20th Century Artist Assignment Example | Topics and Well Written Essays - 750 words

20th Century Artist - Assignment Example During the formative years of his life, he was influenced by the events of the firs world war as well as the Second World War. His artistic works entailed paintings akin to portraits of visualized images from his surroundings such as the pictures of naked people. The artist, as mentioned, is John Caplans. The profile of the artists is available on Wikipedia. The web address which has comprehensive and detailed information on the artists is Wikipedia. This is given by the link understated below: http://en.wikipedia.org/wiki/John_Coplans. Coplan was born in Britain. However, he later moved to the United States where he practiced his artistry. Like most artists his age, he was greatly influenced by the events that happened around his time of birth. Coplan later died in 2003. His date of death is recorded as August. The style o work of Coplan could be described as realistic. However, it is also evident that his work was also characterized by some form of narration. His work mainly consisted of paintings or portraits of bodies. The bodies he used in this case were of human beings. He majorly focused on creative paintings of naked human bodies. In as much as his works could have been described as being creative and real, their bore some sense of narration. In his artistic works, he attempted to offer explanations to some phenomena in the real world. In doing his artistic paintings, the primary medium that he used varied depending on the portrait he was working on. Theses materials included films and canvas against which he did in his paintings. In some aspects, his materials also included modern day materials used in art. For instance, he evidently used paint in his artistic work. The works of Coplan are vailable in many forums. They are usually played in different art forums too. For instance, they are preserved in Pasadena Art Museum where he used to work. In addition, his works are also available in the Akron Art Museum. Some of his works can also be

Cause and effect Essay Example for Free

Cause and effect Essay I am going to be talking about the cause and effects of peer pressure on today’s teens. Most of the time peer pressure is caused when teens develop the strong desire to fit in and be accepted by others. In high school most teens think that to fit in they have to be noticed and do whatever the â€Å"popular crowd† is doing, even if that means they will get in trouble. What some parents don’t realize these days is that they have a strong influence on their children’s lives and how they handle day to day issues. When you’re tuff and set good guide lines for your child and teach them wrong from right they will be less tempted to do wrong because they will have guidance. Some off the effects that peer pressure can cause can be harmful or lead to being kicked out of school. When teens are persuaded into doing the wrong thing there is going to be consequences for their actions. It could result in the child being kicked off of their team, out of school or even worse, they could end up in jail. The causes of peer pressure are very real in today’s society and if your teen or child isn’t careful who they hang around, they might be pressured into doing the wrong thing. Make sure to talk with your child and let them know that you are there for them and they can come to you whenever they need to talk about something.

Are Capital Asset Pricing Model Useful Finance Essay

Are Capital Asset Pricing Model Useful Finance Essay The CAPM model has generally been attributed to William Sharpe, but John Lintner and Jan Mossin also made similar individual derivations in 1960s. As a result of the model is even known as Sharpe-Lintner-Mossin (SLM) capital asset pricing model. The CAPM explains the relationship that should exist between the securities expected return and their risk about security returns. It is a direct extension of the portfolio models developed by Markowitz and Sharpe. CAPM derives the relationship between required rate of returns and the systematic risk of individual securities and portfolios. The model explains how different securities or assets in the capital market are priced. The CAPM provides an explicit measure of the risk premium. The CAPM can be expressed as follows: The portfolio that contains all the securities in the economy is called the market portfolio and it plays a crucial role in CAPM. The CAPM is the theoretical relationship that should hold for all securities and portfolios, both efficient and inefficient. The CAPM when plotted on a graph gives a line as depicted: The graphical version of CAPM is also known as Security market line (SML). The SML represents the relationship between beta factor and the expected rate of return f a security. This is also called risk-free rate. In equilibrium, all securities and portfolios plots should lie on the CAPM line. Capital asset pricing model has the following implications: Risk-return relationship for individual asset/securities. Identification of under and overvalued assets traded. Pricing of assets which have not yet traded in the market. Effect of leverage on cost of equity (rate of return required by equity shareholder) Capital budget decisions and cost of capital. (Source: Capital asset pricing model; Portfolio management from ICFAI publication page no.91) The CAPM has a variety of applications. Capital asset pricing model used for decisions relating to portfolio evaluation, capital expenditure, financing etc. The CAPM determines the cost of capital for discounting of future cash flows. CAPM is even assist in risk implications of mergers and acquisitions, product mixes and many more. CAPM has been the most widely used method in finance. Since the 1990s the CAPM has been started to be used in the calculation of risk-adjusted discount rate which has been a major contribution for capital budgeting. Capital budgeting is a key input for any organization so as to know the cost of capital for which companies use CAPM as they need market risk premium for calculating cost of capital. At present all MBA courses teach CAPM so as to calculate cost of capital. However the classic method for capital budgeting is to take Net Present Value (NPV). (Source: Bierman, H.J., 1993, Capital Budgeting:A Survey, Financial Management 22, 24) Investors should be cautious when applying the model to estimate assets returns and to evaluate investment performance. Empirical appraisal of CAPM The CAPM was developed on the basis of a set of unrealistic assumptions as the assumptions are not correct in their entirety. The CAPM must be tested empirically and validated before it can be used with any real confidence. The empirical test should look for the key results first, the positive relationship between returns and systematic risk and should appear to be linear. Second, test should attempt to assess the importance of market and company specific risk. Third, whether research questions on CAPM is conceptually possible. AT last CAPM if valid will assist in financial decisions. However, when analysis of bond is done, they do not plot on the SML. (Source: 80 International Research Journal of Finance and Economics Issue 4 (2006))Empirical analysis is done to evaluate the assets, their risk, analyze and to be placed in respective place. Then only hurdle rates can be calculated for the project to be undertaken. (Jagannathan and McGrattan [1995]. Limitations of CAPM CAPM is a useful model in dealing with the risk. However, it suffers from many Limitations firstly; the calculation of beta factor is very tedious as lot of data is required. The beta factor can be found by examining the securitys historical returns relative to the return of the market portfolio. Further, the beta factor may or may not reflect the future variability of returns. The assumptions of CAPM are hypothetical and are impractical. For example, the assumption of borrowed and lending at the same rate is imaginary and not practical. In practice the borrowing rates are higher than the lending rates. Secondly the earlier tests showed positive relation between returns and betas. However, the relationship was not strong as predicted by CAPM. All empirical studies testing CAPM have a conceptual problem. CAPM is an ex-ante model; that is data on expected prices are taken to test CAPM. Unfortunately, in practice the researchers or analyst have to work with the actual past (ex-post) dat a which will put up bias in the empirical results. (Source: capital asset pricing model www.ezinearticles.com)Third; beta is used as a measure for the securitys future risk. However there is no future data or information is available with the investors to calculate the beta. Hence, these investors take the help of past data to estimate the future prices of shares and the market portfolio. Thus, investors estimate beta using the historical data. One cannot expect the beta factor to be constant over time. It must be updated frequently. And at the same time CAPM is unable to capture the risk just only with the help of beta. (Source: capital-asset-pricing-model, www. professional-edu.blogspot.com)Fourth; CAPM assumes that the returns on the investments are tax free. However in todays life the assumption is wrong as investments are subject to capital gain taxes and further adding transaction costs. And the taxes depends on the amount of return higher the return higher the tax and lower t he return and lower the tax. Fifth; The CAPM has the assumption that the transaction costs are zero but it is not as such. In the capital market there is transaction cost for every transaction done, some investments hover below or above line which is discouraged due the transaction costs. And many investments involve significant transaction costs such as acquiring a business or real estate. (Stambaugh, R. F. 1999. Predictive regressions. Journal of Financial Economics 54) Doubt began to arise when taking a close look at the assumptions and these are reinforced by the empirical tests. The model focuses on market rather than total risk is clearly a useful way of thinking about the riskiness of assets in general. We do not know precisely how t measure any of the inputs required to implement the CAPM. This input should be ex ante but we only have ex post info available. The estimates used in the CAPM are subject to large errors. Debate The CAPM has been attractive in measuring the risk and return relation since three decades. With the help of CAPM the rate of return on different securities can be compared by the investor. With the comparison of expected rate of return on different securities investors/firms can wisely decide to invest in portfolio so as to maximize the return with minimizing the risk. (Source: CAPM from Book Financial Management by I M Pandey. But unfortunately, the empirical record is too poor to validate the way it to be used. The models problems may be due to theoretical failing or the unrealistic assumptions and the difficulties faces in applying the valid model. The model has been 1959 and since decades concerns have been raised on the number of studies about the model. There has been no historical relationship between returns and the risk i.e. the betas. (Source: Fama and French 1992) The conclusion interpreted from the statistical findings. The data are noisy to invalidate the CAPM. (Source: Christensen and Mendelson [1992] and Black [1993]. Despite criticisms, the general reaction has been to focus on alternative asset pricing models. (Fama and French [1992]. The economist show lack of empirical support for the CAPM which may be due to inappropriateness of assumptions made to facilitate the empirical test. For example, the return on stock market indices is good proxy for return on market portfolio but do not capture all assets in the economy such as human capital. Beta calculated for diversified portfolios are more accurate than that of the individual securities as grouping shrink beta range and hence reduces statistical power. To improve the empirical testing of CAPM numerous changes had been done in the past overcome the limitations or even to look for the subsequent alternate model to validate. At the same time the researchers and practitioners have began to look for multi-beta models that overcome the shortcomings of the CAPM. Fama and French (1992) and Fama and MacBeth (1973) use the same procedure but the results are totally different from each other. The former has no relation at one hand and the later has a positive relation between return and risk. Everyone is in a debate of whether to follow CAPM model or not? Where the companies even use CAPM for their capital budgeting process. But still some academic feels that those who choose the CAPM will actually not be getting worthless advice. (Source: Eugene F. Fama and Kenneth R. French, Journal of Finance, Vol. 47, 1992, 427-465)The model is often used for looking the performance of mutual funds and other portfolios. One of the big problem is forming p ortfolio by sorting stocks on the basis of price ratios but the average returns do not relate to market betas. ((Lakonishok, Shleifer and Vishny, 1994, Fama and French, 1996, 1998).) At NYSE, NASDAQ from 1963 to 2003 the average return on the book to market equity ratio portfolio rises monotonically from 10.1% p.a. to 16.7% for ten portfolios in U.S. securities but the positive relation between beta and return predicted by the model was absent. Whereas all NYSE stocks between 1931-1965 estimated that the results were consistent with the CAPM model. (Black, Jensen and Scholes 1972) Conclusion CAPM has been facing a lot of criticism in the recent times still it remains a useful tool for many i.e. for estimating the cost of capital, investment performance evaluation and efficient market event studies (Moyer et al 2001:204; Campbell et al 1997:183). In some of the recent empirical studies CAPM is said to be invalid. The CAPM is stated in terms of ex ante parameters, ex post tests cannot be accepted as an ultimate rejection of the CAPM and its parameters (Levy 1997:147). The CAPM should be judged on the basis of insights it provides into the risk/return relationship. Without the CAPM, the knowledge of the capital market and the market conditions would have been very limited (Karnosky 1993:56). Every three out of four CFOs use CAPM model to estimate the cost of capital. (Source: Graham and Harvey (2001). Corporate managers in U.S. confirmed in a survey the use of CAPM as a key tool for capital budgeting. Current MBA aspirant are taught to use CAPM for estimating cost of capita l. The CAPM should be continued with both individual tests and multi-factor models joint tests such as APT. Such testing will help understanding of the stock market pricing mechanism and the risk/return relationship. The capital asset pricing model has been employed in a wide variety of academic and institutional applications such as measuring portfolio performance, testing of market efficiency, identifying under and overvalued securities, capital budgeting etc. Apart the model have also been used in business by analyst, researchers and firms. CAPM has been the basis for modern capital market theory since 30 years, but with the emergence of new equity markets around the world during the last few years, accumulating research has increasingly created doubt on the models ability due to many cases arising where the model is not able to explain the correct movement of assets return. Despite its limitations and shortcomings, the CAPM model is a popular tool in the investment analysis. The simplicity of the model towards description of the equilibrium has made it quite popular among the users even today. There are other factors i.e. taxes, inflation, liquidity, and market capitalization and price earnings ratios apart from beta which affect required returns What believed is CAPM have significantly contributed to the security pricing theory, but applied in practice has got some defects and for which an extended CAPM should be applied or have to look for a new better model which should not have any deficiencies. The CAPM model is f or sure here to stay and attempts will continue to improve the model and to make it more useful.

The Legalization Of Marijuana For Medicinal Purposes Health Essay

The Legalization Of Marijuana For Medicinal Purposes Health Essay The legalization of marijuana for medicinal purposes has become an increasingly controversial topic, with many different issues on which people have many different opinions. There is opposition to the legalization of marijuana for medicinal purposes because it has the potential to be used incorrectly, however it is also considered that there is the potential for marijuana to be used in relieving the suffering of many seriously ill patients. Marijuana has been used by people for thousands of years to provide relief from many different serious medical problems. There are many doctors who currently support the effectiveness of using marijuana as treatment for various medical conditions. The many people who are suffering from cancer, multiple sclerosis, and AIDS have found that marijuana can be a very effective pain and symptom reliever. ÂÂ  The legalization of marijuana for medicinal purposes is viewed by its opposers as one of the worst things that we could do. Their reasons are that they feel that marijuana should not be legalized for medical use because it is an illegal substance and until that is changed, prescribing it is against the law. Attorney General Janet Reno announced that physicians in any state who prescribe the drug could lose the privilege of writing prescriptions, be excluded from medicare and Medicaid reimbursements, and even be prosecuted for a federal crime (Kassier 1). Government officials such as Janet Reno are not the only ones to object to the legalization of marijuana. Many parents groups like Mothers Against Drunk Drivers object to the legalization of marijuana for medical uses. Their objections come from a reasonable concern that there has been an increase in the use of marijuana by youth. Their concern is expanded since the marijuana of today is much more potent than the marijuana of a few decades ago. The potential for these teens to obtain the drug would increase. Also, the Federal Health and Drug enforcement officials feel tha t by legalizing marijuana, they would be sending the wrong message to young people (Your Health 1). Strong evidence that shows that regular use of marijuana for long periods of time could cause severe lung damage (Your Health 3). If the use of marijuana could damage a patients lungs, then the risk could outweigh the benefit. Marijuana smoke can be twice as toxic as tobacco smoke to a human lung. The strongest point that many make opposing the legalization of marijuana is that there just is no clear evidence that smoking marijuana can help an individual who is ill (Marijuana for the Sick 2). Countless amounts of research has been done but both sides have countered each other with facts and studies. What are the benefits and what are the clear cut negatives? The concept of using marijuana for medical use is nothing new. Marijuana is one of the oldest drugs known to man, the use of it has been documented as far back as 2700 B.C. in a Chinese manuscript. The Chinese would injest or inhale the Marijuana and feel pain relief for headaches and small aches and pains (Marijuana 1). The Chinese spread the concept over time, and while it never began a popular drug in most other societies, it still existed and was a common pain reliever. In 1839, a respected member of the Royal Academy of Science, Dr. W. B. OShaugnessy, was one of the first in the medical profession, who presented positive facts dealing with marijuana and medicine (History in Brief 3). His work helped open up the medical world to marijunas medical usees. The drug itself was not used as a popular recreational drug at the time and for this reason few saw a problem with using it for medical purposes. From 1840 to 1900, more than one hundred articles by American and European medical j ournals were published that showed the therapeutic uses of marijuana (Bakalar 2). Marijuana was recommended to stimulate appetites, and relax muscles, so if marijuana was effective in treating those ailments during this time period. Its defenders point out that the drug was praised by the patients and doctors alike. In 1988, Judge Francis Young, an examiner on administrative issues for the Drug Enforcement Agency, recommended that marijuana be reclassified for medical use, because the current acceptance of marijuana is present if a respectable minority of doctors support it. (A Doctors Report 1). The same Journal of the American Medical Association article, pointed out that even though the medical history of marijuana is five thousand years old, it has almost all been forgotten. Marijuana has already been legalized for medical use by both California and Arizona. In order to be passed, these laws required a majority vote by the public and by Congress that favored the legalization of marijuana. In 1991, eighty percent of the San Francisco voters approved of legalizing marijuana, and seventy-seven percent of Santa Cruz voters also agreed (History of Medical Marijuana 1). Since these laws were passed, there is proof of support for the legalization of marijuana for medicinal purposes. California and Arizona may be the only states that have legalized marijuana for medicinal purposes, but they are not the only states that have considered the legalization of medicinal marijuana. Massachusetts, had previously passed laws that permitted their citizens to use marijuana for medical purposes under some circumstances (Reefer Madness 2). Many states have passed laws that lessen the prosecution of those doctors who prescribe marijuana (Federal Foolishness and Marijuana 2). There have also been many polls showing that the public favors the use of marijuana for medical purposes (Reefer Madness 2). With all of this support for legalizing marijuana, it is only a matter of time before the prosecution of doctors for prescribing marijuana and patients for using marijuana as medicine ceases. Another powerful supporting factor for the legalization of marijuana is the endorsement of physicians. During a random survey of the American Society of Clinical Oncology, one thousand thirty-five members responded with surprising results (A Doctors Report 1). Almost half of the doctors said that they would prescribe marijuana if it were legal, and forty-four percent of them said that they had already recommended it to a patient (A Doctors Report 1). If there are doctors who are recommending marijuana, even at the risk of prosecution, it is obvious that they strongly believe that it can be very useful in the treatment of their patients. In addition, almost two thirds of the doctors also agreed that marijuana was an effective anti-emetic (A Doctors Report 1). This is important because of the life-threatening dehydration that can accompany emesis, which is usually known as vomiting. Doctors are allowed to prescribe narcotics for pain relief, such as morphine a! nd meperdine, which have been known to cause death during overdose, yet they are not allowed to prescribe marijuana as a medicine, even though marijuana has never been known to kill anyone (Federal Foolishness 2). Scientists have discovered that the reason that marijuana is so effective in treating many of the symptoms of the terminally ill is because of a chemical called THC, which is the main active ingredient in marijuana. Even though science has found a way to make a synthetic THC, marketed as Marinol (Lost in the Weed 1), it is extremely expensive, and it does seem to cause higher levels of depression and anxiety (Lost in the Weed 1). Other side effects of the synthetic THC are extreme dizziness and unsteady gait (Your Health 3). These side effects alone may be difficult to deal with, but many of these patients are already dealing with harmful side effects from the medicines they are taking for the treatment of their illness. They should not have to take a pill that is supposed to relieve them of side effects that causes additional side effects. Another negative aspect of Marinol that is experienced by patients and documented by doctors is that the synthetic THC, and! the THC from marijuana react differently in the body. There is also a convincing body of research, some of it now two decades old, shows that smoked marijuana suppresses nausea better than Marinol pills and with fewer side effects. (Your Health 3). Also, many patients are combatting nausea and vomiting, and it can be difficult for them to keep the expensive Marinol pill down (Medical Marijuana Debate Moving Toward Closure 3). If terminally ill patients have tried many different treatments, which have not been successful, and find that smoking marijuana helps them with their symptoms, with fewer side effects, and less expensively, then the patients should legally be able to have the option to make that choice. Cancer patients have found marijuana to be very effective in treating the side effects of chemotherapy. In an article in Time, Marijuana: Where Theres Smoke, Theres Fire, cancer patient Jo Daly, has described her experience with chemotherapy as a nuclear implosion of nausea. She went on to discuss feeling a burning pain under the nails of her fingers and toes. After she had tried many different alternatives to relieve her pain, she tried marijuana which seemed to be the only drug effective in relieving her pain. Jo Daly is not the only one to find marijuana effective in relieving the discomforts of chemotherapy. During the late seventies, and mid-eighties, six states performed research on how well marijuana operated on combatting chemotherapy related nausea and vomiting (Medical use of Marijuana 2). Their studies concluded that marijuana an extremely effective way to deal with the side effects of chemotherapy (Medical use of Marijuana 2). Prevention and con! trol of nausea and vomiting is paramount in the treatment of cancer patients (Information for Physicians 1). The reason that nausea and vomiting needs to be controlled is that, These can result in serious metabolic derangements, nutritional depletion, deterioration of a patients physical and mental status, withdrawal from potentially useful and curative antineoplastic treatment, and degeneration of self-care and functional ability. (Information for Physicians 1). For cancer patients it is very important to control their nausea and vomiting and marijuana seems to be able to accomplish this. It seems reasonable to allow patients the option and make medical marijuana available for their use. Another disease that marijuana seems to be useful in pain relief is multiple sclerosis. Multiple sclerosis is a painful central nervous disease for which there is no known cure. The most common complaint of multiple sclerosis patients is the pain of powerful muscle spasms, vertigo, and double vision, all of which can make life nearly unbearable (A Daughters Pain 1). There are some patients who say that marijuana can help in relieving them of these symptoms (A Daughters Pain 1). Even though there are existing medications offered to treat multiple sclerosis, many choose marijuana to relieve them of their suffering (A Daughters Pain 1). The reason for this is that other medications often result in severe side effects, that marijuana does not seem to have (A Daughters Pain 1). There is no documentation of this because there have been no controlled clinical trials that have compared marijuana with existing legal drugs (Your Health 3). There is proof, however, in! the fact that many patients choose to purchase marijuana to relieve their pain at any cost. Some patients are even willing to go to jail to get their marijuana, because for them, it is the only thing that proves to be effective (Federal Foolishness and Marijuana 1). Marijuana has also been found useful for treating patients with AIDS. It seems that marijuana can positively help AIDS patients in several ways. Some ways that marijuana can help is by relieving stress and depression, eliminating nausea, reducing pain, and fighting the AIDS wasting syndrome by enhancing the appetite (Stop Using Patients as Pawns!!! 1). Even though there are many treatments, AIDS patients who are in the final stages of the disease still suffer greatly. The legal options for these AIDS patients are the human growth hormone, another type of hormone called Megace, and the synthetic THC pill, Marinol (Your Health 3). These are the only FDA approved drugs for treating AIDS wasting syndrome, but some patients say that these are not adequate substitutes for marijuana (Your Health 3). It was said by one patient on Marinol that, All it did was make me groggy without enhancing my appetite., but marijuana has been found to increase the appetites of AIDS p! atients. AIDS activists and the doctors who treat the disease report that marijuana is also useful for suppressing the nausea thats a side effect of several anti AIDS drugs (Your Health 3). Another vital concern when dealing with an AIDS patients is their immune system. However, when studying HIV-positive men who used marijuana, it was determined that the marijuana did not seem to accelerate the deterioration of their immune systems (Your Health 4). This is another important consideration in treating this deadly disease. There are many different viewpoints on the use of marijuana as a medicine. These different points of view result in many important issues regarding the use of an illegal drug for medicinal use. Even though there are many people who are against legalizing marijuana for medical purposes, there are just as many who feel that if used correctly, marijuana can be an essential part of treating serious diseases. For centuries marijuana has been used to help those who are in need of effective pain relief . There are many doctors and patients, who feel that the usefulness and effectiveness of marijuana is being overlooked. As a result, many doctors are recommending the use of marijuana, regardless of the possible legal issues. Many patients, who are suffering from cancer, multiple sclerosis, and AIDS, have discovered that marijuana is a drug that provides them with much needed relief and they are using marijuana regardless of the consequences. In basic terms Marijuana may hav! e long term adverse effects and its use may presage serious addictions, but neither long-term side effects nor addictions is a relevant issue in such patients (Federal Foolishness and Marijuana 1) While advocating the legalization of marijuana as a recreational drug would be detrimental to society, its effectiveness for medicinal uses is clear and needs to be seriously considered.

japanese religion :: essays research papers

Japan Religious and Philosophical Traditions   Ã‚  Ã‚  Ã‚  Ã‚  The values described in the preceding section are derived from a number of religious and philosophical traditions, both indigenous and foreign. Taken together, these traditions may be considered the Japanese worldview, although the personal beliefs of an individual Japanese may incorporate some aspects and disregard others. The Japanese worldview is eclectic, contrasting with a Western view in which religion is exclusive and defines one's identity. Contemporary Japanese society is highly secular. Cause and effect relations are frequently based in scientific models, and illness and death are explained by modern medical theories. Yet the scientific view is but one of the options from which an individual may draw in interpreting life's experiences. The Japanese worldview is characterized also by a pragmatic approach to problem solving, in which the technique may be less important than the results. Thus a Japanese who is ill may simultaneously or sequentially seek the assistance of a medical doctor, obtain medication from a person trained in the Chinese herbal tradition, and visit a local shrine. Each of these actions is based on a different belief in causation of the illness: the physician may say that the illness is caused by a bacterial infection; the herbalist regards the body as being out of balance; and the basis of the shrine visit is the belief that the mind must be cleansed to heal the body. In the West, these explanations might be viewed as mutually exclusive, but the Japanese patient may hold all of these views simultaneously without a sense of discord. Similarly, a student studying for university entrance examinations knows that without extraordinary hard work, admission is impossible. Yet the student will probably a lso visit a special shrine to ask for the help of the spiritual world in ensuring success. The roots of the Japanese worldview can be traced to several traditions. Shinto, the only indigenous religion of Japan, provided the base.

Lewis and Lewis, P.C. :: Accounting Firms Business Analysis Essays

Lewis and Lewis, P.C.   Ã‚  Ã‚  Ã‚  Ã‚  Lewis & Lewis, P.C. is a small, Jackson-based accounting firm that employs thirty-five people and was founded by Phil Willis in 1968. It exhibits many interesting aspects of organizational behavior, which we will examine below from several perspectives. After examining the company's current policies and practices, we will evaluate its status in the transition from the "old" to the "new" model of organization, and recommend some changes that may improve the way Lewis & Lewis operates. From a Strategic Perspective Physical Description   Ã‚  Ã‚  Ã‚  Ã‚  Lewis & Lewis, P.C. is located in a quiet suburb of Jackson, Michigan. It is a forty-five minute drive from Lansing. The two-storied building is built on a slightly elevated hill with spacious parking lots in the back and to one side. The outer walls are of a pleasant beige brick which is in keeping with the calm atmosphere of the community and of the landscape. Right in front of the building there are columns and the large main entrance is toward the rear off the parking lot.   Ã‚  Ã‚  Ã‚  Ã‚  The appearance of the building is well harmonized with the surroundings. However, it gives guests the impression of dignity and openness. Directly inside the main entrance to Lewis & Lewis is a small but welcoming lobby, with a natural stone floor, stylish but difficult to walk on in heels. There is a narrow open closet for guests to hang their coats, and several chairs arranged around a table on which are placed the company newsletter and other publications. The receptionist's desk is facing the entrance door, and behind it sits a friendly young woman. The partners' offices are found against the two farthest external walls, noticeably removed from the rest of office. The other external walls are lined with the offices of the professionals, with large windows overlooking the pleasant exterior. The remainder of the office space is segmented with partitioning walls, forming a sort of cubicle labyrinth. In the center of this maze is a small kitchen where employees gather and converse informally. Adjacent to the kitchen is a small work area with copy machines and office supplies. In a corner of this floor is a set of uninviting sta irs leading to the ground level, where the conference room is located. The conference room itself is spacious and handsomely decorated, with a large table and comfortable chairs, a video center with television and VCR. The seating is limited to fourteen people. Task and Job Description   Ã‚  Ã‚  Ã‚  Ã‚  Tasks are distributed on the basis of specialization: auditing, tax, government and consulting. Very few tasks are performed by routine; each day may include new procedures for each employee.

ALS Disease Psychological Aspects

This paper explores the psychological profile of patients with Amyotrophic lateral sclerosis (ALS). Aside from the physical challenges experienced by patients, they also have to endure psychological changes such as depression and denial. There are several factors that may contribute to the psychosocial profile of a patient such as degree of severity, age, onset of disease, time span, and dependence on machines like respirator.This paper examines the psychological features of ALS patients and how it affects the family and support team. Amyotrophic lateral sclerosis (ALS), commonly known as Lou Gehrig’s disease is a progressive degenerative disease attacking the brain and spinal cord. The destruction of the nerve cells, called neurons, in the body’s upper and lower motor neurons leads to the inability of the voluntary muscles to function normally (National Institute of Neurological Disorders and Stroke, 2008).With the death of the muscles, ALS patients will have impaired use of their arms and legs. Loss of control is the trademark of ALS. As the disease progresses, the patient will have trouble accomplishing day-to-day activities like eating, tooth brushing and putting on clothes (Olney, 2005, p. 8). Furthermore, the patient’s breathing will suffer and in the end, a ventilator will be needed (2005). Although the disease is debilitating, it does not impinge on the patient’s senses- sight, taste, and smell, hear and touch (2008).There are three diagnostic factors in ALS: clinical features such as â€Å"weakness and involuntary muscle contractions†, having positive results of electromyography (EMG), MRI and blood tests) and ruling out other disorders (Amyotrophic Lateral Sclerosis Society of Canada, n. d. p. 1). Not only is the etiology of ALS unknown but there is also no cure for it, which makes the disease more frustrating. The drugs and treatments currently available are targeted only to mitigate ALS symptoms.Given the complexit y of the disease, it is not surprising to find that ALS-afflicted patients endure physical symptoms as well as cognitive and behavioral changes like memory and speech problems and emotional distress (Levine, n. d. ). Another study reports the onset of depression and denial in ALS patients (Houpt, Gould, and Norris, 1977). Given the grim prognosis that accompanies the disease, there are ALS cases when the patient undergoes severe psychological/ social/ spiritual distress. After all, ALS is a â€Å"life-changing event for an individual and his/her loved ones† (Ciechoski, 2002, p. 9).Typically an individual facing the end of life undergoes what psychiatrist Elisabeth Kubler-Ross the five stages of dying: denial, anger, bargaining, depression and acceptance (Morris and Maisto, 2002, p. 437). The same phases may also apply in patients with ALS (Ciechoski, 2002, p. 12). In an ALS Patient Profile project, it was found that ALS patients experience greater bouts with depression- 60% c ompared to the 16 -20% exhibited by the normal and fit population (McDonald, 1992). This can be construed as a sign that the ALS patient is overwhelmed with sadness, apathy and feelings of worthlessness.Depression, after all, is a normal reaction in individuals diagnosed with a life-threatening disease (Ciechoski, 2002, p. 15). Another study concurs with finding, adding that aside from depression; ALS patients are also more to go through denial as a response pattern (Houpt, Gould, and Norris, 1977). Denial, as Kubler-Ross suggests, is the first in a sequence people undertake as they await death. It means that the individual refuses to accept the diagnosis and swears that everything is all right. The study conducted by Drs. Houpt, Gould, and Norris reports that 22.5 percent of ALS patients are â€Å"major deniers† (1977). Again, this is something common to an individual coping with changes. For example, an ALS patient may refrain using a wheelchair even though he/she is clearl y demonstrating difficulty being mobile. It may take some time before the patient finally accepts the situation and resorts to using a wheelchair. However, this does denote giving up or succumbing to the disease but merely a sign that the patient is looking after his/ her well-being. In doing so, the patient will have a â€Å"sense of control† (p. 17).Yet, another research shows that ALS-afflicted patients suffer from behavioral instability- displaying polarity in emotions, from being overly reactive and exaggerated to being extremely reticent and dull (Levine, n. d. ). There is also an increased chance of the patient becoming withdrawn, becoming less interactive and shying away from interaction with others, as well as professing â€Å"lack of insight† (n. d. ). Likewise, the patient may start having troubles making decision. Decision making in a serious ailment such as ALS is crucial, thus is requires a great amount of â€Å"flexibility and creativity† (Ciechos ki, 2002, p.18). Among the issues that need to be addressed by the patient are living accommodations, employing caregiver services, use of ventilator and feeding tube, family and work life, and even the subject of creating a living will (p. 21). Decision making should be consulted with the family, medical and support group but ultimately it must be stressed that it is the patient that makes the final decision (p. 22). Despite the torrents of emotions experienced by the patient, it is not suffice to conclude that ALS patients have a predictable psychosocial profile.There have been studies indicating that some ALS patients only go through mild depression or none at all (McDonald, 1992). There are several factors that contribute to the psychosocial profile of an ALS patient- the onset of the disease, age of acquisition, seriousness of ALS, extent of the disease, reliance on respirator and other medical machines, and rate of deterioration (1992). It was found that the onset of the sympt oms do no factor in the patient’s psychosocial status (1992). It will also be a factor when there are unresolved issues on the patient’s part prior to diagnosis.On the other hand, age contributes to the patient’s well-being. ALS patients that are diagnosed during late adulthood (over 65 years old) tend to be more depressed and hopeless than those diagnosed in their younger years (1992). While ALS may not primarily be the root of depression, if one is to follow Kubler-Ross’ stages of dying, depression is a normal reaction when the subject of end-of-life id talked. An ALS diagnosis will only aggravate the fear. In addition, when a patient exhibits an acute presentation of ALS, the probability of it affecting the individual’s psychosocial status intensifies.The same assumption, on the other hand, does not apply to the length of ALS. When one is faced with ALS, the prognosis is grim, giving the patient a time life of 3-5 years (1992). However, current data shows that there are ALS patients, roughly 18-42%, outliving the five year mark (1992). Thus, it can be deduced that it is not age but the patient’s will and family support that help him/her uplift his/her psychosocial welfare. When an ALS patient suffers rapid deterioration, his/ her psychosocial profile is also affected.Furthermore, it was found that the longer the patient has been diagnosed with ALS, the more distressed he/she can be (1992). The same is applied to patients whose symptoms have worsened, thus have the need to rely on respirators and other machines. Such individuals may feel more helpless, affecting their attitudes and behaviors. As with any illness, ALS affects relationships- between spouses, siblings, children, friends, family, colleagues and other support system. Family, especially first-degree members are inclined to report periods of depression and denial (McDonald, 1992).One study reports that an astounding 47% of spouses experience stress during a n ALS diagnosis (1992). An ALS diagnosis changes the role play in a family, sometimes the wife become the breadwinner or the children take on the role of main caretaker, depending on who gets ill. Aside from family, the patients’ relationship with friends and work colleagues may also suffer, depending on the degree of closeness experienced. Furthermore, the patient’s relationship with the health care professional is important. The better the line of communication between the patient and the health care team, the better outcome there will be.The health care professional may help the patient deal with depression by prescribing medication and counselling, whichever is appropriate. The psychological characteristics of ALS patients vary in patients. Some may be depressed while others may be hopeful. Coping with a difficult illness like ALS is difficult not only for the patient but the family and support group as well. Worsening of symptoms may hinder their psychological wel l-being. Thus, it is important for everybody concerned to remember that ALS is a disease not to be battled alone.With help and support from everyone involved, patients will be able to live full lives. References Amyotrophic Lateral Sclerosis Society of Canada. (n. d. ). A guide to all ALS patient care for primary care physicians [PDF file]. Retrieved Mary 12, 2009 from Amyotrophic Lateral Sclerosis Society of Canada Website: http://www. als. ca Ciechoski, M. (2002). Coping with change [PDF file]. Retrieved May 12, 2009 from The ALS Association Website: http://www. alsa. org/files/cms/Resources/ALS_manual2. pdf. Houpt, J. , Gould, B. and Norris, F. (1977). Psychological characteristics of patients withamyotrophic lateral sclerosis (ALS) [PDF file]. Retrieved May 12, 2009 from Psychosomatic Medicine Website: http://www. psychosomaticmedicine. org. Levine, S. W. (n. d. ). Neurocognitive, behavioral and psychological changes associated with ALS [PDF file]. Retrieved May 12, 2009 from AL S Connection Website: http://www. alsconnection. com/Neurocognitive_Testing_vers_2. pdf McDonald, E. (1992). Psychological aspects of ALS patients and their primary caregivers. Retrieved May 12, 2009 from American Holistic Health Association Website: http://www. ahha. org/articles/McDonald2.htm Morris, C. and Maisto, A. (2002). Psychology an introduction 11th ed. New Jersey: Prentice Hall. National Institute of Neurological Disorders and Stroke (2008). NINDS amyotrophic lateral sclerosis information page. Retrieved May 12, 2009 from National Institute of Neurological Disorders and Stroke Website: http://www. ninds. nih. gov/ Olney, A. (2005). Daily activities made easier for people with amyotrophic lateral sclerosis [PDF file]. Retrieved May 12, 2009 from The ALS Association Website: http://www. alsa. org/files/cms/Resources/OT_Manual_2006. pdf.