Daily Responsibilities Research Articles

Patient and Caregiver Perspectives on Care-Seeking During a Vaso-Occlusive Crisis in Sickle Cell Disease: Results from Qualitative Interviews in Canada

There is little research on care-seeking preferences during active pain crises for sickle cell disease (SCD) patients and their caregivers. The objective of this study was to identify relevant, patient or caregiver narratives of the pain crisis experience, to understand the factors that contribute to care-seeking during a pain crisis, and to identify preferences when making care-seeking decisions during a pain crisis. Qualitative semi-structured interviews were conducted with Canadian residents with a self-reported SCD diagnosis, who were either ≥18 years of age or an adolescent between the ages of 12-18. Interviews were hosted virtually, audio-recorded, and transcribed verbatim. A total of 23 individuals participated (74% female; 26% male), including six adolescents with parent dyads and 11 adults. Almost all (N = 21, 91.3%) participants were Black/African American. Participants mentioned many factors that influenced care-seeking decisions, mainly the symptom and pain experience; institutional factors (waiting time, the presence of and adherence to treatment guidelines, and the empathy or racial bias felt from medical staff); and subject-level factors (age and a flexibility in daily responsibilities). This study identified important institutional and subject-level considerations involved in care-seeking decisions. Most importantly, this study highlights the racial stigma faced by many patients when care-seeking in the ER and the lack of care protocol implemented, which hinders care-seeking in a dedicated medical facility. From the patient perspective, these are clear gaps to fill to encourage patients to seek and receive the care they deserve.

PS-C12-10: “CHRONOBIOLOGY” THE NEW PARADIGM OF CLINICAL APPROACH

1) Definition: Chronobiology is the study of biological rhythms. Over the past few decades, chronobiology has developed into a multidisciplinary field. 2) The suprachiasmatic nucleus (SCN) is a bilateral structure located in the anterior part of the hypothalamus. It is the central pacemaker of the circadian timing system and regulates most circadian rhythms in the body. 3) Why your circadian rhythm matters? Our circadian rhythm matters in all parts of our life. For eg: if your sleep times are off, your hunger could be off or your eating times. We often see people who are sleep deprived either their hunger goes up or down. And the time when they get hungry changes. 4) How to tell it is time to reset our circadian rhtym ? You might need to reset your circadian rhythm:: if you have trouble falling asleep, staying awake in the evening, waking in the morning, focusing on daily tasks and responsibilities. 5) Our circadian rhythms evolve over time. As we age, our circadian timing gets earlier. People in their 50 s, 60 s and 70 s may start to want go to bed earlier and wake up earlier. If you were a night owl as a teenager, you could be a morning person when you are an older adult. 6) Small Study at LMR Hospital: TARGET PEOPLE 1) ELDERLY PEOPLE WITH HYPERTENSION 2) MID AGED PEOPLE BOTH MALE AND FEMALE 25-40 YEARS WITH BORDERLINE HYPERTENSION Observations: 1) In a group of 1000 elderly people with HTN correction in 1 hour of sleep cycle has improved their quality of life by 60 to 70 percent and thereby reducing the dose of antihypertensives. 2) In middle aged females and males of 1000 people (age 30–40) with prehypertension timely sleeping, avoiding nighttime electronic gadgets tv, increased physical activity almost avoided the need for the antihypertensives. Conclusions: A very small variation in the circadian rhythm will have great impact on our health. For eg:: 1 hour deprivation of sleep may increase the stroke risk from 40 % to 80 % and thereby increasing mortality rate. It is very important to note that even in clinical trials of many drugs, circadian rhythm should also be taken in to consideration. for eg:: dippers and non dippers in population. 9) Goal of this Entire Study: Doctor treating the patients accordingly to the biological clock will give the chance for getting excellent results without increasing the dose of medication.

Research on Technical supervision of Steam turbine in nuclear power plant

Based on the technical characteristics of nuclear power turbine, the technical differences between nuclear power turbine and thermal power turbine are analyzed. Based on the premise of nuclear safety and combined with the characteristics of nuclear power plants, the feasible supervision mechanism of conventional island turbine and the daily management responsibilities of nuclear power supervision are studied. Extensive research and collection of nuclear power related data, including technical specifications, operation procedures, maintenance procedures, etc., through the analysis and collation of these data, the technical supervision content of nuclear power conventional island turbine is studied, highlighting the differences with thermal power turbine technical supervision.

Normativni aspekti upravnog monitoringa službi bezbednosti Republike Srbije

The historical development of human society has consistently emphasized human rights and freedoms as fundamental principles for the emergence and evolution of a democratic and civil society. This has led to the establishment of modern public administration with a robust legal foundation and legally guided and controlled security services. In such a context, security plays a pivotal role in the existence of a cohesive society, impacting all social and economic aspects. Security services are closely linked to the state, responsible for planning, organizing, and implementing measures and activities aimed at safeguarding individuals and property from various threats. As the entities responsible for these activities within society, security service providers take administrative measures and actions to continually monitor their operations. Therefore, administrative monitoring of security services is of paramount importance for the functioning and transparency of the state's security apparatus. Given the predominantly confidential nature of security service activities, it becomes essential for the public to have assurances that the means employed to carry out these activities are used correctly, legally, economically, and efficiently. This paper primarily focuses on identifying the specifics of administrative monitoring of the security services in the Republic of Serbia as defined by the norms established in system laws and related regulations. In conclusion, this work underscores that administrative monitoring essentially entails an ongoing process of external and internal supervision and control over the execution of daily tasks and responsibilities of security services. This oversight is achieved through the implementation of appropriate administrative actions and measures, the effectiveness of which is instrumental in realizing the powers and authorities defined by law.

Exploration of Anticipatory Socialization and Transition to Practice: Multistakeholder Perspectives

Context The transition to practice of novice athletic trainers (ATs) has been explored from the perspectives of ATs, supervisors, and faculty separately. Objective To investigate multiple stakeholders' perceptions of and experiences with novice ATs and their transition to practice. Design Qualitative study. Setting Telephone/online. Patients or Other Participants Seventeen novice ATs (age = 26 ± 5 years, experience = 9.5 ± 5 months; professional degree: bachelor's = 5, master's = 12), 10 faculty and 8 preceptors (age = 43 ± 10 years), and 16 supervisors of novice ATs (age = 52 ± 11 years) participated. Data Collection and Analysis Participants were purposefully recruited through the National Athletic Trainers' Association survey service and social media posts. We followed the consensual qualitative research tradition while conducting individual, semistructured interviews. Interviews were recorded, transcribed, and deidentified before analysis. Three researchers confirmed data saturation and analyzed transcripts over multiple rounds using a consensus codebook. To enhance trustworthiness, multiple researchers, member checking, and auditors were used. Results Four themes emerged regarding the anticipatory socialization of students and their transition to practice. Novice ATs' personal characteristics and behaviors were described as facilitating or impeding their professional interactions. Their content knowledge and skills were considered sound, but they struggled with health care administrative tasks and interpersonal skills. Professional preparation that included a variety of clinical experiences and practical applications was identified to be most helpful, yet more opportunities to purposefully engage in daily responsibilities of ATs were needed. Lastly, when reciprocal learning occurred it was deemed valuable among stakeholders. Conclusions Novice ATs are perceived to be energetic, eager, and academically prepared. However, underdeveloped professional or interpersonal skills and limited familiarity with health care administrative tasks can hinder their transition to practice. Therefore, faculty and preceptors should work collaboratively to engage students in all facets of AT job responsibilities to enhance their ability to navigate the workplace.

Гендерная асимметрия в традиционной культуре тюркских народов Дагестана в XIX – нача-ле XX в.

The article indicates gender roles in the traditional culture of the Turkic–speaking peoples of Da-gestan in the 19th – early 20th century, defines the daily responsibilities of men and women in the household, their gender-marked occupations, stereotypes and behaviors, their participation degree in social production, and also defines the individual opportunities of men and women in everyday and public life, in education, in access to governance, in the family law system, their place and role in public life and spiritual culture. The materials point to the asymmetry of the gender system of the Turkic-speaking peoples of Dagestan, where everything male (masculine) was primary, sig-nificant and dominant, and everything female (feminine) was defined as secondary, insignificant, and subordinate. It was found that the gender distribution in the family among the Turkic-speaking peoples of Dagestan occurred under gender, according to which the man performed professional roles, the woman's family roles, which corresponded to the accepted ideas about the masculine and feminine type. Against the background of globalization processes, when the traditional family institution is on the verge of extinction, and gender-neutral education is broadly promoted in for-eign media, the study of gender roles and features of gender behavior and education in traditional culture is of great scientific and practical importance.

A comparative study on enrolment of scheduled caste and scheduled tribe learners in bachelor of social work programme of IGNOU in Assam before and after implementation of IGNOU fee exemption scheme under SCSP/TSP Grant

Education is a very important determinant of overall development of a community or a society. It is the responsibility of a state in democratic country like India to provide equal opportunity of qualitative educational development to all sections of the society. Distance education is mainly focused on democratization of higher education by providing a platform to disadvantageous section of people due to some unavoidable circumstances. It facilitated them; get the hands on training through distance mode without hampering the daily social responsibilities and activities of learners. IGNOU BSW programme is one of the important professional based programme for learners dealing with professional training/degree in Social Work. India’s Northeast region is popularly celebrated for its cultural diversity with sizable number of Schedule Tribe (ST) community as inhabitant of this region. Social Work Education in the Northeast region of India began only in the year 1992. The present study is carried out on 620 learners of BSW programme enrolled at IGNOU RC, Guwahati in last ten years from 2010 to 2019 with an intention to assess the impact of IGNOU fee exemption scheme in admission of Scheduled Caste (SC) and Scheduled Tribe (ST) learners in undergraduate programmes. This will enable us to know and assess the participation/ involvement of SC/ST learners in free admission scheme of IGNOU under SCSP/TSP Grant in Assam by examining their percent shares in annual admission. Apart from that we have also examined the overall general trends of admission on the basis of Area (Urban, Rural & Tribal), Gender, the age profile, and marital status of learners enrolled in this programme. This study is undertaken to determine and access the fulfilment of University’s motto “reaching the unreached” in weaker section and scheduled communities of our society.

Concurrent and convergent validity of culture-specific psychopathology syndromes among Cambodian adolescents.

Psychopathology is defined in part by its impacts on life functioning (e.g., fulfillment of daily responsibilities at work or school, in family relationships). Relations to life functioning are particularly important in the validation of culture-specific syndromes (patterns of mental health symptoms specific to a particular culture), to demonstrate that culture-specific symptom patterns do in fact represent pathology. The current study's goal was to assess the construct validity of the Cambodian Somatic Symptom and Syndrome Inventory (CSSI). The study focused on the statistically unique effects of the CSSI on life functioning (i.e., effects of the CSSI on life functioning, controlling for Western psychopathology syndromes), to determine whether the CSSI contributes information beyond standard Western measures, which would support CSSI culture-specific convergent validity. Because adolescence is a key period when psychopathology often develops, study participants were 391 high-school students in one urban and one rural area of Cambodia. Participants completed the CSSI, the Western psychopathology surveys Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder questionnaire (GAD-7), and life functioning measures assessing functional impairment, quality of life, and help-seeking. Results indicated strong CSSI concurrent validity (canonical correlation = 0.75) with the PHQ-9 and GAD-7, and CSSI total effects convergent validity on life functioning indicators. All CSSI statistically unique effects (controlling for the PHQ-9 and GAD-7) on life functioning measures were non-significant indicating that the CSSI, shown to be a valid assessment measure in the current study, does not add predictive information beyond standard Western measures. A key limitation that should be considered in interpretation of these results is that the life functioning measures, although reviewed by Khmer psychologists, were Western-based, thus potentially inflating relations with Western psychopathology measures.

ASSESSING INTERPROFESSIONAL ORAL HEALTH EDUCATION AND PRACTICE FACILITATION OUTCOMES WITHIN LONG-TERM CARE

Abstract Older adults residing in long-term care (LTC) settings are at an increased risk of poor oral health due to comorbidities and limited ability to provide self-care. Routine oral care is essential for maintaining overall health. Coupled with resident vulnerability is a traditional lack of training and focus on oral health care in LTC. MOTIVATE (Maine’s Oral Team-Based Initiative: Vital Access to Education) is a pilot (N = 8 sites) interprofessional education program focused on daily oral health care within LTC, providing education and technical assistance to advance staff knowledge, skills, and attitudes about oral health. An evaluation was carried out using a pre/post survey design with instruments administered immediately before and after learning module completion along with a survey administered one month after implementation. Knowledge, attitudes, and oral health practices were assessed. A statistical comparison between baseline (N = 491) and post-launch (N = 215) scores revealed a statistically significant improvement (p < 0.001) across all knowledge and attitudes measures including the perceived importance of oral health, understanding of interprofessional roles among the care team, the role of oral health in supporting resident dignity and quality of life, and confidence in providing oral health care. Factors facilitating the transfer of knowledge to practice (N = 478) included personal interest in the topic (46.4%), knowing where to obtain information when needed (47.6%), and knowing how to apply learning to LTC daily care responsibilities (62.4%). Findings underscore the importance of oral health training and implications for practice transformation in an interprofessional context.

Addressing Compassion Fatigue in Family Caregivers using a Mindfulness-based Smartphone Application

The number of Americans receiving some level of healthcare at home is rapidly increasing, often leaving family members responsible for providing care for their loved ones. The impact on these unpaid caregivers, who must also balance the stressors of work and other daily responsibilities, can lead to compassion fatigue (CF). A growing body of evidence suggests that the practice of mindfulness meditation can reduce the symptoms of CF, such as stress, anxiety, and depression. This quality improvement project sought to determine if using a mindfulness-based smartphone app daily for 6 weeks would have any impact on CF in family caregivers. The project sought to determine whether it was feasible for caregivers to use the app and examined the impact on stress, depression, and anxiety. Participants completed two validated instruments before and after the 6-week intervention and results were compared using Wilcoxon signed rank tests. Results indicated a significant reduction in stress (p = .043) and a marginal reduction, though not significant, in depression (p = .075) and anxiety (p = .149). The caregivers found the app to be useful. Future projects should investigate the patterns of use by family members and use of the app as an adjunct to other interventions.

Needs Assessment and Best Practices for Digital Trainings for Health Professionals in Ethiopia Using the RE-AIM Framework: COVID-19, Case Study.

To assess the implementation science outcomes of a COVID-19 e-health educational intervention in Ethiopia targeting healthcare workers via the RE-AIM (Reach, Effectiveness, Adaption, Implementation, Maintenance) framework. A series of three one-hour medical seminars focused on COVID-19 prevention and treatment education were conducted between May-August 2020. Educational content was built from medical sites previously impacted by COVID-19. Post-seminar evaluation information was collected from physician and other participants by a survey instrument. Cross-sectional evaluation results are reported here by RE-AIM constructs. The medical seminars reached 324 participants. Key success metrics include that 90% reporting the information delivered in a culturally sensitive/tailored manner (effectiveness), 80% reporting that they planned to share the information presented with someone else (adoption and implementation), and 64% reporting using information presented in their daily clinical responsibilities 6 months after the first medical seminars (maintenance). Grounded in a theoretical framework and following evidenced-based best practices, this intervention advances the field of dissemination and implementation science by demonstrating how to transition healthcare training and delivery from an in-person to digital medium in low-resource settings like Ethiopia.

Zero knowledge and high interest in the use of long-acting injectable pre-exposure prophylaxis (PrEP) among adolescent men who have sex with men and transgender women in two capital cities in Brazil

BackgroundAdolescent men who have sex with men (aMSM) and transgender women (aTGW) are affected disproportionately by human immunodeficiency virus (HIV) infection. Although new methods of pre-exposure prophylaxis (PrEP), such as long-acting injectable (LAI-PrEP), have been approved by the Food and Drug Administration, their acceptability among aMSM/aTGW is not well known.MethodsForty-eight semi-structured interviews were conducted to assess the knowledge and interest in LAI-PrEP among aMSM/aTGW enrolled in a daily oral PrEP cohort from two capital cities of Brazil since 2019.ResultsPrevious knowledge of LAI-PrEP remains scarce, but the high interest regarding its use has been reported. Interest in the use of LAI-PrEP is associated with eliminating the burden of daily responsibility or the risk of missing the necessary medications, lowering the costs of this method, increasing confidentiality, and decreasing the frequency of visiting PrEP clinics. The reported barriers to uptake included fear of injection, doubts on its effectiveness, side effects, and greater dependence on a health provider.ConclusionsThere is an urgent need to strengthen the preventive strategies against HIV infection among the youth, enhance their knowledge and those of healthcare providers, and offer safe and new options.

Investigation of Digital Game Addiction and Attitudes Towards Sports in Adolescent Individuals

Aim: This study aimed to examine digital game addiction and attitudes towards sports in adolescents. Method: The screening model was used in our research. After giving preliminary information about the questionnaire to the participants, a total of 191 volunteers, 113 (59.5%) females and 77 (40.5%) males participated in the study voluntarily. In the research, the 'Digital Game Addiction Scale (DGAS-7) and the 'Sports Attitude Scale ' (5-point Likert Type) consisting of 22 items were used as data collection tools. The research data were analyzed with the SPSS 22.0 package program and the margin of error was taken as p<0.05. Results: When the results were examined, it was seen that 59.5% of the participants were women, 40.5% were men, and 45.8% participated in the exercise activity. At the same time, it was understood that the total scores of psychosocial development, mental development and attitude towards sports, which were sub-dimensions of the sports attitude scale, of the participants who exercise had higher scores than the participants who did not exercise. In this context, it can be said that the attitudes of the participants who exercise were more meaningful. Conclusion: As a result, young adult individuals who were connected to games may have difficulties in fulfilling their daily responsibilities and may cause mental and cognitive disorders as a result of establishing a connection between real life and the virtual world, which can negatively affect their academic achievement levels. Moreover, individuals should be encouraged to participate in sports, because it was thought to have a positive effect on the mental and physical development of young adults. Keywords: Adolescent, Sports and Digital Game This Research Was Present at as Oral Presentation the 8th International Congress on Science, Culture and Sports

Functioning of Children and Adolescents with Cancer.

The aim of the current study was to evaluate the functioning of children and adolescents diagnosed with cancer. This was a cross-sectional, observational study, with children and adolescents diagnosed with cancer, from 2 to 18 years of age, of both sexes, invited to participate in the city of Juiz de Fora, Minas Gerais, Brazil. The Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT) questionnaire was applied to the caregivers to assess the functioning of the participants, in four domains: daily activities, mobility, social/cognitive, and responsibility. In total, 33 children and adolescents participated, of both sexes, with a mean age of 9.23 years. The results showed that in the mobility category, participants older than 8 years presented worse functioning (OR = 22.000, 95% CI = 3.415–141.733, p = 0.0001). Children older than 8 years of age and adolescents with different types of cancer showed a higher chance of presenting lower mobility than their normal peers of the same age and compared with children under 8 years of age. Understanding the impact of childhood cancer is important for the physiotherapist to determine treatment strategies for this population who live with dysfunctions left by the cancer treatment.

Managing daily responsibilities among collegiate student-athletes: Examining the roles of stress, sleep, and sense of belonging

Objectives: Student-athletes are unique in their undertaking of full-time academic and athletic roles. Their dual roles impose a multitude of responsibilities in their daily lives, yet little is known about the factors that may negatively impact their ability to effectively manage these responsibilities. Participants: Data from a large sample of Canadian varsity athletes (N = 1,353) were used for the present study. Methods: The association between stress and difficulties managing daily responsibilities, while simultaneously investigating the roles of sleep difficulties and sense of belonging as contributing factors was examined. Results: Findings indicated that the moderated mediation model was significant, revealing that sleep difficulties were a significant mediator in the relationship between stress and difficulties managing daily responsibilities and that sense of belonging moderated the relationship between stress and sleep difficulties. Conclusions: The results expose complex ways that student-athletes’ performances (academic and athletic) can be impaired, signaling the need to develop strategic actions toward prevention and management of stress among student-athletes.

Review: Narrative Medicine in Hospice Care: Identity, Practice, and Ethics through the Lens of Paul Ricoeur, by Tara Flanagan

Review: <i>Narrative Medicine in Hospice Care: Identity, Practice, and Ethics through the Lens of Paul Ricoeur</i>, by Tara Flanagan

Restless Legs Syndrome (RLS): An Overview

Restless Legs Syndrome is a condition in which you have an uncontrollable urge to move your legs, frequently in response to a bad feeling. It frequently happens in the evening or at night, while you're seated or lying down. The discomfort is briefly relieved by moving around. Willis-Ekbom illness, often known as restless legs syndrome, can start at any age and gets worse over time. By disturbing sleep, it might cause problems with daily responsibilities. Simple self-care and lifestyle changes may be helpful in reducing symptoms. Many persons with RLS benefit from medication1.

Operational Evaluation of a Wildfire Air Quality Model from a Forecaster Point of View

Abstract An evaluation of an operational wildfire air quality model (WFAQM) has been performed. Evaluation metrics were chosen through an analysis of interviews and a survey of professionals who use WFAQM forecasts as part of their daily responsibilities. The survey revealed that professional users generally focus on whether forecast air quality will exceed thresholds that trigger local air quality advisories (e.g., an event), their analysis scale is their region of responsibility, they are interested in short-term (≈24 h) guidance, missing an event is worse than issuing a false alarm, and there are two types of users—one that takes the forecast at face value, and the other that uses it as one of several information sources. Guided by these findings, model performance of Environment and Climate Change Canada’s current operational WFAQM (FireWork) was assessed over western Canada during three (2016–18) summer (May–September) wildfire seasons. Evaluation was performed at the geographic scale at which individual forecasts are issued (the forecast region) using gridded particulate matter 2.5 (PM2.5) fields developed from a machine learning–based downscaling of satellite and meteorological data. For the “at face value” user group, model performance was measured using the Peirce skill score. For the “as information source” user group, model performance was measured using the divergence skill score. For this metric, forecasts were first converted to event probabilities using binomial regression. We find when forecasts are taken at face value, FireWork cannot outperform a nearest-neighbor-based persistence model. However, when forecasts are considered as an information source, FireWork is superior to the persistence-based model.

Evaluation of pharmacist time dedicated to vancomycin dosing in adult patients using a 24-hour AUC nomogram or trough monitoring approach: A time motion study.

Evidence-based guideline recommendations for vancomycin dosing recently shifted from a trough-based strategy to an area under the curve (AUC) approach. While several AUC dosing methods exist, the optimal approach has not been determined. Literature characterizing time requirements for various vancomycin dosing strategies remains limited. A time and motion study was conducted to measure the time spent by clinical pharmacists dosing vancomycin using an AUC nomogram. Pharmacists who dosed and monitored vancomycin for adult patients on the general medical ward (GMW) or intensive care unit (ICU) of a large academic medical center consented to study participation. Vulnerable patients and vancomycin orders for surgical infection prophylaxis were excluded. The primary outcome was the median amount of time clinical pharmacists dedicated to vancomycin-related clinical activities during an 8-hour weekday shift. Secondary outcomes included the proportion of patients prescribed vancomycin at the beginning of each shift and factors contributing to greater than average time spent on vancomycin-related responsibilities. Seven clinical pharmacists collected data on 178 vancomycin orders. The estimated amount of time a clinical pharmacist spent on daily vancomycin responsibilities averaged 10.45 minutes (interquartile range [IQR], 6.94-15.8 minutes). The overall median time requirement per vancomycin assessment was 3.45 minutes (IQR, 1.95-6.7 minutes). The only factor independently associated with prolonged dosing time was follow-up dosing from a previous day. The study elucidated time requirements associated with an AUC nomogram-based vancomycin dosing approach. This data could be used to compare time requirements associated with other existing vancomycin dosing strategies, which may help healthcare systems determine the optimal AUC dosing method for their specific practice model.

ENGLISH LANGUAGE AS A NEED OF PRESENT EDUCATION SYSTEM AND BUSINESS

It has a great influence over every organization that without English language, no any business organization can work globally and the managers of the organization can not represent their work at the global platform. As English is also the part of business communication and it can be said undoubtedly that if any owner of any business organization cannot communicate in English language, so his /her business will not get global exposure. The reasons of the failure of his/her will be not to have a good command over English language like the business man does not know how to write an email, writing business letter, preparing a business report and giving presentation for the promotion of the business. Many organizations train their employees for the effective working of the organization like they are imparted the training of soft skills, personality development and communication skills. Effective communication skills are a daily part of business communication because conducting meeting and solving problems related to any issue of the organization is the daily responsibility of every employees that if they wish to increase the productivity of their company. They need to solve the problems and represent their views with effective manner. It has been observed that in the corporate world those who have a good command over English language are given importance and their thoughts and views have a power of persuasion Even if we talk about the clerical staff of the organization, employee who have a good command over English language their views and thoughts are given importance and they are listened carefully and when they participate in any meeting they are considered as an effective employee of the organization and they get salary hike and promotions early in their career and because of their English language skills they get better career opportunity comparatively other employees in the same and in different organizations. In the present scenario of business world no any organization considers the candidate if he does not have a working knowledge of English language even if he has a good marks in his/her academics. the reason is that good marks and degree is like a key to unlock the door of business world but the candidates will have to work for the organization and most of the time candidate has a good academic career but fails to work effectively thats the reason getting the knowledge of business in college and in any academic organization its difficult but by doing it practically. So if we believe in the concept English language and the power of soft skills that candidate has no any Masters degree in business even then he can work with the help of his/her skills.