Tuberculosis Undergraduate Essay Example for Free

Tuberculosis Undergraduate Essay Abstract Tuberculosis is a good example of the importance of the ecological balance between host and parasite in infectious disease. Hosts are not usually aware of pathogens that invade the body and are defeated. If defenses fail, however, hosts become very much aware of the resulting disease. Several factors may affect host resistance levels—the presence of other illness and physiological and environmental factors such as malnutrition, overcrowding, and stress. Tuberculosis is most commonly acquired by inhaling the tubercle bacillus. Only very fine particles containing one to three bacilli reach the lungs, where they are usually phagocytized by a macrophage in the alveoli. The macrophages of a healthy individual usually destroy the bacilli. I. Introduction Tuberculosis is or TB is an infectious disease that usually affects the lungs. The most common form is caused by Mycobacterium tuberculosis, a slender, rod-like bacterium commonly called the tubercle bacillus. The tubercle bacillus is very hardy, surviving when many other bacteria cannot. In addition to affecting the lungs, tuberculosis can affect almost all other organs of the body. Tuberculosis, which in the past called phthisis and consumption, has afflicted man for thousands of years. Evidence of the disease has been found in Egyptian mummies. Tuberculosis was once a leading cause of death in all age groups, but its severity has decreased with improved medical care and better living standards. Most persons have a natural resistance to the tubercle bacillus. Even though large numbers of persons, especially in cities, become infected by the bacillus early in life, only a small percentage actually develops the disease (Orrett Shurland, 2001). This paper intent to: (1) know the occurrence of tuberculosis and how it is being spread; (2) be aware of its symptoms and detection and; (3) figure out its treatment and control. II. Background Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis, a slender rod and an obligate aerobe. The rods grow slowly (20-hour generation time), sometimes form filaments and tend to grow in clumps. On the surface liquid media, their growth appears moldlike, which suggested the genus name Mycobacterium, from the Greek mykes, meaning fungus. These bacteria are relatively resistant to normal staining procedures. When stained by the ZiehlNeelson or Kinyoun technique that stains the cell with carbolfuchsin dye, they cannot be decolorized with a mixture of acid and alcohol and are therefore classified as acid-fast. This characteristic reflects the unusual composition of the cell wall, which contains large amounts of lipid materials (American Thoracic Society, 2000). These lipids might also be responsible for the resistance of mycobacteria to environmental stresses, such as drying. In fact, these bacteria can survive for weeks in dried sputum and are very resistant to chemical antimicrobials used as antiseptics and disinfectants. Tuberculosis is a good example of the importance of the ecological balance between host and parasite in infectious disease. Hosts are not usually aware of pathogens that invade the body and are defeated. If defenses fail, however, hosts become very much aware of the resulting disease. Several factors may affect host resistance levels—the presence of other illness and physiological and environmental factors such as malnutrition, overcrowding, and stress (Weiss, 2000). Tuberculosis is most commonly acquired by inhaling the tubercle bacilli reach the lungs, where they are usually phagocytized by a macrophage in the alveoli. The macrophages of a healthy individual usually destroy the bacilli. If they do not, the macrophages actually protect the microbe from the chemical and immunological defenses of the body, and many of the bacilli survive and multiply within the macrophage (American Thoracic Society, 2000). These macrophages eventually lyse, releasing an increased number of pathogens. The tubercle bacilli released from dying macrophages form a lesion. A hypersensitivity reaction against these organisms causes formation of a tubercle, which effectively walls off the pathogen. These small lumps are characteristics of tuberculosis and give the disease its name. Tubercles are composed of packed masses of tissue cells and the disintegration products of bacilli and leukytes; they usually have a necrotic center. Few bacteria are present in the tubercle (Diehl, 2003). The tubercle bacillus does not produce any injurious toxins. Tissue damage is mostly from the hypersensitivity reaction. As the reaction continues, the tubercle undergoes necrosis and eventually forms a caseous lesion that has a cheeselike consistency. If the caseous lesions heal, they become are called Ghon complexes. If the disease is not arrested at this point, the caseous lesions progress to liquefaction. An air-filled tuberculous cavity is formed from the caseous lesion. Conditions within the cavity favor the proliferation of the tubercle bacillus, which then grows for the first time extracellularly. Bacilli soon reach very large members, and eventually the lesion ruptures, releasing the microorganisms into the blood and lymphatic system (American Thoracic Society and Centers for Disease Control and Prevention, 2000). This condition of rapidly spreading infection that overwhelms the body’s remaining defenses is called miliary tuberculosis (the name is derived from the numerous millet seed-sized tubercles formed in the infected tissues). This condition leads to a progressive disease characterized by loss of weight, coughing (often with a show of blood), and general loss of vigor. (At one time, tuberculosis was commonly was known as consumption.) Even when patients are considered cured, tubercle bacilli often remain in the lung, and the disease may be reactivated. Reactivation may be precipitated by old age, poor nutrition, or immunosuppression. III. Discussion A. Occurrence and Spread When a person with tuberculosis coughs or sneezes, tiny droplets containing thousands of tubercle bacilli are sprayed into the air. The disease is spread when non-infected persons inhale the bacilli thus released into the air. A person can also contract tuberculosis by drinking unpasteurized milk from cows having the disease. This form of tuberculosis is caused by the bacterium Mycobacterium bovis. Resistance to tuberculosis depends largely upon the general health of the individual. Persons who are undernourished or weakened by disease are more likely to develop tuberculosis. Outbreaks tend to occur in areas with crowded living conditions, such as nursing homes and prisons (Centers for Disease Control and Prevention, 2003). About 90 percent of tuberculosis infections occur first in the lungs. Tuberculosis of the lungs is called pulmonary tuberculosis. When tubercle bacilli are inhaled into the lungs, they are either destroyed by white blood cells or surrounded by special cells and fibers in the infected area of the lung, forming tiny nodules called tubercles. If the immune system is effective, the bacteria are kept from multiplying and an active case of tuberculosis does not develop. In some cases, however, the bacteria enter the bloodstream or lymphatic system and are carried to other parts of the body. The bacteria usually lodge in the brain, kidneys, bones, or heart (Murray, 2000). B. Symptoms and Detection Early pulmonary tuberculosis commonly gives no specific warning. Later, fatigue, weight loss, or a low fever may be the only symptoms. In advanced stages, severe coughing, hoarseness, chest pain and the appearance of blood in the sputum (a mixture of saliva and discharges from the respiratory passages) can occur. If the patient is untreated and his resistance is low, large areas of lung tissue can be destroyed and there is considerable weight loss. The best way of detecting infection by tubercle bacilli is by means of a tuberculin test. In a tuberculin test, tuberculin—a liquid containing substance obtained from tubercle bacilli—is injected between the layers of the skin. After 48 to 72 hours, the point of injection is examined for redness and swelling (Centers for Disease Control and Prevention, 2003). A tuberculin test will reveal whether a person has been infected by tubercle bacilli, but it will not indicate whether he has an active case of the disease. Diagnosis of active tuberculosis can usually be made by a chest X ray and other tests. Diseased areas of the lungs usually cast a characteristic shadow on the X-ray film. Another method of diagnosis involves a microscopic examination of the patient’s sputum for the presence of tubercle bacilli (Centers for Disease Control and Prevention, 2003). C. Treatment and Control Prior to 1945, practically the only methods for treating tuberculosis were prolonged bed rest and (in advanced cases) immobilization of the infected lung by collapsing it. Since the time, drugs have been produced that can stop the tubercle bacilli from multiplying, thus allowing the natural defenses of the body to be effective. The most important of these drugs are streptomycin (INH). In addition, improved surgical techniques permit the safe removal of areas of the lung where infection persists despite treatment with drugs (American Thoracic Society, 2000). Most important in tuberculosis control is early detection, so that persons with the disease can be treated and isolated from others. A vaccine known as BCG can create immunity to tuberculosis. However, in the United States this vaccine is recommended only in special circumstances. One reason is that vaccinated persons react positively to a tuberculin test and therefore cannot be differential from infected persons. D. Planning and Goals The major goals for the patient include maintenance of a patient airway, increased knowledge about the disease and treatment regimen and adherence to the medication regimen, increased activity tolerance, and absence of complications. E. Nursing Interventions a.) Promoting Airway Clearance Copious secretions obstruct the airways in many patients with TB and interfere with adequate gas exchange. Increasing fluid intake promotes systematic hydration and serves as an effective expectorant. The nurse instructs the patient about correct positioning to facilitate airway drainage (Diehl, 2003). b.) Advocating Adherence to Treatment Regimen The multiple- medication regimen that a patient must follow can be quite complex. Understanding the medications, schedule, and side effects is important. The patient must understand that TB is a communicable disease and that taking medications is the most effective means of preventing transmission. The major reason treatment fails is that patients do not take their medications regularly and for the prescribed duration. The nurse carefully instructs the patient about important hygiene measures, including mouth care, covering the mouth and nose when coughing and sneezing, proper disposal of tissues, and hand hygiene (Diehl, 2003). c.) Promoting Activity and Adequate Nutrition Patients with TB are often deliberated from a prolonged chronic illness and impaired nutritional status. The nurse plans a progressive activity schedule that focuses on increasing activity tolerance and muscle strength. Anorexia, weight loss, and malnutrition are common in patients with TB. The patient’s willingness to eat may be altered by fatigue from excessive coughing, sputum production, chest pain, generalized debilitated state, or cost, if the person has few resources. A nutritional plan that allows for small, frequent meals may be required. Liquid nutritional supplements may assist in meeting basic caloric requirements (Centers for Disease Control and Prevention, 2003). F. Monitoring and Managing Potential Complications a.) Malnutrition This may be a consequence of the patient’s lifestyle, lack of knowledge about adequate nutrition and its role in health maintenance, lack of resources, fatigue, or lack of appetite because of coughing and mucus production. To counter the effects of these factors, the nurse collaborates with dietitian, physician, social worker, family, and patient to identify strategies to ensure an adequate nutritional intake and availability of nutritious food. Identifying facilities that provide meals in the patient’s neighborhood may increase the likelihood that the patient with limited resources and energy will have access to a more nutritious intake (Centers for Disease Control and Prevention, 2003). High-calorie nutritional supplements may be suggested as a strategy for increasing dietary intake using food products normally found in the home. Purchasing food supplements may be beyond the patient’s budget, but a dietitian can help develop recipes to increase calorie intake despite minimal resources. IV. Conclusion In conclusion, persons infected with tuberculosis develop cell-mediated immunity against the bacterium. This form of immune response, rather than humoral immunity, is because the pathogen is located mostly within macrophages. This immunity, involving sensitized T cells, is the basis for the tuberculin skin test. In this test, a purified protein derivative (PPD) of the tuberculosis bacterium, derived by precipitation from broth cultures, is injected continuously. If the injected person has been infected with tuberculosis in the past, sensitized T cells react with these proteins and a delayed hypersensitivity reactions appears in about 48 hours. This reaction appears as an induration (hardening) and reddening of the area around the injection site. Probably the most accurate tuberculin test is the Mantoux test, in which dilutions of 0.1 ml of antigen are injected and the reacting area of the skin is measured. A number of similar tests are also in common use. A positive tuberculin test in the very young is a probable indication of an active case of tuberculosis. In older persons, it might indicate only hypersensitivity resulting from a previous infection or vaccination, not a current active case. Nonetheless, it is an indication that further examination is needed, such as a chest X-ray for the detection of lung lesions and attempts to isolate the bacterium. References: 1. American Thoracic Society (2000). Diagnostic standards and classification of tuberculosis in adults and children. American Journal of Respiratory and Critical Care Medicine, 161 (4), 1376-1395. 2. American Thoracic Society and Centers for Disease Control and Prevention (2000). Targeted tuberculin testing and treatment of latent infection. American Journal of respiratory and Critical Care Medicine, 161 (4), S221-S247. 3. Centers for Disease Control and Prevention (2003). Essential components of a tuberculosis prevention and control program: recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR Modibity and Mortality Weekly Report, 44 (RR-11), 1-16. 4. Diehl, H. S. (2003). The Health of College Students. American Council on Education. Washington, DC. 5. Murray, J. F. (2000). Intensive Care: A Doctors Journal. University of California Press. Berkeley, CA. 6. Orrett, Fitzroy A. Shurland, Simone M. (2001).Knowledge and Awareness of Tuberculosis among Pre-University Students in Trinidad Journal of Community Health, Vol. 26. 7. Weiss, R. â€Å"TB troubles.† Science News 133:92-93, 2000. Discusses reasons for the recent increase in tuberculosis in the United States.

Life Choices as Represented in Robert Frosts Road Not Taken Essay

Life Choices as Represented in Robert Frost's Road Not Taken Choices are never easy, facing hundreds upon thousands of them in our lifetime, man has to make decisions based upon these choices. Some decisions are clear while others are sometimes not clear and more difficult to make. The poem "The Road Not Taken" by Robert Frost is a prime example of these choices in life. This poem is a first person narrative that is seen by most people as being told by Frost. The poem opens up with the narrator encountering a point in the woods that has a trail diverge into two separate paths. In the poem Frost presents the idea of man facing the difficult predilection of a moment and a lifetime. I believe this idea in the poem is embodied in the fork in the road, the decision between the two paths, and the decision to select the road not taken. Someone's life could be metaphorically related to a walk through the woods filled with many twists and turns. Throughout this journey there are instances where choices between alternate paths have to be made and the route you choose to take is not always an easy one to determine. For most people, the fork in the road represents the speaker's encounter of having to choose between two paths knowing that this decision will affect the rest of his life. Frost presents to the reader a moment in anyone's life where a strenuous and problematic choice has to be made. The two paths represent the options that someone has to choose from. Faced with these decisions, he or she has to weigh their options carefully to make this choice. While reading this poem I was able to visualize the speaker looking far down both paths to see what each of them would bring. Though the speaker's sight is somewhat limited, on... ... is simply taking a stroll trough the woods because he says in line 13, "I kept the first for another day," which leads me to believe that the next time he is walking in those woods he'll take the first path. I guess that Frost did his job because this poem has caused so much controversy and debates over the years. I just can't really fathom that this path was the meaning of life in a way. I know that my view of the piece is not the only true way to go but I also know that this is poetry and it is meant to be looked at from different angles. I wouldn't be surprised if someone took the angle of saying that Frost was drunk and couldn't find his way home. There is no real answer to what this poem is about and I'm just taking the realist approach and saying that "The Road Not Taken," is not about life's ultimate choice but rather simply about a walk in the park.

Wealth distribution a social injustice

Is Wealth Distribution Today Just? In current times we often observe that many members of our society receive less than other members regardless of whether they are no less deserving. In contrast, there are some who have ownership over assets and earn income that they may not be deserving of. The distributive balance is upset and wealth distribution today can thus be seen as a social injustice.This injustice that is becoming more noticeable as people start to become aware of the facts, as we can see through the start of the occupy wall street movements that, first started on wall street in America, have pread to other countries (one of which being Australia). As a consequence of how wealth is habitually distributed and the way in which governments are run, the wealthy continue to become wealthier while the poor in fact experience a reduction in their wealth, or at best maintain their low status.A number of different governmental and social structures exist in different countries resp ectively to ensure a Just community, and people have many different views on what the best approach to distributing wealth is; however it seems that in all forms of idealisms that ountries are run on a fair wealth distribution model is still yet to be truly attained. A social democratic view enacted by the Australian government strives, like other forms of idealism, to promote equality.The Australian government, advocating social Justice in light of human, civil and social rights, attempts to reduce economic disparity between what is known as the ruling class (the bourgeoisie) and the working class (the proletariat) first and foremost through a high tax rate. This allows the government to create and provide a welfare state, where the state plays a key role in he protection and promotion of the economic and social well-being of its citizens.In this way the government can give welfare checks to the unemployed and poverty stricken individuals and pay for vital social services such as h ealth care. Additionally under the heading of human rights, social rights, civil rights, and ultimately the advocacy of social Justice, there are in place government bodies to ensure labor rights and encourage a mixed economy, along with an extensive system of social security to ensure citizens against loss of income following illness, unemployment, or retirement.However, despite the multitude of measures taken to ensure the equitable distribution of wealth and opportunity, wealth distribution in Australia today is still seen as unjust as a large proportion of the countrys wealth is still tied up in a small percentage of people at the top end of the social spectrum. The general dissatisfaction arising from this situation is palpable in the occupy Wall Street movements, that are concerned with the injustice currently taking place with respect to wealth distribution.These occupy movements that began in America but have since hit other capitalist societies, are directed at economic and social nequity. More specifically, however, the people are indignant that the top 1% of the social spectrum continues to grow richer while everybody else becomes poorer, and for this reason the movement commonly chants the slogan â€Å"we are the 99%. † In America the movement has drawn attention to the fact that the richest 1% of Americans now own more wealt n than the poorest ot Americans combined, and the richest 400 Americans now have more wealth than the bottom 155 million Americans combined.It is therefore not hard to see reason for their protest. A similar situation currently exists in Australia, with large discrepancies in numbers in 2009-10 etween the wealthiest 20% of households and the poorest 20% of households. According to the Australian Bureau of Statistics, the wealthiest 20% account for 62% of total household net worth, with an average net worth of $2. 2 million per household while the poorest 20% of households account for only 1% of total household net worth , with an average net worth of $31,829 per household.This can be at least partly attributed to a decrease in tax rate increments. The statistics draw on the selected income distribution indicators, which specify disposable household income (money that can be kept and spent for recreational purposes), show that those ndividuals in the high income bracket receive 40% of their total income while those in the low income bracket only receive 10%. Consequently, the net worth across households becomes even less matched as the rich not only have a considerably higher income, but are also able to save up much more.The discrepancies between the net worth in households are therefore exponentially larger than the discrepancies that exist in income, which reflects the previously mentioned pattern of people accumulating wealth through their working lives. The indignant attitudes posited by the movement can therefore be seen as Justified. However, thought it may be Justified, the movement seems to lack a focused goal -they demand that some change is needed so that the situation regarding inequality can be rectified, but their demands fail to offer articulated strategy as to how this can be done.Although economic and social distributions are still lopsided in Australia, exemplified by the movements that have recently hit, certain institutions are in place that attempt to minimize this inequality and give hope that equality may be some day attainable. In the spirit of much desired social Justice, our government advocates the rinciples of both equality of opportunity and equitable distribution of wealth, as well as public responsibility for those unable to avail themselves if the minimal provisions for a good life.As a result, welfare is available to whoever needs it, every citizen automatically benefits from health cover for serious illnesses, student loans from the government are not subject to interest and can be paid off in manageable amounts, our government is not in reces sion, and, ultimately we are for the most part well looked after. Such institutions and benefits that represent a positive step in the irection of equality are not always found in other countries.Statistics on wealth distribution in the United States of America for example, in theory a neo-liberalist country, portray an even more radical divergence between the bourgeoisie and the proletariat. Furthermore, the minimum wage in Australia is the equivalent of $14 USD, which far exceeds America's $7. 25. The Australian unemployment rate of 5. 2%, too, is more favorable to the rate of 8. 6% here. So, while the Australian wealth scheme is far from perfect, it is favorable to the current American model.Of interest is North Korea's, communist approach to wealth distribution. Their government restricts personal freedom, advocating that everybody must be of comparable status in all aspects in order to achieve social Justice. The system's scheme for economic equality is therefore simple; howeve r it too inevitably fails as it works against human nature . The result ot such idealism is that a tew end up taking power and all the wealth, as we can see when we consider Kim Jong IL's position.So, irrespective of the way in which governments try to disperse wealth, a large proportion of the countrys wealth will be held by a small percentage at the top. Some might argue that the current distribution of wealth is, on the contrary, a reflection of Justice because those that are rich are in fact rich because they work harder and are more deserving. This, while occasionally being accurate, is not always the case. Frequently those individuals in the top 1% are overpaid while people in the ‘low-income' bracket who are working harder for many more hours are fghting to support themselves.Here, we can appreciate a frustration that can arise, which supports one of Freud's suggestions as to how discontent with civilization can develop. The constraining effects of living in a civilized community, here manifested in an inability to achieve due to order and status, can fuel disgruntlement which can naturally lead to pandemonium, which is mildly observed in the occupy movements. Whether the existing economic inequality can be seen as a social injustice can be considered in light of Socrates assertions.Socrates believes in distributive Justice where things such as wealth are properly allocated; that is, wealth would be disseminated equally to all deserving, contributing members of a society. Indeed this seems to be a sound philosophy when we consider the consequences of the mproper allocation of wealth in our society today, being ubiquitous turmoil and the indignant protests of occupy movements to which inequality gave rise. This prompts a consideration of an egalitarian attitude; perhaps Justice can only exist within the coordinates of equality.Moreover, Socrates believed that the best way for people to live was to focus on self-development rather than on the pursui t of material wealth, which seems to be precisely where the wealthy have focused their efforts. It can be safely concluded that at present wealth distribution does not reflect social Justice. However, with incremental progressions like those that have been recently made in Australia, along with contemplation of such philosophical principles, we will come ever closer to reaching equity.

Leadership Styles Of Conrad Hilton - 1617 Words

Leadership Comparison For my leadership comparison I selected Conrad Hilton of Hilton Worldwide. Since being founded in 1919, Hilton Worldwide has been a leader in the hospitality industry. Today, Hilton Worldwide remains a beacon of innovation, quality, and success. Leadership Characteristics Knowledge Gained from Research Knowledge Gained from Class How I plan to apply this Knowledge Integrity Hilton Worldwide prides themselves on doing things right the first time. I plan to uphold integrity in every business deal that I take part in. By being a leader that believes in integrity I feel that it would in turn rub off on other around me. Determination Hilton’s business faced troubles at first, incurring losses and running into debt. But with determination, he trusted on his ability, started over again and bought his first hotel outside Texas in San Francisco. He then set a goal to build a hotel every year. I plan to be deterred regardless of any issues or obstacles that may get in my way. Passion Hilton hired capable managers and allowed them to make important decisions regarding hotel policies. He also encourages and supports his staff to achieve the goals of the hotel, which is to give excellent service for the guests staying in the hotel. Many hotels are dedicated to sustainable and environmentally responsible practices. Employees who share this passion, then, are motivated by the knowledge that they are part of these efforts. I plan to come to work every day notShow MoreRelatedEssay on Leadership used by Conrad Hilton3135 Words   |  13 PagesCourse Date Leadership Styles Used by Conrad Hilton Conrad Nicholson Hilton was an American hotelier and founder of the Hilton Hotel chain (Alef 2009). Hilton was born on 25th December 1887 in the city of San Antonio, New Mexico Territory. 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Ghazzawi Prepared by BUS 551: Seminar in Organization Theory Behavior October 11, 2010 CONTENTS PAGE Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 Organizational Background†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 Organizational Structure and Design†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦6 Hilton’s Culture and Ethics†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.9 Organizational Environment†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..10 Hilton Hotel manages its workforce diversity†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Read MoreMultinational Organization: Effective Organizational Leadership3286 Words   |  14 Pageshigh importance to understand the relation between leadership styles, organizational cultures and the performance of the Chinese employee. 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