Cushings Syndrome: Causes and Symptoms

Cushings Syndrome: Causes and Symptoms The human body is an advance piece of machinery which possesses many organs and systems that regulate the numerous processes that keeps every part functioning to sustain normal life or Homeostasis. In the event that any of these numerous processes occur unchecked with absolutely no controlling limits it results in a physiological disorder, syndrome or disease; each of these syndromes have characteristic effects on the human anatomy which can be manifested physically of which some can be controlled or cured. Cushings syndrome, which is a hormonal disorder caused by the prolonged exposure of body tissues to high levels of the hormone cortisol and is frequently referred to as hypercortisolism. Cushings syndrome is relatively rare and most commonly affects adults aged 20 to 50 years, people who are obese and have type 2 diabetes, along with poorly controlled blood glucose also called blood sugar-and high blood pressure, have an increased risk of developing the disorder. Cortisol is a very important hormone as job is to help the body respond to stress. Most people suffering from depression, alcoholism, malnutrition, or panic disorders also have increased cortisol levels. Causes Physiological The cause of Cushings syndrome is divided into two groups base upon whether the problem is being caused by a defective pituitary gland, which is a small gland located on the ventral side of the brain or by the adrenal glands which are located on the superior lopes of the kidneys. Cushings syndrome is caused when the bodys tissue are exposed high volumes of the hormone cortisol for extremely long durations of time. Many individuals have developed Cushings syndrome as a result of use or consumption of products that contain glucocorticoids. Glucocorticoids are steroid hormones that are structurally similar naturally produced to cortisol e.g. prednisone, which is contained in most asthma, rheumatoid arthritis, lupus and other inflammatory disease medications. Glucocorticoids also have properties which also allow them to be used to suppress the immune system after organ or tissue transplants to keep the body from rejecting the new organ or tissue. Some people develop Cushings syndrome as a result of their bodies inability to produce adequate amounts of the hormone cortisol. The normally production of cortisol follows an exact and precise chain of events. In the hypothalamus, a part of the brain the size of a small sugar cube, it releases corticotrophin releasing hormone (CRH) to the pituitary gland. Corticotrophin causes the pituitary gland to secrete adrenocorticotropin hormone (ACTH), which in returns stimulates the adrenal glands. When the adrenals, which are located just above the superior lobes of the kidneys, receive the ACTH, they respond by releasing cortisol into the bloodstream. Cortisol is very important to the body because it is required to perform vital tasks in the body which include helping to maintain blood pressure and cardiovascular function, reduction of the immune systems inflammatory response, the balancing of the effects of insulin, which breaks down glucose for energy and the regulation of the metabolism of proteins, carbohydrates and fats. Cortisol is very important to the for its role in many processes but its most important role is to help the body cope with stress and it is for this reason well trained athletes and pregnant women have high levels of the hormone circulating within their blood. In most cases individuals suffering from alcoholism, malnutrition and or panic disorders may also have increased cortisol levels. Under normal circumstances, when the cortisol levels are near normal levels the hypothalamus and pituitary release less CRH and ACTH. This ensures that the level of cortisol in the blood released by the adrenals is the exact balance to meet the bodys normal requirements. There are four common types of Cushings syndrome and each is caused by different factors e.g. pituitary adenomas, adrenal tumors, ectopic ACTH syndrome and Familial Cushings syndrome. Of the four different types of cushings syndrome, cases of familial cushings syndrome occurs more frequently. Most cases of familial cushings syndrome are not are not inherited genetically, however some cases are the result of gene which causes the development of tumors on one or more glands of the endocrine system which releases hormones into the bloodstream. There are some exceptions e.g. with primary pigmented micronodular adrenal disease, which is developed in children or young adults which develop small cortisol producing tumors on the adrenal glands. There are occurrences where multiple endocrine neoplasia type 1 (MEN), where hormone secreting tumors develop on the parathyroid glands, pancreas and pituitary. In cushings syndrome caused by adrenal tumors, an abnormality of the adrenal glands causes the cushings syndrome. The adrenal tumor develops four to five times more in females than in males and begins at approximately at age forty. Most cases of adrenal tumors involve noncancerous tissues of the adrenal glands and are called adrenal adenomas and are responsible for the release of additional cortisol into the blood. In the case of adrenocortical carcinomas, the cancerous form of adrenal tumors, the cancer cells release additional volumes of several types of adrenal androgens or male hormones which may include cortisol. The adrenocortical carcinomas are usually responsible for very high hormone levels and rapid development of symptoms. In Ectopic ACTH syndrome which is another cause of cushings syndrome, in some cases it is benign and in most caused by cancerous tumors that develop on the external surface of the pituitary and is capable of producing adrenocorticotropic hormone. Lung tumors are known to be associated with increased risks of development of ectopic ACTH as it was present in more than half of all occurrences and is known to be more prevalent males than in females. The most prolific form of adrenocorticotropic hormone producing tumors is minute cell lung cancer and accounts for approximately thirteen percent of all lung cancer cases and carcinoid tumors, which are small, slow growing tumors that develop from hormone producing cells in various parts of the body. There are other less common types of tumors which possess the ability to produce adrenocorticotropic hormone e.g. thymomas, medullary carcinomas of the thyroid and pancreatic islet cell tumors. In most cases of Cushings syndrome seventy percent are caused by the development of pituitary adenomas and these statistics excluded instances where it is caused by glucocorticoid use. This type of benign, or noncancerous tumor of the pituitary gland is responsible for the secretion of additional adrenocorticotropic hormone into the bloodstream. In most instances persons afflicted by this disorder have a single adenoma and is referred to as Cushings disease and it is known to affect women five more than men. Biochemical Diagnosis of Cushings syndrome To diagnose Cushings syndrome several factors are taken into consideration; a person medical history, physical examinations and laboratory test. In diagnosing cushings syndrome the most commonly used test are the 24-hour urinary free cortisol test, measurement of midnight plasma cortisol or late night salivary cortisol and low dose dexamethasone suppression test. In some instances an additional test dexamethasone corticotrophin releasing hormone test may be needed to differentiate Cushings syndrome from causes of excess. The 24 hour urinary cortisol level test consists of the collection of several urine samples over a 24 hour period and these samples are tested for cortisol. If the cortisol levels are higher than fifty to one hundred micrograms a day for an adult, this suggests that the individual has Cushings syndrome. From laboratory to laboratory the normal upper limit varies depending on which technique is used. The second test that may be used to diagnose Cushings syndrome is Midnight plasma cortisol and late-night salivary cortisol measurements. This test measures cortisol concentrations in the blood. In normal individuals Cortisol production is normally restricted at night, but in Cushings syndrome, this restriction does not occur. If cortisol level in the individual is more than 50 nano-moles per liter (nmol/L), then the individual may have Cushings syndrome. This test usually requires a 48-hour hospital stay to avoid falsely elevated cortisol levels due to stress. Another utilized I the diagnosis of Cushings is the Low-dose dexamethasone suppression test (LDDST). In this test, the individual is given a low dose of dexamethasone, which is a synthetic glucocorticoid, orally every 6 hours for 2 days. Urine samples are collected before dexamethasone is administered and several times on each day of the test. The modified Low-dose dexamethasone suppression test uses a onetime overnight dose. Cortisol and other glucocorticoids signal the pituitary to release less ACTH, so the normal response after taking dexamethasone is a drop in blood and urine cortisol levels. If cortisol levels do not drop, Cushings syndrome is suspected. In some instances Low-dose dexamethasone suppression test may not show a drop in cortisol levels in people with depression, alcoholism, high estrogen levels, acute illness, or stress, which will falsely indicate Cushings syndrome. In some instances, drugs such as phenytoin and phenobarbital may cause cortisol levels to drop, fal sely indicating that Cushings is not present in people who actually have the syndrome and it is for this reason, physicians usually advise their patients to stop taking these drugs at least 1 week before the test. The last test used to diagnose Cushings syndrome is the Dexamethasone-corticotrophin-releasing hormone (Crh) test. There are some exclusion to the rule as some individuals have high cortisol levels but do not develop the progressive effects of Cushings syndrome, such as muscle weakness, fractures, and thinning of the skin. These people may have pseudo-Cushings syndrome, which is a condition sometimes found in people who have depression or anxiety disorders, persons who drink alcohol excessively, have poorly controlled diabetes, or are severely obese. Pseudo-Cushings does not have the same long-term effects on health as Cushings syndrome and does not require treatment directed at the endocrine glands. The dexamethasone-CRH test is used to rapidly distinguish pseudo-Cushing from mild cases of Cushings syndrome. This test combines the Low-dose dexamethasone suppression test and a CRH stimulation test. In the CRH stimulation test, an injection of CRH causes the pituitary gland to secrete ACTH. Pretreatment with dexamethasone prevents CRH from causing an increase in cortisol in people with pseudo-Cushing. Elevations of cortisol during this test suggest usually Cushings syndrome. Tests to Find the Cause of Cushings Syndrome Once a positive diagnosis of Cushings syndrome has been obtained, other tests are performed to locate the cause of the abnormality that leads to excess cortisol production. The choice of test depends, in part, on the preference of the endocrinologist or the center where the test is performed. A CRH test is performed, without pretreatment with dexamethasone, this helps separate people with pituitary adenomas from those with ectopic ACTH syndrome or adrenal tumors. As a result of the CRH injection, people with pituitary adenomas usually experience a rise in blood levels of ACTH and cortisol because CRH acts directly on the pituitary. This response is rarely seen in people with ectopic ACTH syndrome and practically never in those with adrenal tumors. A high-dose dexamethasone suppression test (hDDST) may also be used as well. The A high-dose dexamethasone suppression test is the same as the LDDST, except it uses higher doses of dexamethasone. This test helps separate persons with excess ACTH due to pituitary adenomas from those with ectopic ACTH-producing tumors. A high dose of dexamethasone suppresses cortisol levels in people with pituitary adenomas but not in those with ectopic ACTH-producing tumors. Another test that may be used is radiological imaging of the endocrine glands. This test utilizes the use of computerized tomography (CT) and magnetic resonance imaging (MRI) to reveal the size and shape of the pituitary and adrenal glands to determine if a tumor is present. Imaging tools are used to locate the tumor after a positive diagnosis of Cushings syndrome. Imaging is not used to make the diagnosis of Cushings syndrome since benign tumors are commonly found in the pituitary and adrenal glands.

City of Kelsey

City of Kelsey In the city of Kelsey there are a variety of people that live here. We are an enormous community with doctors, farmers, bankers, right down to your everyday blue collar workers and many more. The residents in the community have many different jobs. We have people that work the farms, teach our children, work the mills and those that are here to serve and protect us such as the police officers, firefighters and ambulance personnel essay writer vancouver.The community offers up a variety of opportunities for our members to gather together and socialize such the local fairs, where there are many chances for the members of the community to socialize and fellowship. The local mall also offers up a wide array of terrific shops and plenty of activities for community members to join in and have fun. The city has a nice blend of many different cultures and ethnicity which allows people of a race or culture to feel comfortable within.Each member of the community participates by helping and giving back to the community by volunteering their time, monies or resources that they have available. It is not a must that each member is required to give back, because as we all know there are always those that are less fortunate than others or perhaps could be struggling. The community members are to pull resources together to lend a helping hand where needed to those that need it. As a socially responsible community member I am compassionate and caring and respect my neighbors.I do my part to lend a helping hand whether it is acknowledged or not. I do my best to volunteer when I can, donate money or resources for a cause and actively work hard at being a good person. I take the time out of my life to make time for someone else or to give back to those that have done so much for the community. My family and friends are a top priority in my life, so I take the time to welcome new faces in the neighborhood, as well as keeping in touch with and caring for those that hav e lived in the community for years.

Mary’s Maids Cleaning Services

Running Head: MARY’S MAIDS Mary’s Maids Cleaning Services Prepared for Vicki Long Keller Submitted by Shunta Dorrough On March 21, 2010 Table of Contents Executive Summary †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 Mission Objectives Product/ Services Description Situation Analysis †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 4 Target Market †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 6 Competitor & Substitutes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 7 Pricing †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 8 Channels of Distribution †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Promotion †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Promotion Budget †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Executive Summary Mary Maids Cleaning Services (MMCS) is a residential house cleaning service serving upper-class families in Plano, TX. Through generous human capital investments, MMCS will exceed our customer's expectations. We will be servicing the wealthy single-income households and affluent two-income households. These targeted families will be willing to pay a premium for our service because of the high level of professionalism and trustworthiness that we offer, not replicated by any of our competition. MMCS projected growth rate is  very high each year with respectable  profit margins as a percentage of sales. MHCS will be a home-based business. By the end of year one, MHCS will have five additional employees. There are many options for maid services, but there is only one that stands out as the best Mary Maids that is. Mary Maids Cleaning Service's mission â€Å"Is to provide the customer with all residential cleaning services in an environmentally sound, completely trustworthy, and professional manner. We exist to attract and maintain customers. When we adhere to this maxim, everything else will fall into place. Our services will exceed the expectations of our customers. Mary Maids Cleaning Service's objectives for the first four years of operation include: †¢ To create a service based company whose #1 goal is exceeding customer's expectations. †¢ To increase our number of clients served by 20% per year through superior service. †¢ To develop a sustainable home-based business, living off its own cash flow. †¢ The utilization of Mary Maids Cleaning Service on a regular basis by at least 30% of the  leads that contact us for more information. Product/ Services Description Situation Analysis MMCS will offer a wide range of services to the residential client, from general room cleaning to child/pet disasters which can go hand in hand. We will be going after the upper end of the market, typically the affluent whose spouse does not have a full-time job but chooses to do other things with his/her time, or  the two income family who chooses not to clean the home themselves. The business will be based out of the CEO Mary Blanktrip’s home office. Between the hours of 6AM-8AM Mary will work on  scheduling, estimates, inventory, ordering, and customer care management. The home office will include a computer, land phone line, and a fax machine. From 9AM-5PM Mary will clean homes until additional staff is hired. Mary Maids Cleaning Service's start-up costs include equipment needed for a home-based business (Exhibit 1),  initial legal fees, marketing fees, cleaning equipment and supplies, uniforms, and signs for employee vehicles. Employee expense is a commercial vacuum cleaner and assorted brooms, mops, and chemicals (biodegradable). SWOT Strengths CEO of Mary Maids Cleaning Services was a stay at home mom for 25 years †¢ Mary understands what it takes to balance home, children, and work †¢ Mary will achieve this high level of service through extensive training and a continuous learning process Weakness †¢ Major competition Molly Maids †¢ New company to the area †¢ First time business owner Opportunit y †¢ MMCS will be qualifying leads over the phone with estimates †¢ MMCS will arrange a  in house meetings to give estimates †¢ The sales process will begin through the qualification of leads generated from our marketing campaign Threats Balancing the whole business (includes office paper work & cleaning services) †¢ Getting customers to trust new business owner Target Market Mary Maids Cleaning Service will provide a residential house cleaning service for the upper end of the market. We will have two target customers: 1. The affluent that does not work, but is not inclined to do housework. To many a maid/house cleaner is a symbol of wealth, and this idea symbolizes this group of customers. 2. The two-income households whose opportunity costs are too great to spend time cleaning the house. MMCS offers house cleaning to these targeted customers. House cleaning ranges from cleaning of standard rooms such as kitchen, bathrooms, bedrooms, as well as more unusual jobs like small disasters from children and pets. The first is the affluent where only one spouse works. Although the other spouse is at home and has time to clean, he/she chooses not too. This spouse would rather volunteer for a public interest organization, play tennis and golf, or just spend time how  he/she chooses to. They have no desire to clean the house day in an out. To them that is not enjoyable and they have the money to pay someone to do that kind of work. This market has annual incomes over $200,000 and lives in expensive homes. According to Money Magazines Plano has 150, 100 that fall into this category, this group reliably uses cleaning services. The second segment of the market that we are targeting is the two income family. Over the last couple of decades, the number of two-income households has increased. This is to a point where in parts of the country they exceed one income families. Our target customer is two income families whose combined annual income is over $125,000. These families don't really have the time to clean, can afford a cleaning service, and choose to hire a service because the opportunity costs are too high to waste time  cleaning their house. These households are typically age 32-55 and live in houses valued over $250,000. According to Money Magazines Plano have 100,000 families that fall into this demographic. It is this segment which has tremendous potential for us. Nearly 80% of dual income households use an outside cleaning service for some of their house cleaning according to the U. S. Department of Commerce. Additionally, there are some potential customers that MMCS has labeled as  assorted â€Å"well-off† households. These are families that have the money for our services that do not fit neatly into the two previous categories. Competitor Molly Maids have been in service for 25 years and offer services in different states. They offer cleaning services in all rooms of the home and use a company car. Molly’s is major cooptation that allows potential customers to view their services online. They have earned their trust with their clients by being in the business so long by offer great services. They use at least two2 people to clean the home to oversee the work of each other (Molly Maid. com). Although there are lots of competitors in the cleaning service space, there is good reason for this competition, and demand is high. Cleaning service customers want quality, and not everyone in the cleaning service space offers quality. How often when you ask one of your friends for a referral do they tell you they have been using a bunch of different companies and they have yet to find one that they are truly happy with. The residential house cleaning market is serviced predominately by independent companies. There are however, a few large franchises. Residential services are divided into a couple of different categories, maid or house cleaners, carpet cleaners, window cleaners, and a variety of other services that are required on a less frequent basis. We charge a premium for our services, and people are willing to pay to get our unsurpassed level of professionalism, trustworthiness, and attention to detail. We provide the most pleasant experience possible. Price |Exhibit 1 | |Start up Requirements | |Start-up Expenses 300. 00 | |Legal 50. 00 | |Stationery etc. 200. 0 | |Brochures $200 | |Insurance $500 | |Uniforms $100 | |Cleaning Equipment $800 | |Office Furniture $100 | |Communication Equipment $100 | |Computer Equipment $1,500 | |Magnetic Car Signs $75 | |Cleaning Supplies $200 | |Other $0 | |Total Start-up Expenses $3,925 | References

Conflict Termination Outcomes And Recurrence - 1481 Words

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Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesDecision Making 165 Motivation Concepts 201 Motivation: From Concepts to Applications 239 3 The Group 9 10 11 12 13 14 15 Foundations of Group Behavior 271 Understanding Work Teams 307 Communication 335 Leadership 367 Power and Politics 411 Conflict and Negotiation 445 Foundations of Organization Structure 479 v vi BRIEF CONTENTS 4 The Organization System 16 Organizational Culture 511 17 Human Resource Policies and Practices 543 18 Organizational Change and Stress Management Read MoreFundamentals of Hrm263904 Words   |  1056 PagesLABOR–MANAGEMENT ENVIRONMENTS Understanding Labor Relations and Collective Bargaining 340 Endnotes 367 Glossary 389 Company Index 395 Subject Index 398 v Contents PART 1 UNDERSTANDING HRM Chapter 1 The Dynamic Environment of HRM 2 Learning Outcomes 2 Introduction 4 5 Understanding Cultural Environments 4 The Changing World of Technology What Is a Knowledge Worker? 6 How Technology Affects HRM Practices 6 Recruiting 7 Employee Selection 7 Training and Development 7 Ethics and Employee RightsRead MoreGame Theory and Economic Analyst83847 Words   |  336 Pageswhether minimax strategy gave â€Å"the† solution to a game. Early game-theoretic writers blithely employed solution concepts which seemed appropriate to the problems they analyzed, whether the issue was some game of chance (Waldegrave, Borel) or the outcomes of voting rules (most notably C. L. Dodgson). Writers of works in economics, on the other hand, often tended (and tend) to equate solution with competitive market clearance, although models of monopoly,  © 1995 Éditions Dalloz English edition:Read More2006 Arroyo Case Study31910 Words   |  128 Pages†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 25 29 Category 7—Results 7.1 7.2 7.3 7.4 7.5 7.6 Health Care and Service Delivery Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Patient- and Other Customer-Focused Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Financial and Market Outcomes†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Human Resource Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Organizational Effectiveness Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Leadership and Social Responsibility Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 32 38 41 43 46 48 2006 Eligibility Certification Form Page 1of 7 Malcolm BaldrigeRead More2006 Arroyo Case Study31910 Words   |  128 PagesOperational Planning †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 25 29 Category 7—Results 7.1 7.2 7.3 7.4 7.5 7.6 Health Care and Service Delivery Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Patient- and Other Customer-Focused Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Financial and Market Outcomes†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Human Resource Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Organizational Effectiveness Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Leadership and Social Responsibility Outcomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 32 38 41 43 46 48 2006 Eligibility Certification Form Page 1of 7 Malcolm Baldrige National QualityRead MoreThe Social Impact of Drug Abuse24406 Words   |  98 Pagesin Africa and selected countries in Latin America and Asia, have largely missed out on the benefits of increases in world trade and investment and consequent economic growth. In some cases, this has been the result of political instability, ethnic conflict, natural disasters or mismanagement of the economy. Whatever the reason in a given country, the lack of economic progress has put such countries in a financial bind and frequently placed severe restrictions on government services available to the