I think it's great that usually production managers start of as floor workers or assistant managers. I think a manager should definitely have a degree, but they also need experience in what they are managing.
The most common cause of head tilt is a middle or inner ear infection, or an infection or inflammation of the brain. Other causes include, hypothyroidism, injury to nerves, cancer, toxic side effects of certain antibiotics, and congenital defects. Some older dogs develop a temporary head tilt from an unknown cause.
While the condition of having tilted uterus is not in itself problematic, it can be symptom of other pelvic issue or just an obstacle to conception. Doctors generally use the term retroversion of the uterus or malposition to describe this condition which affects about 20% off all women. A tilted uterus can be caused by other conditions, which in themselves, can be barriers to fertility. Some of these are pelvic inflammatory disease, endometriosis or even pelvic surgery.