banks and provided grants to citizens. He instituted government initiated work programs to generate employment through the Works Progress Administration (WPA) programs. President Roosevelt also pump primed the economy with the widespread public spending on infrastructure by constructing roads, buildings, dams and similar projects through his Public Works Administration (PWA) which provided not only jobs but income in the system. He also enlisted young men in the Civilian Conservation Corps to work on conservation projects.President Rooseveltâ €™s New Deal was to elevate both income and prices which dropped during the depression. When Second World War came in 1941, President Roosevelt shifted his attention to foreign policy to address the war. The war proved to be good for the US economy because the massive spending to build war machines double the country’s Gross National Product or GNP and reduced unemployment rate from 14% to less than 2%.The 1930s and 1940s saw the emergence of two African American religious movements which includes the Nation of Islam.

Wednesday, November 20, 2019

The Film Doctor Zhivago Essay Example | Topics and Well Written Essays - 500 words

The Film Doctor Zhivago - Essay Example Primarily, an entire social order is devastated and another of a cruel, forceful system is created to replace it. But such events are merely shown in a handful and violently acted parts that are shoved abruptly through a scene of the personal tragedy and afterward are as hastily inhibited. The greatest portion of this film is dedicated to the romantic view of the emotional connection and personal miseries of a few bourgeois who are inhumanely troubled and damaged by the larger forces of change. It seems that this tragic love story is the theme upon which the film has decided to resolve the pressures of personal drama and spiritual tension that overwhelmed the Pasternak narrative. I felt that the movie has taken for granted the massive disorder of the Russian Revolution for the sake of displaying the ordinariness and triviality of a hopeless love affair. Â  An entire social order is devastated and another of a cruel, forceful system is created to replace it. But such events are merel y shown in a handful and violently acted parts that are shoved abruptly through a scene of the personal tragedy and afterward are as hastily inhibited. The greatest portion of this film is dedicated to the romantic view of the emotional connection and personal miseries of a few bourgeois who are inhumanely troubled and damaged by the larger forces of change. It seems that this tragic love story is the theme upon which the film has decided to resolve the pressures of personal drama and spiritual tension that overwhelmed the Pasternak narrative.

Monday, November 18, 2019

The effects of cell phones in the busness workplace Research Paper - 1

The effects of cell phones in the busness workplace - Research Paper Example Not unusually for breakthrough technology, the cost of a Motorola DynaTac in 1983 was $3,995.00, which, in today’s terms and taking inflation into account, would be in the region of $8,500. (1) The cost of acquisition, however, was overall perceived to be outweighed by the benefits of the new technology and the status conferred on those who used it. The race to produce more affordable, smaller and more versatile handsets for a market that could only grow is till showing little sign of slowing. Gartner Says Worldwide Mobile Phone Sales Grew 17 Per Cent in First Quarter 2010. (2) Figures released in 2002 by the International Telecommunication Union (3) reveal that, in terms of units per person, Taiwan topped the list at 106.45 per 100, with Burma at the bottom. Weighted average was 59.3 per 100, with the United States at 48.81. The cost of initial models confined sales almost exclusively to the business sector, and indeed the benefits were immediate and enormous. On another level, the magical new device lent an aura of power to its owner; if you were in a position to purchase one of these vastly expensive, exotic devices, you clearly needed to communicate with other powerful, decision-making corporate warriors. Either that, or you were a very savvy criminal (3), which, to some sideline observers not yet equipped to enter the game, was also an exotic and enviable career. So we can safely say that the cell phone changed business for the better as soon as it became clear that to not have one was a disadvantage. Let us call this ‘Effect One’, the addition of a vital tool to the company toolbox, sometimes one you had to earn by distinction until the price enabled the purchase of a handset for personal use. It needed little to no effort to sell this new, potent symbol of progress and dynamism. It also introduced a set of changes

Saturday, November 16, 2019

The Lung Chronic Disease Bronchopulmonary Dysplasia Nursing Essay

The Lung Chronic Disease Bronchopulmonary Dysplasia Nursing Essay Bronchopulmonary dysplasia or BPD is a form of chronic lung disease that develops in preterm neonates and is treated with oxygen and positive-pressure ventilation (PPV). In this paper I will discuss exactly what bronchopulmonary dysplasia is, its pathophysiology, the etiology, its clinical presentation, and any differential diagnosis of the disease. I will also present in my research the treatment and management for the disease, its prognosis, and the sequelae. Bronchopulmonary dysplasia formerly known as Chronic Lung Disease of Infancy is a chronic lung disorder that is more prevalent in children who were born prematurely with low birthweights, and whose lungs havent had the time to fully develop. White male infants seem to be at a greater risk for development, and genetics may contribute to some of these cases. It is also very common in those who have received prolonged mechanical ventilation to treat respiratory distress syndrome (RDS). It is ironic that the treatment for RDS is considered to be the prime cause of BPD. With the treatment of RDS the patient is treated with high pressures and high FiO2 over a period of time. Its the high pressures of oxygen delivery that can result in necrotizing bronchiolitis and alveolar septal injury; this action further compromises the oxygenation of blood. Bronchopulmonary dysplasia is characterized by inflammation and scarring in the lungs. The signs and symptoms to watch out for are the oxygen deman ds of the infant not decreasing as they should, in some cases even increasing. Fast breathing, a fast heart rate, flared nostrils, retractions, poor weight gain, and coarse crackles may be heard upon auscultation. The pathophysiology of BPD is linked to four factors. These factors are oxygen toxicity, barotrauma, the presence of a PDA (patent ductus arteriosus), and fluid overload. Exposure to high concentrations of oxygen can lead to edema and the thickening of the alveolar membrane. When you have prolonged exposure it causes the alveolar tissues to hemorrhage and become necrotic. As the disease progresses the interstitial spaces will become fibrotic. When the lung tries to heal itself, all of the new cells are damaged by the same factors as before, and it continues in a cycle. All of this can interfere with alveolarization and lead to alveolar simplification with a reduction in the surface area for gas exchange. Any damage to the lung during a critical stage of growth will result in significant pulmonary dysfunction. With patients who have left-to-right shunting through the PDA it is more likely that they develop pulmonary congestion and worsening compliance. With this problem the patient wi ll need higher ventilatory pressures and oxygen percentages to help with ventilation and oxygenation; therefore they have a higher risk of BPD. Bronchopulmonary dysplasia develops as a result of an infants lungs becoming irritated or inflamed. The lungs of premature infants are very fragile and arent fully developed, and therefore they can become easily irritated. Ventilators are used to help with the breathing by using pressure to blow air into the airways and lungs. However it is the pressures used that can irritate and harm a premature infants lungs, so they are used only when absolutely needed. Sometimes oxygen therapy is given to make sure that the infants brains, hearts, livers, and kidneys get enough oxygen to work properly. However in some cases high levels of oxygen can inflame the lining of the lungs and injure the airways, it can also slow lung development. Another cause is infections that can inflame the underdeveloped lungs of premature infants. With this problem it causes narrowing of the airways and makes it harder for infants to breathe. Lung infections can also increase the need for extra oxygen and breathin g support which in turn leads to the ventilation and extra oxygen requirements. There are some studies also show that heredity plays a role in causing BPD. Infants with bronchopulmonary dysplasia will have abnormal findings on physical exams, chestx-rays, pulmonary function testing, and histopathologic examinations. Initial findings observed shortly after birth are consistent with respiratory distress syndrome (RDS). Persistence of these abnormalities can be associated with an increased risk of bronchopulmonary dysplasia. Physical examination may reveal tachypnea, tachycardia, increased work of breathing, including retractions, nasal flaring, and grunting, as well as frequent desaturations and significant weight loss during the first 10 days of life. Infants with severe bronchopulmonary dysplasia are often extremely immature and had a very low birth weight. Their requirements for oxygen and ventilatory support often increase in the first 2 weeks of life. At weeks 2-4, oxygen supplementation, ventilator support, or both are often increased to maintain adequate ventilation and oxygenation. Dif DX Atelectasis refers to collapse of part of the lung. It may include a lung subsegment or the entire lung and is almost always a secondary phenomenon, with no sex or race proclivities; however, it may occur more frequently in younger children than in older children and adolescents. The direct morbidity from atelectasis is transient hypoxemia due to blood flowing through the lung, which does not have normal air flow. The blood does not pick up oxygen from the corresponding alveoli. This shunting results in transient hypoxemia. Hypertension Patent ductus arteriosus (PDA) is one of the more common congenital heart defects. The presentation widely varies. Depending on the size of the patent ductus arteriosus, the gestational age of the neonate, and the pulmonary vascular resistance, a premature neonate may develop life-threatening pulmonary overcirculation in the first few days of life. Conversely, an adult with a small patent ductus arteriosus may present with a newly discovered murmur well after adolescence. During fetal life, the ductus arteriosus is a normal structure that allows most of the blood leaving the right ventricle to bypass the pulmonary circulation and pass into the descending aorta. Typically, only about 10% of the right ventricular output passes through the pulmonary vascular bed. Pneumonia and other lower respiratory tract infections are the leading causes of death worldwide. Because pneumonia is common and is associated with significant morbidity and mortality, properly diagnosing pneumonia, correctly recognizing any complications or underlying conditions, and appropriately treating patients are important. Although in developed countries the diagnosis is usually made on the basis of radiographic findings, the World Health Organization (WHO) has defined pneumonia solely on the basis of clinical findings obtained by visual inspection and on timing of the respiratory rate. (See Clinical Presentation.) Pneumonia may originate in the lung or may be a focal complication of a contiguous or systemic inflammatory process. Abnormalities of airway patency as well as alveolar ventilation and perfusion occur frequently due to various mechanisms. These derangements often significantly alter gas exchange and dependent cellular metabolism in the many tissues and organs that determine survival and contribute to quality of life. Subglottic stenosis (SGS) is a narrowing of the subglottic airway (see image below), which is housed in the cricoid cartilage. The subglottic airway is the narrowest area of the airway because it is a complete, nonexpandable, and nonpliable ring, unlike the trachea, which has a posterior membranous section, and the larynx, which has a posterior muscular section. Tracheomalacia is a structural abnormality of the tracheal cartilage allowing collapse of its walls and airway obstruction. A deficiency and/or malformation of the supporting cartilage exists, with a decrease in the cartilage-to-muscle ratio. Immaturity of the tracheobronchial cartilage is thought to be the cause in type I, whereas degeneration of previously healthy cartilage is thought to produce other types. Inflammatory processes, extrinsic compression from vascular anomalies, or neoplasms may produce degeneration. Diffuse malacia of the airway of the congenital origin improves by age 6-12 months as the structural integrity of the trachea is restored gradually with resolution of the process. Treatment and management Treatment in the NICU is designed to limit stress on infants and meet their basic needs of warmth, nutrition, and protection. Once doctors diagnose BPD, some or all of the treatments used for RDS will continue in the NICU. Such treatment usually includes: Using radiant warmers or incubators to keep infants warm and reduce the chances of infection. Ongoing monitoring of blood pressure, heart rate, breathing, and temperature through sensors taped to the babies bodies. Using sensors on fingers or toes to check the amount of oxygen in the infants blood. Giving fluids and nutrients through needles or tubes inserted into the infants veins. This helps prevent malnutrition and promotes growth. Nutrition is critical to the growth and development of the lungs. Later, babies may be given breast milk or infant formula through feeding tubes that are passed through their noses or mouths and into their throats. Checking fluid intake to make sure that fluid doesnt build up i n the babies lungs. As their condition improves, babies who have BPD are weaned or taken off NCPAP or ventilators slowly, until they can breathe on their own. These infants will likely need to continue getting oxygen therapy for some time. If your infant has moderate to severe BPD, echocardiography may be done every few weeks to months to check his or her pulmonary artery pressure. If your child needs long-term support from a ventilator, he or she will likely have a tracheostomy (TRA-ke-OS-to-me). A tracheostomy is a surgically made hole that goes through the front of the neck and into the trachea (TRA-ke-ah), or windpipe. Your childs doctor will put the breathing tube from the ventilator through the hole. Using a tracheostomy instead of an endotracheal (en-do-TRA-ke-al) tube has several advantages. (An endotracheal tube is a breathing tube inserted through the nose or mouth and into the windpipe.) Long-term use of an endotracheal tube can damage the trachea. This damage may later r equire surgery to correct. A tracheostomy may allow your baby to interact more with you and the NICU staff, start talking, and develop other skills.While your baby is in the NICU, he or she also may need physical therapy. Physical therapy can help strengthen your childs muscles and clear mucus out of his or her lungs.Infants who have BPD can recover, but many spend several weeks or months in the hospital. This allows them to get the care they need. Before your baby goes home, its important for you to learn as much as you can about your childs condition and how its treated. Your baby may continue to have some breathing symptoms after he or she leaves the hospital. Your child will likely continue on all or some of the treatments that were started at the hospital, including:Medicines, such as bronchodilators, steroids, diuretics, and caffeine. Oxygen therapy and/or breathing support from NCPAP or a ventilator. Extra nutrition and calories, which may be given through a feeding tube. Pre ventive treatment with a medicine called palivizumab for severe respiratory syncytial virus (RSV). This common virus leads to mild, cold-like symptoms in adults and older, healthy children. However, in infants-especially those in high-risk groups-RSV can be more serious, leading to severe breathing problems. Your child also should have regular checkups with and timely vaccinations from a pediatrician. This is a doctor who specializes in treating children. If your child needs oxygen therapy or a ventilator at home, a pulmonary specialist may help with long-term medical care and make treatment recommendations. Mechanical ventilation In most cases of bronchopulmonary dysplasia (BPD), respiratory distress syndrome is diagnosed and treated. The mainstay for treating RDS has been surfactant replacement with oxygen supplementation, continuous positive airway pressure (CPAP), and mechanical ventilation. The treatment necessary to recruit alveoli and prevent atelectasis in the immature lung may cause lung injury and activate the inflammatory cascade. Trauma secondary to positive pressure ventilation (PPV) is generally referred to as barotrauma. With the recent focus on a ventilation strategy involving low versus high tidal volume, some investigators have adopted the term volutrauma. Volutrauma suggests the occurrence of lung injury secondary to excessive tidal volume from PPV. The severity of lung immaturity, the fetal milieu, and the effects of surfactant deficiency determine the need for PPV, surfactant supplementation, and resultant barotrauma or volutrauma. With severe lung immaturity, the total number of alveoli is reduced, increasing the positive pressure transmitted to distal terminal bronchioles. In the presence of surfactant deficiency, surface tension forces are increased. Some compliant alveoli may become hyperinflated, whereas other saccules with increased surface tension remain collapsed. With increasing PPV to recruit alveoli and improve gas exchange, the compliant terminal bronchiole and alveolar ducts may rupture, leaking air into the interstitium, with resultant pulmonary interstitial emphysema (PIE). The occurrence of PIE greatly increases the risk of bronchopulmonary dysplasia. Many modes of ventilation and many ventilator strategies have been studied to potentially reduce lung injury, such as synchronized intermittent mechanical ventilation (SIMV), high-frequency jet ventilation (HFJV), and high-frequency oscillatory ventilation (HFOV). Results have been mixed, although some theoretical benefits are associated with these alternative modes of ventilation. Although shorter duration of mechanical ventilation has been demonstrated in some trials of SIMV, most trials have not had a large enough sample size to demonstrate a reduction in bronchopulmonary dysplasia. Systematic reviews suggest that optimal use of conventional ventilation may be as effective as HFOV in improving pulmonary outcomes. Regardless of the high-frequency strategy used, avoidance of hypocarbia and optimization of alveolar recruitment may decrease the risk of bronchopulmonary dysplasia and associated of neurodevelopmental abnormalities. PPV with various forms of nasal CPAP has been reported to decrease injury to the developing lung and may reduce the development of bronchopulmonary dysplasia. In general, centers that use gentler ventilation with more CPAP and less intubation, surfactant, and indomethacin had the lowest rates of bronchopulmonary dysplasia. Oxygen and PPV frequently are life-saving in extremely preterm infants. However, early and aggressive CPAP may eliminate the need for PPV and exogenous surfactant or facilitate weaning from PPV. Some recommend brief periods of intubation primarily for the administration of exogenous surfactant quickly followed by extubation and nasal CPAP to minimize the need for prolonged PPV. This strategy may be most effective in infants without severe RDS, such as many infants with birth weights of 1000-1500 g. In infants who require oxygen and PPV, careful and meticulous treatment can minimize oxygen toxicity and lung injury. Optimal levels include a pH level of 7.2-7.3, a partial pressure of carbon dioxide (pCO2) of 45-55 mm Hg, and a partial pressure of oxygen (pO2) level of 50-70 mm Hg (with oxygen saturation at 87-92%). Assessment of blood gases requires arterial, venous, or capillary blood samples. As a result, indwelling arterial lines are often inserted early in the acute management of RDS. Samples obtained from these lines provide the most accurate information about pulmonary function. Arterial puncture may not provide completely accurate samples because of patient agitation and discomfort. Capillary blood gas results, if samples are properly obtained, may be correlated with arterial values; however, capillary samples may widely vary, and results for carbon dioxide are poorly correlated. Following trends in transcutaneous PO2 andP CO2 may reduce the need for frequent blood gas measurements. Weaning from mechanical ventilation and oxygen is often difficult in infants with moderate-to-severe bronchopulmonary dysplasia, and few criteria are defined to enhance the success of extubation. When tidal volumes are adequate and respiratory rates are low, a trial of extubation and nasal CPAP may be indicated. Atrophy and fatigue of the respiratory muscles may lead to atelectasis and extubation failure. A trial of endotracheal CPAP before extubation is controversial because of the increased work of breathing and airway resistance. Optimization of methylxanthines and diuretics and adequate nutrition may facilitate weaning the infant from mechanical ventilation. Meticulous primary nursing care is essential to ensure airway patency and facilitate extubation. Prolonged and repeated intubations, as well as mechanical ventilation, may be associated with severe upper airway abnormalities, such as vocal cord paralysis, subglottic stenosis, and laryngotracheomalacia. Bronchoscopic evaluation should be considered in infants with bronchopulmonary dysplasia in whom extubation is repeatedly unsuccessful. Surgical interventions (cricoid splitting, tracheostomy) to address severe structural abnormalities are used less frequently today than in the past. Oxygen therapy Oxygen can accept electrons in its outer ring to form free radicals. Oxygen free radicals can cause cell-membrane destruction, protein modification, and DNA abnormalities. Compared with fetuses, neonates live in a relatively oxygen-rich environment. Oxygen is ubiquitous and necessary for extrauterine survival. All mammals have antioxidant defenses to mitigate injury due to oxygen free radicals. However, neonates have a relative deficiency in antioxidant enzymes. The major antioxidant enzymes in humans are superoxide dismutase, glutathione peroxidase, and catalase. Activity of antioxidant enzymes tend to increase during the last trimester of pregnancy, similar to surfactant production, alveolarization, and development of the pulmonary vasculature. Increases in alveolar size and number, surfactant production, and antioxidant enzymes prepare the fetus for transition from a relatively hypoxic intrauterine environment to a relatively hyperoxic extrauterine environment. Preterm birth exposes the neonate to high oxygen concentrations, increasing the risk of injury due to oxygen free radical. Animal and human studies of supplemental superoxide dismutase and catalase supplementation have shown reduced cell damage, increased survival, and possible prevention of lung injury. Evidence of oxidation of lipids and proteins has been found in neonates who develop bronchopulmonary dysplasia. Supplementation with superoxide dismutase in ventilated preterm infants with RDS substantially reduced in readmissions compared with placebo-treated control subjects. Further trials are currently under way to examine the effects of supplementation with superoxide dismutase in preterm infants at high risk for bronchopulmonary dysplasia. Ideal oxygen saturation for term or preterm neonates of various gestational ages has not been definitively determined. In practice, many clinicians have adopted conservative oxygen saturation parameters (ie, 87-92%). A delicate balance to optimally promote neonatal pulmonary (alveolar and vascular) and retinal vascular homeostasis is noted. In the Supplemental Therapeutic Oxygen for Prethreshold Retinopathy of Prematurity (STOP-ROP) trial to reduce severe retinopathy of prematurity (ROP), oxygen saturations of more than 95% minimally affected retinopathy but increased the risk for pneumonia or bronchopulmonary dysplasia. The normal oxygen requirement of a preterm infant is unknown. Pulmonary hypertension and cor pulmonale may result from chronic hypoxia and lead to airway remodeling in infants with severe bronchopulmonary dysplasia. Oxygen is a potent pulmonary vasodilator that stimulates the production of nitric oxide (NO). NO causes smooth muscle cells to relax by activating cyclic guanosine monophosphate. Currently, pulse oximetry is the mainstay of noninvasive monitoring of oxygenation. Repeated episodes of desaturation and hypoxia may occur in infants with bronchopulmonary dysplasia receiving mechanical ventilation as a result of decreased respiratory drive, altered pulmonary mechanics, excessive stimulation, bronchospasm, and forced exhalation efforts. Forced exhalation efforts due to infant agitation may cause atelectasis and recurrent hypoxic episodes. Hyperoxia may overwhelm the neonates relatively deficient antioxidant defenses and worsen bronchopulmonary dysplasia. The patients oxygen requirements are frequently increased during stressful procedures and feedings. Some NICUs have adopted a conservative oxygen saturation policy of maintaining saturations of 88-94%. Caregivers are more likely to follow wide guidelines for ranges of oxygen saturation than narrow ones. Some infants, especially those living at high altitudes, may require oxygen therapy for many months. Transfusion of packed RBCs may increase oxygen-carrying capacity in preterm infants who have anemia (hematocrit The need for multiple transfusions and donor exposures can be minimized by using iron supplementation, a reduction in phlebotomy requirements, and by use of erythropoietin administration. Treatment of inflammation Elevated levels of interleukin-6 and placental growth factor in the umbilical venous blood of preterm neonates are associated with increased incidence of bronchopulmonary dysplasia. This inflammation likely affects alveolarization and vascularization of the pulmonary system of the second-trimester fetus. Fetal sheep exposed to inflammatory mediators or endotoxin develop inflammation and abnormal lung development. Activation of inflammatory mediators has been demonstrated in humans and animal models of acute lung injury. Activation of leukocytes after cell injury caused by oxygen free radicals, barotrauma, infection, and other stimuli may begin the process of destruction and abnormal lung repair that results in acute lung injury then bronchopulmonary dysplasia. Radiolabeled activated leukocytes have been recovered by means of bronchoalveolar lavage (BAL) in preterm neonates receiving oxygen and PPV. These leukocytes, as well as lipid byproducts of cell-membrane destruction, activate the inflammatory cascade and are metabolized to arachidonic acid and lysoplatelet factor. Lipoxygenase catabolizes arachidonic acid, resulting in the production of cytokines and leukotrienes. Cyclooxygenase may also metabolize these byproducts to produce thromboxane, prostaglandin, or prostacyclin. All of these substances have potent vasoactive and inflammatory properties. levels of these substances are elevated in the first days of life, as measured in tracheal aspirates of preterm infants who subsequently develop bronchopulmonary dysplasia. Metabolites of arachidonic acid, lysoplatelet factor, prostaglandin, and prostacyclin may cause vasodilatation, increase capillary permeability with subsequent albumin leakage, and inhibit surfactant function. This effects increase oxygenation and ventilation requirements and potentially increase rates of bronchopulmonary dysplasia Activation of transcription factors such as nuclear factor-kappa B in early postnatal life is associated with death or bronchopulmonary dysplasia. Collagenase and elastase are released from activated neutrophils. These enzymes may directly destroy lung tissue because hydroxyproline and elastin (breakdown products of collagen and elastin) have been recovered in the urine of preterm infants who develop bronchopulmonary dysplasia. Alpha1-proteinase inhibitor mitigates the action of elastases and is activated by oxygen free radicals. Increased activity and decreased function of alpha1-proteinase inhibitor may worsen lung injury in neonates. A decrease in bronchopulmonary dysplasia and in the need for continued ventilator support is found in neonates given supplemental alpha1-proteinase inhibitor. All of these findings suggest the fetal inflammatory response effects pulmonary development and substantially contributes to the development of bronchopulmonary dysplasia. The self-perpetuating cycle of lung injury is accentuated in the extremely preterm neonate with immature lungs. Management of infection Maternal cervical colonization and/or colonization in the neonate with Ureaplasma urealyticum has been implicated in the development of bronchopulmonary dysplasia. Viscardi and colleagues found that persistent lung infection with U urealyticum may contribute to chronic inflammation and early fibrosis in the preterm lung, leading to pathology consistent with clinically significant bronchopulmonary dysplasia.[13] Systematic reviews have concluded that infection with U urealyticum is associated with increased rates of bronchopulmonary dysplasia. Infection-either antenatal chorioamnionitis and funisitis or postnatal infection-may activate the inflammatory cascade and damage the preterm lung, resulting in bronchopulmonary dysplasia. In fact, any clinically significant episode of sepsis in the vulnerable preterm neonate greatly increases his or her risk of bronchopulmonary dysplasia, especially if the infection increases the babys requirement for oxygen and mechanical ventilation. Future management Future management of bronchopulmonary dysplasia will involve strategies that emphasize prevention. Because few accepted therapies currently prevent bronchopulmonary dysplasia, many therapeutic modalities (eg, mechanical ventilation, oxygen therapy, nutritional support, medication) are used to treat bronchopulmonary dysplasia. Practicing neonatologists have observed reduced severities of bronchopulmonary dysplasia in the postsurfactant era. Maintaining PPV and oxygen therapy for longer than 4 months and discharging patients to facilities for prolonged mechanical ventilation is now unusual. Medication Summary Many drug therapies are used to treat infants with severe bronchopulmonary dysplasia (BPD). The efficacy, exact mechanisms of action, and potential adverse effects of these drugs have not been definitively established. A study group from the NICHD and US Food and Drug Administration (FDA) reviewed many of the drugs used to prevent and treat bronchopulmonary dysplasia. Walsh and colleagues concluded that detailed analyses of many of these treatments, as well as long-term follow-up, are needed.[15] Vitamin A supplementation Seven trials of vitamin A supplementation in preterm neonates to prevent bronchopulmonary dysplasia were analyzed for the Cochrane Collaborative Neonatal review. Vitamin A supplementation reduced bronchopulmonary dysplasia and death at 36 weeks postmenstrual age. However, the need for frequent intramuscular injections in extremely premature infants has precluded widespread use of this therapy. Diuretics Furosemide (Lasix) is the treatment of choice for fluid overload in infants with bronchopulmonary dysplasia. It is a loop diuretic that improves clinical pulmonary status and function and decreases pulmonary vascular resistance. Daily or alternate-day furosemide therapy may facilitate weaning from positive pressure ventilation (PPV), oxygenation, or both. Adverse effects of long-term therapy are frequent and include hyponatremia, hypokalemia, contraction alkalosis, hypocalcemia, hypercalciuria, renal stones, nephrocalcinosis, and ototoxicity. Careful parenteral and enteral nutritional supplementation is required to maximize the benefits instead of exacerbating the adverse effects. In patients with mild hyponatremia or hypokalemia, supplementation with potassium chloride is favored over supplementation with sodium chloride. Thiazide diuretics plus aldosterone inhibitors (eg, spironolactone [Aldactone]) have also been used in infants with bronchopulmonary dysplasia. In several trials of infants with bronchopulmonary dysplasia, thiazide diuretics combined with spironolactone increased urine output with or without improvement in pulmonary mechanics. Hoffman et al reported that spironolactone did not reduce the need for supplemental electrolytes in preterm infants with bronchopulmonary dysplasia.[16] To the present authors knowledge, long-term studies to compare the efficacy of furosemide with those of thiazide and spironolactone therapy have not been performed. Bronchodilators Albuterol is a specific beta2-agonist used to treat bronchospasm in infants with bronchopulmonary dysplasia. Albuterol may improve lung compliance by decreasing airway resistance by relaxing smooth muscle cell. Changes in pulmonary mechanics may last as long as 4-6 hours. Adverse effects include increased blood pressure (BP) and heart rate. Ipratropium bromide is a muscarinic antagonist that is related to atropine; however, it may have bronchodilator effects more potent than those of albuterol. Improvements in pulmonary mechanics were demonstrated in patients with bronchopulmonary dysplasia after they received ipratropium bromide by inhalation. Combined therapy with albuterol and ipratropium bromide may be more effective than either agent alone. Few adverse effects are noted. Methylxanthines are used to increase respiratory drive, decrease apnea, and improve diaphragmatic contractility. These substances may also decrease pulmonary vascular resistance and increase lung compliance in infants with bronchopulmonary dysplasia, probably by directly causing smooth muscle to relax. Methylxanthines also have diuretic effects. All of these effects may increase success in weaning patients from mechanical ventilation. Synergy between theophylline and diuretics has been demonstrated. Theophylline has a half-life of 30-40 hours. It is metabolized primarily to caffeine in the liver and may result in adverse effects such as increase in heart rate, gastroesophageal reflux, agitation, and seizures. The half-life of caffeine is approximately 90-100 hours, and caffeine is excreted unchanged in the urine. Both agents are available in intravenous and enteral formulations. Caffeine has fewer adverse effects than theophylline. Schmidt and colleagues reported that the early use of caffeine to treat apnea of prematurity appeared to reduce ventilatory requirements and that it may decrease the incidence of bronchopulmonary dysplasia.[17] Corticosteroids Systemic and inhaled corticosteroids have been studied extensively in preterm infants to prevent and treat bronchopulmonary dysplasia. Dexamethasone is the primary systemic synthetic corticosteroid studied in preterm neonates. Dexamethasone has many pharmacologic benefits but clinically significant adverse effects. This drug stabilizes cell and lysosomal membranes, increases surfactant synthesis, increases serum vitamin A concentration, inhibits prostaglandin and leukotriene, decreases pulmonary edema (PE), breaks down granulocyte aggregates, and improves pulmonary microcirculation. Its adverse effects are hyperglycemia, hypertension, weight loss, GI bleeding or perforation, cerebral palsy, adrenal suppression, and death. Many researchers have evaluated the effects of early administration of dexamethasone to prevent bronchopulmonary dyspl

Wednesday, November 13, 2019

Copyright Laws in India Essay -- Technology Computers Essays

Copyright Laws in India This document is intended to give a brief overview of the patent and copyrights laws in India and a brief analysis on global issues related to these laws. India has progressed enormously in the field of technology and is ranked tenth in the pool of scientific and technical personnel in the world. There may be hundreds of economical, legal, ethical issues that might have global impact but discussing all of them here is almost impossible. Only the key issues are focused in this paper. India is quickly growing as leading world software producer. It has occupied a secured place in information technology arena by producing high quality software products and software professionals. India also has a fairly well developed system of infrastructure facilities like power, transport, communication and banking. Government of India has recently adopted an increasing liberal approach towards joint venture and import of technology. The country has also revised its patents Acts after a number of foreign companies brought suit against local firms for breach of patents. While computer programs are not currently patentable in India, the country is not without software protection. The Indian Copyright Law explicitly defines the software as a literary work, which can be protected. The statute gives the Indian Central Govt. power to extent copyright protection to foreign works if needed. With the protective necessary statute in place, India has only to enforce them. Enforcement in Ind ia, as in Mexico, indeed seems to be weak spot in controlling intellectual property. We will discuss the details of patens and copyrights issues of India in following sections of this paper. Overview of Patent laws in India The Indian Patent Law does not contain any specific provision regarding the protection of computer programs. Computer programs are not patentable per se, however a claim to a manner of manufacture, which results in a tangible product that requires the application of an algorithm or a particular computer program, may be patentable. Under Section 3(k) of the Patents (Second Amendment) Bill 1999, "a mathematical or a business method or a computer program or algorithms" is not a patentable invention. It appears that computer programs capable of bringing about a technical effect might be allowed, in pursuant to the recommendations made by the... ... of the program to be free software as well.) would prohibit it. Conclusion Software is special . Neither it can be compared to a copyrighted novel nor to a hardware or machinery. Software should be considered as a special case as it forms a unique nexus between the intangible world of abstract concepts and the concrete world of machinery. New discoveries and inventions are taking place everyday in this field. As we discussed above, there are many ethical issues if we protect the software as any other engineering process and there are many issues if we do not protect them. Being a responsible software engineer, I believe that software should be considered as a separate entity (different from other engineering processes or literary work) and new laws should be defined only applicable to software. References i. The patent and copyrights law in India, http://www.singhania.com/ip/contents.html ii. The Danger of Software Patents - by Richard M. Stallman, http://www.gnu.org/philosophy/stallman-mec-india.html iii. Philosophies of Free Software and Intellectual Property - by Brett Watson, http://www.ram.org/ramblings/philosophy/fmp/free-software-philosophy.html

Monday, November 11, 2019

Adr – Alternative Dispute Resolution

ADR is an assortment of systems in which conflicts can be resolved without litigation and the courts. Types of alternative dispute resolution are arbitration, mediation, and negotiations. Without the litigation process, alternative methods provide fast and efficient results without the high cost and long litigations (Cheeseman R. Henry). Learning Team Dispute Conflicts, disputes, or disagreements among team members will be initially settle and handle through proper communication and negotiation between team members.ADR will be exclusive for those disputes and problems that can not be resolve in a timely manner and are affecting the team to achieve goals and deliver their projects. Some conflicts are necessary to bring new perspectives and different points of view among a diverse group of people. They enhance positive productivity, responsiveness, and effectiveness in achieving goals. Disagreements that are subject to an alternative dispute clause †¢ Violation of conduct code. â € ¢ Lack of participation. †¢ Minimum communication. †¢ Poor performance. †¢ Negative attitude toward the team. Late delivery of assignments that can affect the team members. Type of Alternative Dispute Resolution for Learning Team This type of ADR will be used to resolve disagreements among the learning team members during the length of this course, and will be suitable for use by any learning team in any course of the program. Mediation This method involves an attempt by the team members to resolve the dispute with the help of a neutral third party; in this case the mediator will be the instructor. The instructor’s role will be advisory, he or she may offer suggestions but the resolution will be made by the team members themselves.Mediation proceedings will be confidential and private. The team members will be in control of the outcome for the settlement of the dispute. In mediation, the third neutral party is involved to help facilitate the teams own settl ement process. They will agree to the procedures and to the individual who will assist in the dispute resolution process (LLL, 2010).Reference: Cheeseman R. Henry 2010 Chapter 3: Judicial, Alternative, and Online Dispute Resolution ‘Lectric Law Library. (2010). A Beginner’s Guide to Alternative Dispute Resolution.

Friday, November 8, 2019

What You Need To Know About Cinco de Mayo in English and Spanish

What You Need To Know About Cinco de Mayo in English and Spanish  ¿Quà © es el Cinco de Mayo? What is Cinco de Mayo? This bilingual feature has been written with classroom use in mind - a grammar guide at the end provides useful tips for Spanish students. En espaol: Los orgenes del Cinco de Mayo Muchos creen que el cinco de mayo es el aniversario de la independencia mexicana. Pero no tienen razà ³n - el dà ­a de independencia en Mà ©xico es el 16 de septiembre. Para familiarizarse con los orà ­genes de la celebracià ³n, es necesario estudiar los sucesos a mediados del siglo diecinueve. Despuà ©s de la Guerra Mexicana Americana, Mà ©xico enfrentaba una crisis econà ³mica. En 1861, Benito Jurez, el presidente mexicano, declarà ³ que Mà ©xico aplazarà ­a por dos aà ±os los pagos de deudas exteriores. Aunque Jurez hubo dicho que se reanudarà ­an los pagos en 1863, la promesa no satisfizo a Gran Bretaà ±a, Francia y Espaà ±a. Se ablandaban Gran Bretaà ±a y Espaà ±a, pero Francia insistià ³ en obtener su dinero por la fuerza. Napoleà ³n III, emperador de los franceses, nombrà ³ un pariente, archiduque Maximillian de Austria, el là ­der de Mà ©xico. Mientras marchaba hacia la Ciudad de Mà ©xico, el ejà ©rcito francà ©s enfrentaba resistencia tenaz. El 5 de mayo, 1862, el general Ignacio Zaragoza y su ejà ©rcito mexicano vencieron el ejà ©rcito francà ©s en la batalla de Puebla. La victoria mexicana era una sorpresa porque el ejà ©rcito francà ©s era ms grande y tenà ­a materiales superiores. Segà ºn  un refrn inglà ©s, es posible ganar la batalla y perder la guerra. Los franceses ganaron otras batallas, y Maximillian se hizo là ­der en 1864. Pero los franceses, enfrentando resistencia mexicana y presià ³n de los Estados Unidos, retiraron las tropas en 1867. El Cinco de Mayo es un dà ­a para conmemorar el coraje de los luchadores contra la opresià ³n. Quizs por eso este dà ­a de fiesta es muy popular dondequiera haya personas de ascendencia mexicana. Por ejemplo, la fiesta hoy dà ­a es muy popular en Estados Unidos, donde viven muchas persons con antepasados de Mà ©xico. In English: Origins of Mexicos Cinco de Mayo Many people believe that May 5 is the anniversary of the Mexican Independence. But theyre mistaken, for the Mexican Independence Day is September 16. To understand the origins of the celebration, you need to go back to the middle of the 19th century. After the Mexican-American War of 1846-48, Mexico was in a fiscal crisis. In 1861 Mexican President Benito Jurez declared that Mexico was suspending payment on all its foreign debt for two years. Even though Jurez had said payments would resume in 1863, Great Britain, France and Spain were not satisfied. Although the British and Spanish-backed off, France insisted on using force to secure its debt payments. French Emperor Napoleon III named a relative of his, Archduke Maximillian of Austria, as ruler of Mexico. As it was marching toward Mexico City, the French Army encountered stiff resistance. On May 5, 1862, General Ignacio Zaragoza defeated the French Army in the Battle of Puebla. The Mexican victory was a surprise, for the French Army was larger and better equipped. There is a saying that its possible to win the battle and lose the war. The French won other battles, and Maximillian became the ruler in 1864. But facing Mexican resistance and American pressure, the French withdrew their troops in 1867. Cinco de Mayo is a time to recognize the bravery of those who fight against oppression. Perhaps that is why this holiday is popular wherever there are people of Mexican descent. For example, the fiesta these days is very popular in the United States, where many people who have Mexican ancestors live. Grammatical Highlights Differences in uses of the two simple past tenses of Spanish can be seen in the article. In general, the preterite is used here in referring to ordinary events (such as with ganaron for the winning of battles), the imperfect is used to provide background, such as in the use of tenà ­an  materiales (literally had materiel). Names of the months typically arent capitalized in Spanish. The name of the holiday is, however. Adjectives such as mexicana and francà ©s derived from names of countries also arent capitalized, nor are most titles such as archiduque. Note how reflexive verbs such as familiarizarse and reanudarse (in the form se reanudarà ­an) are used. Alhough the two verbs could be translated literally in this context as to famliiarize oneself and to resume themselves, such a translation would be awkward. In the third paragraph, a comma is used after France in English but not after Francia in Spanish. That is because Spanish does not use the Oxford comma before the y (and) in a series of words.

Wednesday, November 6, 2019

The eNotes Blog Literary Lunch-Box Giveaway FromeNotes

Literary Lunch-Box Giveaway From Agh, yes, it is that time of year again: back to school! To make things a little easier for you (and to make your friends a lot jealous), were giving away a super sweet lunch-box set. Our exclusive literary kit includes: An Edgar Allan Poe lunch box A pack of Shakespeare insult gum A tin of Jane Austen bandages A whole bunch of neon pencils And a FREE pass to for 1 year! Never have bad breath or lose a pencil again To win, just mention your favorite author in a comment here or hit us up on Twitter or Facebook. Well pick two winners at random on 9/17/14 (U.S. shipping only).

Monday, November 4, 2019

EMBA 530 initial post week 9 Essay Example | Topics and Well Written Essays - 500 words

EMBA 530 initial post week 9 - Essay Example One important factor is the use of participative decision making involving all the family members led by the senior members – i.e., the parents in a nuclear unit. This means that family meetings are held on most vital matters, and there is a generally liberal attitude in these collaborations. This factor was linked specifically to the longevity and success of the business (Fahed-Sreih & Djoundourian, 2006). A second important factor in successful family businesses is a resistance to institutionalization (Ayranci, 2010). This does not mean opposition to professionalism, because many of these firms are succeeded by younger family members who have obtained MBAs and formal training. What the family business resists is the formalization of procedures which many call bureaucracy. Family members prefer to maintain a level of informality where they could talk to each other simply and directly despite the difference in their position in the hierarchy. A third factor is ownership preferences, pertaining specifically to higher degrees of ownership concentration in successful family businesses (Hoopes & Miller, 2006). As mentioned earlier, the family business is not necessarily one which is wholly owned by one family; in some cases, those organizations referred to as family business may simply be majority-owned, and some not. Successful family businesses, however, have a higher concentration of ownership held within the family, and the more the ownership is held by family members, the more focused the firm’s strategy is and the more successful it becomes. The fourth important factor is the family’s commitment to change (Davis, 1983). In this rather dated article, a timeless observation was made that family businesses tended to be of two types – those which placed an emphasis on the way things had been done in the family business for decades and would not want to change them, and those which are keen on the changes

Saturday, November 2, 2019

Zappos Case Study Assignment Example | Topics and Well Written Essays - 1500 words

Zappos Case Study - Assignment Example This prompted him to create an online retail site specializing in footwear which grew to give rise to Zappos.com (Frances, Robin and Laura, 2011). From its inception Zappos value proposition has been to create and deliver to each customer a WOW experience. They are able to achieve this by simply empowering their workforce to deliver a shopping experience that is irresistible. They provide unrivalled customer service and free fast shipping , while at the same time offering almost one thousand two hundred and fifty brands and two million eighty hundred thousand products. As a result of this strategy they have a fanatical customer loyalty with up to 75% being repeat customers (Zappos, 2011). Zappos ability to create and capture value emanates from their nearly obsessive passion to create customer satisfaction and good customer relationships. In fact customer’s loyalty is of such great importance to Zappos that it is their primary goal to be the best customer experience and customer service company. They have a culture that runs deep down and that is customer-focused (Scribd, 2012). In order to create and capture value, Zappos directly invests huge amount of money into customer service. They will only hire employees who are customer-oriented who are able to fit into their culture of optimal employee satisfaction. Even after employing people who are customer-oriented, they further train these individuals thoroughly the art of creating customer loyalty. Zappos approach to creating and capturing value is customer centric. They make use of such strategies as offering free delivery for products purchased, they even allow for free returns when a customer is not happy wi th the product and they also have a 365 day return together with periodical service upgrades. As a result, 75% of their sales emanate from current customers and still have a tremendous rate of growth despite the poor economy (Sam Houston State University, 2011). Zappos have also developed a service culture which is built around ten core principles which stipulate that every new employee has to take four weeks of customer training on loyalty. Their employees are committed to their work and build life long relationships with customers. They make use of social sites for networking and making contact with customers and in the process obtaining invaluable customer feedback and criticism (Sam Houston State University, 2011). The growth and success at Zappos is also attributable to a good corporate culture. The culture at Zappos promotes and encourages employees to be themselves. The employee culture at Zappos is focused on good customer service and is of one mind. They care that the custo mer is happy with the product that he or she chooses to buy. This culture of customer satisfaction is entrenched deep into the beliefs of the employees, their interactions with customers and their hiring protocols. During the hiring process, there are two sets of interviews that are done. One set of interviews is done by the hiring manager together with her or his team. During this stage they check for the basics like relevant experience, and technical ability of the job applicants. The second set of the interview involves the HR department who perform the interview for the sole purpose assessing for culture fitness. They examine whether the individuals would easily fit into their culture (Fast Company, 2012). Zappos culture is built around ten core values. These values include: Deliver WOW through good service, drive and embrace change, creating a little weirdness and fun, humility by employees, be determined and passionate, do more with a little, being creative,