Wednesday, August 26, 2020

Biography Of Genghis Khan :: Biography Genghis Khan Bio Bios Essays

Life story of Genghis Khan The old world had numerous incredible pioneers. Alexander the Great, Hannibal and even Julius Caesar met with battle on their ascent to power. Maybe Genghis Khan was the most huge of all these rulers. To demonstrate that Genghis Khan was the best ruler, we should go back to the absolute starting point of his reality. We should inspect such issues as; Genghisâ ¹s battle for power/how his life as a youngster would influence his standard, his own and military accomplishments and his triumphs. Genghis Khan was initially conceived as Temujin in 1167. He appeared early guarantee as a pioneer and a contender. By 1206, a get together of Mongolian chieftains announced him Genghis Khan. Which implied All inclusive or powerful ruler. This was a strong move for the get together. They clearly observed some authority characteristics in Genghis that others didnâ ¹t. When Genghis Khan was close to nothing, his chieftain father harmed. With no pioneer left, the clan relinquished Genghis and his mom. They were disregarded for a long time to think about themselves. All through these years, his family met numerous difficulties, for example, lack of food what's more, lack of cash. Despite the fact that incapable to peruse, Genghis was a shrewd man. His mom let him know at an early age the significance of trust furthermore, autonomy. Keep in mind, you have no friends yet your shadow Grolier Encyclopedia. (1995) CD ROM This statement was to intend to Genghis, donâ ¹t put to much trust in anybody, trust nobody yet yourself and in the event that you should head out in your own direction, at that point do as such. In 1206, Genghis Khan announced the leader of Mongolia. Genghis was a regarded pioneer. Like different pioneers he recognized what his individuals needed. They need everything that is acceptable and nothing that is awful. Genghis realized he was unable to guarantee this so all things considered he vowed to share both the sweet and the harsh of life. Genghis would not like to wind up being harmed like his dad so all things considered he made collusions, furthermore, assaulted any individual who represented a genuine danger. Through this technique of initiative, Genghisâ ¹s armed force developed to where they were incredible. Genghis contributed alot of things to the chinese and even western civic establishments. Maybe his most noteworthy commitment was a code of laws that he proclaimed. Since Genghis couldnâ ¹t peruse or compose, these law were archived by one of his adherents. His laws were carried on by individuals however the numerous ages to the point of as yet being used

Saturday, August 22, 2020

The Principles of Beneficence and Nonmaleficence Assignment

The Principles of Beneficence and Nonmaleficence - Assignment Example The treatment that could be offered to her is radiation and chemotherapy, which are not the arrangements or remedies for the ailment but rather just broadening the existence pattern of the patient. Thusly, the objectives of the treatment are not worried about the inversion of the wellbeing conditions, yet for the conservation of life to the most extreme degree conceivable. In totality, the patient can't generally get away from the way that her life is going to end in a matter of seconds, possibly inside the following barely any years. Drug is a strategy for drawing out her life, to a limited degree and not complete reclamation, for her situation. The patient is obviously, all around educated and proficient as far as versatility and states of mind. She is totally able, in view of the realities that she had worked in the clinical field already and furthermore since she had seen the mass and the serious agony and had stepped up and approach an expert, instead of maybe dying down it. The patient admits that she associates she is a casualty with disease and hence, requests that the clinical understudy come clean with her. She is additionally mindful of the way that the specialists may, all things considered, not advise her about the illness and analysis, on the off chance that it is malignant growth. The patient has not yet been educated about the illness and she is yet to get the affirmation of her misgiving that she has disease. The very truth that the patient enthusiastically and promptly consented to experience the medical procedure, without representing an issue passes on that the patient was helpful and confided in her primary care physicians. In any case, overall, we see that the patient's craving to be educated and share the information on the specialists, in regards to her condition is more likely than not met with. In this way, one can make the inference that the morals and laws overseeing medication have not been met with. Had the patient been a uninformed and non-agreeable individual, as well as could be expected be giving treatment and keeping the patient in obscurity. In any case, since the patient is from a clinical foundation herself and is very much aware of the circumstance, it is generally moral to advise her about it and give treatment with shared collaboration.

Sunday, August 16, 2020

Sutter, John Augustus

Sutter, John Augustus Sutter, John Augustus, 1803â€"80, American pioneer, b. Kandern, Baden, of Swiss parents. His original name was Johann August Suter. He emigrated to the United States in 1834, went to St. Louis, then to Santa Fe. Fired with a desire to go to the Pacific coast, he went to the Oregon country and entered the coast trade in the Northwest, going to the Hawaiian Islands, to Sitka, Alaska, and finally (1839) to California. He settled in the Sacramento valley and obtained large grants of land from the Mexican governor of California. There he established his colony, known as New Helvetia, and built Sutter's Fort (see Sacramento ). Rich and powerful, Sutter helped many newcomers to California. In 1848, James W. Marshall found gold while building a sawmill on Sutter's land. The news spread, and gold-mad crowds poured across the continent in the rush of 1849. They killed Sutter's cattle and swarmed over his lands hunting for gold. He struggled against them in vain, and moved E to Pennsylvania , a ruined man, in 1873. He had earlier been granted a pension from California, and to the end he hoped that the U.S. Congress would reimburse him for his losses. See Sutter's New Helvetia Diary (1939) and his Statement regarding Early California Experiences (ed. by A. Ottley, 1943); see also biographies by J. P. Zollinger (1939, repr. 1967) and R. H. Dillon (1967). The Columbia Electronic Encyclopedia, 6th ed. Copyright © 2012, Columbia University Press. All rights reserved. See more Encyclopedia articles on: U.S. History: Biographies

Wednesday, May 13, 2020

Coral Reefs The Rainforests of the Sea - 981 Words

The Rainforests of the Sea Coral reefs are one of the most diverse habitats in the world today and it this diversity that makes them so important to the overall health of the oceans and thus the overall health of the oceans as a whole. Coral reefs take up only a very small percentage of the entire surface of the oceans surface. However, despite this, they provide a home to about one-quarter of all of the species that live in the oceans. (Mulhall, 2007, p. 321). Among the other life forms that live in the worlds coral reefs are fish, worms, echinoderms (such as sea urchins), sponges, and the evolutionary ancient classes of tunicates and cnidarians. One of the most striking aspects of the diversity of coral reefs is that they can exist (and support this florescence of life) in places where few other animals can flourish: Cold and deep waters (Smithers Woodroffe, 2000, p. 4). However, most corals live in tropical waters; it is on these types of corals that this paper focuses, looking in particular at the reef fi shes that make their homes in the worlds coral reefs. A very wide range of fish lives in coral reefs. These fish include both those who live entirely within the reefs and those that move in and out of the reefs periphery. Both types of fish eat smaller animals that also live in the reef or small plants that habitat the reef including seaweed and algae. The fish that live in coral reefs are often very brightly colored, a fact that allows that allows them to blendShow MoreRelatedCoral Reefs: The Rainforests of the Sea1062 Words   |  5 PagesCorals the rainforests of the sea. Corals’ and rainforests are very important to the world because they have a very important function. Carbon dioxide dissolves in seawater, the carbon dioxide then forms a week acid called carbonic acid this acid in it called carbonic iron, which stays in the carbon carbonate. This acid cannot make limestone but dose dissolve in ready-formed limestone and the reefs need it to produce limestone. Rainforests give out oxygen. Corals are like rainforest in the se a withRead MoreSaving the Coral Reefs662 Words   |  3 PagesIntroduction to Coral Reefs: Coral reefs along our coasts are the richest habitats on the planet and are homes to countless animal species. There are at least hundreds of marine species in the reef. Coral reefs take a long time to grow. They grow at a rate up to 2 cm per year. Corals grow in different shapes depending on their type of class. Some might resemble brains, trees, honeycombs and others. Coral reefs are important because they protect the shore from storms, and provide medicines, andRead MoreCoral Reefs : A Study From National Oceanic And Atmospheric Administration923 Words   |  4 Pagesbeautiful, diverse, colorful reef that adds beauty to the ocean and to the fishes. Others see a peaceful bed for the oceans floor. Creature on the other hand see a shelter, and protection from people or bigger animals that lurk for their pray. Coral reefs aren’t made for its scenery, but as an ecosystem for many plants and animals. They do not only help the animals but serve to people as important sources of income, food, protection, and new medicines of mankind. Coral reefs are less than 1 percent ofRead MoreCoral Reefs Essay722 Words   |  3 PagesCoral reefs are very diverse ecosystems. They are â€Å"the rainforest of the sea†. Coral reefs can be very big or very small. The Great Barrier Reef (Australia) is 1,600 miles long and 40 miles wide. They are very import ant for our ocean, they provide food and home for many of the fish in the ocean. For some fish, coral reefs are the only viable food source or shelter they have. Coral reefs are very important. Coral reefs are made by individual coral that join together to form a coral colony. EachRead More The Effects of Global Warming on the Great Barrier Reef Essay950 Words   |  4 Pageson the Great Barrier Reef Introduction Coral reefs around the world are in danger. One of the causes is global warming, which has been increasing the temperature of the ocean water resulting in coral bleaching. This essay will focus on damage occurring to the Great Barrier Reef. What is a Coral Reef? A coral reef is a ridge formed in shallow ocean water by accumulated calcium-containing exoskeletons of coral animals, certain red algae, and mollusks. Coral reefs are tropical, formingRead MoreEssay on Rainforests of the Ocean942 Words   |  4 PagesRainforests of the Ocean Coral reefs are large societies of small living organisms. They are made up of millions of various creatures including fish, starfish, sea urchins, and so much more. Despite the fact that coral reefs make up fewer than one percentage of the Earth’s surface, coral reefs are still one of the greatest diversified ecosystems in the world due to the creatures that live in and around the reefs. Coral reefs are located in shallow, warm waters in the tropics around the Bahamas,Read MoreSalt Water Essay1402 Words   |  6 Pagesdissolved salts, known as saline water or seawater, water from oceans or seas. It is a home to varieties of aquatic animals, for example, fishes and snails. Some of these animals find it difficult to live in fresh water. If salt water animals go to live in fresh water they can not adapt the environment led to die to them. This essay aims to discuss the importance of salt water and the sub- types namely ocean, sea, and coral reefs. It will also show pictures whe re it is found and the aquariums that areRead MoreCoral Reefs : The Ecosystem860 Words   |  4 PagesCoral reefs are an essential component to the ecosystems in Hawaii. Coral reefs are comprised of numerous Cnidarian species that grow sympatrically to form structured colonies. Coral reef colonies support a wide range of marine wildlife. The marine animals utilize coral reefs as their habitat, as a source of food, and as a catalyst for community interactions. Coral reef communities that are well established are known to be highly biodiverse. Coral reefs are known as the tropical rainforests of theRead MoreCoral Reefs and How We Can Save Them Essay999 Words   |  4 PagesINTRODUCTION Coral reefs are underwater arrangements made from calcium-carbonated substances, which are released by corals. Coral reefs are gatherings of small and large organisms, which are found in marine waters that contain scarce nutrients. Most coral reefs are built from stony corals, which in turn consist of polyps that cluster in groups. The polyps belong to group of animals’ known as Phylum Cnidaria, which in turn secrete hard carbonate exoskeletons, which support and protect their bodiesRead MoreCoral Reefs : A Study From National Oceanic And Atmospheric Administration983 Words   |  4 Pagessome, diverse, and colorful reefs add beauty to the ocean and to the fish. Others see coral reefs as peaceful beds on the ocean s floor. Creatures, on the other hand, see a shelter and protection from people or bigger larger that lurk for their prey. Coral reefs aren’t made for their scenery, but as ecosystems for many plants and animals. They do not only help the animals, but serve a s important sources of income, food, protection, and new medicines for mankind. Coral reefs are less than one percent

Wednesday, May 6, 2020

Cardiorespiratory Focus On Hypertension Health And Social Care Essay Free Essays

string(29) " to increased blood volumes\." The scenario concerns the survey of blood force per unit area scientific discipline and ordinance in the content of high blood pressure. Following, each aim is stated and so analyzed. A 31 twelvemonth old adult male goes to his GP because he has started to hold terrible concerns that come on all of a sudden at assorted times during the twenty-four hours. We will write a custom essay sample on Cardiorespiratory Focus On Hypertension Health And Social Care Essay or any similar topic only for you Order Now He is a fiscal analyst who works in a bank in Canary Warf. Many of his co-workers have been made redundant but he has kept his occupation, although his line director has made it clear that he may lose it in the following few months if the state of affairs does non better. He says he works at least 15 hours a twenty-four hours and his matrimony is enduring because of this. He is seeking to give up smoke ( 1-2 battalions per twenty-four hours ) but the emphasis of work has made this hard. He goes with friends out to a wine saloon on a regular basis and admits to imbibing to a great extent one time or twice a hebdomad. Further oppugning reveals that his male parent died aged 61 from a shot. On scrutiny he is found to hold a BMI of 34 and a blood force per unit area of 190/125 mmHg. Retinal scrutiny shows some abnormalcies ( â€Å" silvering † ) in the blood vass. After look intoing the blood force per unit area reading on two farther occasions the GP suggests that his jobs are r elated to conceal blood force per unit area and refers him to the local high blood pressure clinic. After undergoing farther trials at the clinic he is started on drug therapy and given lifestyle advice. What is blood force per unit area and how is it regulated? Oxford medical dictionary defines blood force per unit area as â€Å" the force per unit area of blood exerted on the walls of blood vass † ( 1 ) . The maximal blood force per unit area exerted during systole when blood enters the aorta is called â€Å" systolic † whereas the minimal force per unit area exerted when aortal valves near during diastole is called â€Å" diastolic † . Figure 1 shows the alterations in force per unit area in aorta during cardiac rhythm bespeaking the systolic and diastolic force per unit areas. Fig. 1 – Systolic and diastolic force per unit areas ( 2 ) Blood force per unit area in the organic structure must be maintained in the normal degrees non merely to keep perfusion of blood to all the organic structure but besides to forestall unwanted complications due to high blood force per unit area. Therefore, the blood force per unit area should stay inside a scope of values. However, blood force per unit area frequently changes. During physical exercising higher force per unit area facilitates greater perfusion in the musculuss providing them with more O. Blood force per unit area depends on two chief parametric quantities: Cardiac end product ( C.O ) : Cardiac end product which is the sum of blood pumped from the bosom per minute depends on the shot volume and the bosom rate. Entire peripheral opposition ( T.P.R ) : It is the entire opposition exerted by the peripheral vasculature. This chiefly depends on the radius of the vass – narrower vass exert greater opposition. The above are linked with the undermentioned equation: M.A.P = C.O x T.P.R From the above relationship it is obvious that by altering the values of C.O or T.P.R the blood force per unit area ( average arterial force per unit area ) can alter every bit good. Based on this, three chief mechanisms are used to modulate blood force per unit area when it lies outside the normal scope: Neuronal system – Baroreceptors This is chiefly used for short term ordinance of blood force per unit area. Baroreceptors are detectors found in the internal carotid arteria ( carotid fistula ) and on the aorta ( aortal fistula ) ( 3 ) . These are detectors that can observe differences in stretch in these arterias bespeaking differences in blood force per unit area. These detectors are innervated by the Vagus ( X ) and glossopharyngeal ( IX ) nervousnesss which travel up to cardioinhibitory and vasomotor centre in the myelin of the encephalon. Increase in blood force per unit area ( high blood pressure ) increases the fire of baroreceptors to the vasomotor centre. This causes a lessening in the sympathetic nervous outflow doing relaxation of the arteriolas, therefore diminishing T.P.R. In add-on, the cardioinhibitory Centre increases the parasympathetic activity decelerating down the bosom rate, therefore cut downing C.O ( 4 ) . Consequently the M.A.P is decreased. The contrary applies when blood force per unit are a is low ( hypotension ) . Figure 2 is a diagrammatic representation of the baroreceptor physiological reaction. Fig. 2 – Baroreceptor physiological reaction ( 5 ) Hormonal system – RAAS system This system is for longer term ordinance of blood force per unit area every bit good as blood volume. Figure 3 presents the Renin Angiotensin Aldosterone System. Aldosterone Secretion Angiotensinogen Angiotensin II Angiotensin I Fig. 3 – RAAS ( 6 ) In the kidneys Low Na concentration in the distal tubing, which indicates low blood force per unit area, is detected by sunspot densa cells. Furthermore, autumn in nephritic perfusion is detected by the juxtaglomerular setup. A bead in either of these two causes the release of renin from the kidney. In the pneumonic circulation renin is used to change over angiotensinogen to Angiotensin I. Angiotensin I is so split into Angiotensin II which is a vasoconstrictive. It besides acts on the adrenal secretory organs to let go of aldosterone. Aldosterone is a endocrine that increases the synthesis of Na+/K+-ATPase, therefore increasing Na and H2O resorption. On the whole, this mechanism increases both the volume of the blood and T.P.R to overall increase the force per unit area ( 7 ) . Atrial Natriuretic peptide ( ANP ) This is once more a hormonal manner of blood ordinance. Specialized atrial myocytes can feel increased stretching of the atrial walls of the bosom due to increased blood volumes. You read "Cardiorespiratory Focus On Hypertension Health And Social Care Essay" in category "Essay examples" These let go of the ANP endocrine which decreases the release of chymosin in the blood ensuing in a lessening in the activity of RAAS. In add-on, it causes increased force per unit area in the capsule of the kidney by coincident relaxation of the afferent arteriola and bottleneck of the motorial arteriola so as to increase glomerular filtration rate. Define and sort high blood pressure. How is high blood pressure measured? WHO on its ain definition of high blood pressure states the followers: â€Å" Blood force per unit area, like tallness and weight, is a uninterrupted biological variable with no cut-off point dividing normotension from high blood pressure. The uninterrupted relationship between the degree of blood force per unit area and cardiovascular hazard makes any numerical definition and categorization of high blood pressure slightly arbitrary. Therefore, a definition of high blood pressure is normally taken as that degree of arterial blood force per unit area associated with doubling of long-run cardiovascular hazard † ( 8 ) High blood pressure can be classified in different ways harmonizing to the standards of categorization. Depending on the cause high blood pressure is classified in ( 9 ) : Essential – Primary high blood pressure: the cause in unknown. Secondary high blood pressure: there is an underlying obvious cause. Depending on the existent blood force per unit area degrees, British Hypertension Society guidelines sort Hypertension as presented on the tabular array below ( Fig.4 ) : Fig. 4 – British Hypertension Society categorization of blood force per unit area degrees ( 10 ) Sphygmometer is used to mensurate blood force per unit area of the brachial arteria. However, a individual elevated reading on scrutiny does non bespeak high blood pressure. This might be due to anxiousness and addition of sympathetic activity. This state of affairs is called the â€Å" white coat syndrome † . As a consequence, blood force per unit area must be measured more than one time every bit good as measured at place when the patient is relaxed. What are the physiological causes of high blood pressure? To get down with, it is indispensable to understand the scientific discipline behind the haemodynamics in order to be able to understand the physiological causes of high blood pressure: Independently of the cause, high blood pressure develops as a effect of one of the followers: High Intravascular volume: This means that there is a high volume of blood in the circulation that increases the venous return in the bosom. Consequently, this increases the preload and therefore the C.O taking to elevated blood force per unit area as described in the first aim. High intravascular volume may be due to increased H2O and salt keeping because of high angiotonin II and aldosterone concentrations, or nephritic tissue harm. Increased venous return: In this instance the intravascular volume is normal but there is increased venous tone which once more increases the venous return to the bosom. Abnormal arterial wall: This implies either reduced radius of arterial lms or decreased conformity. The first is true in increased sympathetic activity and atheromatous plaques formation. The latter is true in reduced snap and collagen replacing due to increased age or harm due to substances such as smoke. Merely 5-10 % of instances have an underlying obvious cause of high blood pressure. As mentioned earlier high blood pressure is categorized based on cause as follows: Essential In indispensable high blood pressure there is no obvious cause for high blood force per unit area. There is a assortment of hazard factors taking to this type of high blood pressure that will be explained subsequently. Different researches over the old ages have concluded to some theories that might explicate indispensable high blood pressure. These are ( 11 ) : High sympathetic tone: Increased sympathetic tone even when the individual is relaxed causes vasoconstriction of the arteriolas and finally hypertrophy of the smooth musculus in the vass. High salt in diet: High salt in diet has been related to keeping of H2O, increased blood volume and therefore high blood pressure Stress: As in our instance, emphasis increases the activity of sympathetic system. Stress for long periods causes hypertrophy of smooth musculus in arteriolas and contracting of their lms so that high blood pressure remains even in stress free periods. A combination of the above may be. Secondary Secondary high blood pressure may hold several causes as explained below: Nephritic disease: On one manus secondary high blood pressure may be due to stricture of a nephritic arteria. This triggers the RAAS system and increases blood force per unit area. On the other manus there may be devastation of the nephritic tissue taking to inability of kidneys to egest necessary sum of H2O or salt taking once more to high blood pressure. Endocrinological tumors: Tumours of secretory organs that secrete endocrines such as aldosterone. Hyperaldosteroinism ( Conn ‘s syndrome ) can take to hyper-secretion of aldosterone doing greater resorption of H2O and Na than normal ( 12 ) . Congenital aortal deformity: This is constriction of aorta which is fundamentally the narrowing of aorta, ensuing in reduced nephritic perfusion and activation of the RAAS system Combined Oral preventive pills: This is a type of drug induced high blood pressure. In this instance oestrogen administrated as a portion of the preventive pill acts as a vasoconstrictive and besides increases angiotensinogen ( 4 ) . Eclampsia – Pregnancy: Although the grounds behind this are non wholly clear, pre-eclampsia may be due to placental disfunction every bit good as immune response of the female parent against the placental tissue conveying about high blood pressure ( 13 ) . Hazard factors There are a figure of hazard factors responsible for developing high blood pressure which have been supported by a assortment of surveies. A survey published on 2006 based on informations collected on a population of American Indians indicates some of the undermentioned as hazard factors for high blood pressure ( 14 ) . These can be extrapolated for the general population. Hazard factors are non merely familial but besides environmental factors. Most of the below are true in our PBL scenario: African lineage Sexual activity gender – males: A research published late on Hypertension diary provinces that mistake signals in commanding of the sympathetic system exist between the two genders giving differences in the controlling of blood force per unit area ( 15 ) . Increasing age Low societal category High salt consumption, high fat diet Stress Fleshiness Chronic conditions such as diabetes, nephritic diseases, sleep apnoea. High intoxicants intake Smoking No exercising What are the symptoms and what are possible complications of high blood pressure? High blood pressure is known as the â€Å" soundless slayer † as most of the times is symptomless until it develops sudden complications such as shots or bosom onslaughts that can take to decease ( 16 ) . Often, the high blood pressure is non detected until a random look into up modus operandi is taken. However some people may see the followers: Dizziness Blurred vision ( due to damage of the retina of the oculus ) Concern Long-standing high blood pressure will finally do coronary artery disease with all the possible effects of the disease. Furthermore, it causes reconstructing – hypertrophy of the bosom taking to more dangerous state of affairss. Serious complications of high blood pressure are: Nephritic decease ( 17 ) : It can take to weakened or narrowed blood vass in kidney impairing its map. Stroke: Vessels of the encephalon may split or non good perfused taking to stroke. Heart onslaught: The bosom has to work harder to pump blood against greater force per unit area. This may develop bosom failure and inability of the bosom to pump blood to cover organic structure ‘s demands. Aneurysms: May do pouching in arterias taking to tearing them Vision loss: Due to damage of the little fragile vass of the oculus. What are the intervention and lifestyle alterations for the patient? A combination of drug intervention and lifestyle alterations is necessary for bar of the complications listed above ( 18 ) . The following table lists interventions and the mechanism they work. Drug Category Drug name Mechanism ACE inhibitors Enalapril They block the transition of angiotensinogen to Angiotensin I and therefore barricade the RAAS. Diuretic drugs Thiazides They increase the sum of H2O and salts excreted in the piss so that they decrease blood volume. I ±-blockers Doxazosin They work by barricading I ±1-adrenoreceptors on the walls of blood vass so that they cause vasodilatation. I?-blockers Atenolol They block I?1- adrenoreceptors on the bosom diminishing bosom rate and shot strength, therefore diminishing cardiac end product and finally force per unit area. CaC blockers Nifedipine They block the Ca channels forestalling Ca come ining the cell. As a consequence they prevent vasoconstriction. In add-on to the drug therapy the patient has to watch his diet by cut downing the Na and fat consumption. Exercise should go portion of his life and surcease of smoke and restricting intoxicant ingestion are necessary. Patient has to restrict his emphasis every bit much as possible and regular monitoring of blood force per unit area can be life salvaging. How to cite Cardiorespiratory Focus On Hypertension Health And Social Care Essay, Essay examples

Monday, May 4, 2020

Business Statistics Concepts and Applications

Question: Discuss about the Business Statistics for Concepts and Applications. Answer: Introduction At present business world, companies face significant issues in conducting their business competently while fulfilling their corporate social responsibilities and doing business ethically. Corporate social responsibility is an approach of doing business that helps in developing economic, social and environmental condition of the community sustainably (Baumann-Pauly et al. 2013). Here, two business situations are analyzed, where ethical issues are faced and overcome. Business ethics includes appropriate business practices and policies pertaining to potentially controversial issues like insider trading corporate governance, corporate social responsibilities and ethical dilemmas and so on (Ulrich and Sarasin, 2012).While working as a practitioner, I faced issues related to cultural competency. The patient I was looking after belonged to a tribal community and hence, I was unable to understand his needs. He was a patient of hypertension and insomnia and 68 years old and his name was Mr. Jones. I faced the issue, as I did not have appropriate knowledge regarding his culture and language. Tesco, the leading retail organization faced ethical issues for not giving payment to its supplying timely. Moreover, it the company is alleged to conduct payments unethically to the suppliers for ledge promotion. Although, the company is focused on offering best products to customers, however, it failed to fulfill legal requirements related to business ethics. It is found that due to lack of efficiency of the board of Tesco, the half-yearly profit of the company was overstated by 263m, this may be the result of delay in payment to the suppliers (Theguardian.com, 2017). Nature of the situation The situation was very complicated for me, as I had to ask my senior for help in almost every hour, as I could not recognize his requirements properly. According to Homburg et al. (2013), business ethics help people to differentiate between right and wrong. However, being a practitioner, I was not competent enough to handle the situation appropriately by overcoming the issue related to cultural sensitivity. The issue faced by Tesco is associated to financial management, which is related to short deliveries comprising burden of penalties, customer complaint, invoice discrepancies, supposition of unknown items, inference for advertising fixed cost and historic promotion (Theguardian.com, 2017). Impact of challenges faced in the situation on the stakeholders As I was unable to understand the need of the Mr. Jones, hence, sometimes it became difficult for me to provide appropriate service within proper time. Due to which, he felt helpless and he was reluctant to communicate with me. He needed proper care and effective communication with his care worker, who could help him to release his tension and made him feel comfortable and safe. I could recognize that he became more tensed and restless, when he was unable to make me understand about his needs and expectations. As, I was unable to provide him proper care, therefore, I was becoming under confident regarding my role and responsibility. Due to the ethical issue faced by Tesco in delaying payment to the suppliers, the company had to bear significant penalty under the Groceries Code Adjudicator (GCA). The organization imposes penalty up to 1% to the yearly turnover of big retailers. For breaching the GCA code, the name of Tesco came into accounting scandal that is harmful for the reputation and brand image of Tesco. Moreover, for not giving payment on time, business relationship with supplier could not be managed properly, which may harm the overall performance of the firm (Theguardian.com, 2017). Processes of overcoming the situation As stated by Baker and Comer (2012), learning cultural competency has become essential for nurses at resent day, as people belong to different cultural background come to hospitals for treatment. Without having knowledge regarding cultural competency, it is not possible provide effective services to the care users and attain their satisfaction. The social learning theory stipulates people are likely to do things that provide them self-worth. Hence, for overcoming the difficulties, I started focusing on increasing my knowledge regarding tribal community, their language and social norms so that I could improve my service provided to Mr. Jones. First, I started learning tribal language for increasing effectiveness of the conversation between Mr. Jones and me. Eventually, I was able to understand his expectation from me, and provide him care accordingly. Thus, I regained my self-confidence. In order to deal with the situation, the company must identify and fulfil the regulations and codes imposed by GCA. Utilitarianism theory states that a business action is considered as right if it creates positive outcomes on the stakeholders (Berenson et al. 2012). Hence, Tesco can apply this theory for assessing future risks and taking necessary decisions. Therefore, Tesco had taken necessary measures for dealing with the ethical issue effectively. The company has changed the way of dealing with its suppliers. Furthermore, Tesco announced that, it would continue full cooperation with GCA so that it can conduct its business ethically in present and future (Theguardian.com, 2017). Conclusion In order to deal with ethical issues effectively, it is essential for companies and employees to comply with all the legislations related business ethics. It any help them to improve overall quality and productivity. References Baker, S.D. and Comer, D.R., 2012. Business Ethics Everywhere An Experiential Exercise to Develop Students Ability to Identify and Respond to Ethical Issues in Business.Journal of Management Education,36(1), pp.95-125. Baumann-Pauly, D., Wickert, C., Spence, L.J. and Scherer, A.G., 2013. Organizing corporate social responsibility in small and large firms: Size matters.Journal of Business Ethics,115(4), pp.693-705. Berenson, M., Levine, D., Szabat, K.A. and Krehbiel, T.C., 2012.Basic business statistics: Concepts and applications.Pearson higher education AU. Homburg, C., Stierl, M. and Bornemann, T., 2013.Corporate social responsibility in business-to-business markets: how organizational customers account for supplier corporate social responsibility engagement.Journal of Marketing,77(6), pp.54-72. Theguardian.com (2017). Tesco under investigation by new regulator over dealings with suppliers. [online] the Guardian. Available at: https://www.theguardian.com/business/2015/feb/05/tesco-faces-investigation-over-how-it-pays-suppliers [Accessed 18 Apr. 2017]. Ulrich, P. and Sarasin, C. eds., 2012.Facing public interest: The ethical challenge to business policy and corporate communications(Vol. 8).Springer Science Business Media.