An evaluation of Repetitive Stress Injury (RSI) The WritePass Journal

An evaluation of Repetitive Stress Injury (RSI) Introduction An evaluation of Repetitive Stress Injury (RSI) IntroductionResearch evaluating the upper limb tension testMethodologyParticipantsProcedure  Data AnalysisRESULTSNature of the perceived sensory response and difference between the mouse and the non mouse handLocation of the perceived sensory responseDiscussion:Summary of the resultsTheoretical Implication:Clinical Implication:Strength of the studyLimitationsScope for future researchConclusionREFERENCESRelated Introduction The incidence of repetitive injury has steadily increased over the past decade and evidence indicates that this trend will continue. (Millender et al 1992, Byng et al 1997). In UK according to the NHS report, 1 in 50 workers has reported symptoms of repetitive stress injury (RSI) (Scot et al 2008). More recently there have been reports of increase in RSI among computer operators (Anderson et al 2008) reason being their repetitive jobs at faster pace. There is also research which reads that forcefulness and awkward position of upper limb have a direct effect on the development of repetitive stress injury (Greening et al 1999). Even though RSI is common, the causes of RSI are complex, diverse and incompletely understood till today. Amongst the most various hypotheses suggested over decades there is some evidence of involving the whole nociceptive system (Brain 2009). With respect to the RSI in upper limb, commonly reported symptoms by patients are cramps, par aesthesia, and hyperalgesia, with no major motor or sensory involvement (Scott et al 2008). And after reviewing these symptoms again and again the nervous system is said to be certainly involved directly or indirectly in all the patients of overuse injury of upper limb (Reisch et al 2005). It were these studies that have given birth to concept called Neurodynamic in the world of physiotherapy (Shacklock 1995) Neurodynamics has become progressively more accepted as part of the evaluation and management of the repetitive injuries (Blaster et al 1997). The ULTT was initially thought by Elvey (1979) as an objective assessment of the neural tissue of the upper quadrant in the examination of arm pain and local pain pattern of the upper quadrant. Fundamentals of neurodynamic testing are that the nervous system exists in physiological and mechanical continuity (Slater ET al1994). This means that when mechanical stresses when applied on the nerve may evoke physiological responses such as alteration in axonal transport or may be interneural blood flow. And physiological disturbances like diabetes may predispose a nerve to mechanical disturbances (Mackinnon et al1986). Physiotherapists’ incorporating tension tests as a part of assessment and treatment have documented that altered nerve extensibility and is a very common finding in RSI disorders. In   conjunction with symptomatology and subjective responses to these techniques, difference in the range of motion (ROM), difference in perceived response etc   between the affected and the non affected are often considered indicative of adverse neural tension, with implied assumption that such differences are not apparent in asymptomatic subjects (Butler 1989). Such assumption questions the evidence based practise and the validity of these tests (Sackett. et al 1996) Research evaluating the upper limb tension test Shacklock in 1995 concluded that ULTT for median nerve is a simple, effective and reliable method of examination to gain an impression of nerve mobility after performing test on cadavers. In 2005 Resich et al performed a study to measure the reliability and sensory response of median nerve biased on normal subjects. The limitation of the study was that it was done just on one side of body of normal individual. This therefore did not allow assessing if any variability or response existed in left and right side. Also the study was done on non keyboard workers thus the results cannot be generalised. Byng et al in 1997 conducted a research to compare the response of ULTT median nerve in asymptomatic, symptomatic key board workers and non keyboard workers. The results concluded that there was a variation in response to the nerve test among the three groups with keyboard workers having significant altered neural sensitivity when compared to non keyboard workers there by concluding the pain in key board workers is neural in origin. The shortcoming of this study was that there is no information regarding what was considered as a normal response at individual joint as there was only unilateral comparison.   Scott et al in 2008 performed a study to determine the false positive ULTT and slumps tests in healthy adults and reported there are false positive response in asymptomatic. But the study was just performed on dominant side of the body thus there can be no comparison and these results cannot be expected for the opposite arm. Also the mean age of participants was only 22 years thus cannot be generalized. Since the researchers knew the dominant side this may have contaminated the result. Thus ULTT is an undoubtedly simple, effective and reliable method of examination to gain an impression of nerve mobility but no trial has attempted to compare the variability of the neural tension test response bilaterally in normals. Without this bit of information the validity of the ULTT is questionable. Thus the aim of the study is to evaluate if there is any difference in mechano sensitivity and perceived response to median nerve ULTT test when compared bilaterally in non symptomatic female key board worker. Methodology Participants Inclusion criteria for the study were: asymptomatic female key board operators between the ages of 18- 60 years without any sensory problem of upper limb and/or neck within the last three months. Participants who complained of bit of neck pain on prolonged hours of sitting which did not radiate to shoulder or upper limb were included.   Subjects were excluded if they reported any contraindication and/or precaution (Butler, 1991) like   peripheral or central nervous system disease or medical metabolic disease like diabetes, rheumatoid arthritis. They were also excluded if they had reduced range of motion of the upper limb and cervical spine. Thirty female asymptomatic key board operators volunteered for the study (mean   Ã‚  Ã‚  Ã‚  age 31  ± 6.8 years; range: 24-54 years). Prior to the study all the participants read participation information sheet and signed consent form.   There after participants filled the evaluation form which was regarding inclusion criteria, years of experience, hours of work per day and arm dominance. Arm dominance was defined as the hand participants used for operating the mouse also referred to as mouse hand in the study. Participants were requested not to disclose information regarding their mouse hand during the study. The information pertaining arm dominance was blinded to both the researchers as it was known only after the application of ULTT1 test. Procedure Ethical approval was granted by the Committee on Ethics in Research at Sheffield Hallam University.   After the participants had filled the evaluation form and the participant was eligible for the study screening movements were performed on the cervical spine, thoracic spine and of both the upper limb to abolish these structures as potential resources of symptoms. Two researchers were involved in the study. Both were students of Msc Applying Physiotherapy at Sheffield Hallam University. The author was the primary researcher who performed ULTT1 on all the participants in both hands. The second researcher only assisted to record the response to ULTT1 on body chart. The method adopted to perform ULTT for median nerve was the test proposed by Elvey 1986, Kenneally et al 1988 and Butler 1991a. David Butler in 1991a conveyed ULTT1 to be median nerve dominant and was reliable in normal’s (Edgar et al 1994) and in patient population (Selvaratnam 1991). The ULTT 1 test was described to each participant by the prime researcher before the test is performed and were informed that their participation was utmost important while recording the response on the body chart. They were also informed to move any part of their body while describing their response to the assistant researcher. Each participant wore a vest for the research purpose. There after each participant lay supine on a high/low plinth with the test arm slightly off the plinth. For convenience researcher passively manoeuvres the test first on right hand followed by the left .The position was secured with seat belts around thorax and pelvis to avert lateral movement of the chest. The right arm was tested first for convenience and was placed in starting position with the glen humeral (G-H) joint in neutral, elbow flexed and forearm, wrist, fingers and thumb in neutral. The other arm will lay relaxed adjacent to the abdomen. The participants were advised to maintain the head in neutral position and were requested to look at a spot on ceiling which negated any cervical spine rotation. Thus with the neck in neutral position the ULTT 1 test was commenced. To start with the shoulder was positioned in to neutral position and the examiner placed the hand on the test shoulder to prevent elevation. This was followed by G-H joint abduction to a maximum of 110 ° in frontal plane. From this position wrist, fingers and thumb were passively extended the forearm was supinated. The G-H joint was then externally rotated to no more than 50 ° as the third distinct component to shoulder. Thus the last component to be added was elbow extension. The elbow was extended until full extension was achieved or participant reported any symptoms at any stage of the test. When the symptom were reported by the participant the second researcher was responsible to record the nature of perceived sensory response in form of words or phrases and the location of the perceived sensory response on a right side marked on body chart. There after structural differentiation (STD) i.e. ipsilateral neck flexion (INF) was performed by the actively. ULTT1 was considered mechanosensitive positive only if the participant perceived reduction in the perceived symptoms and if the primary researcher performing ULTT visually observed an increase in the   range of motion at elbow after the addition of desensitising manoeuvre i.e. the ipsilateral neck flexion (Quinter 1989, Butler 1990). The response of mechanosensitivity for ULTT was recorded as â€Å"Yes â€Å"or â€Å"No† and the response to structural deviation was recorded as increased (↑) or decreased (↓) with respect to symptoms only. A break of 10 minutes was given before the test was performed in the left hand. The same procedure was carried out and data was collected in similar manner on body chart.   Data Analysis Descriptive statistics were utilized to know if mechanosensitivity for ULTT1 exists in the participants. After data collection all the sensory responses were collated on a single body chart(figure 2) which as further analysed by dividing the upper limb into five distinct areas i.e. cubital, forearm, wrist, fingers and thumb. Frequencies of these locations were counted regardless of its nature and were tabulated. This made comparison between the two hands easier. The nature of perceived sensory response which was reported as words or phrases was divided in two categories stretch pain, pull pain. Frequency of the similar type of response was counted and compared for further analysis. Demographic characteristics like age, years of experience, hours of work and dominance were to analyse if association between ULTT1 response and these variables exists. To achieve the aim of the study, the data were analysed by answering the following questions. Analysis of the ULTT1 response in asymptomatic key board operators i.e. (mechanosensitive and the perceived sensory response from body chart). From the above analysis are there any evidence showing upper limb neurodynamic tests for median nerve is positive among asymptomatic key board operators? If â€Å"Yes† is there a difference in the response to ULTT1 when compared bilaterally? If there is a difference in response when compared bilaterally, is there an association between the hours of work, age and dominance with the ULTT1 response. The answers to these key questions further assisted in exploration of the research question: Is there a variability of response to upper limb neurodynamic test of median nerve in asymptomatic keyboard operators when compared bilaterally RESULTS Summary of mechanosensitive response compared between mouse and non mouse hand: Table 1 : Table of mechanosensitivity and sensory response in bilateral upper limbs. No Mousehand RIGHT ULTT 1 RIGHT STD    LEFT ULTT 1 LEFT STD Nature of perceived sensory response (R) Location of sensory response(R) Nature of perceived sensory response (L) Location of sensory response(L) 1 L Y ↓ Y ↓ Stretch pain 1,2,3 Stretch pain 1,2,3,4,5 2 R N ↓ N ↓ 3 R Y ↓ Y ↓ Pull pain 1,2,3,4,5 Pull pain 1,2 4 L Y ↓ Y ↓ Pull pain 1,2,3 Pull pain 1,2,3 5 R Y ↓ Y ↓ Stretch pain 1,2,3,4 Stretch pain 1,2,3   6 R Y ↓ Y ↓ Pull pain 1,2,3,4,5 Pull pain 1,2 7 R Y ↓ Y ↓ Pull pain 1,2,3,4,5 Pull pain 1,2,3,4 8 R Y ↓ Y ↓ Stretch pain 1,2,3,4 Stretch pain 1,2 9 R Y ↓ Y ↓ Stretch pain 1,2,3,4,5 Stretch pain 1,2,3,4 10 R Y ↓ Y ↓ Stretch pain 1,2,3,4 Stretch pain 1,2,3 11 R N ↓ N ↓ 12 R Y ↓ Y ↓ Pull pain 1,2,3,4,5 Pull pain 1,2,3,4,5 13 R Y ↓ Y ↓ Stretch pain 1,2,3,4,5 Stretch pain 1,2,3 14 R Y Y Pull pain 1,2,3,4 Pull pain 1,2,3 15 R Y ↓ Y ↓ Pull pain 1,2,3,4,5 Pull pain 1,2 16 R N ↓ N ↓ 17 R Y ↓ Y ↓ Stretch pain 1,2,3,4 Stretch pain 1,2 18 R Y ↓ Y ↓ Pull pain 1,2,3,4,5 Pull pain 1,2,3 19 R Y ↓ Y ↓ Stretch pain 1,2,3,4 Stretch pain 1,2,3 20 R Y Y Stretch pain 1,2,3,4 Stretch pain 1,2, 21 L Y ↓ Y ↓ Pull pain 1,2,3,4 Pull pain 1,2,3,4,5 22 R N ↓ N ↓ 23 R Y ↓ Y ↓ Pull pain 1,2,3 Pull pain 1,2,3, 24 R Y Y Stretch pain 1,2,3,4,5 Stretch pain 1,2 25 R Y ↓ Y ↓ Stretch pain 1,2,3,4,5 Stretch pain 1,2,3 26 L N ↓ N ↓ 27 R Y ↓ Y ↓ Pull pain 1,2,3,4 Pull pain 1,2 28 R Y ↓ Y ↓ Stretch pain 1,2,3,4,5 Stretch pain 1,2,3 29 R Y ↓ Y ↓ Pull pain 1,2,3,4,5 Pull pain 1,2,3 30 R Y ↓ Y ↓ Stretch pain 1,2,3,4 Stretch pain 1,2,3 ULTT1 Upper limb neural tissue tension test for median nere ; STD structural differentiation; INF: ipsilateral neck flexion      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‚   Incidenc e of mechanosensitive response Fig1-Incidence of detected mechanosensitive response for ULTT 1 amongst asymptomatic keyboard operators From figure 1 it was evident that a high number of participants showed response for ULTT1. On adding ipsilateral neck flexion all of them perceived reduction in the symptoms Table 1.There was nobody who had complained of   unilateral symptoms.   Thus there was no difference in the mechanosensitive response to ULLT1 in the mouse and non mouse hand. Nature of the perceived sensory response and difference between the mouse and the non mouse hand After summarising the data from 30 body charts it was observed that 13 participants (43.33%) had complained of â€Å"stretch pain† and 12 participants (40%) had complained of â€Å"pull† pain (Table 1). After comparing the sensory response of mouse hand and non mouse hand in table 1, it was observed there was no difference in perceived sensory response in both the hands. Location of the perceived sensory response The location of perceived sensation in the right and left hand of all the participants were plotted on a single body chart. Figure 1 shows numerical involvement of location of symptoms for the ULTT1 amongst asymptomatic keyboard operators. Figure 1: Body chart divided into 5 areas where responses were perceived. After analysing the repsponse Graphs 2a and 2b :Comparing the symptoms in the mouse and the non mouse hand Location of response  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‚   Location of response From the graphs 2a and 2b it is clearly evident there was difference in the location of sensory response between the mouse and the non mouse hand. The median nerve was more sensititive in fingers and the wrist joints as compared to the non mouse hand. Discussion: Summary of the results The results from this study showed that asymptomatic keyboard operators showed a positive mechanosensitive response for ULTT1. There was no difference in the mechanosensitive and perceived sensory response when compared bilaterally. 83.33% participants had bilaterally positive mechanosensitive response and had shown increased area of symptoms in mouse hand. And on further reviewing individual characteristics of these participants there was no association found between with age, hours of work and years of experience. Byng 1997 compared the response of ULTT1 between patients, asymptomatic keyboard workers and asymptomatic non keyboard workers.   The results showed that key board operators had significant positive ULTT compared to non-keyboard user. Thus the current study and study performed by Byng et al 1997 proposes that a subclinical pathological condition exists in key board operators. There could be many reasons for such a scenario in this group of population. One of the reflection is the type of muscle exertion that is involved in the keyboard workers performing repetitive task for a prolonged hours causes static loading of neck and shoulder muscles (Subratty et al 2005). These static sustained contractions of the shoulders, neck and upper limbs may be required to fix the hands in a functional position necessary for the task (Pascarelli et al 2011). Along with this dynamic contraction of the forearm muscles are required for repetitive key actions which are then superimposed over this backg round of static muscular activity. The musculoskeletal system presents the nervous system with a mechanical interface (Butler 1989). A static muscle contraction such as those witnessed in key board users cause compression of a nerve there by reducing the mobility resulting in positive mechanosensitive response (Subratty et al 2005). The results of the study performed by Lohkamp et al 2011 were in contrast to the current study. He compared bilateral ULTT1 response in 90 normal individuals and the results showed that there were more neurogenic response and reduced ROM in the non dominant hand as compared to dominant hand. The difference in the result between the two studies could be attributed to the difference in the population involved. Lohkamp et al 2011 performed study on normal healthy individual who utilized their non-dominant hand less for their normal daily activities which could have led to reduced flexibility of muscles and compromised mobility of the nerve. In the present study since key board operation is a bilateral task such a difference was not observed. Structural differentiation is added to determine if the ULTT is positive or not (Butler 1991, Nee 2006). Depending on the type of structural differentiation applied, tension in the median nerve could be increased or decreased (Byl et al 2002).   In this study all the participants who had reported symptoms for ULTT1; 100% had reported decreased in the sensory response after adding structural differentiation (ipsilateral neck flexion). Similar results were reported by Selvaratnam et al 1994 and Scot et al 2008. This observation might be caused by decreased tensile force of the nerve causing increase in the circulation (Otaga and Niato, 1986). Similar results were seen in a study performed by Coopeiters et al 2002A which concluded that with structural differentiation there was a change in the ROM at the elbow joint and the frequency of response distal to it had reduced. Coopeiters et al 2002A also suggested performing contra lateral neck flexion as a structural differentiation to ULTT 1 as it causes more tension in the nerve tissue and is more specific in provoking the symptoms. But since this study was done in asymptomatic key board operators who are already exposed to high risk of developing overuse syndrome symptoms (Scot et al,2008),   contra lateral neck flexion was not the choice of STD in this study for ethical reasons. The present study found no difference in the perceived sensory response in the mouse and the non- mouse hand. Stretch and pull pain were the reported perceived symptoms. The literature reads that stretch and pull sensations are considered as normal response to ULTT1. An individual is considered as mechanosensitive positive if there is a decreased in the ROM while performing ULTT (Buttler1991). Even though the participants had shown response which was similar to normal’s they were still labelled as mechano sensitive for ULTT1 as the researcher had observed reduced ROM at elbow while performing ULTT but it was not measured. This further emphasise that asymptomatic key board users could have a hidden pathological state and are at high risk for developing repetitive stress injury syndromes. An understandable sample of frequency and nature of symptoms was recognized as there was not much of deviation. Amongst the participants who were mechanosensitive bilaterally 100% had perceived sensation at the cubital area (anterior aspect of elbow). The other common reported sites were forearm, wrist, fingers and thumb. The site of involvement was in accordance to the study put forth by Kenneally et al 1988 and Butler et al 1989. The 92% who had complained of more areas of response in mouse hand, had perceived symptoms in the cubital area   wrist fingers and thumb while the non dominant hand had received symptoms only in cubital area and forearm. The rationale for this could be the usage of the mouse itself.   Recent studies like Jepsen et al 2002 contributed to the literature by performing a cross sectional study on computer operators and concluded that pain, parasthesia and weakness were more prevalent in mouse arm as compared to non-mouse arm. The clinical reasoning behind this could be the mouse operating wrist is constantly positioned in a bent position and this causes reduced space in the carpal tunnel further reducing the mobility of median nerve and the other structures like tendon situated in it. Thus in the median exposed to more compressive forces in the mouse hand than the contra lateral limb and hence it becomes irritable and produces symptoms like tingling and numbness in the wrist, fingers and thumb. Also the difference in location of response had no association with age, hours of work and years of experience as these characteristics were no different than the other participants in the study similar result were observed by (Byng et al 1997) Theoretical Implication: From the current study it can be suggested that a subclinical pathological state exisits among female amongst the asymptomatic female key board operators supporting several hypothesis that the origin of repetitive stress injury are neurogenic in origin. This study also suggests that the usage of the mouse along with causes increased mechanosensitivity of median nerve in wrist fingers and thumb. Thus work place modification and ergonomic advise should also consider the mouse modification. Clinical Implication: Literature shows that dominant arm in normal’s could be used as a control group while assessing the ULTT1 response amongst symtomatics as there exists no variation in response to ULTT1 amongst normal healthy individuals. This study though performed on asymptomatic targeted an intermediate group and suggests that dominant arm is not a reliable diagnostic indicator as variability exists in the bilateral response with more response being in the dominant arm which is in contrast to the current literature. Strength of the study Limited research is available which compares bilateral response of ULTT1 thus the current study adds on to this limited literature. Also while ULTT1 was being conducted the researchers were blinded to the information of dominance to prevent assessor bias. The results obtained from the study could be generalizable as a large age group was included. Limitations Participants were labelled as mechanosesntitive positive if they had perceived a reduction in symptoms after adding ipsilateral neck flexion . No objecetive scale was used to find by how much the percentage the symptoms were reduced thus future research should incorporate scales like VAS scale to have more reliable results. The ULTT was carried out only ones on participants to label them as mechanosesntive positive. Thus this single reposne may not have recorded the real response. Ideally a mean of 3 response would be indiacted to prevent any errors. Scope for future research Future research should focus on more objective methods of accessing the variability of response ofULTT1 among symptomatic key board operators. If ROM is suggested as objective means to measure variability research should be carried out to know how much difference in ROM is required to label an individual mechanosensitive positive. 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Mechanical tension in the median nerve. The effects of joint positions. Clinical Biomechanics 1995b; 10 (5): 240-244 Kleinrensink GJ, Stoeckart R, Mulder PGH, van der Hoek G, Broek TH Vleeming A, Snijders CJ. Upper limb tension tests as tools in the diagnosis of nerve and plexus lesions. Anatomical and biomechanical aspects. Clinical Biomechanics 2000; 15: 9-14 Kryger AI, Andersen JH, Lassen CF et al. Does computer use pose an occupational hazard for forearm pain; from the NUDATA study. Occup Environ Med 2003; 60:e14 Lewis J, Ramot R, Green A.   Changes in mechanical tension in the median nerve: possible implications for the upper limb tension test. Physiotherapy 1998; 84 (6): 254-261 Lohkamp M, Small K. Normal response to Upper limb Neurodynamic Test 1 and 2A. Manual Therapy 2011; 16:125-130 Mackinnon SE. Double and multiple crush syndrome. Hand clinic 1992; 8: 369-390. Nee RJ, Butler D. 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Rosenberg W, Donald A.   Evidence based medicine: an approach to clinical problem solving. British Medical Journal 1995; 310: 1122-1126 Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS . Evidence based Medicine: what it is and what it isn’ t. British Medical Journal 1996; 312: 71-72 Scott ,Anderson IB, Mary Grace Carson MG, Elkins CL , Stuckey LB.Upper limb Neural tension and seated slump tests: The False Positive Rate among Healthy Young Adults without Cervical or Lumbar Symptoms. Journal of Manual Manipulative Therapy2008; 16(3):136-141 Shacklock MO. Clinical applications of neurodynamics. In Shacklock MO (Ed.): Moving in on pain Australia Buttersworth-Heinemann 1995, pp 123-131 Shacklock MO.   Positive upper limb tension test in a case of surgically proven neuropathy: analysis and validity. Manual Therapy 1996; 1(3): 154-161 Shacklock M. Neurodynamics 1995. Physiotherapy 1995; 81(1):9-16. Slater H, Vincenzino B et al. Sympathetic slump the effect of a novel manual therapy technique on peripheral sympathetic nervous system function.Journal of Manual Manipulative Therapy, 1994; 2: 156-162. Subratty , Korumtollee F. Occupational overuse syndrome among keyboard users in Mauritius. Indian association of occupational health 2005; 9(2):71-75.Woolf CJ. Recent advances in the path physiology of acute pain. British Journal of Anaesthesia1989; 63: 139-146 Sunderland S, Bradley KC.   Stress-strain phenomena in human peripheral nerve trunks. Brain 1961; 84: 102-119 Walsh M.Upper Limb Neural Tension Testing and Mobilization: Fact, Fiction, and a Practical Approach. Journal of Hand therapy 2005; 18(2):241-258.

12 Easy Steps to a Successful Job Interview

12 Easy Steps to a Successful Job Interview Some of these are standard, and some are surprising. Keep the usual advice in mind about standing up straight and dressing appropriately. Then just follow the list and you’ll feel great about your interview process. 1. Do the geeky researchDig into Earnings Calls, Quarterly Reports, etc. Read the company blog. And quote them back to them. Then, don’t just reference the things you learned, but formulate a new or unique insight about what you’ve learned that can show off your skills and how well you did your homework. When possible, incorporate data that’s most relevant to them.2. Set Google AlertsIn the ramp-up to the interview, set a Google alert for yourself for every time something new hits the internet about the company you want to work for. That way you won’t forget to search every couple of days, and good intel for your interview will come straight into your inbox.3. Scrub your social mediaUse a service like Social Sweeper to get rid of any sus picious photos or content on your Facebook and Twitter profiles. This will spare you getting booted from an interview on the basis of some stupid post your drunken cousin put up three years ago of you at a toga party.4. Pick Tuesday 10:30 a.m.Research actually suggests that this is the primo interview slot. Ask for it whenever you can. It’s not a warming up or wrapping up day like Monday and Friday, it’s not right after lunch or right before†¦ and it’s still fresh in the week. Then again, if the company is hiring quickly, take the soonest slot you can get, rather than waiting for the perfect time.5. Ready a â€Å"story statement†You will get asked the â€Å"tell us a bit about yourself† question. Be ready with a unique and fresh answer. Cut out all the filler and the set-up and jump in with the key points in the narrative- the epiphany, the meaningful observation, the overarching point. When done right, you can sell them on you both personally and professionally, crafting a story that makes you both likeable and obvious as the top choice for the job.6. Stick with subtle fashion choicesWear a conversation piece. If there’s something you want to emphasize about your candidacy- your heritage, your hobbies, your recent trip to Timbuktu- try wearing something that might spark a question. And have an answer ready.7. Sell your weaknessYou will be asked about your weaknesses. Don’t overthink- and don’t try to pretend your strength is a weakness; interviewers will see right through this. Come up with an honest weakness and then explain how you’re already working to turn it into a strength.8. Use  PARPAR= problem, action, result. A situation, your solution, and what changed. Have three (at least) anecdotes ready to go that showcase the PAR process for you to great success. The more specific the better. These answers can plug neatly into the â€Å"tell me about a challenging moment at your current job † or â€Å"tell me about a time you worked on a team† questions.9. Think out loudIf your interviewer asks you an analytical question, this is like a math test in school; it’s okay to show your work. Thinking out loud shows your thought process, so even if it takes you a minute to get the answer- or you get it wrong, at least the interviewer knows there’s a good brain in your skull. It shows effective communication, and makes it easier for you to go back and fix any errors.10. Ask double questionsIf you can get two answers with one question, that’s a much better and more economical use of your time. You only get a few questions at the end, after all, best to make them count. Bonus points if you can subtly convey an extra selling point about yourself that you couldn’t squeeze into your earlier answers.11. Go for brokeAt the very end, consider asking bluntly, but respectfully, â€Å"Have I given you any reason to think I wouldn’t be a go od fit for this position?† It’s a big risk, and you should practice asking honestly and with the appropriate tone. But it can bring a valuable result. Think of it this way: if they say ‘yes,’ you’re still in the room and have one last chance to change their minds!12. Personal thanksEmail (or better- handwrite) a personal thank you note immediately after the interview. Get it on their desk within 24 hours of speaking with you. Even if you don’t get the job, your interviewer might find your note months later and call you in for another position. Make the best impression possible, even after the fact.

Violent Video Games and Increase of Aggressiveness Research Proposal

Violent Video Games and Increase of Aggressiveness - Research Proposal Example These games are violent in nature, some with parental warnings regarding violence, blood, and gore. Examples of such video games include titles like Killer Instinct, Mortal Kombat, and Sega's Primal Rage. All of these games intertwine a character-driven storyline with adventures and quests, including personal combat which requires the player to fight with and kill, various adversaries in an extremely violent way. While earlier versions of such games, such as Quake or Doom, were more plot-driven and less gratuitously violent, many of the more recent industry offerings (known as "first-person shooter" games) have escalated the combat element in favor of increasingly difficult opponents, more sophisticated weaponry, and an unhealthy focus on domination. As Bok points out, "players are rewarded for slashing, gouging, or shooting their opponents...[and are able] to see with the eyes of the killer holding the gun." (1999, p. 37) In fact, other researchers have determined that in the most p opular games, harming other characters is the primary activity and that killing occurs at a high rate. (Cicchirillo and Chory-Assad, 2005, p. 436).

Customer Relationship Management Essay Example | Topics and Well Written Essays - 1250 words

Customer Relationship Management - Essay Example Recent research on categorization has led to scholars questioning the assumption and trying to test the impacts of two variables which are moderating on the customer needs categorization (Hamilton, 2005). Categorizing Customer Needs in Computer Software Sales Selling computer software is a business to business (B2B) activity. Hence, there is a need of categorizing customer needs for this activity. There is a method provided that helps the organization in the identification and categorization of the customer’s visits or contacts with the customer service center. This means that the organization has been provided with a method of identifying the customer’s problem or goal. The organization has also been using this method to categorize the customer needs into set that are centered on behavior. Hence, the organizations has integrated customer categorization and goal thereby initiating a foundation for optimizing the direction of the customer’s request through an appr opriate center. This method helps the organization in the collection of information that is related to the customer’s behavior. The organization then uses the information in the determination of the optimum manner that customer’s needs can be handled (Gupta, 2001). ... One the customers have been consulted, the organization then interprets the customers’ needs correctly in specs and design. Hence, the organization then provides operational definitions of output (Fader, 2010). Best Measures for Actual and Potential Value for the Customer Base Customer base refers to the grouping of the customers or consumers that an organization servers. The customer base is mainly composed of repeat customers with high ration of purchase over a given period. The best measure for actual and potential value for the customer base is the Eyeball Approach. The Eyeball Approach is based on the assumption that companies need to rapidly acquire customers so that they can grow. This also enhances the chances of the company to gain first mover advantage and also helps in the creation of network externalities which are very strong. For the organization that is involved in selling computer software to other businesses, the Eyeball Approach is also very advantageous base d on the fact that the number of businesses coming into the customer care desk indicates to the organization whether the organization is registering a positive growth. With an increase in the number of customers that are coming to the organization, it means that the organization is developing positively. This also means that its actual value for the customer base is very high. This also indicates that the potential value for the customer base is also very favorable to the organization. Hence, it is important for the organization to use the Eyeball Approach to assess the actual and potential value for the customer base (Hamilton, 2005). Why the Eyeball Approach is Advantageous The assumptions of the Eyeball Approach have been

Finance and Company Essay Example for Free

Finance and Company Essay So Wrigley has to make decisions on whether or not to borrow $ 3 billion for recapitalization. Question Based on the above situation, there are few questions that arise as seen below: ? Whether the recapitalization would be good for the company’s development in the long run? ?After borrowing $ 3 billion dollars what would the impact on the company’s debt rating be? ?What’s the impact on the company’s share value; would the recapitalization increase the company’s share value? ?What’s the impact on the company’s WACC, an increase or decrease? Would recapitalization increases the EPS of the company? Hypothesis Before capital restructuring due to not having any debt, return on capital and operating income as a percent of sales can be used based on exhibit 2(it is $513,356/$2,429,646= 21%) which is the A to AA range of investment grade. After recapitalization, the company’s debt rating will fall to a BB/B rating which reflects a higher risk and lower debt rating that will cause higher yields. According to Exhibit 7’s given information, the yield is between BB (12. 753) to B (14. 663) to obtain a cost of debt. Impact on share value If the company chooses to repurchase the stock, the WD will be 22. 89% (3,000,000/13,103,000), the WACC will be 10. 19% (22. 89% (1-40%)*13%+77. 1%*10. 9%). Both 10. 32% and 10. 19% are lower than the WACC before recapitalization, which indicates that after the recapitalization the company will have a lower minimum rate of return for the company that it needs to earn on its investments to maintain its wealth. Impact on Voting Control If the company is using the dividend plan to do capital restructuring, there will not be any impact on voting control. However, if the company is using the stock repurchase plan, it will have an influence on the voting control. The current Wrigley family ownership includes 21% of common shares and 58% of B shares. The total numbers of shares outstanding for Wrigley consists of the sum of the common shares of 189. 8 million and class B shares of 42. 641 million (10 votes each), a total of 232,441 million shares. So the company will have 46. 6% ((189. 8*21%+426. 41*58%)/616. 21=46. 6%)voting control before recapitalization. After the recapitalization the voting control will increase to 49% [(179. 22-42. 641)*21%+426. 41*58%]/ (136. 58+426. 41) =49 Based on the above analysis, my suggestion is not to borrow $ 3 billion dollars, or if the company insists in doing a recapitalization I would suggest for them to not borrow as much and to make some investment on assets instead of it all in equity. For the Wrigley Company I think they should keep their debt below 50 percent. Because after recapitalization, it will have negative impacts on EPS, debt rating, share value and it has a slightly positive impact on WACC and voting control. The results of impact on EPS analysis shows that EPS will drop from $ 1. 61 to 0. 46 and, the debt/ assets ratio will be 169% which will increase the company’s risks. From a debt rating aspect, after borrowing $ 3 billion dollars, the debt rating of the company will decline from AA/A to BB/B which means that the company will have a higher interest rate, more interest expense and a lower credit rating in the future. This is not good for the company’s future development. From a long term prospective, I believe it’s important that the company be careful in determining whether they should pursue a dividend or stock repurchase strategy. If the company chooses to use the $ 3 billion to pay dividends now, it might increase the investor’s satisfaction in the short run but once the dividend has been paid, the investor will expect the same amount of dividend in the future and a lower dividend might disappoint investors and that might affect the company’s stock price in the future. The stock repurchase is temporary as well, so after the repurchase the ending stock price might drop and it may hurt a potential new investor who made a purchase during the repurchase period. All things considered as long as Wrigley keeps an eye on their long term goals and continues to look at the big picture whilst making good solid financial choices for their company they should be most successful.

focus :: essays research papers

ok I'm an "A" Plan brat myself. My dad's been there for 34 years now! : ) I got my fully loaded 2001 Twilight Blue ZTS, not including Advance-Trac or moonroof (DAMN IT!!!) for $15,000 plus tax, tags, extended warranty and the Protection package costs. Came out to around mid-16,000. I don't think I did too bad. That's with very questionable credit and a 9.8% interest rate and no downpayment. My first BRAND NEW car. hahahaha I think I did alright, though I know I got screwed on the final cost. Oh yeah, I got a 3 year lease too. I got the 5 year/60,000 mile warranty.2001 ZX3, 5-speed. Power package, premium package, moonroof. Listed for $15,200 and bought it for $13,900. $12,900 after the rebate. I've owned it for a month, have 1,600 miles, averaging about 29 mpg, with no probs! Love my ZX3 Mine was about $16,700 and I didn't have any money for a down payment. This was the S2 edition though which has the european tuned suspension, spoiler, and moonroof, it had the 6 disk in dash cd player also, but i took that out and put in my tv. I got my 2000 SE Sedan for $14,400. It had all options minus auto, ABS, side airbags, and leather. I really wanted the ABS and side airbags but wasn't going to wait to have one special ordered - I had already been to 5 dealerships that day and was pretty exited to find one so close to what I wanted. V, when dealing for the car, they are going to be playing tricks on you to make it seem like they can't go any lower. When they say "I have to go check this out with my manager", make it look like you are unconcerned and have all day - pull out your gameboy or palm pilot and start playing games. Make sure they know that you know what you are talking about, and that the car you are dealing for is a compromise, not the one car you have spent your whole life looking for. If the car has been on the lot for a while, then it's taking up valueable space and they need to get rid of it. If it just got on the lot, then if they sell it right away the holdback they get from Ford is pure profit. One other thing I found is that there is an airplane club up in Wisconsin or Minnesota or something that costs 20 or 30 bucks to join but members get X-Plan pricing from Ford.

Industrial Development and Labor Movement Essay

The answer is FALSE. The development of industrial development contributed to the rise of labor movement. The significant change that was caused by the industrial revolution – the increased efficiency of production through the use of machines – has caused the displacement and alienation of human workers as machines have taken over the production process. The industrial revolution is one of the most significant highlights for the development of human history. It was an advent for the most important technological changes and advancement which translated to increased production efficiency – producing the most number of goods at the least amount of costs. However, the rise of giant industries which made use of machines in production has caused human skilled workers to be displaced from their jobs. The automation of production has made human labor less appealing and less needed. The advent of the rise of machines has caused severe changes in production and labor, and consequently it has driven profound social changes and also driven the economy to be more production efficient with little help from human labor (Hooker). Consequently, the displacement of human laborers and their seemingly less involvement in the process of production have made them less powerful in voicing out their demands. The mechanized production system has made them less represented and less significant in the industry, thus, factory owners didn’t regard them as assets in the industry. This turn of events marked the era wherein laborers didn’t have the ability to speak of their work-related grievances, they lost the voice to call out for fair treatment. In contrast to the earlier times wherein the small employer-employee relationship was prevalent, the workers had the ability and chances to address their demands to their employers. However, the increased automation of production system has also caused the growth of enterprises and the owners hired skilled professionals to more efficiently manage the workers. As a result, there existed a larger gap between the owners and the laborers, making it harder for the laborers to communicate directly to the owner to express their grievances (The American Labor Movement). Moreover, during these times, the workers were forced to work longer hours, getting the most work from them though giving them the lowest wage possible. And because of the production automation, skilled laborers and craftsmen were less valued and the number of unskilled laborers has significantly increased. Thus, these instances, developments and the further impoverishment and unequal treatment for laborers have resulted to the emergence of labor unions that advocated to protect the rights and welfare of laborers. Labor unions became a prevalent action in protecting the common interests of laborers, particularly issues regarding wages and working conditions. These labor and trade unions served as collective organizations that represented the interests of the working class. Moreover, labor unions were sometimes looked upon as political wings campaigning for equitable treatment from employers and lobbying for the implementation of laws governing labor relations. These labor movements focused on issues related on rank-and-file movements, collective bargaining conflicts and organizing political campaigns. These efforts flickered the hopes for industry workers to attain increased political influence to be able to push legislations that shall benefit their cause, and deflect labor laws that were inefficient in protecting the rights of laborers (Turner, 2001). The rise of labor movement became more prevalent in the newly industrialized countries. This happened as global transformations became more influential and encompassing – for example, the â€Å"relocation of low-wage areas, automation and the increasing use of unregulated work arrangements† – all of which contributed to the strong urge of forming a strict and rigid framework of a union that shall defend workers against unfair treatment. (Silver)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Moreover, in addition to the animation of production, there is another aspect of industrial revolution that has hastened the rise of labor movement. The unfair labor practices rendered by industrialized nations towards less powerful and poor countries have made it more appealing for workers to organize a movement that was geared minimizing these effects. As the industry grew larger and more powerful, industrialized countries have sought for new markets and new sources of cheap labor, wherein they can yield the most production with labor-intensive processes, with the least amount of costs possible. They utilized the presence of satellite countries wherein they can extract from them the cheapest raw materials, and wherein they can impose to make use of the human capital as a source of cheap and intensive labor.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Therefore, the rise of labor movements was sponsored by the industrial development. This happened in such a way that, as the industry flourished and became automated, it resulted in harsh treatment and displacement of the workers. This unfair treatment led workers to form unions that shall represent them as a whole in addressing their grievances and sentiments. The development of labor movements were hastened by (1) need for social mobilization and institutional change; (2) need for significant representation by workers; (3) call for industry changes; and (4) economic and political protectionism.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The industry development happened in such a manner that it gave utter importance to machines and deliberately misappropriated the use of human skills in the course of production. It displaced the rights and abilities of craftsmen and haggardly made use of unskilled worker, as they offered cheap labor despite the intense labor work and long work hours. Consequently though, this instances and treatments have hastened the movements to revive the industry that is mindful of human existence and welfare.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Thus, industry development, coupled with intense form of exploitation, mistreatment, alienation and displacement for workers have eventually led to the emergence of labor movements. References Hooker, Richard. The Industrial Revolution. Retrieved December 1, 2007 from, Silver, Beverly. Labor Movements from a Global Perspective. The American Labor Movement. Retrieved December 1, 2007 from, Turner, Lowell. (2001) Reviving the Labor Movement. School of Industrial and Labor Relations. Cornell University.

Hamlets Madness Essay

I do not believe that Hamlet is going mad nor insane. I think that he was just putting on an act of madness to convince people he was going insane in order to carry out his revenge on Claudius. If it wasn’t for Hamlet’s feigned madness the Claudius would have obviously known that something was up and would have possibly had Hamlet killed. Hamlet only acted mad or insane around certain people. In his private conversations with Horatio there was no signs of insanity with the way he was talking to him. Hamlet tells Horatio â€Å"How strange or odd soe’er I bear myself, As I, perchance, hereafter shall think meet To put on an antic disposition on, – That you, at such times seeing me, never shall, With arms encumber’d thus. Or this headshake, Or by pronouncing of some doubtful phrase. â€Å"(Ham. 2. 5. 170-175). In this phrase He is telling Horatio that he is going to feign madness, and that if he notices any strange behavior that he is putting on an act. This is proof that he is neither mad nor insane. He basically has stated he is going to act mad. As soon as someone appears, whom he wants to convince he is mad, he changes his behavior to put in his or her minds different explanations of his irrational behavior. He changes from rational speech to irrational conversations with those he wishes to convince he is mad. With Rosencrantz and Guildenstern he makes them believe that the reason for his behavior is frustrated ambition. In act 2 scene 2 Rosencrantz says â€Å"Why, then, your ambition makes it one; ’tis too narrow for your mind. â€Å"(Ham. 2. 2. 241-242). Then Hamlet says â€Å"O God, I could be bounded in a nutshell, and count myself a king of infinite space, were it not that I have bad dreams. â€Å"(Ham 2. 2. 243-244) Then Guildenstern states â€Å"Which dreams, indeed, are ambition; fro the very substance of the ambitious is merely the shadow of a dream. â€Å"(Ham. 2. 2. 245-246). Hamlet wants to make the King and Queen believe that the death of his father and their marriage is the reason for his madness. The Queen states â€Å"I doubt it is no other but the main, – His father’s death and our o’ hasty marriage. (Ham. 2. 2. 56-57). Hamlet want s to make Polonius and Ophelia believe that it is his love for Ophelia that has driven him mad. This is revealed when Ophelia speaks with Polonius about Hamlet’s encounter with her (Ham. 2. 2 75-108). In the phrase â€Å"I am but mad north by northwest, when the wind is southernly I know a hawk from a handsaw†(Ham. 2. 2. 347-348) Hamlet is stating that North is normal and that â€Å"North by Northwest† means that he is only slightly insane. Once Claudius thought he was insane he was safe to carry out the rest of his plan. In the Soliloquy, â€Å"To be or not to be† (Ham. 3. 1. 56-90) Hamlet knew that he was being watched by the King while talking to Ophelia. This was his chance to convince the King that he was insane. I believe that Hamlet may have crossed the line into true madness a few times. For example when Hamlet slays Polonius he has no feelings of remorse. This is evidenced by Hamlet’s words â€Å"Thou wretched, rash, intruding fool, farewell! I took thy fortune thou findst to be too busy in some danger†(Ham. 3. 4. 32-34). After Hamlet kills Polonius he will not tell anyone where the body is. Instead he says â€Å"not where he eats, but where he is eaten, a certain convocation of political worms a e’en at him†(Ham 4. 3. 20-21). Hamlet also is aware of his dissolving insanity as he tells Laertes that he killed Polonius â€Å"in a fit of madness†(Ham. 5. 2. 236-250). In the scene where he is with his mother he also has a violent out burst. He is very cruel towards he and clenches her throat in anger. He sees his father’s ghost while with his mother. His mother does not see him. All of the other times someone has seen the ghost when it has appeared. This may be a sign that Hamlet experiencing true madness. â€Å"On him, on him: Look O you how pale he glares! His form and cause conjoured, preaching to stones would make them capable (Ham. 3. 4. 126-128. In conclusion I believe that Hamlet’s madness or insanity throughout the play is being acted. However I do believe that in the end Hamlet drives himself over the edge when he kills Polonius and his true anger shows. Hamlet crossed that line into true madness a few times in this play. I believe that this was not a good way to go about getting revenge on Claudius. There was too much of a delay and in the end Hamlet lost by losing his life too.

Free Essays on Night And Catcher In The Rye

â€Å"A great book should leave you with many experiences and slightly exhausted at the end.† A well-written book should provide the reader with numerous occurrences and events throughout the literature. This is true because good literature takes the reader places in their imagination to satisfy them in their leisure time. In the first-person novel The Catcher in the Rye, by J.D. Salinger, the narrator, Holden Caulfield, takes the reader on a flashback journey. Also, in the first-person memoir Night, by Elie Weisel, this lens is clearly presented. Through the use of literary techniques, setting is an important aspect that influences the unforgettable adventures that take place. An exceptional work of writing should present the reader with several experiences, offering slight wisdom at the conclusion of the work. In the novel, The Catcher in the Rye, Salinger creates brilliant literature that teaches and tires. Holden Caulfield has flashbacks of his journey of an exhausting 48-hour period in his life. This book is written in a first-person point of view to explain the narrator’s experience meticulously, in his own perspective. The man versus himself conflict that concerned Holden and his problem with school and communicating with his parents, played a major role in the explanation for his adventures. If he had not been kicked out of his school, Holden would not have to deal with the troubles of being on his own and traveling from place to place. Many authors use literary techniques to illustrate and improve the readers’ opinion of the book, such as Elie Weisel’s book, Night. Weisel’s memoir, Night, is another valid example of literature that brings a reader on a reverie, except this one is factual. This chronicle is written in a first-person point of view, making the literature seem even more realistic because it is the account for a first-hand experience. One of the most influential literary elements of this story is the se... Free Essays on Night And Catcher In The Rye Free Essays on Night And Catcher In The Rye â€Å"A great book should leave you with many experiences and slightly exhausted at the end.† A well-written book should provide the reader with numerous occurrences and events throughout the literature. This is true because good literature takes the reader places in their imagination to satisfy them in their leisure time. In the first-person novel The Catcher in the Rye, by J.D. Salinger, the narrator, Holden Caulfield, takes the reader on a flashback journey. Also, in the first-person memoir Night, by Elie Weisel, this lens is clearly presented. Through the use of literary techniques, setting is an important aspect that influences the unforgettable adventures that take place. An exceptional work of writing should present the reader with several experiences, offering slight wisdom at the conclusion of the work. In the novel, The Catcher in the Rye, Salinger creates brilliant literature that teaches and tires. Holden Caulfield has flashbacks of his journey of an exhausting 48-hour period in his life. This book is written in a first-person point of view to explain the narrator’s experience meticulously, in his own perspective. The man versus himself conflict that concerned Holden and his problem with school and communicating with his parents, played a major role in the explanation for his adventures. If he had not been kicked out of his school, Holden would not have to deal with the troubles of being on his own and traveling from place to place. Many authors use literary techniques to illustrate and improve the readers’ opinion of the book, such as Elie Weisel’s book, Night. Weisel’s memoir, Night, is another valid example of literature that brings a reader on a reverie, except this one is factual. This chronicle is written in a first-person point of view, making the literature seem even more realistic because it is the account for a first-hand experience. One of the most influential literary elements of this story is the se...

Learn How to Ask Questions in English as an ESL Student

Learn How to Ask Questions in English as an ESL Student There are many ways to ask questions in English. Its important to understand the situation when deciding how to ask questions. In other words, is the question you want to ask a polite request? Would you like to confirm the  information you already know? Are you gathering details about a subject? How to Ask Direct Questions Direct questions are the most common type of question in English. Direct questions are asked when asking for both simple and complex information. To begin with, here is a guide to the structure of direct questions: (Question Word) Auxiliary Subject Verb Form (objects) ? Examples: When do you get to work?Do you like fish?How long have you been working on this project?Where are those ties manufactured? How to Ask Yes/No Questions Yes/No questions refer to simple questions you ask to receive either a yes or no as a response. Yes/No questions do not use question words and always begin with the auxiliary verb. Auxiliary Subject Verb Form (objects) ? Examples: Does he live in New York?Have you seen that film?Is she going to come to the party? How to Ask Subject and Object Questions Look at the following example sentence and questions: Jason likes playing golf. What does Jason like playing? (Answer: golf)Who likes playing golf? (Answer: Jason) In the first question, we are asking about the object. When asking about the object, use direct question construction beginning with a question word followed by the auxiliary verb. Wh? auxiliary subject verb? Who does he follow online? In the second question, we are asking for the subject of the action. When asking subject questions, do not use the auxiliary verb. The Wh question word plays the role of the subject in the question. Wh? (auxiliary) verb object? Who understands this problem? Note: Remember that the present simple or past simple do not take the auxiliary in positive sentence structure. Examples: Who enjoys playing tennis?Who is coming to the party next week? Common question forms for subject questions: Which Which bicycle goes fast? What kind of What kind of cheese tastes mild? What sort of What sort of tea costs very little? Who Who goes to school here? How to Use Question Tags to Ask Questions Another type of common question in English is the question tag. Many languages such as Spanish also use question tags. Use them to confirm information that you already know, or think you know. This form is used in conversation and when checking that you have understood something. Construct a question tag by making a statement followed by a comma and the opposite (positive negative, negative positive) form of the appropriate auxiliary verb. Examples: Youre married, arent you?Hes been here before, hasnt he?You didnt buy the new car, did you? Indirect Questions When we want to be more polite we often use indirect question forms. They ask the same as direct questions but are considered more formal. When using an indirect question, use an introductory phrase followed by the question itself in positive sentence structure. Connect the two phrases with the question word or if in the case the question is a yes/no question. Construction Chart Introductory phrase question word (or if) positive sentence Examples: I was wondering if you know the way to the nearest bank.Do you know when the next train leaves? Here are some of the most common phrases used for asking indirect questions. Do you know...I wonder/was wondering...Can you tell me...Im not sure...I dont know... Examples: Do you know when the next train leaves?I wonder when he will arrive.Can you tell me where he lives?Im not sure what he wants to do.I dont know if he is coming.

Discussion Board Assignment Example | Topics and Well Written Essays - 500 words - 3

Discussion Board - Assignment Example Therefore instead of looking at their own interests, they should be looking at the interest and welfare of those that they serve. In this case, they are able to be examples just as the number one leader in Jesus Christ was (Maxwell, 2007). In this sense, leaders must purport to serve others first in order to be able to accomplish the goal as a whole group and not just as an individual person. They should forget about the leadership. This form of leadership is important in the sense that it encourages team effort. It makes those in the position to be led. It means that if one person was in a position to do the task alone, it could have been done. Thus being in a leadership position to gain all the praise rather than to serve the people is being in the leadership position for a gain and not to help others. If Jesus provided this example by washing the feet of his disciples, then other leaders should follow the same. Servant leadership helps others to lead by example. For this reason, it is important to rely on Jesus will and ways in relation to leadership as it is only through this way that leaders can become the best leaders. They will be able to do things for others and not think of themselves. The Bible shows people serving others eagerly and not just for their gain (1 Peter 5:2-4). Thus following Jesus means following the humble manner. Jesus was able to lead in humility, love, compassion and in fellowship with others. It is important to note that leadership is not a single sill but the collective teaching of what is in the Bible. Thus, for a leader to be effective, he must emulate good qualities to the best of their abilities. This can be done by copying Jesus (Iwuala,