Dr. James Hardy Performed The First Successful Long Term...

Dr. James Hardy performed the first human lung transplant in 1963, although the patient only lived 18 days.1 The first successful long-term lung transplant was performed in 1983 in Toronto. Recipients of the first lung transplants were plagued by infection, rejection, and most significantly, bronchial anastomotic dehiscence.2 However with advancements in bronchoscopy, ventilation perfusion screening, echocardiography and radiological imaging, there are other post-surgical complications which have been identified as important risks for lung transplant patients. Lung transplantation can take two forms: 1) as a single-lung transplant (to either side via thoracotomy) or 2) as a bilateral-lung transplant (via bilateral thoracotomies or via a†¦show more content†¦While the donor lung is being prepared and removed from its cold ice gauze (a technique to extend the cold preservation time), the pulmonary vessels within the thorax are clamped off. When considering order of re-anastomosis and insertion of the donor lung, bronchial arteries are reattached first, followed by the pulmonary artery, then the pulmonary veins.2 Before the final sutures are tightened, the donor lungs are inflated and aerated. The final steps of the procedure include a bronchoscopy, which examines the airways and detects any unwanted blood or secretions. However, bronchoscopies should be done sparingly as their uses may cause a delayed pneumothorax in a lung transplant patient.3 Post-transplant, patients are monitored very closely in the intensive care unit (ICU) and pharmacological and mechanical management is implemented when necessary. Within the first 24-48 hours after surgery, a patient is ventilated and their Po2 and Pco2 levels are scrutinized. Diuretics may be used in order to avoid any complications from fluid buildup or imbalances that may occur and help with pulmonary recovery.2 Other complications that may occur within the first two days of surgery include: technical complications, graft dysfunction, infections, and rejection. Stenosis of one or more of the anastomoses accounts for 15% the technical complications, which may lead to graft dysfunction.4 Other components of graft dysfunction incorporate pathology from

Career Episode-2 . C.E.2.1 Introduction. C.E.2.1.1 Duration

CAREER EPISODE-2 C.E.2.1 INTRODUCTION C.E.2.1.1 DURATION: The duration of this episode was from June 2015 to December 2015. C.E.2.1.2 PROJECT NAME: Designing, Erection and Commissioning of 5/8 inches to 4 inches High Frequency Tube Mill for 3G Metal Corp. in Bawal, Rewari. C.E.2.1.3 LOCATION: This project was located at Plot no. 119, Sector 26, Industrial Area, Bhiwani. C.E.2.1.4 ORGANIZATION’S NAME: Nav Jyoti Casting Engg. Works. C.E.2.1.5 POSITION: Mechanical Engineer in the Erection Department. C.E.2.2 BACKGROUND C.E.2.2.1 CAREER HISTORY: After completing my first project of Manufacturing, Erection Commissioning of S.S. slitting line (850mm) for Anmol Stainless steel Pvt Ltd, Kolkata, I worked in my company’s projects as a†¦show more content†¦- Detailing and dimensioning the various components for manufacturing. - Working with maintenance teams to develop and implement preventative maintenance processes. - Transforming research ideas into technical plans with the help of computer aided design (AUTOCAD) program. - Creating designs with the help of computer aided design (AUTOCAD) program. - Evaluating final products, overall performance, reliability and safety. C.E.2.2.7 PROJECT BACKGROUND: The project was a direct consequence of the flexible tube mill design which stipulated better efficiency measures, particularly for special (round or square) pipe manufacturing. C.E.3.3 PERSONAL ENGINEERING ACTIVITY C.E.2.3.1 ENGINEERING KNOWLEDGE AND SKILLS APPLIED: - Concept design generation was guided by theories from Design Engineering like Computer Aided Design and AUTOCAD. This computer program helped in drafting and translates customer needs into product features. - Designing of mechanisms required knowledge in Basics of Mechanical Engineering, Kinematics of Machines, Engineering Mechanics, Strength of Materials and Mechanical Machine Design. - Concepts of Manufacturing Technology used in considering the implications of issues such as cost, safety and time constraints. - Detailing and dimensioning required knowledge of various Manufacturing operations and Drawing fundamentals to increasing the efficiency of manufactured components thereby reducing manufacturing costs. -

Follow your Dreams Free Essays

Most important factor in anyone’s life. If you really want to fulfill your dreams then surround yourself with positive successful people who believe in your dreams. Common fact, whatever we get for an intake, we try to make our self regarding an environment. We will write a custom essay sample on Follow your Dreams or any similar topic only for you Order Now Some of us can be think totally out of the box but what about others? This thing would happen with most of us. It is very important to know that What is our aim, What is our values in our own life because we mostly tried to listen random options from others. Lets give you my own example. When I turned 25, There is something make me think what I actually want in my life and why I am here as a Human. Being human is much better than human being. To earn a handsome salary is the only motto of my Life†¦ (laugh) My aim was constantly blow regarding an outer Winds. Sometimes it works, many times it doesn’t. But one day, I remember very clearly I found something special which really turns my whole entire life. It was not a Special Quote or big counseling it was Just a ‘Broacher’ for Mass Communication College in Pune. But many hesitations came across in my mind. It seems so many hurdles like how would I get enroll in that college. Is my choose is right or not blaa, blaa.. But one thing was very clear and that is whatever hilarious situation may be came across my way.. but I will never ever see back again. I made something so clear that† Writing† is the only thing which I Born for!! Then What BINGO!! Days were passed and today is the day where you all reading my penning, my own sketched career. While having walk in my desirable career I get some auspicious persons whose suggestions, attentions, even scolding words made my skills so stronger. It is been said that if you aim for nothing, you will hit it every time. Have something to aim for, a dream that you hold close dream is not Just mean to fulfill your dream. Joseph Murphy penned down a beautiful quotes in his world famous book ‘The unconscious mind’ that everyone get what they actually want, Just need to be transfer it in your nconscious mind that you are fulfilling everything what you exactly want. Everyone must think at once, Who you are and what you actually want? No matters whether you want to become Chef, Artists, Manager or even Writer. Simplify and identify your own way and go for a walk in your own path. Believe in yourself. Try to be an optimist in every sovereign situations. Try to introduce yourself a more powerful individual in this small Cosmos. Be like a Labor . And show your liability our laborite that you are not Just something but you are everything in your life. I Choose to live by choice not by chance, to make changes not excuses, to be motivated not manipulated, to be useful not used, to be excel not compete, I choose self- esteem not self pity, I choose to listen my inner voice, not the random options for others. And the bottom line is We are only responsible for our own Happiness. So go and get ready to make your own master piece because today is a perfect day to start living your dreams. Dreams don’t work unless you do. Best Luck!!!!! Follow your Dreams By monicanagdeote How to cite Follow your Dreams, Papers

Change Management Of Nike Free Samples †MyAssignmenthelp.com

Question: Discuss about the Change Management Of Nike. Answer: Introduction Change management is considered to be very crucial in order to gain competitive advantage which is considered to be the main aim of many organizations. Most of the leaders as well as the change agents face various conflicting challenges regarding understanding as well as motivating the highly diverse workforce , being accountable to stakeholders while planning for their future in a highly chaotic environment (Waddell, Creed, Cummings, Worley, 2014). This report analyses the organizational and development lessons that can be learnt from an organization, Nike. Resistance to Change at Nike In case of Nike s study of its supply chain at its factories it was found that by adopting Lean was associated with 15 percent reduction in non-compliance with the labour standards for example time off, wages, as well as benefits. In 1990s the global boycott campaign became very successful and it showed how industry giants can be accounted by consumers the stakeholders. Then Nike board member Jill Ker Conway visited several factories of Nike and identified many ways in which they can be improved by bringing a change in relationship between the management and workers (Griffin-Smith, 2016). Thus Nike started making commitments with its longstanding suppliers so as to implement Lean transformation. The transformation to lean required higher commitment for the contract factories. Many factories had to change their physical layout of entire shop floor; managers who were responsible for lean manufacturing were appointed and sent for training to Sri Lanka. Even Nikes President and CEO Mark Parker have discussed that it is design which keeps ion changing and helps in propelling the $60 billion business ahead. They try to overcome resistance to change by innovating new ways for example the new Flyknit running shoes (Brownlee, 2013). This indicates that change itself is not the issue rather resistance to the change is the major problem. Lean helped the Nike workers as they were assigned the responsibility individually towards quality control as well as they started finding out techniques through which they can improve overall production. This helped in increasing their skill sets as well as added value to the business (Rick, 2013). Implementing Contingency Approach to Change Management Contingency Approach is quite different approach towards change that works in various circumstances. The change model incorporates soft as well as award approaches and this model is two dimensional matrix with two categories that are : scale of change and style of management which need to be used by an organization in order to facilitate change. Out of the four strategies of organizational change that are: Participative evolution, charismatic transformation, forced evolution and Dictatorial transformation, Nike adopts Charismatic transformation. For example in case of Nike the CEO Phil Knight responded to the over campus apparel , focus groups as well as campus protests with young teenagers who got to know about sweatshops. The leadership in this case is found to be collaborative or consultative form of leadership and scale of change is corporate transformation . ON the top level of management leadership at Nike is laissez- faire because all the different departments get the freedom in the decision making process and the top management is also responsible for motivating as well as transferring the visions of the company so that finally the organizational goals and missions are fulfilled (Carty, 2010). Nike on the other hand keeps on developing large number of innovative techniques in order to handle its business. Its organizational structure as well as the peculiarities in the management helps the company to stay sensitive regarding the changing consumer as well as social trends. Recommendations and Conclusion Since resistance towards change is a major issue which the organizations face so to handle that change the leaders or change agents play a crucial role. However, the leaders cant control much of the world which is changing around, but they can still give response to the manner in which the employees feel about the change. By understanding some of the most common reasons due to which the people oppose the change Nike got an opportunity to plan their change strategy in order to address all these factors. Thus by expecting some kind of resistance towards change as well as planning for it well in advance rather from the beginning of the firms change management helps in very efficiently as well as effectively manage all the objections. Lean at Nike helped it in incentivising the contract factories so as to improve their working conditions, it also helped in waste reduction as well as decline in inefficiencies and helped in safeguarding employee satisfaction. Thus Nike being a socially res ponsible company is every ready for change and keeps on changing itself. Bibliography Brownlee, J. (2013, February 10). Nikes 5 Lessons On Innovation By Design. Co. Design. Carty, V. (2010). The Internet and grassroots politcs: Nike, the athletic apparel industry and the anti-sweatshop campaign. Tamara Journal for Critical Organization Inquiry. Griffin-Smith, I. (2016, October 31). How Nike Used Lean to Solve its Sweatshop Problem. The Leadership Network. Rick, T. (2013, March 8). CHANGE IS NOT THE PROBLEM RESISTANCE TO CHANGE IS THE PROBLEM. Meliorate: Change Management. Waddell, D., Creed, A., Cummings, T., Worley, C. G. (2014). Organisational Change: Development and Transformation 6th Edition. Cengage Learning.