Chinese Negotiation Vs American Negotiation

Chinese Negotiation Vs American Negotiation This is an intercultural assignment for the subject Intercultural Sales Negotiation.. I am a student of the minor Latin American Business Studies. In the minor Latin American Business Studies that I am following, we got the assignment to study the Guanxi case and to do some research into the Chinese and US culture related to negotiation meetings. The last part of this assignment will be that I have to prepare a role of an American party in a negotiation standing between Electrowide and Motosuzhou. In this assignment you can expect the following subjects: there will be a short description of different cultures in the world. Next subject will be an intercultural research about the Chinese and US cultures and in which these various cultures will influence negotiation attitudes and positions. After this there will be a preparation about the Guanxi case. This preparation includes: BATNA, ideals, fallbacks, needs/priorities, assumptions and strategies/tactics. In this preparation there will be also quoted explicitly when and in what way the research has affected the preparation. Intercultural research between American and Chinese people doing negotiation The world has a lot of people. The people who are living in different parts of the world are not all the same. They belong to a certain culture. A culture includes the customs and traditions of a certain nation from a certain country. This includes the set of values, nutrition, diet, clothing, religion, music and dance. We can divide the world in several main cultures like: North American, Western Europe, Eastern Europe, Latin American, Middle East/ African and Asian culture. During negotiation around the world you have to know the differences between all these different cultures. Doing some research before going into a negotiation is very important. This is important because there could appear some misunderstandings because of the differences in culture. If you work in a global commercial environment it is useful to have some knowledge of the impact of these cultural differences. This is one of the keys to international business success during negotiation. Regarding to these differences of culture, we now going to zoom in into the Chinese culture and the American culture doing negotiation with each other. We are going to look in what way the various cultures of American and Chinese people will influence negotiation attitudes and positions.   Chinese way of negotiation: If we look at the way Chinese business people negotiate, they are very different in comparison with other countries. They are very different in terms on how they approach a business negotiation. For Chinese business people a negotiation is more like an exchange of information. A getting to know you process. They consider it as a formal discussion. They are willing to negotiate for a long time to get to know each other and to create a long time partnership. The reason willing to negotiate for a long time is to get as much as information out of you. If they manage to get enough information out of you, they can adjust their arguments on what you are saying. They can also use all those information that you are telling them against you eventually. China is a society of high-context. This means that in this kind of society you do not have to say or write to much to make clear what you are meaning. For the Chinese business people it is not only verbal communication, but also a lot of non-verbal communication to express yourself. You only have to make a little part of your message explicit, because most of the information is already implicit in the environment or in the assumed prior knowledge of the person. The Chinese business people do not like the direct word no. They will find it very rude and disrespectful. It is better to avoid to say the word no to the Chinese party. It is difficult to avoid to say no, but there are several ways to say no indirectly. Little example: In the Western culture they would say: No, we cannot do that and in the Chinese culture would say: That may be difficult for us to do so. So it is really important that you think very clearly how you going to disagree to a Chinese party. An option is to shift you responsibility for your decisions to something else in the negotiation. If you do say no to a Chinese person you will lose face (mianzi in Chinese). This means that you are losing your good reputation and social standing compared to you Chinese business associate. This could be not good for the business negotiation. Chinese people are very good in saying no indirectly. The style of the Chinese business people of saying no is to apply objections to disagree with a proposal. Chinese are very collectively set. Functioning/thinking as a group and having a good relationship between parties has a big importance in the Chinese society. Relationship is called in Chinese: Guanxi. During negotiation this is very important for the Chinese business people to create with the other party. If you manage to have a good Guanxi with the other it is much easier to negotiate and to reach your goals. During the negotiation with your Chinese associate you have find out if you are talking with the right person who makes the final decisions. The fact is that it is very common in the Chinese way of negotiating that the person who makes the final decisions is not the person who is sitting in front of you but someone else. These people are intermediaries. This is because there is a hierargy in the Chinese society. This means they have limited authority in making final decisions. If you know it is not the right person in front of you who makes the final decisions, you can expect that they first have to discuss it with their companions before making the final deal. Chinese people appreciate if their foreign party speaks their language. As a foreign party this will improve your status compared to the Chinese party. Chinese people love to negotiate for a long time to make you impatient and exhausted to get the best deal possible out of it. They want you to feel like you need them more then they need you. At last Chinese culture is based on a survival of the fittest culture. They will say to the other party that they want the best deal for both, but the truth is that they doesnt mean that seriously. They want to have a win-lose deal. Win-win is mostly not an option. American way of negotiation: If we look at the way American business people negotiate, they are totally the opposite in doing negotiation then the Chinese business people. Americans want to negotiate to reach their goal, to make the best deal out of it and at the end to make a contract right away. Americans are very individual minded. For them counts the fewer the people the less confusion the quicker of making a deal. Time is money for them so they want to get the negotiation done in a hurry. This behavior is a big disadvantage for the Chinese people who want to make to negotiation as long as possible. The use the situation of the Americans willing to do everything as quick as possible. Americans are very straight to the point. They just want to reach their goals and do not look at the whole of the topic. If they would do that more they maybe could get more out of the deal. Americans do not like to negotiate. They are very informal when doing negotiations. Because Americans are very individualistic they have full authority during negotiations. They want to lead the negotiation and they want to make the final decisions. They are not an intermediary. They make a lot of proposals and they like to talk a lot. Unlike China, America is a low context society. They are a society which uses a lot of verbal communication. This makes it very hard for Americans to understand the Chinese, because it isnt always the words, it is the meaning behind the words which are important. Conclusion It is good for an American to understand how the culture of the Chinese business people works. Because if you dont, it would be difficult to get the best deal out of the negotiation. As an American it is important that you can adapt the behaviors of the Chinese. Be flexible. If you can try to speak their language this will improve your position compared to the Chinese. Do not be impatient, because the Chinese will use this against you. Find the right person to talk to, because if you are talking to an intermediary you know that he/she isnt the person who makes the final decisions. Try to minimize your nos to be not disrespectful and rude. Try to put your no in a indirect way. Be careful with giving too much information. Chinese are active listeners. They want to make you talk. Try to get an exchange of information. When you negotiate with your Chinese partner the most important thing you need to do is to established the relationship/partnership (Guanxi). The Guanxi in Jeopardy case Now that I have done the research about the Chinese and the American culture, I am now going to look how these differences in culture apply to the  ´Guanxi in Jeopardy ´ case. Description of the situation Our company Electrowide We are a multibillion dollar ($5B) manufacturer company called Electro wide located in the United States. We are a company which manufactures a broad range of automotive electronics products. Looking at the todays ever increasing competitive automotive electronics and becoming more proactive in this kind of market, we are undergoing a massive structural reformation. The purpose of this reformation is that the companys various product line departments have more autonomy. So that eventually each department will be responsible for its own profit and loss statements. One of our key strategic objectives is to become a big rival in the market of Asia. We are looking for an Asian associate to help manufacture and sell engine management systems that run emission-control, fuel nozzle, and ignition systems for Chinese-made vehicles. In the first place the output would be sold to the Chinese market with future plans to export later. We believe, as the company Electrowide, that the partnership with the Chinese associate will play a important role not only in the promotion of Electrowide business growth, but also in providing product development expertise in the region. The Chinese company Motosuzhou Motosuzhou is an enterprise of the Beijing municipal government. This small company has a top-heavy hierarchy with a representative director overseeing daily operations and various supervisors in charge of functional units. This means decision making is top-down. The company runs its own operations free from government intervention. Its labor force is consists mainly of rural employees. The companys strength is in achieving economies of scale in assembly-line manufacturing of engine control subassemblies. The competition in the local market is beginning to grow. Motosuzhous reason to do business with a foreign company is to develop a long-lasting relationship that will work in harmony with local government policies. Also acquire technology through transfer by importing equipment and designs and adapt them to the automotive industry in China. They do not want to fail in the eyes of the government or the community. The role We as the company Electrowide are interested in Motosuzhou because of the Chinese companys technical proficiency in its design of automotive subsystems. Obtaining this kind of knowledge would give Motosuzhou a competitive advantage in the industry. Motosuzhou would also rely on Electrowide because of financing most of the cost incurred in establishing the joint venture. The objective of Electrowide is to establish a joint venture with Motosuzhou of China to conduct manufacturing operations in China. Batna (best alternative to negotiating on agreement) Before we start to negotiate with Motosuzhou we need a steady BATNA (Best alternative to a negotiation agreement). Our BATNA is very important, because we cannot make a wise decision about whether to accept the negotiated agreement unless we know what our alternative is. Having a good BATNA increases our negotiating power to make a good deal out of it. So if the negotiation is not working we always can fall back on our BATNA. But the main point of our BATNA is to make us in a steady and strong position related to the other party Motosuzhou. Regarding to our study of the situation we have determined that we have a moderate BATNA compared to the Motosuzhou. We assume that we have a moderate BATNA considering the fact that China is becoming worlds number one economy. It is predicted that by the year of 2025, Chinas economy will be by far the largest economy in the world. Throughout all the years, China always has been a independent country. They would prefer not to get any help from abroad. They want to solve their own problems and deal with their own situations. This could also be the reason for Motosuzhou to choose to do business by themselves and try to improve their own situation without any help of Electrowide. If this would occur our BATNA would be as follow: we will have a look on certain other strong economic developed countries to do business with. If we look at Japan we also could do business with them or else we could do business with Brasil which is becoming quickly a strong economic country. Ideals Regarding to the ideals, we would like Motosuzhou to sign a contract for the joint venture. One of the ideals is that Motosuzhou will help us to manufacture and sell engine management systems that run emission-control, fuel nozzle, and ignition systems for Chinese-made vehicles. The output of this production would be sold to the Chinese market. After that we would like to export this output as soon as possible abroad. Another ideal would be that both parties Electrowide and Motosuzhou finance each 50% of the investments incurred in establishing the joint venture. This would be a good offer, because the joint venture will eventually have advantages for both parties. Fallbacks Regarding to the fallbacks, our fallback will be that Motosuzhou is not willing to sign the contract to start the joint venture. That they do not agree with the terms and conditions that we have set. This will mean that we have to find other business people to negotiate about starting a joint venture. Another fallback will be that Electrowide would finance most of the cost incurred in establishing the joint venture instead of the 50%-50% division what we had set as an ideal. Needs/Priorities Deciding our priorities will allow us to be more efficient, since not all issues tend to be equally important. In the first place we need to keep in mind that we are doing business with a different culture. We know that they could look at certain issues differently than us. This is why a good culture research is extremely important. This is our main priority to look at before doing business. Because we are in their country and we have to respect their rules and values. To have a good position compared to the Chinese associate our priority is to study their priorities they want to see from a foreign company. This means that we have to be respectful, honest and trustful towards our Chinese associates. We have to be patient and not willing to do a quick deal, because it is also good for us to search out all the issues that will emerge starting a joint venture. We have to look for a long-lasting relationship to have a good position and to have a good chance of reaching our contract with them. It is also pre if I could speak their language or anyone else of my team. So that they can see that I am really trying to get to know their culture and that I am interested in them. The second priority is to reach an agreement for having a joint venture in the future with Motosuzhou. By understanding their culture and willing to have a long-lasting partnership it would be easier for us to come to a agreement. We have to take the time to get to know each other. The final priority would be that both parties Electrowide and Motosuzhou finance each 50% of the investments incurred in establishing the joint venture. This would be a good offer, because the joint venture will eventually have advantages for both parties. Assumptions During my research I have investigate how the Chinese culture will influence the negotiation attitudes and positions. I assume that during this negotiation about the joint venture, they will set up a cool attitude and that will be very introvert and formal. They want to see what we have to say and what we have to offer. They want to see if we are a company who will offer them opportunities for expanding their business on the Chinese market and not only trying to make the best deal for ourselves. We assume that they first want to get to know us better. They will look if we are potential for them to create a long term relationship with. They would also trying to get as much as possible out of the deal. They will put us on a test, by coming with exaggerated offers to look how far they are able to go with us. We assume that the negotiation could last a long time. This will be one of their tactics knowing that Americans do not like to have a long negotiation. They will use a lot of silent moments because they know Americans will be uncomfortable with that. They know that if they negotiate as long as possible the American will give up and easily agree with a certain proposal. They will try to use our impatient against ourselves. We also assume that they are going to look for a good relationship (Guanxi). We assume that building a good relationship will take a lot of time. This means that we have to accept that for making a good deal. Strategies and tactics Given our moderate BATNA, a bargaining approach will be used during the negotiation. This will be the only approach we can use, because of our moderate position to negotiate against the other party and because of the differences in culture. During the research we have found out that they are growing in their bargaining stance. In order to negotiate we will trade options with each other. We will use the tactic of giving and taking. It will be a back and forth during the negotiation. With the right approach of bargaining we could make some arranges which will give eventually a win-win situation for both parties. We want to have a contract to build the joint venture and if we have an agreement they want us to finance most of the cost incurred in establishing the joint venture. This means that we have to look for the possibilities and this will explain our bargaining approach. We have to keep in mind that we do not have yet a good relationship with the Chinese. We should not demand to mu ch of the other party. In the future we can look for other opportunities, but first it is important to build a good relationship. It is good for an American to understand how the culture of the Chinese business people works. Because if you dont, it would be difficult to get the best deal out of the negotiation. As an American it is important that you can adapt the behaviors of the Chinese. Be flexible. If you can try to speak their language this will improve your position compared to the Chinese. Do not be impatient, because the Chinese will use this against you. Find the right person to talk to, because if you are talking to an intermediary you know that he/she isnt the person who makes the final decisions. Try to minimize your nos to be not disrespectful and rude. Try to put your no in a indirect way. Be careful with giving too much information. Chinese are active listeners. They want to make you talk. Try to get an exchange of information (bargaining). When you negotiate with you r Chinese partner the most important thing you need to do is to established the relationship/partnership (Guanxi). Furthermore, a lot of body language as eye contact will be used. Finally, active listening will be very important also used to confirm understanding.

Study of Recurrent UTI among Mothers in the Philippines

Study of Recurrent UTI among Mothers in the Philippines INTRODUCTION Background of Study Millions suffer, only a few understand. In Barangay Ula, Recurrent UTI is one of the leading causes of morbidity among 40 households with a prevalence of 82.5% in which a bulk of 57% comprises of mothers. Urinary tract infections (UTIs) are among the most prevailing infectious diseases with a substantial financial burden on society. An estimated 13,000 deaths annually are attributed to UTIs. The magnitude of the problem worldwide is becoming very apparent.Globally, there are an estimated 150 million urinary tract infections per annum. Nearly 20% of women who have UTI will have another, and 30% of those will have yet another, but of the last group, 80% will have recurrences. In the Philippines, UTI continues to be among the top five reasons for consultations in health facilities nationwide. It is one of the ten leading causes of morbidity in all ages with a rate of 127.84 per 100,000 population. Recurrence of UTI among these mothers is greatly affected by behaviors. In this regard, the study would like to focus on the UTI-related behaviors of mothers, in Barangay Ula, diagnosed with recurrent urinary tract infection. Review of Related Literature According to Al-badr and colleague (2013), urinary tract infections (UTIs) are one of the most common clinical bacterial infections in women, accounting for almost 25% of all infections. Around 50–60% of women will develop UTIs in their lifetimes wherein Escherichia coliis the most common organism in all patient groups, but Klebsiella, Pseudomonas, Proteus,and other organisms are more common in patients with certain risk factors for complicated urinary tract infections (Kodner and Gupton, 2010). Hooton and Gupta (2013) defined recurrent urinary tract infection as ≠¥2 infections in six months or ≠¥3 infections in one year. Most recurrences are thought to represent reinfection rather than relapse, although occasionally a persistent focus can produce relapsing infection. Recurrent uncomplicated urinary tract infection is a common presentation to urologists and family doctors. A survey data suggest that 1 in 3 women will have had a diagnosed and treated UTI by age 24 and more than half will be affected in their lifetime. In a 6-month study of college-aged women, 27% of these UTIs were found to recur once and 3% a second time (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202002/). Many women suffer from frequent UTIs. About 20 percent of young women with a first UTI will have a recurrent infection. With each UTI, the risk that a woman will continue having recurrent UTIs increases.Some women have three or more UTIs a year. However, very few women will have frequent infections throughout their lives. More typically, a woman will have a period of 1 or 2 years with frequent infections, after which recurring infections cease (http://kidney.niddk.nih.gov/kudiseases/pubs/utiadult/). In a study of college women with their first UTI, 27 percent experienced at least one culture-confirmed recurrence within the six months following the initial infection and 2.7 percent had a second recurrence during this same time period. When the first infection is caused by Escherichia coli, women appear to be more likely to develop a second UTI within six months than those with a first UTI due to another organism. In a Finnish study of women ages 17 to 82 who had E. coli cystitis, 44 percent had a recurrence within one year(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202002/). A number of factors also appear to increase the risk of recurrent UTIs such as biological or genetic factors, behavioural risk factors and even the pelvic anatomy (http://www.uptodate.com/contents/recurrent-urinary-tract-infection-in-women). In symptomatic women, predictors of recurrent UTIs include symptoms following intercourse, signs or symptoms of pyelonephritis, and prompt resolution of symptoms with antibiotics. Nocturia and persistence of symptoms between UTI episodes are strong negative predictors for recurrent infection (http://www.aafp.org/afp/2010/0915/p638.html). According to Hooton and Gupta (2014), sexual intercourse, diaphragm-spermicide use, and a history of recurrent UTI are strong and independent risk factors for UTI. Even spermicide-coated condom use results in an increased risk of UTI. However, risk factors specific for recurrent UTI have received relatively less attention. In one large case-control study of women with and without a history of recurrent UTI, the frequency of sexual intercourse was the strongest risk factor for recurrent UTI in a multivariate analysis. Other risk factors identified were: 1) Spermicide use during the past year; 2) Having a new sex partner during the past year; 3) Having a first UTI at or before 15 years of age; and 4) Having a mother with a history of UTIs. Sexual activity can move microbes from the bowel or vaginal cavity to the urethral opening. If these microbes have special characteristics that allow them to live in the urinary tract, it is harder for the body to remove them quickly enough to prevent infection. Following sexual intercourse, most women have a significant number of bacteria in their urine, but the body normally clears them within 24 hours. However, some forms of birth control increase the risk of UTI. In some women, certain spermicides may irritate the skin, increasing the risk of bacteria invading surrounding tissues. Using a diaphragm may slow urinary flow and allow bacteria to multiply. Condom use is also associated with increased risk of UTIs, possibly because of the increased trauma that occurs to the vagina during sexual activity. Using spermicides with diaphragms and condoms can increase risk even further (http://kidney.niddk.nih.gov/kudiseases/pubs/utiadult/). According to Wilkinson and Treas (2010), perinneal care is part of routine hygiene care. When washing the perineum, it must be from front to back to prevent contaminating the urethra with any fecal material left in the anus. Fecal particles left on skin can cause skin breakdown due to enzyme activity, and may increase the risk of a urinary tract infection because of the presence of E. coli in the feces. During menstruation, it is important to change sanitary pads, tampons or menstrual cups regularly. The standard time for a sanitary pad is once every six hours, while for a tampon is once every two hours. Sanitary napkins are made of cotton wool and gel. When an individual bleed into one, most of the blood gets soaked in, but at a certain point the pad gets saturated and may leak. Another consideration is that menstrual blood – once it has left the body – gets contaminated with the body’s innate organisms. When these organisms remain in a warm and moist place for a long time they tend to multiply and can lead to conditions like urinary tract infection, vaginal infections and skin rashes. Therefore changing is essential (http://health.india.com/diseases-conditions/hygiene-during-menstrual-periods-10-things-you-should-know/). General Objective At the end of the study, we will be able to describe the UTI- related behavior of mothers in Barangay Ula, Tugbok, Davao City who were diagnosed with Recurrent UTI from 2009 to 2013 in terms of personal hygiene, sexual activity and birth control method. Specific Objectives To determine the personal hygiene practices of mothers base on the following parameters: Handwashing Perineal care Type of underwear used Usage and changing of panty liners Changing of sanitary pad during menstruation To determine the sexual activity of these mothers To determine the birth control methods used by mothers Significance of the Study This study will provide a reference point on the personal hygiene practices of mothers regarding UTI. The data gathered will be used as a guide in forming future program strategies in decreasing the prevalence of Recurrent UTI in the area. The results of the study will also serve as an insight on the following parties: Barangay health care providers (doctors, nurses and midwives) to provide and disseminate proper information to BHWs and mothers about the behavioural risk factors that can cause recurrence of UTI; Barangay health workers (BHWs) as the most accessible source of information, they should be equipped with the proper and adequate information regarding the behavioural risk factors causing UTI; Mothers to assess whether their personal hygiene practices are correct. This will also, in a way, equip mothers and correct any malpractices they have. There are indeed many cases of recurrent UTI which were not prevented because the mothers have poor personal hygiene practices. Mothers should therefore be properly equipped with adequate understanding of the personal hygiene practices that can be of great importance in the prevention of UTI. Hence, this knowledge can lead to the resolution of this problem. Definition of Terms Behavioural Risk Factors – the elements that predisposes the mothers in having recurrent UTI. Recurrent UTI – Recurrent Urinary Tract Infection; the reinfection involving the urinary tract including the kidneys, ureters, bladder, and urethra. Mother – a person who has been pregnant and has already given birth regardless of her marital status. Personal Hygiene Practices – set of actions performed to care for one’s health Perineal Care an everyday hygienic practice of washing the perineum Chapter 2 Methodology Research Design Descriptive research was used in this study. The study aims to determine the Behavioural Risk Factors of Mothers diagnosed with Recurrent UTI in Purok 6, Barangay Ula, Tugbok District, Davao City. Locale of the Study The study will be conducted in Purok 6, Barangay Ula, Tugbok District, Davao City. Unit Analysis The subject of this study is a Mother diagnosed with Recurrent UTI residing in Purok 6, Barangay Ula, Tugbok District, Davao City. Sampling A total enumeration of 40 mothers will be included in the study. Variables and Measures Data Collection Procedure The testing in this study is focused on the behavioural risk factors of mothers diagnosed with Recurrent UTI, through the scheduled interview of all Mothers in Purok 6, Barangay Ula, Tugbok District, Davao City. Treatment of Data The data was analyzed using the summary statistics like means and frequency distribution. Ethical Consideration We will provide each participant with informed consent forms. Confidentiality of participants’ information and answers will be of our paramount consideration. Chapter 3 Results This section shows the results of the study. The respondents were the 40 mothers of Purok 6, Barangay Ula, Tugbok District, Davao City. Table 1. The Frequency Distribution of 40 Mothers According to Diagnosed Cases of Recurrent UTI Table 2. The Frequency Distribution of 40 Mothers According to Behavioural Risk Factors Chapter 4 Discussion Limitation of the Study The study was limited to all mothers residing in Purok 6, Barangay Ula, Tugbok, Davao City. This was limited on a scheduled interview with the participants. Diagnosed Cases of Recurrent UTI The results showed that 33 mothers were diagnosed with Recurrent UTI while 7 of them were not diagnosed at all with the infection. Behavioural Risk Factors The results showed that all of the mothers were practicing handwashing before and after doing perinneal care. It also showed that a total enumeration of 40 mothers was washing their perineum everyday in which almost all of them were doing it about 1 to times a day. They knew that it is really important to maintain cleanliness within one’s self. About 24 of the mothers were using water and soap in washing their perineum, 11 mothers were using feminine wash while 5 of the mothers were only using water for perinneal care. Out of the 40 mothers doing perinneal care, 19 were washing their perineum from front to back and the remaining 21 mothers were doing it from back to front. The type of underwear used by 28 mothers was made of cotton while 8 of them used spandex and 4 used silk underwear. 22 mothers interviewed were using panty liners in which 19 of them changes their panty liners once to thrice in a day. Of all mothers, 27 were still having their monthly menstrual period while 13 of them were already menopausal. Among the mothers who were still having menstruation, 18 of them were changing their pads at least 1 to 3 times a day, 8 mothers change 4 to 6 times in a day while only 1 mother changes her pad at least 7 times in a day. There were 29 mothers who were sexually active who all had only 1 sexual partner. 26 of which were doing perinneal washing before sexual intercourse while 28 of the sexually active mothers were doing perinneal care after sexual intercourse and 26 of the said mothers were urinating before and after sexual intercourse. No mother was with catheters at the time of interview. This means that catheter is not the cause of the recurrence of UTI among the 40 mothers in the Purok. Birth control methods were used by only 18 mothers wherein 12 of them did not want to have a baby anymore while the remaining 6 were not yet ready to have a baby. The rest of the 22 mothers were not using any birth control methods because 18 of them were already menopausal and 4 of them were said to be pro-life. On the other hand, out of the 12 mothers who used family planning, 8 mothers used condoms. With these results, it revealed that many of the mothers who were diagnosed with recurrent UTI were having personal hygiene malpractices such as washing their perineum from back to front wherein it moves bacteria from the anus close to the urethra. Another was how often they change their panty liners as well as their sanitary pads in a day as the pads get contaminated with the bodies’ innate organisms. When this happens, organisms will multiply in such warm and moist environment leading to urinary tract infections. Chapter 5 Summary of Results, Conclusion and Recommendations Summary Urinary tract infections (UTIs) are among the most prevailing infectious diseases with a substantial financial burden on society. Globally, there are an estimated 150 million urinary tract infections per annum. Nearly 20% of women who have UTI will have another, and 30% of those will have yet another, but of the last group, 80% will have recurrences. In the Philippines, UTI is one of the ten leading causes of morbidity in all ages with a rate of 127.84 per 100,000 population. In Purok 6, Barangay Ula, Recurrent UTI is one of the leading causes of morbidity among 40 households with a prevalence of 82.5%. A bulk of 57% comprises of mothers. The results showed that 33 mothers were diagnosed with Recurrent UTI while 7 of them were not diagnosed at all with the infection. The results showed that all of the mothers were practicing handwashing before and after doing perinneal care. It also showed that a total enumeration of 40 mothers was washing their perineum everyday in which almost all of them were doing it about 1 to times a day. About 24 of the mothers were using water and soap in washing their perineum. The type of underwear used by 28 mothers was made of cotton. 22 mothers interviewed were using panty liners in which 19 of them changes their panty liners once to thrice in a day. Among the mothers who were still having menstruation, 18 of them were changing their pads at least 1 to 3 times a day, 8 mothers change 4 to 6 times in a day while only 1 mother changes her pad at least 7 times in a day. 26 out of 29 sexually active mothers were doing perinneal washing before sexual intercourse while 28 of the sexually active mothers were doing perinneal care after sexual intercourse and 26 of the said mothers were urinating before and after sexual intercourse. On the other hand, out of the 12 mothers who used family planning, 8 of them used condoms. With these results, it only revealed that many mothers who were diagnosed with recurrent UTI were having personal hygiene malpractices. Conclusions At the end of the study, we were able to determine the personal hygiene practices of mothers base on handwashing, perineal care, type of underwear used, usage and changing of panty liners, and changing of sanitary pad during menstruation. We were also able to determine the sexual activity of mothers associated with the prevalence of Recurrent UTI. Lastly, we were able to determine the birth control methods used by mothers that predispose them to recurrent UTI such as the use of condoms and IUDs. Recommendations To the City Health Office: conduct lectures and seminars on Recurrent UTI To the Barangay Officials: provide support on the programs on Recurrent UTI To the BHWs: attend lectures and workshops regarding Recurrent UTI

HP CD Burner Lawsuit :: GCSE Business Marketing Coursework

HP CD Burner Lawsuit Hewlett-Packard Hits Legal Snag Over Its CD Burners in Germany Compact Disk burners have been a controversial product for the last several years because of there ability for making â€Å"pirating† of computer software and music CD’s a very easy operation. The Hewlett-Packard Corporation has become the first major company to be attacked by the German Law which requires firms to pay fee’s for making CD burners which in turn can be used for pirating music CD’s from music illegally downloaded from the internet. The music Industry estimated that approximately five billion dollars in sales revenue was lost last year due to the pirating of music CD’s. Many other European countries have laws similar to Germany’s that are meant to protect the authors and musicians legal ownership of their work by punishing the people who create the equipment used to carry out pirating activities. Although a problem is that these laws were created quite sometime ago and were aimed at such things as tape recorders and video players. Germany’s lawsuit against HP is the first time we have seen these older laws being put against modern day technology. What needs to be examined in this case is the distinct difference that this new pirating has. Unlike the past the majority of the pirated CD’s are created for personal use and not sold on the black market. People are downloading music from such programs as the infamous Napster and creating their own CD’s, which results in a zero profit for the music industry. HP was ordered by the German government to pay a fee of 30 marks or $12.

Fixing Belief Essay -- essays research papers

The Four Methods of Charles S. Peirce   Ã‚  Ã‚  Ã‚  Ã‚  In â€Å"The Fixation of Belief†, Charles S. Peirce attempts to explain his four methods of establishing belief, in which he says all people have. These methods can be put to the test with any subject matter, and one shall always fit.   Ã‚  Ã‚  Ã‚  Ã‚  For instance, let us look at the broad but always hot topic of religious matters, or affairs. First, take into account Peirce’s first method, which is the method of tenacity. Its definition is, â€Å"taking as answer to a question any we may fancy, and constantly reiterating it to ourselves, dwelling on all which may conduce to that belief, and learning to turn with contempt and hatred from anything that might disturb it.† There is a very strong argument that this could be the method of choice for religious belief. Take apart the definition, for a moment and you might begin to see this. As it talks about constantly reiterating the belief to ourselves, it may very well be said that this could be construed as going to church each week.. What happens in church? Well, we pray, sing, give thanks and offerings, all that we may be reminded that our purpose in life is to serve our Lord with gladness and with all of our hearts at all times. The part that I do not see fit in the first method is the part about turning with contempt and hatred from anything that might disturb it. From past experience, I have always found religious people to be some of the most open minded people, willing to listen and be attentive to anything you have to say. They do not turn with contempt and hatred if you do not believe exactly what they believe. The only case where I see a religious group shutting out anything and everything, would be the monks.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  page 2 They go to great lengths to get as far from civilization as they possibly can, ... ...  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  page 5 young, and given power to prevent other doctrines from being introduced.† But on the smaller scale, the personal level, people interpret these doctrines in their own way, causing thousands, even millions of differing opinions on the same subject.   Ã‚  Ã‚  Ã‚  Ã‚  The main reason that politics does not belong in the method of tenacity, is the fact that, even though there are many different beliefs, people are always open to new suggestions, which is not what the method of tenacity champions. It wants you to believe in something, and put earplugs on, so as to not hear any blasphemy from other parties about their beliefs.   Ã‚  Ã‚  Ã‚  Ã‚  In closing, each of these four methods is used daily by each and every one of us in different subject-matters. They are all very valid, and show the intelligent and logical thinking that Charles S. Peirce obviously possessed. It is absolutely astonishing that an article originally published in November 1877 is still extremely useful in modern-day society.

The Truth About Serial and Mass Murders Essay -- different police prof

A murderer is a murderer. There is no doubt about it, a person like that deserves to be punished for the crime they committed. However, not every killer is the same; there are some who are mass murderers who go on killing rampages for reasons of their own, and then there are the serial killers that love to kill people because it makes them feel some sort of emotion. People often mistake these killers as one and the same, but in reality they are completely different in the ways they are profiled by the police, how they commit their murders and the effect they have on the community and the nation. Granted mass and serial murders are both killers, the police profile them differently. Even though they each have a different style of killing, both serial killers and mass murderers follow patterns. In an article written by R.M and S.T. Holmes they say that â€Å"the mass murderer is perceived as a demented, mentally ill person†. As the quote in the book says Prendergast was obviously mentally ill as are most other mass murderers. In the book, The Devil in the White City, Larson says that â€Å"Holmes was warm and charming and talkative, he touched the women with a familiarity that while perhaps back at home would have been offensive, now seemed quite alright in the new city of Chicago† (Larson, 245). R.M and S.T. Holmes observe that â€Å"serial killers give themselves no discernible traits form the other people in society; they walk into the lives of many, invited then fatally dispatched with little concern.† Just like Larson said Holmes invited himself into t he lives of many, and while he may have stood out in the way he touched them, I'm sure it wasn’t a big factor because this was the beginning of a new era and younger people were behaving with mo... ...is committed, it is tragic, no matter the type of killer, but it is important to know the difference between a mass and serial murderer. Figuring out their patterns can possibly help the law enforcers catch them before things get out of hand. It can also help police understand what makes the murderers the way they are, so the police can possibly stop the things that trigger tem to become the killers that they are. These murderers are different because of the way they the police see them, the way they kill their victims and the way they scare they community and the nation. â€Æ' Works Cited Holmes, R. M., and S. T. Holmes. (n.d.): n. pag. Rpt. in Federal Probation. 1st ed. Vol. 56. N.p.: n.p., n.d. 9-53. Ebsco Host. Web. 21 Feb. 2013. Larson, Erik. The Devil in the White City: Murder, Magic, and Madness at the Fair That Changed America. New York: Crown, 2003. Print.

Essay --

†¢ O Insulin: O In T1D, the body does not produce insulin. O Insulin is a hormone, needed for converting sugar, starches, and other food into energy. O Insulin is a polypeptide hormone, made by the beta cells in the pancreas. These regulate the metabolism of glucose and other nutrients in the body. O Insulin causes cells in the liver, skeletal muscles, and fat tissue to absorb glucose from the blood. O Only 5% of people with diabetes have this form of the disease. O Inheritance: O Inheritance patterns in T1D are not clearly known, although they are passed down through generations in families. O Its is not known if it is dominant or recessive, because of too many variables. O T1D is both considered pleiotropic and mitochondrial. O This is a polygenetic disease; any of a group of genes that each produce a small quantitative effect on a particular characteristic of the phenotype. O Although it can be inherited, some environmental factors can lead to T1D. O Genotypes: O Certain risk factors are not known specifically, but certain variants can be identified. O Three main genes have been identified: HLA-DQA1, HLA-DQB1, and HLA-DRB1. O These genes belong to the human leukocyte antigen family, or HLA. O HLA genes separate good proteins made by the body, from bad proteins such as those made by viruses and bacteria. O Commonality: O Previously known as juvenile diabetes, Type 1 diabetes can occur at any age, but is typically diagnosed in children, teens, and young adults. O 1 in every 500 children or adolescents are diagnosed with T1D. O By age 18, 1 in 300 people develop T1D in the United states. O About 285 million people world wide suffer from diabetes. O By 2030, it is estimated that 435 million people will have been diagnosed wit... ...y injections and insulin pump therapy. O Pricking the finger several times a day monitors blood-glucose levels. O T1D patients are encouraged to eat healthy and stay active. O Food is most concerning because of how fast glucose levels can rise and fall, considering sugar content in food. O Life with Diabetes Type 1: O â€Å"Both children and adults like me who live with type 1 diabetes need to be mathematicians, physicians, personal trainers, and dietitians all rolled into one. We need to be constantly factoring and adjusting, making frequent finger sticks to check blood sugars, and giving ourselves multiple daily insulin injections just to stay alive.† O Limitations: O Food consumption! O Calories and carbs. Are calculated every day, just to try and keep vital organs from failing. O Others: Cold, sunburn, stress, and too much or too little excersize. O Organizations:

Workplace Violence Essay -- Essays Papers

Workplace Violence â€Å"And who has not thought that the impersonal world deserves no better than to be destroyed by one fabulous sign of his displeasure?† (J. Bronowski, The Face of Violence) Workplace violence has become a concern for both public and private companies, and has prompted these companies to implement anti-violence programs. As well they should, for the Bureau of Justice Statistics shows in their Special Report on Workplace Violence, researched by Dr. Greg Warchol , that in each year for the period of 1992 – 96 more than 2.2 million residents were victims of violent acts while they were working or on duty. (BJS Special Report, July 1998, NCJ 168634) The most common violent act committed was simple assault with an estimated 1.5 million victimizations each year and then followed by an estimated yearly average of 395,000 aggravated assaults, 51,000 rapes and sexual assaults, 84,000 robberies and 1,000 homicides. A stranger to the victim committed the majority of workplace crime while less than 1% were intimates. Men were more likely to be the perpetrator and or the victim of violence. In the public arena retail workers had the highest rate of robbery and aggravated assault victimization while police and teachers were the most often victimized in the public arena. 20 % of violent incidents in the workplace involved an armed offender of which a firearm was used fewer than 10% of the time. This is that data that faces all employers in every sector and by which they must base their approach to formulate programs that will help create a safe and comfortable atmosphere for both their employees and their clients. Many of the conditions that prevail in today’s workplace seem to breed critical incidents. Among them are: 1.) Competitive pressures. Relentless global market forces demand constant changes in methods of production and workplace organization. Employees find themselves having to perform in new ways and more efficiently. In addition, privacy has been eroded by electronic surveillance on the job, drug testing and computerized performance monitoring. Abrasive co-workers or autocratic supervisors create additional stresses. The long-term consequences may be overwhelming psychological stress leading to hostility and outbursts of violent or bizarre behavior. 2.) Domestic dysfunction overspill. Family discord, domestic violence, ... ... Workplace violence as you can see, is a problem that plagues us all. With the pressure on everyone to perform, from the man in the ditch to the CEO, its know wonder were having a problem. And both the public and private sectors of business are in a mad dash to stop the violence that is happening. With all the major corporations having either an anti violence program or rules about such behavior, what is the cost to the individual? Will they have to work harder and more efficiently? Will there be more threats and intimidation to perform, to cover the cost of these programs? Or will business see an improvement in the working relations of its employees? With the right people in charge of these programs, there is hope for improvement, but only if business is serious about the problem! You see very little TV coverage of work place violence, unless it extremely violent. Even then there must be a death, or deaths to bring on the sensationalizing that TV needs. Because of this, will business wait for the coverage to demand a solution or will they head it off. When you’re at work, there’s no reason â€Å"†¦ to be destroyed by one fabulous sign of his displeasure†. Only time will tell.