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The last significant surface to surface engagement it fought was Operation Praying Mantis in 1988 asthmatic bronchitis 32 purchase discount ventolin. The attitude which may best reflect the Surface Warfare philosophy may be this statement by Chief of Naval Operations Admiral Robert B asthma otc inhaler buy ventolin us. Carney as quoted by Mack and Connell: War is highly competitive; we are trying to train people to endure the hardships and strain of war asthma vs bronchitis order cheapest ventolin and ventolin, and we would be doing ourselves and our country a disservice to adopt measures which would soften the fibre of the men in uniform asthma diagnosis buy ventolin amex. This was in sharp contrast to the crew o f a Dutch frigate he visited, in which proper rest for all, even while engaged in the same exercise as the U. Proper rest is more conducive to clear thinking and effective operations than the rigid enforcement of daylight working hours in the American Navy, which, at that time, made no provision for rest by nighttime watchstanders. Some progress may be possible in this area in the foreseeable future as the Naval Post Graduate School expert on fatigue and human performance, Nita Miller Shattuck, had begun three new studies on adjusting watchstanding practices underway on ships at sea as of October 2013. Shattuck reported that these efforts had to contend with the skepticism of the community which "long viewed sleeplessness as a badge of honor" (Fellman 2013, 12). This immense amount of authority and responsibility calls for highly skilled leadership, and this study deals with leaders who have failed to fulfill these leadership responsibilities. Leadership is a tremendously popular topic in all professions, but one of particular importance within the military. Developed by Bernard Bass, this concept identifies effective leaders as emotionally, intellectually, and inspirationally engaging with the employees. These leaders provide vision and sense of mission, instill pride, set high performance expectations, promote rationality, and are considerate of their subordinates (Bass 1990; Bass and Steidlmeier 1999; Harms and Crede 2010; Pawar and Eastman 1997). Transformational leadership can be described as "behaviors that transform and inspire followers to perform beyond expectations while transcending self-interest for the good of the organization" (Avolio, Walumbwa, and Weber 2009, 423). This style of leadership is in contrast to the transactional leaders whose practices are grounded in self interest and based primarily on employee performance contingent upon the receipt of rewards or the fear of punishment (Bass 1990; Bass and Steidlmeier 1999). This is also indicated "on the deck plates" as good leaders are described by Sailors and chief petty officers as those who "take care of their people. The same theme was recurrent in a 1985 report by McBer and Company on behalf of the Navy. That person provides for employees with personal attention and mentoring (Bass 1990). The idea of a pseudo-transformational leader highlights the charismatic component of transformational leadership. Avolio, Bass, and Jung describe this aspect of transformational leadership as "providing] followers with a clear sense of purpose that is energizing, is a role model for ethical conduct and builds identification with the leaders and his or her articulated vision" (1999, 444). However, there is a notable, highly debated, and not yet well-understood, connection between charisma and narcissism (Humphreys et al. Charismatic leaders and narcissistic leaders both win the devotion of followers in part through charm and magnetism (Rosenthal and Pittinsky 2006). However, those with strong narcissistic traits tend to be self-centered, have an inflated sense of their own abilities, are prone to grandiose thinking, have a need for recognition and superiority, and lack empathy for others, all characteristics which could interfere with succeeding in a leadership role (Blair, Hoffman, and Helland 2008; Humphreys et al. However, narcissists are likely to achieve leadership positions because they are also extroverts and egotists who like and seek power (Blair, Hoffman, and Helland 2008; Grabmeier 2008; Rosenthal and Pittinsky 2006). Amy Brunell of Ohio State, 993 students were evaluated for the characteristics of narcissism, their desire to lead, and the likelihood o f their selection as leaders by the group. Unfortunately, the study also showed they were not better equipped with the skills needed to succeed in those roles. In a similar vein, a study conducted by Harms, Roberts, and Wood found that within informal group settings, those who thought highly of themselves, and believed they had more power and control o f their lives and surroundings than others generally 71 achieved leadership roles (2007, 697). They also found that a higher degree of agreeableness was required to "offset the negative impressions peers often have of overtly ambitious individuals" (Harms, Roberts, and Wood 2007, 697). Bass and Steidlmeir refer to leadership as a "many-headed hydra that alternately shows the faces of Saddam Hussein and Pol Pot as well as those of Nelson Mandela and Mother Teresa" (1999, 181). The negative aspect of narcissism could be the cause of those starkly contrasting visages. Narcissists have a plethora of characteristics that would complicate and impede their performance as leaders. This would interfere with developing trusting relationships that are critical to team work.

If a factor had not any important role in strategy selection process asthma definition cdc order ventolin uk, it would not receive any score asthma symptoms children buy 100mcg ventolin with visa. When strategies were sorted based on their importance asthma attack discount ventolin 100mcg with visa, they were categorized in three significant groups of "important" asthmatic bronchitis is it contagious purchase ventolin overnight, "less important" and "weak" strategies. The important five strategies accordingly (St7, St11, St13, St10 and St16) were selected as the most important management strategies for Touran Biosphere Reserve to conserve Persian Wild Ass [13]. Based on the key strategies, an increase in protection level of Persian Wild Ass through capacity building of the human resources and conservation equipment is the first strategy to be adopted; this is very urgent since the population of Persian Wild Ass is severely decreasing. Also, training of the owners of livestock and camels in Touran is of the second importance since if they know well about the importance of Wild Asses, their habitat and behaviour, then there is the possibility that they may change their behaviour, especially if the drought continues to happen. In this case, they would cooperate in guiding the cattle to be out of the protected area. In other words, the local people should consider Wild Asses as a unique natural heritage of Touran which not only belongs to them but to their children too. Such feeling of pride among local people will result in an effective conservation of environment and change in their own life style. The fourth strategy is an advocacy for international organizations to implement projects of Persian Wild Ass 62 protection. Camels and livestock should not enter in the protected areas and this would happen only if people are trained while they have to be able to benefit from the region too. For protection of Persian Wild Ass and prevention of reducing its population in Iran, an inclusive approach with a focus on the participation of all stakeholders should be adopted. Based on strength, weaknesses, opportunities and threats points, 16 management strategies were planned which among of them four out of five main ones are related to capacity building, participation and involvement of different groups of stakeholders in the process of the conservation of this species. The main idea in this process is that, it would be a mutual process in which the trend of Persian Wild Ass extinction will be controlled and at the same time stakeholders, especially community members and local groups, will be empowered and take responsibility of the conservation of their habitat and its biodiversity in a sustainable way [14]. Codification of mangrove forests management strategies: Case study of Hara Protected Area, Iran, Journal of Food, Agriculture & Environment, 9 (2): 508-513. A Comprehensive Attitude towards Strategic Management (10 th Edition), in cooperation with Mehdi Fathollah, and Iraj Tajeddin. Action research and local planning for conservation of environment and natural resources, Tehran: Barg-e Zeitoon (Olive Leaf). Tariqul Islam1, Khanam Taslima2, M Kaniz Fatema1, Harunur Rashid1* 2 1 Department of Fisheries Management, Bangladesh Agricultural University, Mymensingh, Bangladesh Department of Fisheries Biology and Genetics, Bangladesh Agricultural University, Mymensingh, Bangladesh *e-mail: rashid@bau. The sperms and eggs were collected from males and females by administration of pituitary gland extracts at the doses of 2 and 6mg/kg bod y weight respectively. The fertilized eggs were adhesive, transparent and floating with a diameter ranged of 0. The newly hatched larvae were slender, straight and semi-transperent with an average length of 1. Thus the findings provide valuable informations for establishing the culture techniques of A. Major culturable fish species in Bangladesh are Indian major carps, Chinese carps, common carps and tilapia. But more indigenous fish species should be cultured to ensure the sustainability of the aquaculture industry. Koi is a tasty and nutritionally rich fish fetching comparatively high price in the market. It contains high amount of physiologically available iron and copper essential for haemoglobin synthesis [1] and considered as a valuable item of diet for sick and convalescents [2]. During the last few years natural fish population has been declining rapidly due to ecological changes of the breeding ground. Like other endangered species, there is possibility of extinction of koi if there are no steps like induced breeding and culture practices are taken immediately. The aim of the present research works was to investigate and to provide detailed information of various stages of embryonic and larval development A. Eggs and sperms from female and male were stripped upon ovulation into plastic bowl and mixed thoroughly by using clean and soft feather.

In these evolutions asthma treatment canada buy ventolin cheap online, the precise location of the ship and its movements are monitored and controlled using information relayed verbally asthmatic bronchitis z-pack 100 mcg ventolin with visa. If those communications and the responses to them are not clearly understood and the appropriate action taken asthma red zone treatment purchase 100 mcg ventolin, the result could be collisions or groundings asthma symptoms 7dpo buy cheap ventolin 100mcg on line. Harrison and Home cite several studies which document decreased ability to comprehend and assimilate incoming information, especially in large amounts (2000, 238), as would be the case in these situations as one monitors speed, course, the effects of wind, range and bearing to shore, navigation aids, and other vessels. The condition led to increased mumbling, slurring, extended pauses, and incomplete messages. There was also an increase in editing information, leaving out new or changed information. Additionally, the deprived recipients of the communication experienced increased perserveration, which is continuing on a course of action that was no longer optimum in the face of new information (Harrison and Home 2000, 238). Taken as a whole, the findings of these studies indicate that sleep deprivation could have a pronounced detrimental impact on the effectiveness of the communications-intense team activities that are essential to executing the Surface Warfare mission. The studies in surface warfare units showed consistent, widespread sleep deprivation. Ships spend a great deal of time at sea operating independently, patrolling, and providing military capabilities and American presence in remote locations. Deployments from homeport can range from six to nine months depending on mission requirements. It is in this intense, demanding, tradition bound, and dangerous environment that the Surface Warfare community train and develop the young men and women who will be its future leaders. Each of these programs provides roughly one quarter of all officer accessions into the Navy. The remaining quarter receive their commission through small specialized programs that directly commission specialists such as doctors and dentists and an enlisted-to-officer program called Seaman to Admiral-21. These programs and institutions are all guided by the Officer Professional Core Competencies Manual which specifies the "knowledge, skills, and abilities basically trained Naval officers must possess upon graduation from an accession program" (Miller and Steindl 2011, Executive Summary). Within its Leadership and Management module 30 are the topics of honor, judgment, integrity, and moral courage. In addition to instruction in leadership and ethics, the midshipmen and officer candidates receive hands-on leadership training through a variety of leadership positions within their organizations. The student bodies in these institutions are organized in a typical military hierarchy with students performing leadership roles at multiple levels, with a wide range of responsibilities and authority over the performance and behavior of their classmates. These assignments ensure that the students receive a modicum of practical experience in leading before joining the fleet. The Naval Academy was founded in 1845 and provides midshipmen an education in all aspects of naval operations, engineering, navigation, and military customs and tradition, as well as baccalaureate degrees in majors including naval architecture, electrical engineering, oceanography, computer science, quantitative economics, and history. The Naval Academy has in place the Vice Admiral James Stockdale Center for Ethical Leadership, whose website displays the mission to "Empower leaders to make courageous ethical decisions. The topics covered include required courses in leadership theory and application, moral reasoning for naval leaders, naval law, and electives in psychology and human behavior. The Stockdale Center augments the curriculum with seminars, speakers, and workshops, as well as conducting research in the field. This program, begun in 1998, 31 perhaps in response to a series of cheating scandals in the mid-1990s (McKay 2009), provides a structured curriculum stressing moral leadership. More importantly to this study, they receive approximately 30 hours of courses in leadership, management, and leadership ethics (Stein 2005). These courses include extensive readings on the theory and practice of leadership as well as written and video case studies employing plausible scenarios to developing ethical leadership decision making skills. The Officer Candidate School in Newport, Rhode Island hosts a number of schools for various groups within the Navy, but its primary mission is to provide a 12 week curriculum designed to equip the Officer Candidates with the basic knowledge of the naval profession, including military, nautical, and systems engineering topics. In addition, they receive instruction in leadership topics such as team-building, 32 decision-making, motivation, leadership qualities, and military law. Once the midshipmen or officer candidates are commissioned as naval officers with the rank of Ensign (01), they spend roughly two years of additional study and onthe-job training to become qualified Surface Warfare Officers.

The rodents were first inoculated with the virus and given two treatments of the nasal spray asthma juice order ventolin no prescription. University of London Institute of Cardiovascular Research at Royal Holloway director and Neurology professor Pankaj Sharma said: "The fact that a relatively easy and simple nasal spray could be an effective treatment is welcome news and offers a significant advance in our therapeutic armoury against this devastating disease asthma symptoms wiki purchase generic ventolin on line. But the phenotypes associated with those changes could potentially be a cause of concern; particularly if they impact immune memory or vaccine efficacy asthmatic bronchitis over the counter cheap 100 mcg ventolin fast delivery. Now asthma 4 year old boy order ventolin 100mcg fast delivery, scientists address the influence of antigenic drift (slow mutational changes over time) on immune evasion of seasonal coronaviruses. In doing so, they show that two seasonal human coronaviruses undergo adaptive evolution in regions of the viral spike protein that are exposed to human humoral immunity. The findings suggest that a continual reformulation of coronavirus vaccines may be necessary. There are hundreds of coronaviruses circulating in animals such as bats, cats, pigs, and camels. The authors noted that it is not known to what extent reinfection by these viruses is due to waning immune memory or antigenic drift of the viruses. The team used a variety of computational methods to compare the genetic sequences of many different viruses, enabling them to see how they have evolved over the years. They were especially interested in any changes that might have occurred in viral proteins that could contain antigens, such as spike proteins which are on the surface of coronaviruses and are therefore exposed to the immune system. Nearly all of the beneficial mutations appeared in a specific region of the spike proteins called S1, which helps the virus infect human cells. This suggests that reinfection by these two viruses can occur as a result of antigenic drift as they evolve to escape recognition by the immune system. While the United States does not currently have enough vaccine to inoculate all 331 million Americans, supply is far from the only obstacle to ending the pandemic. Only 46 percent of the 36 million doses distributed to states so far have been administered. The challenge has been managing the complex logistics of mass vaccination in tandem with addressing the concerns of people who are reluctant to be vaccinated. The federal government has already thought through what it would take to vaccinate large numbers of Americans in a short period. Researchers working for the government estimated how many clinics and workers would be required to rapidly dispense and administer stockpiled vaccines and medicines. The Biden administration can learn from these efforts to inoculate Americans against Covid-19. Building on the strategies developed for smallpox vaccination, we estimate that administering an average of one million shots daily for 100 days would require at least 400 vaccination sites across the country, staffed by somewhere between 100,000 and 184,000 people. Our model assumes that each clinic would operate 12 hours per day and have 10 vaccination stations (like checkout lines in a grocery store) that together could vaccinate 200 people per hour. This plan would require 120 to 220 workers at each clinic per shift and could immunize 2,400 people per clinic per day. Our numbers are based on guidelines from the Centers for Disease Control and Prevention and vaccination exercises that were conducted in San Francisco and New Jersey more than a decade ago. Some of our assumptions may not be appropriate for all states or settings, particularly rural areas that lack infrastructure and trained workers. Administering a million vaccine doses a day for 100 days will require substantial federal investment; state and local public health departments simply do not have enough people qualified to conduct vaccinations at this scale. You must be a doctor or nurse to administer vaccines in many states, although some allow trained pharmacists, medical assistants and physicians assistants to do so. To ensure adequate staffing, states will need to train and authorize other health workers - such as dentists, emergency medical technicians and paramedics - to give vaccines. Mass vaccination plans for bioterrorism generally assume the population is willing to be vaccinated. Reports of health care workers refusing coronavirus vaccinations are deeply worrisome. State and local governments need to bolster their engagement with community groups to address concerns about the vaccines. Increasing the volume of vaccinations need not come at the expense of getting doses to the people most at risk from Covid-19. Mobile clinics can vaccinate essential workers and people who get their medical care at federally qualified health centers - a population that disproportionately includes lower-income individuals and members of minority groups. Health departments need more resources to dispense vaccines to every American who wants one.

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