Fatigue in relapsing-remitting multiple sclerosis patients Essay

Fatigue in relapsing-remitting multiple sclerosis patients - Essay Example 2006, p. 58) Fatigue is very common among patients with multiple sclerosis and yet is it a symptom that is quite poorly defined. (Flachenacher et al., 2002). This very fact makes evaluation of fatigue as a symptom of multiple sclerosis difficult. And yet, since it is such a common complaint of patients with this condition, its evaluation as part of the disease process cannot be ignored. The paper by Flachenecker and colleagues is an important one dealing with the problem of fatigue in relapsing-remitting multiple sclerosis. Of the 151 consecutive patients who entered the study and were given the standardized questionnaires, 94 had the relapsing-remitting type of multiple sclerosis which is our main interest as far as the symptom of fatigue is concerned. One of the most important aspects of this paper in the evaluation of fatigue is the fact that the authors used 4 different fatigue scales namely, Fatigue Severity Scale (FSS), MS-specific FSS, Modified Fatigue Impact Scale (MFIS) and Visual Analogue Scale (VAS). To evaluate a symptom as vague and non-specific as fatigue, it was important that the authors relied not just on one fatigue scale but on four different fatigue scales in order to reduce the incidence of errors. In order for a patient to be included in the â€Å"MS-related fatigue group† (MS-F) they had to have stated in the questionnaire that fatigue: 1.is one of their three most disabling symptoms; 2. occurs daily or on most days of the week; and 3. limits their activities at home or at work. Patients who fulfilled none of these criteria were labeled MS non-fatigue group (MS-NF); those who had only one or two of the criteria were labeled â€Å"borderline† (Flachenecker et al., 2002 p. 524). This was another way of ensuring that only those who were truly fatigued were included in the group of MS patients with fatigue. It is also significant that Flachenecker, et al. (2002) used a depression screen as part of the evaluation of fatigue in MS.

Research memo for cisco systems Paper Example | Topics and Well Written Essays - 750 words

Memo for cisco systems - Research Paper Example On the other hand, its mission is to be the chosen supplier by being the leader among its competitors in satisfying customers, market share, product leadership and profitability. Products Cisco Systems began competing in the local-area-network (LAN) market by offering high-end routers (Wylie 45). These devices applied in the cyberspace to direct network traffic to its destination through a least congested and efficient network path. Its foothold in the growing industry made it competitive in the market of networking equipment. It makes a high proportion of the large scale routers used in powering the internet. Other cisco products include the LAN and wide area network (WAN) switches, website management tools, internet appliances, software of network management and dial-up solutions. More so, its internet operating system is becoming the industry’s standard for the delivering of network services and applications.Cisco’s customer base includes enterprises, service provide rs, consumers and the small and medium sized businesses. The enterprise customers consist of government agencies, corporations and educational utilities. Service providers provide data, video communication and voice services such as the international, regional and national carriers as well as the cable, internet and wireless service providers. The consumers form Cisco’s new market with a various products of home networking (Wylie 5). Management structure John Chamber among other t CEO of Cisco System has leadership abilities of teamwork, responsibility, and risk and customer satisfaction. The management structure entails the promotion of manager-employee dialogue through use of the automated Performance Management form (ePM). It also constitutes development processes such as the leadership 360-degree Development Feedback, Talent Assessment Process and leadership review process that concerns succession of management. These development processes enhance employee motivation and satisfaction. Development of a centralized structure brought it closer to its customers, eliminates resource and product overlaps while encourages teamwork. This structure implemented by its management personnel fostered knowledge sharing among Cisco product groups and promotes consistent realization of economies of scale and profitability (Wylie 67). Social responsibility Cisco’s dedication is efficient expertise in networking to help solve issues in the world. Cisco focuses on building ecological sustainability into its business process. Its ecological sustainability efforts include the Carbon Disclosure project and the Greenpeace challenge. It leads by example through reduction of the use of energy and the green house gas emissions during its operations. It also promotes environmental standards such as the ISO 14001, GHG protocol and Global Reporting Initiative. Its products’ end of life initiative enables take-back and trade-in programs of recycling that provide cu stomers a costless way of managing electronic waste. It largely reuses and repairs the electronics received from its customers. Plans Cisco under the leadership of Chamber plans to address the dual threat of a new centre for data customers that focus on scaling out and price. It has plans to expand its market and product line to give it a aggressive