Monday, September 30, 2019

Patient Falls and Medication Errors Essay

Issue/Problem of Interest Falls are the second most common adverse event within health care institutions following medication errors, and an estimated 30% of hospital-based falls result in serious injury. The severity of this problem led the Joint Commission to make reducing the risk of patient injuries from falls a national patient safety goal for hospitals in 2009 (AHRQ, 2006). Falls are a leading cause of hospital-acquired injury and frequently prolong and complicate hospital stays and result in poor quality of life, increased costs, and unanticipated admissions to long-term care facilities. Changes in health care financing in the 1990s were accompanied by a variety of cost-cutting measures in hospitals across the United States. Common cost-cutting strategies included reducing the total number of nursing hours per patient day and reducing the percentage of hours supplied by registered nurses (RNs), the most highly paid group. The reduction in staffing led to widespread concern that patient care in acute care settings would suffer. In response to concerns about staffing and quality of care, the American Nurses Association (ANA) launched the Patient Safety and Nursing Quality Initiatives in 1994 to address the impact of health care restructuring on patient care and nursing. To facilitate the initiative, ANA established the National Database of Nursing Quality Indicators (NDNQI) in 1997, with two goals: (1) to develop a database that would support empirical monitoring of the impact of nurse staffing on patient safety and quality of care across the nation, and (2) to provide individual hospitals with a quality improvement tool that includes national comparisons of nurse staffing and patient outcomes with similar hospitals (Hart and Davis, 2010). Selection Rationale Patient falls impact hospitals both financially and in regulatory body status. In 2005, in response to disturbing and widely cited findings by the Institute of Medicine about the prevalence of life-threatening conditions acquired by patients in U.S. hospitals, Congress authorized the Centers for Medicare and Medicaid Services (CMS) to implement payment changes designed to encourage the prevention of such conditions. Under an amendment to the Social Security Act that was enacted on January 1, 2007, the secretary of  Health and Human Services was required to identify at least two hospital-acquired conditions by October 1, 2007, that were high-cost, high-volume, or both; that resulted in the assignment of a case to a higher-paying diagnosis-related group (DRG) when they were present as a secondary diagnosis; and that could reasonably be prevented through the application of evidence-based guidelines (New England Journal of Medicine, 2009). The CMS worked collaboratively with the Centers for Disease Control and Prevention (CDC) and on October 1, 2008, enacted new payment provisions: Medicare will no longer reimburse hospitals for a higher-paying DRG when one of eight selected hospital-acquired conditions develops during the hospital stay. The CMS heralded this move as an effort to align financial incentives with the quality of care, thereby promoting both quality and efficiency. Hospital falls and trauma were included as one of the eight conditions that, the CMS argues, â€Å"should not occur after admission to the hospital.† Three to 20% of inpatients fall at least once during their hospital stay; these falls result in injuries, increased lengths of stay, malpractice lawsuits, and more than $4,000 in excess charges per hospitalization. Thus, hospital falls represent a major patient-safety problem and may complicate a patient’s care and treatment (New England Journal of Medicine, 2009). Target Population The target population chosen consists of patients admitted to the medical and surgical floors at two large teaching hospitals. The first hospital is a 1,000 bed not-for-profit teaching hospital located in Dallas, Texas with an average daily census of 917. This organization consists of 12 medical and surgical floors with a total bed capacity of 428. Each floor consists of the nurse manager, registered nurses, certified nursing assistants, and unit secretaries. Patients most frequently cared for on the medical floors at this facility consist of those suffering from exacerbation of chronic obstructive pulmonary disease (COPD), pneumonia, diabetes mellitus (DM), cerebral vascular accident (CVA), and sepsis. Patients most frequently cared for on the surgical floors consist of those healing from orthopedic injury and/or surgery, gastric bypass surgery, abdominal explorative surgery, neurovascular surgery, post kidney and liver transplant patients, and those patients recovering from gynecol ogical operations. The population of patients being cared for at this hospital comprise mostly of patients 55  years and older. Of the 428 patients being cared for on a daily basis at this organization, 15% of these patients require total assistance, 25% require extensive assistance, and 50% require limited assistance. The second hospital system, NorthShore University HealthSystem (NSUHS), is a comprehensive, fully integrated, not-for-profit health care system that serves the greater North Shore and Northern Illinois communities. NSUHS includes four hospitals with 795 configured beds with a total of medical/surgical configured beds at 495. The average medical and surgical daily census is 103.9. The medical/surgical occupancy is 62% of staffed beds on 19 units. Each unit consists of a clinical nurse manager, registered nurses, patient care technicians, and unit concierges. The top medical DRG’s include congestive heart failure (CHF), pneumonia, respiratory, acute myocardial infarction (AMI), and CVA. The top surgical admissions include orthopedic joint replacement, general surgery, and spinal surgery. The average age of patients being cared for in this system is 68.5 years. Of the 495 patients being cared for on the medical and surgical units, at least 50% require total assistance and 50% require limited assistance. Significance Patient falls in the hospital setting are common and may lead to negative outcomes such as injuries, prolonged hospitalization, and legal responsibility. Falls can also have serious effects on a person’s ability to function as a productive member of their family, community, or society. These occurrences have long been documented as a significant, and potentially avoidable, type of undesirable patient event (Steven, 2004). Patient falls are the second most common cause of harm in hospitals and are the leading category of reported incidents in hospitals affecting approximately three to 20% of patients during their hospitalization (Sutton &ump; Wallace, 2005). The frequency of patient falls, as recorded in the literature, ranges from 25% to 89% of all hospital adverse incidents, depending on the patient population studied (Hitcho, 2004). The rates vary from 1.9 up to 18.4 falls per 1,000 patient days depending on organization type, and according to a study by the National Council on Aging, 30% of these incidences result in serious injury (Stevens, 2004). Another  significant consequence of falls is that they are expensive and contribute to the increasing health care expenditure. An estimate of the average DRG payment for injuries sustained by a patient falling is $25, 643 (Hart, Chen, Rashidee, and Sanjaya, 2009). This is significant in that with the developing atmosphere of pay-for-performance, initiated by CMS, hospitals now have a major monetary stake in reducing the number of fall-related injuries. The CDC estimates that the cost of fall injuries will exceed $23 billion within the next few years (Tzeng, 2008).

Sunday, September 29, 2019

In Praise of the F Word Essay

In Mary Sherry’s essay, â€Å"In Praise of the F Word,† the author encourages all parents and teachers to use failure as a form of encouragement. Sherry would like for them to use it as a way to motivate students to do better and want more when it comes to their education. What Sherry believes in is that the threat of flunking is a â€Å"positive teaching tool† (566). In Praise of the F Word by Mary Sherry Summary Mary Sherry in praise of the F  word uses a variety of examples to support her claim. The author’s main source of evidence used to support her claim was personal experience. Sherry shares with us her son’s senior year high school experience. He was not putting in the necessary effort needed in class and his English teacher, Mrs. Stifter was not willing to tolerate it. She then said to Sherry that she would flunk her son. Without having seen this type of approach before Sherry was flustered. Not once before had her son been threatened by a teacher like that, but she managed to agree with her approach in the end. Her son realizing he would fail and not graduate, made English class a priority and passed with an A grade (Sherry 565). One of the many night students that Sherry teaches said, â€Å"I was a good kid and didn’t cause any trouble, so they just passed me along even though I didn’t read well and couldn’t write,† this example shows that instead of the teacher using a method that gives her the power she needs, students do as they please without much effort. Sherry’s son was the type to get away with many things until now faced with the fear of failure. The greatest strength in Mary Sherry’s argument is the involvement of her night time students. I believe the things some of them had to say about their personal education experiences helped me fully understand and support Sherry’s claim. I have also personally heard people question their reasons for receiving their high school diploma, I have heard people say they never received a passing grade on an assignment but had a great relationship with the instructor, so they passed the course. The things that some of the students stated and experienced were examples of what I saw in my high school. I enjoyed the way the essay flowed, not a thing seemed to be randomly inserted and was easy enough to interpret. Lastly, I liked the way  Mary Sherry included her personal experience with her son, it was a way of demonstrating that situations where students are accustomed to simply sailing by are happening everywhere. The greatest weakness in the argument is the lack of a possible outside source. I would have liked to see numbers or a study conducted to see how many students have experienced situations where they didn’t have to do much to earn their diploma. I also think it would have been great to include other teachers’ perspectives on this subject and if whether or not they think it is a good idea to praise the F word. I think research could have made the essay a lot more reliable and persuade the readers even more. Overall, Mary Sherry presents her audience with a compelling and convincing argument. I believe she did an excellent job on persuading readers to agree to this form of teaching to help improve education by stating that, â€Å"students don’t put school first unless they perceive something is at stake in the end. They‘d rather be sailing† (Sherry 566). Sherry did a good job on repeating the need for having a fear of failure and having the threat of flunking as a positive form of teaching for students in a way to try and convince her readers.

Saturday, September 28, 2019

The Oxford American Dictionary

According to The Oxford American Dictionary, a fact â€Å"is a thing that is known to have occurred, to exist, or to be true,† while an opinion is â€Å"a view or judgment formed about something, not necessarily based on fact or knowledge. † Written in 1898, Albert Shaw’s work, â€Å"The Blowing Up of the Maine,† provides examples of the differences between fact and opinion that can be found in a writing style called â€Å"yellow journalism.† Coined in the late 19th century, the phrase â€Å"yellow journalism† was used to describe newspapers that used a combination of verifiable data, sensationalism and distorted imagery to increase sales and/or influence public viewpoints. In â€Å"The Blowing Up of the Maine,† author Shaw emphasizes emotion and anti-Spanish bias, while limiting facts, in his description of the destruction of the USS Maine, an American warship harbored briefly in Cuba’s Havana Harbor, to achieve the following g oals: promotion of American nationalism and justification of the subsequent conflict between the United States and Spain that led to the Spanish-American War.He accomplishes those two objectives through discussion of the following: 1. ) America’s collective opinion of Spanish policy and actions, 2. ) Spain’s anti-American sentiment, and 3. ) the federal government’s response to Spain and growth of the American military. Additionally, Shaw’s style allows readers to compare and contrast fact and opinion in his rendition of this part of American history. Firstly, Shaw’s focus on emotionalism is demonstrated at the beginning of his accounting with a description of the American public’s feelings about the explosion of the USS Maine.He states, â€Å"†¦75 million Americans have accordingly suspended judgment in the face of a great provocation†¦to suppose the destruction of the Maine an ordinary incident and not due to any external agency or hostile intent was, under all the circumstances, to set completely at defiance the law of probabilities. † While Shaw does infuse a factual approximation with his reference to America’s population, with the 1900 United States Census indicating 76,212,168 Americans, he presumes to know the feelings of the entire American populace. In 1900, approximately sixty percent of Americans lived in rural areas (U.S. Census, 1900). And only 1. 3% of the population had telephones (Guinee, 1995). Consequently, communications across country were limited, and the first national opinion survey wasn’t administered until 1916 (Converse, 1987). Thus, it would have difficult for Shaw to have documented the actual feelings of the entire American population. Additionally, Shaw infers that the explosion of the USS Maine was caused by Spanish aggression. Without reference to actual data, he suggests that it was highly improbable that the event was caused by anything other than an att ack from Spain. In 1898 and 1911, the U.S. Department of Navy conducted investigations, concluding that a mine had caused the destruction of the warship (Naval Historical Center, 2003). According to the U. S. Navy, â€Å"Technical experts at the time of both investigations disagreed with the findings, believing that spontaneous combustion of coal in the bunker adjacent to the reserve six-inch magazine was the most likely cause of the explosion on board the ship† (Naval Historical Center, The Destruction of the USS Maine section, para 12, 2003). To date, no final cause of the Maine’s destruction has been determined (Naval Historical Center, 2003).Shaw continues his emotional description of America’s opinion of Spain in a series of additional references. He states, â€Å"There are a few people in the United States – we should not like to believe that more than one hundred†¦ who believe that the United States ought to join hands with Spain in forcing t he Cuban insurgents to lay down their arms†¦ † Shaw makes assumptions about the opinions of the American public, assuming that less than 1% would support Spain’s actions, without actual facts to support his statement. He later states, â€Å"The people of the United States do not intend to help Spain hold Cuba.On the contrary, they are now ready, in one way or another, to help the Cubans drive Spain out of the Western Hemisphere. If the occasion goes past and we allow the Cuban struggle to run on indefinitely, the American people will have lost several degrees of self-respect†¦Ã¢â‚¬  Again, Shaw presumes to know the thoughts of all Americans and uses an emotional appeal to emphasize his views. He makes no reference to a poll or survey taken of American sentiment, and leads the reader to conclude that all Americans are ready to go to war with Spain to end its rule of Cuba, without any data to back his opinion.Additionally, he infers that America’s failu re to aid Cuba against Spain would be wrong, if not immoral. Secondly, Shaw also discusses Spain’s â€Å"feelings† about America throughout â€Å"The Blowing Up of the Maine† to further strengthen support for his opinions. He says, â€Å"It has been known perfectly well that Spanish hatred might at any time manifest itself by attempts upon the life of the American representative at Havana, Consul General Fitzhugh Lee.† He states, â€Å"The Spaniards themselves, however, looked upon the sending of the Maine as a further aggravation of the long series of their just grievances against the United States. They regarded the presence of the Maine at Havana as a menace to Spanish sovereignty in the island and as an encouragement to the insurgents. He also notes, â€Å"The American pretense that the Maine was making a visit of courtesy seemed to these Spaniards a further example of Anglo-Saxon hypocrisy.† And, finally, he adds, â€Å"†¦Spain on her p art was trying to raise money to buy ships and secure allies. † Shaw’s descriptions lead the reader to assume that a Spanish attack on America was imminent and something that America prepare for and expect. Again, Shaw expresses his opinions without supporting data. He makes no references to Spanish official documents or policies, or to statements made by Spanish leaders, that would prove Spain harbored ill feelings towards Americans or intended to attack the United States.Instead, he incites America’s emotions with his allusions that Spain caused the destruction of the USS Maine and has been preparing for war with America. Finally, Shaw appeals to American patriotism by discussing actions performed by the federal government and the subsequent growth of the military. He uses a mixture of fact and opinion, again presuming the entire American population is aware of a series of actions undertaken by the American government to prepare for war against Spain. He does n ot, however, provide verification of the information he writes. He states the following,â€Å"The whole country has known that†¦government work was being prosecuted with double or quadruple forces of men, working by night as well as by day; that ammunition factories, iron and steel plants, and every other establishment capable of furnishing any kind of military or naval supplies were receiving orders from the government and were working to the full extent of their capacity; that our naval representatives were negotiating abroad for additional warships; that new regiments of artillerymen were being enlisted for the big guns on the seaboard; that naval recruits were being mustered in to man newly commissioned ships; that the railroads were preparing by order of the War Department to bring the little United States Army from western and northern posts to convenient southern centers. † He adds â€Å"†¦on March 8 [three weeks following the destruction of the USS Maine], the House of Representatives unanimously voted to place $50 million at the unqualified disposal of President McKinley as an emergency fund for the national defense – †¦followed by an equally unanimous vote of the Senate†¦a very large sum to place in the hands of one man†¦no part of the $50 million will be squandered by the administration.† While the reader could verify Congress’ allocation of funds to the Executive branch of government for national defense, how could Shaw know that all plants were â€Å"working to full capacity† or determine that as many as two to four times as many men were working to prepare American for war? Or how would Shaw know exactly how the funds would be spent? Again, Shaw makes predictions regarding the conflict with Spain, this time about the American government. Shaw adds statements like, â€Å"The quickness and inventiveness of America[s]†¦have no parallel in Europe,† â€Å"Americans had been†¦building or buying†¦high speed and stanch qualities, capable of being quickly transformed into naval dispatch boats or armored and fitted with torpedo tubes.Probably not a single private Spanish citizen could turn over to his government such a vessel†¦,† and â€Å"[America] the most highly developed mechanical and industrial nation will by virtue of such development be most formidable in war†¦, a situation that the Spaniards in general are evidently quite unable to comprehend. † Shaw emphasizes the strength of American â€Å"might† (comparing it to Spain) and an increase in the size of the military to promote nationalism and gain public support for the war. Again, Shaw offers no data to support his opinions, only making the assumption that America would be better equipped for conflict than the Spanish. In conclusion, Shaw’s â€Å"The Blowing Up of the Maine† is an example of â€Å"yellow journalism,† using a combination of fac t, emotionalism and opinion to promote patriotism and public support of war with Spain.While there is no definitive proof that works like Shaw’s caused the Spanish-American War, sensationalist writing does rouse emotions. According to historians, a debate still continues: Did yellow journalism create the conflict between America and Spain, or simply demonstrate what contemporary Americans felt at that time? While the question remains unanswered, readers are able to compare fact and opinion and come to their own conclusions. References Converse, Jean M (1987). Survey Research in the United States: Roots and Emergence 1890-1960. Guinee, Kathleen (1995). A Journey through the History of Information Technology. Naval Historical Center (2003). Destruction of USS Maine. U. S. Census (1890).

Friday, September 27, 2019

Application of the Nursing Process to Delivery Culturally Competent Essay

Application of the Nursing Process to Delivery Culturally Competent Care - Essay Example Although the Hispanics still reserve aspects of their traditional cultural beliefs, medical care should be sought because it is necessary for longevity. Therefore, in order to deliver a competent service to them, I would have to heavily invest in communication (Adrian, J. et al., 2013). Although the Hispanics have lots of differences, I would strive to understand all the environmental, physiological and psychosocial factors influencing their communication process. After acquiring such knowledge, I would not hesitate to establish a healthy interpersonal communication and relationship with them (Betancourt et al., 2011). For me to deliver competent services to the Hispanics, I would strive to deal with any barrier such as linguistic limitations and the use of verbal and non-verbal cues at all times. To do this, I would have to be a critical listener who gives enough time to my patients to express themselves. Also, if need arises, I would have to involve the support of the patient’s close friends or carers (American Association of Medical Colleges, 2013). This would help me to overcome the ethical dilemma of confidentiality and benevolence that might arise. For me to deliver culturally competent and sensitive healthcare services to the Hispanics, it should be incumbent upon me to carry out an informed cultural assessment. This would be done using the Purnell Model for Cultural Competence, an assessment model developed in 1995 to help in carrying out cultural studies by healthcare providers. Here, I will apply the Sunlight Model to help me in understanding how the Hispanic’s cultural values, beliefs and traditional practices influence them (Office of Minority Health, 2002). It is an assessment model that would make it much easier for me to have knowledge of the all aspects of the Hispanics including their attitudes, cultural beliefs, perceptions and major issues of heath concern to them. As minorities, the

Thursday, September 26, 2019

Strategic Management - Google's Company Essay Example | Topics and Well Written Essays - 750 words

Strategic Management - Google's Company - Essay Example This company has been implementing a generic business level strategy, which involve differentiation through a process of providing unique products and services to their customers. Nevertheless, the company’s success is attributable to search engine services, since these services have increased reliability of internet searches. Therefore, this paper explores Google’s generic business strategies, their implementation and future challenges. Generic Business Strategies One of Google’s generic strategies is differentiation, and it is illustrated through their web search engine services. In this case, this company has managed to differentiate themselves from their competitors by using a PageRank system, which is patented (Google, 2013, 1). In fact, PageRank system operates through search inquiries, which are used to determine recursive score assigned to web pages in terms of weighted sum. Therefore, this system connects web pages in order to form an interrelationship b y which they are accessed. Moreover, this provides a special way of accessing web pages, whereby this accessibility is based on users’ interest rather than number of times a page has been accessed. Furthermore, this way of searching web pages provides a basis of competition among them. On the other hand, the PageRank system integrates an algorithm, which is reorganized time after time in order to ensure that search results are excellent. Google Company is very secretive on issues regarding this algorithm; thus, this has led to difficulties for competitors to imitate their intangible products. Through their secrecy, Google has managed to maintain their competitive advantage. Differentiation strategy through internet searches has also propelled their advertising business. In this case, Google introduced AdWords, which had a significant impact on their advertising business, whereby they provided a way through which clients are able to reach target customers or audience (Google, 2013, 1). In addition, Adwords offers a way through which users create text advertisements and they are able to manage them through accounts without hefty payments. Therefore, their pricing strategy offers a differentiation from their competitors and Google’s partners (Guzak, 2013, 133). Implementation of Current Strategies The differentiation strategies are implemented by Google in entering the existing market, and this has led to significant changes in patterns because of increased number of internet users. Moreover, the differentiation strategy focuses on satisfying diversified needs for their customers (Guzak, 2013, 133). In fact, implementation of this strategy is undertaken through their search engine strategic direction, which is applied in the processes of penetrating into a market, in product and market development. On the other hand, this company uses Adwords to implement diversification strategy, especially in the process of introducing products in new market. For instance, in 2000, Google laid strategies that involved targeting customers, who were seeking advertisement services through internet-based searches. Therefore, implementation of diversification strategy through Adwords has generated significant revenue for this company, thereby becoming one of

How contemporary designer Anna Sui, has reinterpreted and been Essay

How contemporary designer Anna Sui, has reinterpreted and been influenced by the past - Essay Example Anna Sui had a rough start as a designer, not only did she get fired from her job for featuring her collection in a New York fair trade but also started a small business in her apartment with only 300 dollars in her account. Her collection, which consisted of only 5 pieces, was designed and made exclusively in her studio apartment and got featured in New York Times. From that point on her talent as a designer was a force to be reckoned with, however she highly struggled next to â€Å"big-name houses† in the 1980’s as power dressing was the popular style and Anna Sui focused mainly on quirky design that incorporated her love for music (folk, gunge, punk etc.) and her fascination for the past (Victorian, Rococo, Parisian Boudoir etc.) Her close friend Naomi Campbell then suggested that she host a fashion show in order to show the world her different approach to fashion. Thus she rented a small space and rewarded the models with clothes, the show was a breakthrough in her career. Not only did her name get known but also she understood that staying true to herself and her inspirations was going to be the key to her success and to this day her designs still incorporate her love for music and her fascination for the past.

Wednesday, September 25, 2019

Reasons to Drill Off Shore Essay Example | Topics and Well Written Essays - 1500 words

Reasons to Drill Off Shore - Essay Example In other words, global economy is inversely proportional to oil prices. When oil price increases, global economy declines and when the oil price decreases global economy achieves growth. American economy also follows the same path as the global economy does. A world without oil fuel is unimaginable at present. Even though we have many other energy sources, none of them are capable of replacing oil. Even though nobody has any doubt about the utility or essentiality of oil in sustaining human life in its present form, some people argues against offshore drilling citing environmental reasons. At the time of crude oil purification and also at the time of operating vehicles, oil liberates so many greenhouse gases like oxides of carbon, sulfur, nitrogen, methane etc. Daniel et al (2006) have mentioned that â€Å"between 1976 and 1990, oil companies in Nigeria witnessed a total of 2,796 oil spills. An estimated total quantity of 2,105,393 barrels of oil was spilled on land, coastal and off shore marine environments† (Daniel et al, 2006, p.111). Amidst all such criticisms labeled against offshore drilling, it is a fact that the no other energy sources are capable of substituting oil. In other words, offshore drilling should be continued in its present form until we would be able to find out alternate energy sources to replace oil. â€Å"The United States consumes nearly one-fourth of the world's oil. The big discoveries are happening offshore, says Robert Bryce, managing editor of Energy Tribune† (Jervis et al, 2008). The above statistics and opinion clearly point towards the necessities of offshore drilling. It is difficult for United States to replace oil with another energy source at present because of the huge dependence of America on oil fuels. America is producing only 10% of its total oil needs, which means around 90% of oil required for its domestic usage, is being imported from overseas countries. It is difficult for America like big country to re ly heavily on other countries for energy needs. â€Å"Unfortunately, because of dumb luck, most of the world’s petroleum is controlled by nations that are unfriendly to the United States. Russia, Saudi Arabia and Iran were three of the top five producers of petroleum in 2007† (Column: Offshore Drilling Not Hoax, But Necessity To United States, 2009). Arab countries, Russia and China are the major oil producers in the world and America’s relations with these countries are not so good. Under such circumstances, if these countries decide to stop oil supply to America, energy crisis may intensify in America. Under such circumstances, it is necessary for America to increase offshore drilling to find out more oil sources. As Robert Bryce says, the possibility of big discoveries cannot be ruled out in offshore drilling. It should be noted that the entire faces of gulf countries have been changed immensely as result of the discovery of oil sources in those countries. Th e living standards of the people in gulf countries improved a lot as a result of the oil discovery. Such dramatic things can happen in America also and therefore oil drilling or offshore drilling should be continued even though criticisms are there. The following statistics from Louisiana reveals the importance of offshore drilling further. Louisiana has had offshore drilling since 1947. About 172 active rigs dot the Gulf of Mexico waters off the coast, producing about 79% of the oil and 72% of the natural gas that comes from drilling off the nation's

Tuesday, September 24, 2019

Compare between wired and wireless LAN. List the advantages and Essay

Compare between wired and wireless LAN. List the advantages and disadvantages of each - Essay Example Wired LAN uses coaxial cables or specific wires and network adapters to link devices. Wireless LAN (WLAN) transmits data by air using radio waves, and/or infrared waves and/or microwaves without any physical link to the devices. When wired LAN and wireless LAN are compared, there are generally two main differences: security and medium. However, they also share some major similarilities; for instance, they are mostly Ethernet based networks, both connect through an internet gateway, and using similar types of execution requirements to cope with administration, functionability, and reliability (Ron and Helen, 2008, pg 179) The choice either to install wired and wireless LAN is mainly varied by individual preferences, but in conditions were installing of cables is not applicable, the network nodes are mostly moved, or the physical setting of the network need to be more flexible, thus making a wireless LAN a better choice. The medium used for wireless networking, radio frequency (RF) communications, has some setbacks making a wireless LAN not suitable in all situations. A wireless LAN has advantages that make it more suitable than a wired LAN in some conditions. First, in a WLAN, it is easier to add more computers on the network or move workstations since it operates on radio waves and/or microwaves to support interaction channels connecting the computers (Azam and Razwan, 2009). Secondly, it is the preferred mode of connecting movable or temporal buildings due to its flexibility to connect within the limited range. Thirdly, it is easier to provide connectivity in areas where it is difficult to lay cables due to the medium used. Also, its installation is fast and easy, as there are no requirements to lay the cable through walls and ceilings. Moreover, the network access is accessible from within range of an access point. Generally, the initial cost for WLAN hardware can be similar to the cost of wired LAN hardware, but the installation expenses are greatly

Monday, September 23, 2019

Variation in Real Estate Prices and Macroeconomic Performance Assignment

Variation in Real Estate Prices and Macroeconomic Performance - Assignment Example The performance of the housing sector significantly affects the general economy’s performance. Most theories, however, presume that it is only the macroeconomic factors that affect the variations in house prices and not the reverse. According to the vector autoregressive (VAR) model built by Baffoe - Bonnie, there are complete relations between the housing sector and the general economy (Case et al. 15). The theory asserts that macroeconomic variables usually cause cycles in the prices of houses and the number of houses sold. If not brought to control, these effects may have adverse implications on the economy. Historically, changes in the prices of the real estate have been linked to changes in consumption in various ways. In the past, the slump in housing led to many empty houses and growing joblessness. Uncertainty about the consequences of declining home prices was also common in the past years. In the past - just like today, consumption or rather spending has been subject to people’s income. Economists Karl E. Case, John M. Quigley and Robert J. Shiller made annual observations in 14 countries since the past 25 years and in some U.S. states quarterly in the 1980s and 1990s. Their observation was that some the future incomes were kept in the assets, stocks, bonds, and property, where most people keep their riches (Case et al. 15). A drop in asset values made many homeowners poorer, so they lowered their expenditure and raised savings. When the assets grew, they spent more. The theoretical arguments of the vector autoregressive (VAR) model are thus valid. Economists have varying opinions on the consequences of varying house prices among the consumers. According to Carroll et al. (69), they disagree as to whether Americans will reduce their spending slowly or rapidly. On one side optimists, argue that the links between housing wealth and spending are much the same as for any other type of wealth, such as shares. They say

Sunday, September 22, 2019

Measuring the acceleration due to gravity in the lab Essay Example for Free

Measuring the acceleration due to gravity in the lab Essay The distance between the ceiling and the floor (h) was measured. A rubber was then dropped from the ceiling and the time taken for it to hit the ground was recorded. Results Attempt Time Taken (sec) 1 0. 47 2 0. 45 3 0. 71 4 0. 55 5 0. 5 6 0. 71 7 0. 4 8 0. 46 9 0. 58 10 0. 56 Average Time = Sum of all times Number of Times = (0. 47+0. 45+0. 71+0. 55+0. 5+0. 71+0. 4+0. 46+0. 58+0. 56) 10 = 5. 85 10 = 0. 59 sec (to 2 dp) H = height of the drop T = time taken Acceleration due to gravity = 2H T2 =2(2. 59) 0. 592 = 5. 18 0. 3481 = 14. 88 m/s2 (to 2 dp) Evaluation The results circled in the table are anomalous. There was a wide range of results, from 0. 4 to 0. 71. This spread of results indicates that the data may be inaccurate. Although the experiment was repeated nine times, different results were found at nearly every attempt. This could be due to the timing methods used. A stop clock held by a person was used to measure the time the rubber took to hit the ground. As a humans reaction times are not perfect, the button could have been pressed long after the rubber had touched the ground. Also, the timekeeper could have pressed the button too early; at the time he expected the rubber to fall in order to try and get a more accurate time. As the area used was not a vacuum, air resistance would have affected the results. The shape of the rubber dropped was a pyramid, so air resistance would be different dependant on the side upon which it was dropped. These reasons explain why some of the results were anomalous. I do not believe that the procedure was accurate enough to measure the acceleration due to gravity in the lab. The timing apparatus was too imprecise and the air resistance due to the lack of a vacuum meant that the data was not as exact as was needed. A more suitable set of timing equipment would have been to replace the stop clock with a light-gate and data-logger. A light gate would be positioned at the top of the drop, with one at the bottom. The computer would then calculate the time taken much more accurately. The air resistance could not be helped, as a vacuum would be highly impractical and unnecessary for our purposes. However, if it were possible, the experiment should have been performed in a complete vacuum. If a perfectly spherical object were used then the air resistance wouldnt be different no matter how it was dropped. The experiment should be repeated in exactly the same fashion as before, but with the changes outlined above implemented. This would give more accurate results. It should then be repeated in the same way as this, but with a denser object of the same dimensions. This would show that the acceleration was due to gravity and not the mass of the object. One more experiment should be undertaken with the same stipulations but an increased dropping height. This would show that the acceleration is the same no matter how high the object is dropped from.

Saturday, September 21, 2019

Comparative in-vitro Quality Evaluation of Cephalexin

Comparative in-vitro Quality Evaluation of Cephalexin A COMPARATIVE IN-VITRO QUALITY EVALUATION OF DIFFERENT BRANDS OF COMMERCIALLY AVAILABLE CEPHALEXIN IN KARACHI (PAKISTAN) SHAHBAZ AHMED NOOR Abstract: Approximately 600 generic drug applications (ANDAs) approved each year, 65 % of prescriptions are for generic indication from oncology to insomnia without repeating clinical trials .Every generic molecule references a previously approved drug. Cephalexin Monohydrates was first sold by Eli Lilly in 1972. The availability of many brands of cephalexin 500 mg capsules in Pakistan market today place healthcare providers in a difficult situation of choice of a suitable brand or alternate use possibility .The objectives of this study was to carry out pharmaceutical equivalence studies on different brands of cephalexin 500mg capsules available in local market of Karachi. The invitro parameters include all pharmacopeia and non-pharmacopeia tests that were dissolution rate( in 0.1 N Hydrochloric Acid at 37 à ¢Ã‚ Ã‚ °C ) ,weight uniformity , disintegration time , moisture content ( with the help of suitable Karl Fischer Titrator ) , appearance (observed physically before and after opening of the shell) , Identification ( compare manually retention time in HPLC chromatogram of sample with chromatogram of reference standard ) and HPLC assay of cephalexin (as describe below based on HPLC assay method AM1172) were also analyzed. Along with the inappropriate use of antimicrobials drugs, substandard antibiotic medicines may also contribute in resistance development against susceptible organism. The study will be helpful to evaluate the efficacy and justification of generic substitution of cephalexin 500 mg capsule brands in Karachi (Pakistan) INTRODUCTION: Antibiotic, being the wonder drugs, are widely prescribed in the developing countries. In reality, 25 to 40 % prescriptions contain one or more antibiotic (Public Sector studies, 1990-1993) Antibiotic resistance can be developed through its wide and inappropriate use without following any standard guidelines. This Alarming situation has been addressed in several scientific journals (Glass et al.,1980; Farrar , 1985; Saha et al., 2003;Lina et al.,2007;Hassan et al.,2009) Post –marketing surveillance include complete procedures undertaken to obtain more data and information about a product after it had been granted marketing authorization and made available for public use, this data used for product improvement ,development standard and regulations. Regulatory agencies rely on limited information get from clinical trials and from scientific literature as guide to granting to marketing authorization of medicine for public use. Post-marketing surveillance of approved dosage forms is to assess the quality, effectiveness and safe use of medicine to large population. To Assess the standard of a product, invitro dissolution test is widely used because , for any solid dosage forms, gastrointestinal absorption first requires dissolution of the tablet or capsules that librates the drug into solution (Goodman Gilman`s –The Pharmacology basis of Therapeutics,2006) The dissolution characteristics of a drug from the dosage form depend on many factors including its formulation and manufacturing process (Augsburger et al., 1983). Cephalexin Chemically, Cephalexin is {(6R, 7R)-7-[(R)-2-Amino-2-Phenylacetamido]-3-Methyl-8-oxo-5-thia-1-azabicyclo [4.2.0] oct-2-ene-2-carboxylic acid monohydrate} is a first generation cephalosporins for oral administration which is bactericidal, and mainly used in the treatment of various bacterial infections caused by gram +ve and gram -ve microorganisms. .( Ralph R et.al 1970).Excellent oral absorption and lack of serum binding of cephalexin compensates significantly for the lower in vitro activity.( Warren E. Wick et.al 1967). Antibacterial Spectrum of Cephalexin: Cephalexin appears to be a highly effective antibiotic. It possesses the qualities of rapid oral absorption, production of high drug levels in the blood and urine, and near absence of side effects. It is effective against infections due to gram-positive cocci infections, with the exception of Enterococcus, and for most infections caused by E. coli and Klebsiella. It is useful in the treatment of a wide variety of infections in infants and children, and particularly valuable with susceptible infections in patients who do not require parenteral antimicrobial therapy. (R.C. Rudoy, M.D.1977) The first-generation cephalosporins, epitomized by cephalothin and cefazolin, have good activity against gram-positive bacteria and relatively modest activity against gram-negative microorganisms. Most gram-positive cocci (with the exception of enterococci, methicillin-resistant S. aureus, and S. epidermidis) are susceptible. Most oral cavity anaerobes are sensitive, but the B. fragilis group is resistant. Activity against Moraxella catarrhalis, E. coli, K. pneumoniae, and P. mirabilis is good (Goodman Gilman`s –The Pharmacology basis of Therapeutics,2006) Literature Survey: A ) Helio et.al in 2007 In this study, they observed the antibacterial spectrum of the orally prescribe cephalosporin (cefaclor, cefdinir, cefpodoxime, cefprozil, cefuroxime axetil, cephalexin) and amoxicillin/clavulanate, as these drugs were widely prescribed for community acquired respiratory tract infections. Narrowest zone was of Cefaclor and Cephalexin against evaluated pathogens. Overall, the 3rd Generation of cephalosporin is more useful in respiratory tracts and other infections when administered orally, as compared with older generation or amoxicillin alone. B ) Chalermporn et.al in 2005 ,they studied for rapid and sensitive identification of cephalosporins drugs such as cefoxitin , cefazolin , cephalexin, cefadroxil , cefaclor and cefoperazone, a flow injection (FI) method was used. This method was applied successfully for the identification of cefoxitin, cefazolin, cephalexin, cefadroxil , cefaclor and cefoperazone. The method was successfully applicable for the identification of cefoxitin ,cefazolin , cephalexin and cefadroxil in the pharmaceutical formulation with a sample throughput of 90h−1. C ) Rist et.al in 2002, they studied on Oral Cephalexin compared with mupirocin calcium cream with respect to safety and efficacy in secondarily infected eczema treatment. The adverse effect most common , they observed was diarrhea and nausea, effective clinical dose of mupirocin cream was apply three times daily as compared to cephalexin orally four times daily in secondarily infected eczma as topical regimen was preferred by the patient that enhance patient compliance. D ) Lennart Venemalm et.al in 2001, worked for the diagnosis of allergy against ÃŽ ²-lactams, prazinone-polylysine conjugate was able to bind with antibodies IgE in sera from patient with suspected allergy to cephalosporin’s. This information may be used for diagnosis of allergy against ÃŽ ²-lactams. E ) Yagnesh P. Patel et.al in 1998 They studied, modern data on the isocratic assay of five antimicrobial drugs ,five different assay were performed to one single report, antibiotic used in this study were cephalexin and cefaclor (cephalosporin’s), isoniazid and pyrazinamide (anti-tubercular drugs) and minocycline (tetracycline series) . Overall they concluded that any one of the drug could be used as internal standard for other four drugs. F ) Godfried Owusu-Ababio et.al in 1995 Sustained release of cephalexin ciprofloxacin, was evaluated in open chemostat sytem. They concluded that chemostat system is convenient for sustained release drug testing as a function of formulation parameter. G ) Anne H. et.al in 1992 In this study, the Cefaclor uptake was observed concluded that it was sodium-independent, but proton-dependent and also the energy dependent , dipeptides inhibited uptake of ÃŽ ²-lactam antibiotic but amino acid had no effect on uptake , the overall data from this study concluded that a single proton-dependent dipeptide transport carrier support the orally absorbed antibiotic uptake into Caco-2 cell shows correlation for the use of Caco-2 cell for cellular model of the intestinal proton-dependent dipeptides transporters for study purpose. H ) R. Wise et.al in 1991 Cefibuten, invitro activity was studied against 572 bacterial strain and was compared with orally administered ÃŽ ²-lactams. Cefibuten being more active against Enterobacteriaceae. There was less activity of cefibuten cefexime against Staphylococci and reduce activity against streptococcus pneumonia. I ) Luis J et.al in 1982 They studied, Acid degradation of cephalexin in presence of formaldehyde, produce 2-Hydroxy-3-phenyl-6-methylpyrazine.In 5M HCL this product gives well defined reduction wavelength with half wave potential of -0.45 vs. SCE. The wave was diffusion –controlled irreversible, linear relation with the cephalexin conc. was shown with diffusion current and cephalexin in plasma can be determined through it. J ) Ralph R et.al in 1970 They performed to detect various crystal forms of compounds, the employment of solubility versus solvent composition diagram. This appears to be a convenient sensitive method for detecting new crystalline phase. Aim of Project: The objective of this study is to carry out pharmaceutical equivalence studies on different brands of cephalexin 500mg capsules available in local market of Karachi. The invitro parameters include all pharmacopeia and non-pharmacopeia tests that are dissolution rate, weight uniformity, disintegration time, moisture content, appearance, Identification and HPLC assay of cephalexin will also be analyzed. The susceptibility test of drug will also be evaluate by ICLS ( Formerly NCCLS ) Reference Disk Diffusion (Kirby-Bauer) method against different clinical isolates of Staphylococcus aureus (03), E. coli (03), Klebsiella pneumonia (03), Pseudomonas aeruginosa (02), Importance of study: This is a growing concern that if a health care provider, providing the substitute of the generic is also the Bioequivalent. For the health care providers to use these brands interchangeable, the bioequivalence of these brands have to be ascertained, this mean that there should be continued post marketing monitoring of the medicines. EXPERIMENT: TESTING PROCEDURE: Test # 1: Cephalexin Monohydrate (As base): Procedure: Perform HPLC assay of Cephalexin as describe below based on HPLC assay method AM1172. Test # 2: Identification: Procedure: Compare manually retention time in HPLC chromatograms of sample with chromatograms of reference standards. Test # 3: Moisture Content: Procedure: Three times separately the moisture content in the powder of the product with the help of suitable Karl Fischer Titrator will be determine and then calculate their mean. Test # 4: Appearance: Procedure: From the 20 capsules take 10 capsules and observe physically before and after opening of the shells. Test # 5: Weight Variation: From 20 capsules take 10 random capsules from composite sample and note individual weight of filled capsules. Calculate their average, minimum, maximum and COV%. Test # 6: Disintegration: Procedure: Prepare a 0.6% v/v solution of HCl (Add carefully 16.2ml of 37% HCl into 500ml of distilled water and then make the solution up to 1000ml with distilled water) and fill the vessel of a suitable disintegration test apparatus with this solution up to recommended height. Maintain the temperature between 35  °C and 39  °C. Place 1 capsule in each of the 6 tubes of the basket and run the equipment. Start the stopwatch and note the time when all capsules are disintegrated. If 1 or 2 capsules fail to disintegrate, repeat the test on 12 additional capsules. The requirements of the test are met if not less than 16 of the 18 capsules tested have disintegrated. Test # 7: Dissolution: Procedure: According to USP 2007 page # 1691. HPLC ASSAY OF CEPHALEXIN BASED ON HPLC ASSAY AM1172 (1.01) FOR CEPHALEXIN CAPSULES.500 MG / CAPSULES. I.PRINCIPLE: The sample is dissolved in water and the insoluble component removed by filtration. An aliquot of the filtrate is diluted with water and examined by reverse phase HPLC. II.APPARATUS 1. A suitable high performance liquid chromatographic system equipped with a variable Wavelength UV Detector. 2. A suitable analytical balance with tolerance of +/- 0.1 mg. 3. A suitable Ultrasonic bath. 4. Suitable Syringes such as BDà ¯Ã†â€™Ã‚ ¤, 10ml. 5. Analytical Column: 150 Ãâ€" 4.6 mm. i.d stainless steel column packed with S5 – ODS2 or equivalent column. 6. Pre-Column: 50 Ãâ€" 4.6 mm .i.d stainless steel column packed with 80 µm Porasil or equivalent is fitted between the pump and injector. 7 Detector Condition: 254nm range 0.5 aufs 8. Pump Condition: Flow rate 1.0 ml / minute. 9. Injection volume: 20 µl 10. pH meter. 11. Mobile phase: See reagents. B) REAGENTS Cephalexin analytical reference standard Methanol HPLC grade Acetonitrile HPLC grade 1- Hydroxybenzotriazole, Reagent grade. Triethylamine ( T.E.A ) analytical grade Orthophosphoric acid, analytical grade 1- Pentanesulfonic acid, sodium salt, Reagent grade (8) Mobile Phase: Dissolve 1g Pentanesulfonic acid sodium salt (Monohydrate) and 15ml of Triethylamine in 850 ml of distilled water, adjust the pH to 3.0 with Orthophosphoric acid. Add 50 ml of Methanol and 100 ml of Acetonitrile, Mix well and degas before use. Note: Caution should be taken when degassing the mobile phase to avoid evaporating the mixture. Internal standard solution: Dissolve 1 gm of 1- Hydroxybenzotriazole in 1000ml of mobile phase, mix well. C) PROCEDURE: This procedure contains the minimum recommended sample and standard Preparation for assays performed manually. Alternate weights and volumes may be substituted if necessary, as long as they are documented and provide nominally equivalent concentration of the analyte. PREPARATION OF REF. STANDARD SOLUTION Accurately weigh approximately 32, 40 and 48 mg of Cephalexin reference Standard in to into three separate 200ml volumetric flasks respectively, pipette 30 ml of the internal standard solution in to each flask and swirl to dissolve, Dilute to volume with distilled water and mix well. SAMPLE PREPARATION Take 20 random capsules from composite sample and note individual weight content of each capsule and determine average content weight of 20 capsules. Accurately weigh about 500 mg sample from composite sample of weight content of 20 capsules in 500ml volumetric flask and record the weight, add water to dissolve and make up the volume with water up to 500 ml mix well and filter. Take 20ml of above dilution in 100ml volumetric flask, add 30ml Internal Standard and then add water upto 100ml mix well and filter through 0.45 µm filter paper. d) CHROMATOGRAPHY Make 20 à ¯Ã‚ Ã‚ ­l injection of a standard to ensure the chromatography system complies with the system suitability criteria. The peak tailing should not be greater than 1.5, peak efficiency should be greater than 4000 plates. The resolution between the two peaks should be greater than 2.5. A typical chromatogram is attached. LIMIT OF CEPHALEXIN MONOHYDRATE CONTENT. CEPHALEXIN THEORY LABEL 500MG / CAPSULE 500MG / CAPSULE (As Cephalexin anhydrous) ( As Cephalexin anhydrous) Acceptance Limit: 475 – 525mg per capsule (95 – 105 %). Regulatory Limit: 462.5 – 550 mg per capsule (92.5 – 110 %) (British Pharmacopeia) REFERENCES: (Augsburger LL,Shangraw RF,Giannini RP, Shah VP, Prasad VK and Brown D (1983) Thiazides VIII: Dissolution Survey of marketed Hydrochlorothiazides tablets. J.Pharma Sci.,72(8):876-881) Anne H. Dantzig, Linda B. Tabas, Linda Bergin , Cefaclor uptake by the proton-dependent dipeptide transport carrier of human intestinal Caco-2 cells and comparison to cephalexin uptake Biochimica et Biophysica Acta (BBA) Biomembranes, Volume 1112, Issue 2, 9 December 1992, Pages 167-173. Chalermporn Thongpoon, Boonsom Liawruangrath, Saisunee Liawruangrath, R. Alan Wheatley, Alan Townshend , Flow injection chemiluminescence determination of cephalosporins in pharmaceutical preparations using tris (2,2†²-bipyridyl) ruthenium (II)-potassium permanganate system , Analytica Chimica Acta, Volume 553, Issues 1-2, 30 November 2005, Pages 123-133. (Farar WE (1985) Antibiotic resistance in developing countries. The Journal of Infectious Diseases,152(6):1103-1106 ) (Glass RI, Huq I, Alim ARM and yunus M (1980) Emergence of multiply antibiotic-resistant vibro cholerae in Bangladesh . The Journal of Infection Disease , 142(6):939-942 ) (Goodman Gilman`s-The Pharmacological Basis of Therapeutics (2006) 11th Edition, McGraw –Hill Medical Publishing Division, Digital Edition , Chapter1.) Godfried Owusu-Ababio, James A. Rogers, Hosmin Anwar , Method of evaluation of sustained release microsphere formulations using the open chemostat system. (Goodman Gilman`s-The Pharmacological Basis of Therapeutics (2006) 11th Edition) (Hassan SMR, Hossain MM,Akhter R,Karim SMH, Haque S,Kamaluddin M and Ghani A (2009) Pattern of antibiotic use at the primary health care level of Bangladesh : Survey report -1.S.J. Pharm. Sci.2 (1) : 1-7) Helio S. Sader, Michael R. Jacobs, Thomas R. Fritsche, Review of the spectrum and potency of orally administered cephalosporins and amoxicillin/clavulanate, Diagnostic Microbiology and Infectious Disease, Volume 57, Issue 3, Supplement 1, March 2007, Pages S5-S12. (Lina TT,Rahman SR, Gomes DJ(2007) Multi-antibiotic resistance mediated by plasmids and integrons in uropathogenic Escherichia coli and Klebsiella pneumoniea . Bangladesh Journal of Microbiology,24 (1):19-23) Lennart Venemalm , Pyrazinone conjugates as potential cephalosporin allergens Bioorganic Medicinal Chemistry Letters, Volume 11, Issue 14, 23 July 2001, Pages, 1869-1870. Luis J. Nuà ±ez-Vergara, J. A. Squella, M. M. Silva, Polarography of an acidic degradation product from cephalexin, Polarography of an acidic degradation product from cephalexin, Talanta, Volume 29, Issue 2, February 1982, Pages 137-138s. (Public Sector Drug use studies (1990-1993) International Network for Rational use of Drugs, Virginia,USA. ) Ralph R. Pfeiffer, K. S. Yang, Mary Ann Tucker, Crystal pseudopolymorphism of cephaloglycin and cephalexin, 19 June 1970, 10.1002/jps.2600591222 R.C.Rudoy,M.D. 1977, Cephalexin: Clinical and Laboratory Evaluation in Infants and Children , Clinical Pediatrics, Vol. 16, No. 7, 639-644 (1977) Rist T, Parish LC, Capin LR, Sulica V, Bushnell WD, Cupo MA, A comparison of the efficacy and safety of mupirocin cream and cephalexin in the treatment of secondarily infected eczema., 2002-01, Clin Exp Dermatol., 27(1):14-20 R.Wise, J. M. Andrews, J. P. Ashby, D. Thornber, Ceftibuten: A new orally absorbed cephalosporin in vitro activity against atrains from the United Kingdom ,Diagnostic Microbiology and Infectious Disease, Volume 14, Issue 1, January-February 1991, Pages 45-52. (Saha SK Baqui AH, Darmstadt GL, Ruhulamin M, Hanif M,Arifeen SE, Santosham M,Oishi K, Nagatake T and Black RE (2003) Composition of carriage and invasive pneumococci among Bangladesh children:implication for treatment policy and vaccine formulation. Journal of Clinical Microbiology,41 (12):5582-5587) Warren E. Wick, Cephalexin, a New Orally Absorbed Cephalosporin Antibiotic , Appl Environ Microbiol. 1967 July; 15(4): 765-769). Yagnesh P. Patel, Nehal Shah, Indravadan C. Bhoir, M. Sundaresan, Simultaneous determination of five antibiotics by ion-pair high-performance liquid chromatography Journal of Chromatography A, Volume 828, Issues 1-2, 18 December 1998, Pages 287-290. 1 | Page

Friday, September 20, 2019

Looking at Two Paintings in the Boulder Public Library :: Personal Narrative Writing

Looking at Two Paintings in the Boulder Public Library I love to kill time. It was once said by a wise man that the one thing we’re all given an equal amount of is time, and how we use this time is what will ultimately determine the course of our lives. These days, there are plenty of instructions for those who are still unsure how to use time. â€Å"We need revision .02 living with upgraded busyness. So download the latest groupware and be sure to e-wire all those efforts to the 5 to 9 and 27/4 multitaskers.† At least it’s something like that, I can ususally pay attention until they start in with the math. At any rate, it’s needless to say that instead of working late to pay for a bigger roof, I prefer to leave early and catch the setting sun. Instead of spending Saturday morning taped to a desk, I prefer to wander the wide aisles of the local library, where coincidentally, this paper takes place. A library is like a compact, concrete garden of the globe. Where all the world’s diverse words are arranged by their type and placed in orderly rows. Now, Boulder is known somewhat for its diversity, and the library doesn’t stick out here for that reason. It’s more like the official logo stamped on the place, the swoosh under the Nike lettering. Here it was that wandering round the bookstacks, I came to a section of wall that had two paintings on it. They were both painted by the same two people, Leo and Diane Dillon, in the same year, 1978. Having paid the bills, and stocked the fridge some weeks previous, I was pleased to realize I had a little time to kill and could afford a closer look. The first painting, the one on the left, is entitled â€Å"Owl Woman†. The woman is sitting against an orange backdrop in a wide, deep brown dress that flows off the lower left hand corner of the painting. On her right hand is a rough leather glove, where perches a little orange and white owl. Her left hand is ungloved and is nestled in her lap. Worn around her head and down her shoulders all the way until it seems to be perched in her lap is the semi-transparent image of a gigantic owl. The owl’s head itself is not transparent, and is worn over the woman’s head like a snug bonnet. The woman’s face is clearly visible.

Thursday, September 19, 2019

Tips for Succcessful Essay Writing :: Education

Tips for Succcessful Essay Writing Being able to write a good essay does not come easy to the majority of current English students. The ability to excel in writing is not always something we can easily learn. Talented writers have the capability to reach into their soul and write from the heart. However, everyone does not possess this remarkable gift. Most of us struggle to achieve a level of adequate writing. Writing takes intense time and much thought to develop a well-planned essay. Bringing together all aspects of writing, such as: good descriptions, a proper structure, a good introduction and a clever title will give the audience a clear picture of what makes an essay good. Believe it or not, titles play an important role in the writing process. How many times have you flipped through a magazine and stopped only because you saw a title of an article that interested you. The title announces the topic clearly and as briefly as possible, as in the essay "Unlikely Learning". This essay deals with unlikely situations that you are placed in, because of your high school courses. The title of this essay would be considered a descriptive title. The other type of title is a suggestive title. This type of title is primarily used in an informal writing. The title, "The Value of Honesty", in our eyes, would be an example of a suggestive title. It describes the attitude of the author but not the exact topic. Yes, the essay is about honesty, but it is also about truthfulness. The title of an essay should not be the assignment given, or to restate the thesis, but it should attract the reader and make them want to read on. An introduction, in simple words, glves a background to the topic. It is one of the most important parts of the essay because it keeps the reader's interest of what they are about to read. The introduction will make the readers feel that what the essay is about will be of importance and interest to them. The thesis sentence is stated in the introduction. It is the one sentence that will tell the readers what the whole essay is about. The introduction is not very long but it is clear, precise, and to the point. A good introduction can either begin with a quote or ask questions. It can also contaln opinion words to either agree or dispute the topic of the writing.

Wednesday, September 18, 2019

Egoist and Utilitarian Responses to Terrorism :: Egoist, Utilitarian

Terrorism was not a dormant issue in the media until the attacks on the USA. The organised use of violence to target non-combatants for political purposes, is one of the most effective ways to gain media attention. Mainly used by extremist groups in the hopes of gaining recognition for their religious or political cause. Several attacks on the US have recently made headlines The attack on the USS Cole (October 12, 2000), US Embassy bombings in Kenya + Tanzania (August 7, 1998), Oklahoma City bombing (April 19, 1995) , the World Trade Centre bombing on February 27 1993 and finally the World Trade Centre bombing on September 11, 2001. . There were overt threats made to the US government regarding these attacks but most were dismissed as hoaxes. What we need to recognize about terrorism is its message. Attacks are usually perfectly planned and precise. In the attack on the WTC and pentagon, thousands of innocent people died when the Al-Quaida flew 3 passenger aircraft into both towers and crashed one into the pentagon, the USA’s best-guarded facility. Hopefully these deaths were not in vein, now other countries have joined George Bush in the war against terrorism and are launching repeated strikes on Afghanistan (the Al-Quaida’s supposed base.) They hope that these attacks will prevent any further events from happening. These attacks have in my view displayed that the Taliban can control the US economy and hit any target they wish, no matter how well guarded it is. Perhaps America should have been more cautious and handled the threats more carefully. Maybe they were being too proud and this is why the Taliban believe it is justifiable to kill innocents, or they chose to attack now because America was just feeling safe. Whatever the reason, we will never know. In 2002, the world changed forever. Anthrax, a biological weapon was released into the postal system and a commercial aircraft was turned into a 1000 tonne missile. War will have a new face, it will not be against an enemy firing projectiles, but instead, an invisible, deadly network of shadows attacking miscellaneous targets in random locations. This is why if we don’t act quickly; the world could be cast into turmoil. So how do other people feel about this topic? This is how I think an Egoist would feel. The word egoist means that you are only concerned with things that may affect you in the long run.

Tuesday, September 17, 2019

The purpose and activities of each functional area and internal and external communications at coca cola

The main functional areas are Human Resources, Production, and Administration, Finance, Marketing, R&D. the main functional areas in the coca cola company are HR, Production and Administration. Human Resources The human resources department recruits the best people for the right jobs. For coca cola the human resources department looks for people who have skills and experience in driving Lorries. They should be honest and happy in what they do. They produce a frame work which helps them to identify the right person for the work. They check out the attendance, punctuality of the employees. They check whether the employees are paid on time and whether they are late. They first advertise internally for a job that needs to be replaced before advertising it externally. They make sure that an employee only works over one time once a week. There is a training manager in coca cola who trains employees from ages 16-65. They never stop training and they have to train themselves continuously. Production Production department helps improve the products. Managers help others in their work in the production department and they guide them through their jobs. They tell the employees in that department what to do and they produce new ideas and alternative to the company. Their main target is to only loose about à ¯Ã‚ ¿Ã‚ ½10000 a year of yield and à ¯Ã‚ ¿Ã‚ ½2000 a week. They also help to improve machines. They have a microbiologist in the coca cola company. He inspects the hygiene, in the production line and the raw material. He checks for contamination like moulds, bacteria and coli foam, he checks normal hygiene as well. Costic and parasitic acid removes the debris from inside the vessels and sterilizes it; he makes sure that this is still not in it while making the product. All areas are checked by a swab before production and the documents have to be checked by him. They have around 300 people working in the production department in coca cola and around 47,735 people working in McDonalds. Comparing this to coca cola there is a big difference. This shows that machines have taken over in coca cola but not in McDonalds. This also tells us that coca cola has grown and developed faster than the tertiary sector that is McDonalds. Coca cola make 24,000 drinks per hour. Administration In the administration department they have to do the filing and arrangements to see people. The PA Wendy Savides aim is to make sure that the boss knows where he is to be at a certain time. She also has to manage other people. She has a diary which contains the appointment for the boss and she helps him in any way, with meetings, charities, local donations. Marketing There are four basic aspects of marketing that is used in coca cola called the â€Å"four P's†: *Product: The item or service they sell. *Price: The amount they charge for their product or service. *Promote: The ways they inform the market as to who, what and where they are. *Provide: The channels you use to take the product to the customer. As you can see, marketing encompasses much more than just advertising or selling. For example, a major part of marketing involves researching your customers: What do they want? What can they afford? What do they think? Your understanding and application of the answers to such questions play a major role in the success or failure of your business. Advertising is a good way to inform people what is available to buy and if there where no adverts we wouldn't know what to buy or we would end up buying the same products and not trying anything different. But on the other hand adverts can encourage us to buy things that we don't need because they make the product look or sound really good and a lot of the time the product isn't as good as advertisements make them out to be. Coca cola spent around 569 million into ads in 2002. This shows that they have put a lot of time, money and ideas into the advertisements and they have made their money by the number of drinks they have sold. Coca cola's target audience varies with the different drinks. Fanta is aimed for women and teenagers. Coca-cola classic is aimed for all ages. Diet cola is aimed mostly for women from ages 25-35. This is quite alike with McDonalds because only a certain age people buy a product like women buy salads and a chicken sandwich. Finance HR is the most important functional area to the workers but to the boss its finance. This area controls all money in the business, and they are responsible for all money that goes in and out the business. Every so often the gives the other departments some money and they must stick to that. If they break their budget they must explain why. All money, which is spent, must first go through finance and only a senior worker can give consent for it. They are also responsible for paying every one in the company. They must give as report every week of how their cash flow is going, they must be precise to the last digit or they will be in big trouble. They must also prepare cash flow forecasts and break even charts; these must be shown at each company meeting. If all of these things aren't done correctly then the company could go bankrupt or the financial manager may get done for fraud. This section is very important and is vital for the businesses success. Marketing helps them in the aim of having bottled water. They can advertise their product and help them find out what people really want from their money. HR can help find experienced people for the different work, which will help them achieve improving working relationship. Finance helps them to see how much money they have and how much they need to buy things. Administration helps them to control the communication between the functions. They deal with internal and external communications. It facilitates the successful production of products and efficiency in the business. Production is the heart of the business as it creates profit and is the reason the business is running. This helps them achieve most of their aims like major rise in profit. The human resources department needs to communicate with production manager for several reasons. I asked Andrea Reeves the HR manager and she said, ‘we communicate well to know the attendance, punctuality of the employees so that we can see which workers are good for promotions and stuff like that.' She said that ‘we have to even communicate to the finance department to see that the employees are paid. We do this by Email internally, presentation.' PA needs to communicate with production manager to see whether they are producing enough bottles per hour and if they are going according the plan. They would want to check if they are being environmentally friendly. They communicate by phone or e-mail internally. The production manager would communicate with the microbiologist to see if there are any bacteria or whether they should start producing the drinks. They would want to know the status of the machines and whether they need to through out any drinks that are if the bacteria was in the machines while the drinks were made. This would contaminate the drinks. They communicate face to face or by phone internally. The marketing manager needs to communicate with the finance department to see how much money they have to invest in a making of a product. They communicate by the phone and by fax. The functional areas of coca cola are strong and secure; they help coca cola achieve their aims. They need to communicate with each other for several reasons, whether it's important or just a question about lateness. The advantages of talking, intranet and meetings are that it is efficient and quicker. Using e-mails and phone record involves ICT which can make things complicated and can take time. The business communicates to customers through the website mainly and sometimes through news articles. They sell their products through promotions their latest one is the free music download. If there is a problem then the customers call the customer line. They can complain to the services about the product which then goes to the coca cola administration department. Coca cola is responsible for the product till it reaches the hands of the customer. To do this the company needs to keep in contact with the store or market. They also need to contact about the times they need to deliver new drinks and where the drinks should be kept as well. The company gets their yield ready made so they don't know what it is made of but they put down some basic ingredients like caffeine.

Monday, September 16, 2019

Insights That Travels Trough Time Essay

The dramatic effect of a masterpiece always depends on the one who views it. John Berger argues about perception and that only few own and experience the proficiency in terms of visual images that shape the cultural memory of a society. Berger opens out and focuses on the power of images (Parks, 2009). He looked up to how others should consider and understand how a certain image could produce â€Å"a new language of images†. Perhaps, he wanted to make each and every artist takes advantage of using his or her works to represent or reflect the ethos that exists in a society. For him the art itself speaks up a rich testimony about the culture and other occurrence in the history. Also Berger establish the notion that those who were unattached from their past, has unbound role and can freely act as an individual or a group. Herewith, it could be assumed that experiences affect how we accept or perceived something or how we or what we believe as true. Further, according to Berger â€Å"The relation between what we see and what we know is never settled†. The truth could be assumed to still rest in the eyes of the viewer. Berger insists to how we people should respond and take importance of what we see. With this, we should learn to read and know what lies behind it. Every image is an instrument that leads us to different region and period (Wong, 2009). If we just learn how to read and decipher the knowledge it offers, then we could freely purchase the vision that the most ignores References: 1. Parks S,. (2009)Studying Culture/Controlling Images. , Retrieve: April 14, 2009 http//www. temple. edu/isllc/sparks 2. Wong M. , (2009)Just in Time :Anamorphosis as a Strategic Survival Visual Tactics. , http://www. para-site. org. hk/_pre/96_txt4. html

Sunday, September 15, 2019

Sapakin Kita Diyan

Table of Contents Title Pagei Table of Contentsii Brief History/Background of the Company/Company Profile1 Summary of the OJT Experience5 Assessment of the OJT/Practicum Program9 New knowledge, attitudes, and skills acquired12 Theories actually seen in practice17 Feedback that can be given to the company/hotel/restaurant20 Benefits gained Problems encountered23 Appendices A. Company brochure and/or pamphlet25 B. Copy of the Endorsement Letter26 C. Copy of the Training Plan27 D. Copy of the signed Waiver Form28 E. Daily Time Record29 F.Quarterly Performance Appraisal Forms30 G. Certificate of Completion31 Brief History/Background of the Company/Company Profile Link Network Solutions Inc. is a formed corporation engage in all computer related consumables and parts. We aspire to give exceptional service by providing your needs in Printer Consumables; Toner, Ink Cartridges, Ribbons of all brands OKI, HP, CANON, SAMSUNG, EPSON, BROTHER, LEXMARK, FUJI XERORX. We also offer Office Equipment ’s: Printer, laminator, shredder, Fax machine, Copier, Computer and accessories among office and computer supplies.We guaranty that we can give you fulfilling commitment in our business with you, improve business practices, and ensure, reliable, secure our product to be delivered just on time. Above all, we value our client’s partnerships by guaranteeing complete customer satisfaction, and we will always provide our partners with the highest level of service and professionalism Summary of the OJT/Experience Assessment of the OJT/Practicum Program New knowledge, attitudes and skills acquired There are many knowledge, attitudes and skills acquired being an on the job training in Link Network Solutions Inc.I know how to setup and install high end printers. I know how to troubleshoot a printer. On attitude I must go to office early don’t be late. If you want to be absent tell the manager or any high staff so they know it early. Be honest and trustworthy. Being a tra inee is not only a subject to be passed or a requirement to be complete but on the job training is an opportunity to show what skills, talents and techniques that the student learned from the school and also opportunity to experience life outside the campus; serving companies like a professional on the field of students specialization. Theories actually seen in practiceFeedback that can be given to the company/hotel/restaurant I. Introduction I decided to have my on the job training at Link Network Solution Inc. at 5700 Pagulayan St. Poblacion, Makati City. It’s a little bit far from Cubao but I have no choice because I really have a hard time searching for a company where I can have my on the job training with. Good thing my classmate has a connections on one of the head of that company and luckily, me together with my two other classmate happened to start out our on the job training there. The Link Network Solution Inc. is the fourth company that we had applied.We first sub mitted our resume to POEA, SSS East Ave and PLDT Mandaluyong, but none of those companies had entertained our application maybe because they already have their chosen applicant or it may either be because we applied late. I started my on the job training on Jan 2013. It is from 8:00 am to 5:00 pm from Monday to Friday. II. PERSONAL ASSESSMENT OF LEARNING FROM THE COMPANY A. Cognitive or Intellectual Learning  I’ve learned a lot from the job given to me. I know how to setup a printer, troubleshoot, and deliver an item to a customer. I learned the daily routine inside the office. I also earned how to make a receipt when we deliver some items for our customer. Sometimes I voluntarily deliver when no one is available to do it. I learned every supply or item that we delivered it always have a receipt. I know how to go in different places riding jeeps and other transportation. B. Affective or Emotional Learning  I  learned how to love my job and all the staffs. I learned to a ppreciate the work given to me. I was so dedicated that I do all my best to give correct service but sometimes there were errors. I also experience that the manager get a little bit mad at us when we are absent.For the staffs, they were so kind and friendly and I never experience â€Å"out-of-place† there. They treated us like a family. I remembered what the manager said to us, â€Å"If we are in work, we work. If we are on outside, we’re friends. †Ã‚  Ã‚  I always put that in mind and  I became closer to my manager, supervisors and staffs. C. Psychomotor or Physical Learning  I noticed a lot of improvement on me. I became flexible. I also noticed that I became faster in moving. III. RECOMMENDATIONS a. For myself – I must recommend to me that I must omit my tardiness because coming early is really important in the job.I must be ready for all the work that they will give to me because I accept being an on the job applicant from their company. b. For OJ T Company  Ã¢â‚¬â€œ I recommend that they place OJT students nearer on the branch where they live, in order to avoid hassle in travelling. Also in scheduling of time. They must give students earlier schedules in order to go home early especially for those who travel from far places. c. For OJT Program  I recommend that they must put OJT programs at the earlier years in order to expose students at an early time and to learn the concepts and hands-on training in our industry.They should treat each on the job applicant equally. IV. AREAS TO IMPROVE A. About Self  I think I must improve my time management. Sometimes I came late especially on Friday because I must report in school B. For the OJT Company  I think they must improve the scheduling of time of their OJT students in order to go home early especially for those who travel from far places. C. For the OJT Program  I think they must improve the OJT program because I felt that we were late on having OJT. We have co-OJT stu dents in other schools and they were only 2nd  year and yet they were having an OJT.Benefits gained Problems encountered We are an On the Job Training in a company that focuses on printers so these are the problems that I encountered during our time there. A. Paper Jam If a Kyocera printer has been properly maintained, most paper jam problems are directly related to the paper that is being used. Although this is never the answer anyone wants to hear, it is the most overlooked component and the simplest to remedy. If persistent jamming is the problem, the first test would be to remove all of the paper in the printer and replace it with paper from a new ream, or of a different manufacturer.Check the label on the new package of paper to verify the paper meets Kyocera's specifications. Grain structure is very important. Short grain paper will cause frequent jams. Always use long grain paper. Most paper is manufactured to have a top side and a bottom side. This has something to do with grain structure and the natural curl of paper. Try flipping the supply of paper over. This will test the â€Å"curl† in case the paper was put into the printer upside-down. If all of these methods do not alleviate the problem, the problem is probably mechanical.Refer to the remaining questions on paper jamming. First check the paper and shuffle it properly. Second if the paper is stock inside the printer. Easily open the printer tray and remove the specific paper that is jammed. B. Blurred Letters Check if there still a toner, remove the drum and shake it and you will know if it’s empty or not. Check also at the report from the printer and print the status page. C. Poor print quality Check the drum if it’s dirty or there’s something in there. If the drum is dirty clean it. Check also the printers’ charger; if it’s dirty clean it. D.There’s a line on the text Check first the drum of the printer; it its dirty clean it. Check the Fuser Kit if it does have a scratch or have a defect you must change it. E. Empty Toner The toner is empty. The toner needs to be change. F. Invalid Cartridge The programmed chipset is done. G. Routine Maintenance The Charger in the printer needs to be change. The benefits that I gained from our company. We gained so many benefits as an on the job training in Link Network Solutions Inc. We know how to setup and troubleshoot a high-end printer. A. Company brochure and/or pamphlet

Saturday, September 14, 2019

Causes of Variation

Variation is a result that leads to a difference or deviation (for example, structure, form, function) from the recognised norm or standard. It is a modification in structure, form or function in an organism, deviating from other organisms of the same species or group. There are two types of variation: interspecific variation and intraspecific variation. Interspecific variation is when one species differs from another like mammals differ from fish. These differences are explained through differing ancestries explained by the difference of genetics perhaps due to natural selection. However, intraspecific variation is when members of the same species differ from each other like how there are many different types of cats. This can be mainly explained through mutations.Variation is the result of two main factors: genetic differences and environmental influences. In most cases it is a combination of both factors. Additionally, in asexual reproduction, variety can only occur through mutati ons whereas off springs that have been produced sexually the variety will be more apparent due to the probabilities being higher due to more factors contributing to the cause of variation such as meiosis and fusion of gametes, as well as mutation.Genetic differences are due to the different genes that each individual organism possesses. The differences occur arise in living organisms and change from generation to generation. Genetic variation arises as a result of mutations, meiosis and fusion of gametes. Mutations are changes in DNA that result in the offspring containing different characteristics by the changing of quantity or structure of the DNA.The end result of the process of altering the DNA structure is a different amino acid sequence that leads to a formation of a different polypeptide, and hence a different protein, or no protein being produced at all. So, as proteins are responsible for the characteristics of an organism, it follows that changes to DNA are likely to alter an organisms characteristics. These sudden changes to genes and chromosomes may, or may not be passed onto the next generation.Genetic differences are also explained through meiosis. Meiosis is the process in which four daughter nuclei’s are produced, each with half the number of chromosomes as the parent cell. It allows the offspring to adapt and survive in the changing world by allowing genetic variation through the independent segregation of homologous chromosomes due to the homologous pairs of chromosomes arranging in a new, random order. Also, the recombination of homologous chromosomes crossing over causes variation. Overall, meiosis mixes up the genetic material before it is passed into the gametes, all of which are therefore different.Lastly, genetic differences are also explained through the fusion of gametes. In sexual reproduction the offspring inherit some characteristics of each parents and are therefore different from both of them. Which gamete fuses with at fe rtilisation is a completely random process that emphasises the variation occurring in the offspring.On the other hand, environmental influences also have a massive input in variation. The environment influences the way in which the genes are expressed. The genes allow certain things to happen whereas the environment determines where each characteristic is utilised. For example, a plant may contain genes that allow it to grow tall however, it is the environment that allow this stage to progress so if the seed germinates for example, the plant will not be able to utilise it’s beneficial characteristics to the highest extent. Examples of environmental influences are: climatic conditions (such as rainfall, temperature and sunlight), soil conditions, food availability and pH.Overall, variation is caused due to a combination of environmental influences and genetic differences. However, it is hard to distinguish between the effects of environmental and genetic so is difficult to dra w conclusions about the causes of variation.

Friday, September 13, 2019

Annotated Bibliography-Sheila-W6 Coursework Example | Topics and Well Written Essays - 1250 words

Annotated Bibliography-Sheila-W6 - Coursework Example Knowledge of information regarding the study was limited, and the researchers do not provide for future studies. The literature review is well explained that the readers had no difficulties absorbing the topic. The methodology was done by cross-sectional surveys of the samples of old adults that were similar to an earlier study by Wood. The technology users had improved health care compared to nonusers. The author is a public commentary with the information week health care leading to online publication. The researcher observes a difficulty in sharing health related information by patients. As a result, mobile manufacturers find it hard to provide apps that reveal their details. The author proposes further studies into the issue especially on possible solutions to the menace. Finding earlier information concerning the topic was almost inevitable making the study to rely on its data for analysis. The review was less in depth that resulted to rely much on the author conclusions. The methodology was by questionnaires presented to the health providers who revealed patients reluctant to share their data. Data is the solution to research as they form the basis of policy making. Skrvseth, S. O., Augestad, K. M., & Ebadollahi, S. (2015). Data-driven approach for assessing utility of medical tests using electronic medical records. Journal of Biomedical Informatics, 53, 270-276. doi:10.1016/j.jbi.2014.11.011 It is a comprehensive scholarly journal of biomedical informatics published by the Elsevier. The author asserts that data from patients taken through electronic medical records can be used to provide utilities to the medical tests. Due to increased data observations, the researcher believes that methodologies can be generated that provide content idea to the satisfaction of the medical tests. The study is very silent on information regarding previous studies and neither does it suggests for further research concerning the topic. The

Thursday, September 12, 2019

High Costs of Healthcare Research Paper Example | Topics and Well Written Essays - 1000 words

High Costs of Healthcare - Research Paper Example Anderson’s (1997) theory organizes the healthcare system as per the contribution of government and private agencies in the healthcare delivery. The level of participation of the government and nongovernment agencies in the financing and organization of the healthcare modules determine their position on the continuum. In the US, the healthcare is market driven and the various modules, even the essential ones like insurance, accessibility etc are treated like commodities. In the fast-changing environment of globalization and technological advancement, the healthcare system of the US has come under a lot of stress from various factors. Hence, academicians and scholars have placed the US Healthcare system at the market-maximized extreme of the Anderson continuum. The general downtrend in the management and delivery of health  is a major issue which, if not tackled soon, may boomerang on the government with serious consequences. The needed reforms, therefore, require a careful consideration to all the various pros and cons of the developing situations in the concerned areas of the public health care. The various agencies, government and nongovernment are required to come together to formulate strategies and policies for the legislative reforms that need to be implemented. The market maximization and the competitive business rivalry have resulted in the low quality of the healthcare in the United States. In the market-driven health system, consumers or people decide what goods (health module) to buy and at what cost. Therefore, the prices and the level of services become the crucial factor in the exchange of goods or the healthcare services.     

Wednesday, September 11, 2019

The psychological contract does not exist in the minds of employers in Essay

The psychological contract does not exist in the minds of employers in mature states and mature organisations. What is key is the legal contract. The psycholog - Essay Example ent the employer may promise to offer something to the employee or at the time of appraising an employee’s performance the employer could declare a reward for his satisfactory performance. Mutual obligations sometimes act as promises and sometimes as expectations. However, the employee is required to have trust in such promises or expectations as part of the relationship with the employer (The psychological contract, 2007). There is a vast difference between a legal contract and a psychological contract with regard to employment. Legal contracts offer a limited set of expectations and imperfect identification of the relationship involved in the employment. With the exception of refusing to accept such terms and conditions, the employee can do anything about the relationship mentioned in legal contracts. The courts and employment tribunals examine the nature and content of the legal contract of employment. These enforcing bodies interpret the nature of employment on the basis of the legal contract (The psychological contract, 2007). A psychological contract examines the practicality and reality of the work place environment as perceived by the employer and the employees. It has greater effect than a legal contract in determining the activities of the employees and the management. Under a psychological contract, the employees have a clear idea of their duties and the necessity to discuss them by adopting the process of collective bargaining. It also explains to them their expectations from the employer (The psychological contract, 2007). A psychological contract does not require to be enforced strictly. The courts examine the underlying relationship between employer and employee while interpreting the common law principles with regard to mutual trust and confidence. Researchers claim that there would be a negative effect on job satisfaction and a deterioration of employee commitment towards their job, if the management fails to fulfill its promises to its

Tuesday, September 10, 2019

Sports Tourism Essay Example | Topics and Well Written Essays - 1250 words

Sports Tourism - Essay Example Sport tourism can be classified in to three main categories. The first category is nostalgia sport tourism. In this category, people visit museums and halls of fame to view documented articles, trophies, and monuments of great sporting achievements. The second category is active sport tourism. This category includes activity holidays and active events. The third category is event sport tourism. This includes the active and passive participation in sporting events (Gibson, 1998). Gibson (1998, p. 49) further conceptualizes sport tourism to be in three distinct areas: traveling to take part in a sporting event; traveling to watch a sport; or travelling to celebrate, worship, or venerate a sport. More recent definitions of sport tourism suggest that it is more than a two -dimensional synergetic phenomenon. In a more intricate definition, sport tourism is a social, economic and cultural phenomenon that arises from the unique interaction of activity, people, and place (Weed and Bull, 2004 , p. 37). Weymouth and Portland as Sport Tourism Destinations Weymouth and Portland are located on the south coast of England. This area provides some of the best sailing waters in the UK. In addition, the area has facilities on land to complement the sailing activities that take place. Before the 2012 Olympic Games, the area already had world class facilities, but some enhancements were necessary to ensure that the facilities were suitable enough to host the sailing competition during the main Olympics and the Paralympics (London 2012 Olympic and Paralympic Games, 2012). Considering that sailing is both a competitive and leisure sporting event, there were several types of sport tourists expected to be in the area during the Olympic period. Gibson conceptualizes sport tourism to be in three distinct areas: travelling to take part; travelling to watch; or travelling to celebrate, worship or venerate a sport. From his conceptualization, the types of tourists that can and were attracte d to visit Weymouth and Portland during the Olympics can be derived. The first type of tourists that were attracted in the area are the participants (Gibson, 1998, p. 49). The Olympics bring together athletes and sportsmen from all over the world. Therefore, any sportsman that participated in the sailing competition in both the main Olympics and the Paralympics were tourists. Though their main agenda was to participate in the competition, the fact that they were foreigners makes them tourists by default. Also, the sailing competition was not taking place every single day during the games. The athletes, therefore, had some time to spare in between the races. During this spare time, they toured the area to get to explore its aesthetics and to appreciate the advancements that had been made in the area specifically for the sport. The second area of sport tourism is travelling to watch the sport (Gibson, 1998, p. 49). This was undoubtedly the area that produced the largest number of spor t tourists. People from around the world had travelled to London to specifically watch the games that were taking place there. Most of the tourists in Weymouth and Portland during this period had come as spectators to the sailing competition. Considering that they were not entirely caught up in watching the games either, they had some spare time. During this time, they either went to tour the area or participated in the sailing sport for leisure. This is in line with Gibson’s second category of sport tourism which includes activity holidays. Therefore, the agenda for this type of tourist was twofold. Primarily, their agenda was to

Confinement Assignment Personal Statement Example | Topics and Well Written Essays - 1000 words

Confinement Assignment - Personal Statement Example Since the deadline was fast approaching, I thought I should be brave enough to plunge into this adventure. And finally on 2nd of April, I combated my reluctance and fear. Since my family members were sick and tired of hearing my plans to start this project, they were relieved that finally I am doing it. My ten hours of confinement seemed a huge relief for them especially after they had to face the wrath of my desperation in the last couple of days. I began this project at 10 in the morning after my breakfast. I strongly felt the urge to have a quick shower, but stopped myself thinking that it would not be a good beginning to cheat in the first step itself. I switched off my cell and left it out of my room and strictly instructed others to not disturb me until half past two, when I will be out for lunch. I took lots of books and magazines to read. To be precise there were 12 of them. The number of magazines was more than books because I hardly get any time to read them. In fact, the only positive outcome that I could think of before this project began was that I would get plenty of magazines to read leisurely. Keeping this leisure in mind I had even bought latest editions of a couple of new magazines. The lure of reading them was the single most reason that was pushing me towards this project. Since I was not supposed to take a shower I changed into a very light and comfortable piece of clothe and applied a generous amount of deo spray to keep me as fresh as possible. I also spoke to my friends and informed them about my adventurous project so that they do not call me during the project time frame. I told them that I would inform them about my unique experience once the project is over. I feared that I would start feeling hungry before half past two. Hence I ate more than what I normally eat for breakfast. Needless to say I was feeling very heavy and sleepy when I entered my (confinement) room. How did I feel before the project I had initial inhibitions about this project. I felt that only a very strong person would be able to abide by all the instructions that have been given. We have taken different types of media for granted. The thought of spending time without these modern day habits was worrying me. On a lighter note, I have a habit of drinking lots of water so just going thrice to the bathroom within 10 hours was not looking a convincing idea at all. How did I feel after the project To be honest I was relieved that the project was over. I was also happy that I did a good amount of quality reading. I was longing for this kind of reading since a very long time. I think I have never concentrated on reading as much as I was able to concentrate during this project. I learnt a lesson of discipline. I learnt that if one controls oneself and tries to abide by a routine then a lot could be achieved in lesser time. I have a habit of switching on the TV or talking on the cell phone whenever I get bored. I have become so accustomed to these gadgets that the feeling of boredom strikes too frequently. Now, I think I would be able to get rid of this overindulgence of mine pretty fast. Without this experience I would not have realized how much precious time I am wasting. After this project I feel that I have become a wiser person. I have also