Muscle Testing of the Trunk
Prof. Satyen Bhattacharyya
Associate Professor: BIMLS, Bardhaman
Chief Physio: Fit O Fine
Director: Well O Fit Healthcare PVT. LTD.
Muscle Testing of the Trunk
Trunk Flexion
Rectus abdominis
Muscles contribute to Trunk Flexion Rectus abdominis
Origin:
Pubic crest and pubic symphysis
Insertion:
5, 6, 7 costal cartilages, medial inferiorcostal margin and posterior aspect of xiphoid
Action:
Trunk Flexion
Nerve supply:
Normal
Position:
Supine with hands behind neck.
Stabilization:
Stabilize legs firmly.
Desired Motion:
Patient flexes thorax on pelvis through ROM
Normal
Note:
If hip flexor muscles are weak, stabilize pelvis.
A curl up is emphasized, and flexion is possible until scapulae are raised from table.
Tests for neck flexion should precede those for trunk flexion
Good
Position:
Back lying with arms at sides.
Stabilization:
Stabilize legs firmly.
Desired Motion:
Patient flexes thorax on pelvis through range of motion.
If hip flexor muscles are weak, stabilize pelvis.
Flexion is possible until scapula are raised from table.
Fair
Position:
Supine with arms at sides.
Stabilization:
Stabilize legs firmly.
Desired Motion:
Patient flexes thorax on pelvis through partial range of motion.
Head, tips of shoulders and cranial borders of scapulae should clear table with inferior angle remaining in contact with table.
If hip flexor muscles are weak, stabilize pelvis
Poor
Position:
Supine with arms at sides
Desired Motion:
Patient flexes cervical spine.
Caudal portion of thorax is depressed, and pelvis is tilted until the lumbar area of spine is flat on table.
Palpation will help to determine smoothness of contraction
Trace & Zero
Position:
Supine
Observation:
A slight contraction may be determined by palpation over anterior abdominal wall as patient attempts to cough (also during rapid exhalation or as patient attempts to lift head).
Observe deviation of umbilicus.
Cranial movement indicates stronger contraction of upper section of muscle, and caudal movement, stronger contraction of lower section (not illustrated.)
Note
Factors Limiting Motion:
1- Tension of posterior longitudinal ligament, ligamenta flava, and interspinal and supraspinal ligaments
2- Tension of spinal extensor muscles
3-Apposition of caudal lips of vertebra bodies anteriorly with surfaces of subjacent vertebrae
4-Compression of ventral part of intervertebral fibrocartilages
5-Contact of last ribs with abdomen
Fixation:
1-Reverse action of hip flexor muscles
2-Weight of legs and pelvis
Trunk Extension
Muscles contribute to Trunk Extension Erector spinae – Spinalis
Origin:
Spinous processes
Insertion:
Spinous processes six levels above
Action:
Trunk Extension
Nerve supply:
Dorsal rami of spinal nerves
Muscles contribute to Trunk Extension Erector spinae – lliocostalis
Origin:
Iliac crest, sacrum, lumbar vertebrae
Insertion:
Ribs, cervical transverse processes
Action:
Trunk Extension
Nerve supply:
Dorsal ram
Muscle Testing of the Trunk
Prof. Satyen Bhattacharyya
Associate Professor: BIMLS, Bardhaman
Chief Physio: Fit O Fine
Director: Well O Fit Healthcare PVT. LTD.
Muscle Testing of the Trunk
Trunk Flexion
Rectus abdominis
Muscles contribute to Trunk Flexion Rectus abdominis
Origin:
Pubic crest and pubic symphysis
Insertion:
5, 6, 7 costal cartilages, medial inferiorcostal margin and posterior aspect of xiphoid
Action:
Trunk Flexion
Nerve supply:
Normal
Position:
Supine with hands behind neck.
Stabilization:
Stabilize legs firmly.
Desired Motion:
Patient flexes thorax on pelvis through ROM
Normal
Note:
If hip flexor muscles are weak, stabilize pelvis.
A curl up is emphasized, and flexion is possible until scapulae are raised from table.
Tests for neck flexion should precede those for trunk flexion
Good
Position:
Back lying with arms at sides.
Stabilization:
Stabilize legs firmly.
Desired Motion:
Patient flexes thorax on pelvis through range of motion.
If hip flexor muscles are weak, stabilize pelvis.
Flexion is possible until scapula are raised from table.
Fair
Position:
Supine with arms at sides.
Stabilization:
Stabilize legs firmly.
Desired Motion:
Patient flexes thorax on pelvis through partial range of motion.
Head, tips of shoulders and cranial borders of scapulae should clear table with inferior angle remaining in contact with table.
If hip flexor muscles are weak, stabilize pelvis
Poor
Position:
Supine with arms at sides
Desired Motion:
Patient flexes cervical spine.
Caudal portion of thorax is depressed, and pelvis is tilted until the lumbar area of spine is flat on table.
Palpation will help to determine smoothness of contraction
Trace & Zero
Position:
Supine
Observation:
A slight contraction may be determined by palpation over anterior abdominal wall as patient attempts to cough (also during rapid exhalation or as patient attempts to lift head).
Observe deviation of umbilicus.
Cranial movement indicates stronger contraction of upper section of muscle, and caudal movement, stronger contraction of lower section (not illustrated.)
Note
Factors Limiting Motion:
1- Tension of posterior longitudinal ligament, ligamenta flava, and interspinal and supraspinal ligaments
2- Tension of spinal extensor muscles
3-Apposition of caudal lips of vertebra bodies anteriorly with surfaces of subjacent vertebrae
4-Compression of ventral part of intervertebral fibrocartilages
5-Contact of last ribs with abdomen
Fixation:
1-Reverse action of hip flexor muscles
2-Weight of legs and pelvis
Trunk Extension
Muscles contribute to Trunk Extension Erector spinae – Spinalis
Origin:
Spinous processes
Insertion:
Spinous processes six levels above
Action:
Trunk Extension
Nerve supply:
Dorsal rami of spinal nerves
Muscles contribute to Trunk Extension Erector spinae – lliocostalis
Origin:
Iliac crest, sacrum, lumbar vertebrae
Insertion:
Ribs, cervical transverse processes
Action:
Trunk Extension
Nerve supply:
Dorsal ram
GONIOMETRY FOR THE LOWERLIMB DISCUSSES IN CONCISE THE DIFFERENT TYPES OF GONIOMETERS AVAILABLE FOR MEASURING VARIOUS JOINT ROM, PRINCIPLES OF GONIOMETRY, AND PLACEMENT OF GONIOMETER FOR MEASURING RANGE OF MOTION IN THE LOWER LIMB (HIP, KNEE, ANKLE).
Keep up your normal daily physical activity or exercise (sport, running, yoga, dancing, or even walking to the shops and back) for as long as you feel comfortable. Exercise is not dangerous for your baby – there is some evidence that active women are less likely to experience problems in later pregnancy and labour.
Exercising during your pregnancy has great benefits – it can help prepare you for labor and childbirth and lift your spirits – but you need to approach working out with extra caution.
Gravity not only pulls on mass but also on light. Albert Einstein discovered this principle. If you shine a flashlight upwards, the light will grow imperceptibly redder as gravity pulls it.
The base of support (BOS) refers to the area beneath an object or person that includes every point of contact that the object or person makes with the supporting surface.
GONIOMETRY FOR THE LOWERLIMB DISCUSSES IN CONCISE THE DIFFERENT TYPES OF GONIOMETERS AVAILABLE FOR MEASURING VARIOUS JOINT ROM, PRINCIPLES OF GONIOMETRY, AND PLACEMENT OF GONIOMETER FOR MEASURING RANGE OF MOTION IN THE LOWER LIMB (HIP, KNEE, ANKLE).
Keep up your normal daily physical activity or exercise (sport, running, yoga, dancing, or even walking to the shops and back) for as long as you feel comfortable. Exercise is not dangerous for your baby – there is some evidence that active women are less likely to experience problems in later pregnancy and labour.
Exercising during your pregnancy has great benefits – it can help prepare you for labor and childbirth and lift your spirits – but you need to approach working out with extra caution.
Gravity not only pulls on mass but also on light. Albert Einstein discovered this principle. If you shine a flashlight upwards, the light will grow imperceptibly redder as gravity pulls it.
The base of support (BOS) refers to the area beneath an object or person that includes every point of contact that the object or person makes with the supporting surface.
Step on planning
Despite the fact that, as Shakespeare said, "the pen is mightier than the sword," the pen itself is not enough to make an effective writer. In fact, though we may all like to think of ourselves as the next Shakespeare, inspiration alone is not the key to effective essay writing. You see, the conventions of English essays are more formulaic than you might think – and, in many ways, it can be as simple as counting to five.
Steps to Writing an Essay
Follow these 7 steps for the best results:
Read and understand the prompt: Know exactly what is being asked of you. It’s a good idea to dissect the prompt into parts.
Plan: Brainstorming and organizing your ideas will make your life much easier when you go to write your essay. It’s a good idea to make a web of your ideas and supporting details.
Use and cite sources: Do your research. Use quotes and paraphrase from your sources, but NEVER plagiarize.
Write a Draft: Ernest Hemingway once said, “The first draft of anything is always crap.” While the truth behind this statement is debatable, drafts are always a good place to get any of your “crappy” ideas out of the way and are often required by professors and instructors.
Make a strong thesis: The thesis (main argument) of the essay is the most important thing you’ll write. Make it a strong point.
Respond to the prompt: Once you have worked out any kinks in your draft, you can start writing the final draft of your essay.
Proofread: Read your response carefully to make sure that there are no mistakes and that you didn’t miss anything.
Of course, every essay assignment is different and it’s important to be mindful of that. If one of these steps isn’t applicable to the essay you are writing, skip it and move to the next one.
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General Essay Writing Tips
Despite the fact that, as Shakespeare said, "the pen is mightier than the sword," the pen itself is not enough to make an effective writer. In fact, though we may all like to think of ourselves as the next Shakespeare, inspiration alone is not the key to effective essay writing. You see, the conventions of English essays are more formulaic than you might think – and, in many ways, it can be as simple as counting to five.
Steps to Writing an Essay
Follow these 7 steps for the best results:
Read and understand the prompt: Know exactly what is being asked of you. It’s a good idea to dissect the prompt into parts.
Plan: Brainstorming and organizing your ideas will make your life much easier when you go to write your essay. It’s a good idea to make a web of your ideas and supporting details.
Use and cite sources: Do your research. Use quotes and paraphrase from your sources, but NEVER plagiarize.
Write a Draft: Ernest Hemingway once said, “The first draft of anything is always crap.” While the truth behind this statement is debatable, drafts are always a good place to get any of your “crappy” ideas out
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
3. INTRODUCTION
• Management functions lead to the smooth running of
organization and whatever type of a manager we are
talking about, he/she performs these functions in one
way or another.
• In guiding and directing the efforts of others, the
manager performs a number functions. Which
include planning, organizing, directing, controlling,
coordinating and staffing.
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4. • At the end of the presentation students should be able to;
• Explain the management functions
Planning and types
Organizing
Directing
Controlling
Coordinating
Staffing
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5. PLANNING.
• Planning is the process of setting goals, developing strategies,
and outlining tasks and schedules to accomplish the goal.
• From the above definition, it can be put simply that planning
is determination of a course action to achieve a desired result.
• It is a rational and systematic way of making decisions today
that will affect the future of the organization.
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6. • It is a kind of organized foresight which involves the
predicting of the future as well as attempting to
control the events.
• Planning includes deciding WHAT is to be done,
HOW it is to be done, WHEN it is to be done, and by
WHOM it is to be done.
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7. TYPES
• 1. Strategic planning: is conducted by
top management and is a process of
determining overall objectives of an
organization.
• It is a long term type of planning, e.g.
for three years.
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8. TYPES CONTD
2. Operational Plans
It is a plan that a manager uses to accomplish his or her job
responsibilities. Can be single use or ongoing plan.
• Single-use plan – this applies to activities that do not recur or
repeat. A one-time occurrence such as a special repair
program.
• Continuing or On-going plans – usually made once and
retain their value over a period of years while undergoing
periodic revisions and updates.
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9. 3.Tactical Plans
• It is a plan concerned with what the lower level units
within each division must do, how they must do it,
and who is in charge at each level.
• Tactics are the means needed to activate a strategy
and make it work. These types of plans are concerned
with shorter time frames and a narrower scope than
strategic plans. They are usually short-term.
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10. 4. Contingency planning involves identifying alternative
courses of action that can be implemented if and when
the original plan proves inadequate because of changing
circumstances. Anticipating change during the planning
process is best in case things don’t go as expected.
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11. IMPORTANCE OF PLANNING
• Planning reduces overlapping and wasteful activities
• Planning facilitates decision making
• Planning establishes standards for controlling
• It enables us to determine resources that we need.
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12. IMPORTANCE OF PLANNING
CONTD
• It enables us to assess progress toward achieving the
set objectives
• It prevents possibility of crisis management.
• Planning provides directions
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13. ORGANIZING
• Organizing is the process of identifying and grouping
of the works to be performed, defining and
delegating responsibility and authority and
establishing relationships for the purpose of enabling
people to work most efficiently.
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14. • Organizing involves the manager determining how to
distribute resources and arrange employees according
to plan.
• Organizing also includes deciding how information will
flow in the organization, how problems will be solved
and how decisions will be made.
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15. IMPORTANCE OF ORGANIZING
• Organizing helps Organizations to reap the benefit of
specialization.
• Organizing provides for Optimum utilization of
resources.
• Organizing achieves co-ordination among different
departments.
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16. DIRECTING
• A process in which the managers instruct, guide and
oversee the performance of the workers to achieve
predetermined goals.
• It can also be said to be providing guidance to workers.
• Directing can also be said to be those activities, which are
designed to encourage the subordinates to work effectively
and efficiently.
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17. IMPORTANCE OF DIRECTING
• Direction initiates actions to get the desired results in
an organization.
• Direction attempts to get the maximum out of
employees by identifying their capabilities.
• Direction is essential to keep the elements like
Supervision, Motivation, Leadership and
Communication effective.
• It ensures that every employee work for organizational
goals.
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18. CONTROLLING
• Controlling is determining what is being
accomplished - that is, evaluating performance and,
if necessary, applying corrective measures so that
performance takes place according to plans".
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19. CONTROLLING CONTD
• The manager must make certain that the whole thing
occurs in compliance with the plans adopted, the
directions issued and the principles established.
• Controlling function involves three essentials .i.e.
Establishing performance standards
Evaluating current performance and comparing it against
the established performance standards.
Taking corrective action to any performance that doesn’t
meet established standards
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20. CONTROLLING CONTD
• In the lack of sound control, there is no assurance
that the objectives which have been put will be
realized.
• The management may go on committing faults
without knowing them.
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21. IMPORTANCE OF CONTROLLING.
•Control system ensures that plans are being observed
and suitable progress towards the objectives is being
made or not, and if necessary any action to control the
deviations.
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22. IMPORTANCE CONT..
• With the presence of authority or control the
individuals will work properly and exhibit better
performance to reach the targets set for them.
• Control system ensures the organizational efficiency
and effectiveness. When Proper system exists the
organization effectively achieves its objectives.
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23. COORDINATION
• Coordinating is the process of linking up different
departments and human resource in order to achieve set
objectives of an organization.
• Co-ordination is the orderly synchronization of efforts to
provide the proper amount, timing, and directing execution
resulting in harmonious and and unified actions to a stated
objective (Basavanthapa,2009).
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24. IMPORTANCE OF
COORDINATION
Creative force
• Group efforts when coordinated create a result greater than
the sum total of the individual and isolated.
Unity of direction
• Co-ordination ensures unity of direction by way of securing
spontaneous collaboration on the part of different
departments.
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25. High employee morale
• Co-ordination enhances the general level of
morale and provides satisfactionn
Diverse and specialized activities
• Total activities of an organisation are divided into
several units and subunits on the basis of either
product specialisation.
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26. • To avoid personal rivalries and prejudice
• Human organisations give rise in course of time to
development of personality politics among members.
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27. To avoid conflict of interests
• Subordination of individual interest to general interest
often happen in organizations.
• There is need for coordination to avoid conflicts or
overlapping in the work of employees or units or as
organisation
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28. STAFFING
• Staffing is the function by which managers build an
organization through the recruitment, selection, and
development of individuals as capable employees.
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29. IMPORTANCE OF STAFFING
• Filling the Organizational positions
• Developing competencies to challenges
• Retaining personnel - professionalism
• Optimum utilization of the human resources
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