Working capital management - a business organizations success Essay

Working capital administration - a business associations achievement - Essay Example Working capital administration is fundamental for a business association's prosperity and even negligible endurance. By centering in this perspective, organizations can guarantee adequate income so as to settle developing transient commitments and money anticipated operational costs (McClure 2008). Without productive methods in overseeing working capital, an organization can show gainfulness yet may be illiquid to settle its present liabilities along these lines endangering its relationship with banks. Working capital administration likewise covers the productive assortment of records receivable and offer of stock so as to create money. The better the organization oversees working capital, the less cash it needs to obtain. Holding over the top money is additionally observed as wasteful in light of the fact that it very well may be utilized for speculation which amplifies investor riches. Probably the best case of organizations which profits by concentrating on working capital administration is PC goliath Dell, Inc. The organization's prosperity can be straightforwardly credited to its proficient stock administration framework which disposes of extreme creation. Interestingly with regular makers, Dell's creation is tied up with client request empowering it to dispose of stock holding cost.

When a Car is More Than Just a Car Essay Example for Free

At the point when a Car is More Than Just a Car Essay The first occasion when I heard the tune, â€Å"Fast Car† by Wyclef Jean, I truly loved it since it was snappy. In the wake of tuning in to it a couple of more occasions, I understood there was a great deal of significance to it. To me, the primary objective of this melody is to show the youthful audience members a troublesome exercise to be cautious before they accomplish something that might demolish their lives. Likewise, Jean is demonstrating his audience members there is help out there and tomorrow isn't guaranteed †everyone needs exploit their accessible assets so they don't hurt themselves. Fundamentally, Jean needs everybody to be cautious with the existence that they right now have as opposed to sitting around here on earth. Jean clarifies his story by utilizing a sort of music that will get to youngsters without causing them to feel like they are being admonished. He additionally relates his sections to celebrated individuals, for example, Kanye West, Notorious B.I.G., Tupac, Sean Bell, Left Eye Lopez, and an honest multi year old young lady; by utilizing this sort of melody composing style, youngsters will tune in to the tune and gain from it instead of maintaining a strategic distance from the theme. The main section of the tune is allduding to Kanye West having a significant auto collision. He was driving home from a chronicle studio in Los Angelos at three toward the beginning of the day when he nodded off at the worst possible time. He totaled his vehicle and broke his jaw harshly. After this mishap, Kanye composed a tune called â€Å"Jesus Walks.† It was a piece of the collection called â€Å"Through the Wire,† which Kanye West really delivered while he had wires holding his jaw together(â€Å"Kanye West†). The primary refrain of Wyclef Jean’s tune says â€Å"I heard a man say Jesus strolls, me myself I heard Jesus talk.† This line shows how Jesus is genuine and how both West and Jean have by and by had experiences with Him. The following lines state, â€Å"Cause when I heard his beat I felt Jesus power, I heard it Through The Wire that he made it out the unconsciousness, from a quick car.† This line shows West’s destroying mishap and its consequence. Kanye was in a state of unconsciousness and about kicked the bucket since he neglected to be mindful with his vehicle. The reason for stanza one is to show the audience members that driving at late hours of the night or while tired isn't sheltered. It is smarter to remain some place as opposed to gambling an actual existence by driving a vehicle. West was fortunate to endure his mishap; not all circumstances have blessed results be that as it may. West managed a ton of agony actually, while other peoples’ issues include their adversaries. The second refrain of this tune is about Tupac and Notorious B.I.G., who is otherwise called Biggie. Tupac and Biggie had a fight that continued for quite a long time before anything was done about it. Big deal was a terrible kid, and Tupac was a fugitive. This is clarified in the melody when Jean composes, â€Å"Some of us are Bad Boys, Some of us are outlaws.† Biggie took the name â€Å"Bad Boys† when he and his maker chose to match up to make music. Tupac was viewed as a fugitive since he didn't really have wherever where he had a place. At some point, during November of 1994, Biggie shot Tupac on numerous occasions in the anteroom of a chronicle studio in New York and took a lot of gems. Everybody suspected Biggie, however he denied it and never got the full fault for it (Huey). During the tune, Jean says, â€Å"Unsolved riddle, the executioner gets away.† It is extremely clear he is discussing the episode among Biggie and Tupac. In the long run, their debate carries on into Vegas and LA, where Tupac is killed in his SUV from a shot by a neighboring vehicle. The melody likewise clarifies this since Jean discusses the dramatization proceeding onward to Vegas and LA and driving a quick vehicle. This competition was wild, particularly when Tupac was in the long run killed. Everybody figured the world would improve as a spot since individuals would gain from the circumstance. This was not the situation, in any case, on the grounds that the contentions got greater and America turned out to be increasingly vicious in the twentieth century. Jean is by and by attempting to show everybody the significance of our lives; he doesn't need anybody to stumble into difficulty so severely that their lives are at last finished by the viciousness. The tune talks the mos t intense as far as significance of the melody. The principal half is, â€Å"you don’t got the opportunity to be no extremely rich person, to get a ticket up to the moon. We as a whole know someone up there, you need some assistance, look, I’m right here.† Basically, Jean implies everyone goes to the moon, or paradise, at some point. In any case, an individual doesn't need to be rich to travel up there. We as a whole know individuals who have died and gone to paradise; it is never simple to bid farewell to individuals who leave Earth. He needs everybody to realize that there is a lot of help on Earth. Jean doesn't need anyone to wreck their life to the point that it isn’t justified, despite all the trouble to fix it. This piece of the tune has the most representative importance. Vehicles represent the excursion of life †from birth to death, similarly as they assist you with venturing out starting with one spot then onto the next. Jean utilizes the sections to demonstrate strict implications of why we should be cautious with vehicles; he utilizes the tune to show the representative significance related with quick vehicles and why they can be so risky. Additionally, he inclines toward not to have any hardships to control his listeners’ lives either. The stanza proceeds to state, â€Å"†¦to assist you with seeing plainly now.† Jean needs to be the assistance for everyone. Why bite the dust, when you could fix your issues and live as a cheerful person? The entire motivation behind the tune is to be shrewd and not let our vehicles or issues control us. The extension of the melody stresses the perils of vehicles. An individual may be drinking or not in the privilege mental state to drive, be that as it may in the event that they get their companions to drive, the vast majority of them will most likely get in the vehicle. Paul Simon comes into the melody now and says, â€Å"When that quick vehicle gets you, you will have no way out. You may hear the tires shouting, yet you will have no voice. Yet, as the quick vehicle gets you, you will sob and grin. Also, see paradise in the headlights, mile after, mile.† This is a generally excellent portrayal about what life is truly similar to. Individuals don’t need to confront their companions since they will be the one and only one. Be that as it may, settling on the decision to not make some noise may cost an individual their life. Regardless of whether it doesn't conclusively take their life, they will feel lament as they â€Å"see paradise in the headlights, mile after mile.† People realize they are committing an error by getting in a vehicle with individuals who have been drinking. However the vast majority simply oblige it so as to fit in. The risk with vehicles is they don't appear as though weapons and individuals are not cautious with them since they consider them to be a toy. They can be a weapon however on the grounds that they can without much of a stretch hit someone and harm them or the individuals in the vehicle. After this melody, ideally everyone starts to see the significance in wellbeing and great choices. Jean isn't close at all to done †he continues acquiring more models so he can truly get is message over. The third refrain of this tune references the Sean Bell shooting that happened in November of 2006. Chime held his lone wolf party at a Queens Strip Club in New York City. He w as drinking and afterward got into his Nissan Altima with two of his companions. He started to drive and he ran into a New York official. The remainder of the officials thought Bell was a risk so they started to take shots at his vehicle. They executed Bell while harming two of his companions. All together, they shot multiple times. The officials associated with the occurrence were arraigned, â€Å"charging the two who had discharged the heft of the shots, Detective Michael Oliver and Detective Gescard F. Isnora, with first-degree homicide, and the third, Detective Marc Cooper, with crazy endangerment† (â€Å"Sean Bell†). This is clarified in the melody when Wyclef Jean composes, â€Å"what would you do after your single guy party? In the bar celebrating with all your homies,† and â€Å"over fifty one shots yet you ain’t prepared to die.† Jean shows how everyone hosts a lone rangers get-together and settles on terrible choices, yet that doesn't mean the individual has the right beyond words, needs amazing. Chime settled on a ter rible choice by getting in his vehicle when he was affected by liquor, anyway he didn't figure it would cause him his life. Jean is demonstrating his audience members an exercise through Bell’s story. He is demonstrating the significance of obligation, particularly when individuals are affected by liquor. No one needs beyond words, directly before their wedding. Jean’s exercise is to be cautious and aware of our activities. The fourth stanza of the tune is about an individual from the hip-bounce band, TLC. Her name was Lisa †left eye †Lopez and she was on an otherworldly outing to Honduras to get her life all together (â€Å"TLCs Lisa Left Eye Lopes kicks the bucket in wreck.†). Jean clarifies this by saying, â€Å"Everybody needs some TLC, so she made a beeline for Honduras for some TLC (Tender Loving Care).† Lopez kicked the bucket an honest demise. She was a traveler in a van; she kicked the bucket in a flash, while the other seven travelers were healthy. Jean states, â€Å"Well she was a traveler, never a driver, in that quick car.† Now in the tune, Jean goes to individuals who are attempting to spare their lives, yet they despite everything endure passings. Lopez was on an excursion attempting to make sense of her issues, however she was murdered by a hazardous quick vehicle. She was not prepared for paradise, however she wound up taking her excursion early. The fifth and last section of the melody is about a blameless multi year old young lady who simply had her sweet sixteenth birthday celebration party. She was going across the road when she was hit by a vehicle and passed on. The section says, â€Å"Sweet sixteen, I see her leaving the scene. Going across the road, she won’t see seventeen.† The individual that hit her was affected by alc

Questioning Stuff

Questioning Stuff Have you ever looked around your home and wondered why you have so much stuff? Or do you, like most people, simply accept the stuff thats there because its your stuff? Instead of question why you have the stuff, do you just spend hours organizing it, cleaning it, and occasionally replacing it if it needs  to be replaced? We did that, too. For many, many years. And like us, you, too, can break the cycle. Look around. Pick up something you havent used in a while. Hold it in your hands. Feel it. Look it over. Think about it. When was the last time you really needed this thing? If you havent used it in a while, why do you still have it? Are you holding on to it just in case? Questioning the meaning we give to our stuff is the basis of minimalism. By paring down and getting rid of lifes excess, we can focus on whats important. There isnt anything wrong with owning stuff. The problem is when we give too much meaning to the stuff we own without questioning why we own it. Over the few couple years, the two of us have questioned everything, from our clothes and our furniture, to our homes and our cars. Question something today. Question something tomorrow. Discover a meaningful life. Lather, rinse, repeat. Subscribe to The Minimalists via email.

Article Review about Social Studies

Social studies are the incorporated study of humanities and sciences enhanced to endorse effectual community development. This paper therefore identifies and discusses three journal articles from different sources discussing about social studies. An annotation of the three journal articles dealing with social studies is presented below. Lawlor, D. Mariscal, Q. (2006). ‘Longman Social Studies.’ Journal of Social Studies Research, 10(3), 34-41. In this journal article by Lawlor and Mariscal, a set of three books have been discussed in the journal article. These are a student’s book, a workbook and a Teacher’s guide. This are enhanced in order to link through the advanced preparation of English language learners and stressed readers to finger complex educational skills and comfortable acquaintance in later conventional social studies classes. Therefore, the set of the three manual books emphasizes mostly on educational language, social study skills and content reading strategies. The student’s workbook is intended to assist students to strengthen and enlarge significant academic language, social studies skills, reading strategies and finally the writing skills achieved from the student’s book. The work book forms importance basis since it can also serve as a measure where students grasp information before continuing with the relevant skills. In addition to that, the same is used by teachers to measure grasp of concepts of learners. On the other hand, teacher’s guide book serves to provide detailed information and instructional measures for presenting and teaching social studies skills for academic contents. Generally, from the article, it is clear indication that the study of social studies encompasses a wide base of information consisting of the diverse branches of social science. This calls for the idea and reason for everybody to get well acquainted with the skills of social studies so as to be in better position to compete with the global emerging issue in all relevant fields which are related with social studies skills. ‘Social studies.’ Source: 11 United States History and Government. The New York Education Department. Albany, NY. Adapted for Journal of Social Studies Research. The article emphasizes on the importance of the skills acquired from the social studies teachings. In this case, the skills are introduced and applied within the relevance framework of social studies programs and thus remediating the skills is considered a developmental process to a student. The article points out that: students will get the best understanding of such skills once they use apply them in examining, interpreting and analyzing concepts of social science. Further, students are foreseen to aim for mastery objective skills. This is because empirical research proves that students lacking appropriate social studies skills will face numerous difficulties when it comes to applying information to new fields and analyzing emerging issues and past problems. Regarding this journal, social studies teachings should be conducted in all classroom activities. This is to ensure that students connect to methodical and developmental progress to learning how information is processed and how to apply the same in the relevant emerging fields. Social studies skills are categorized into two:Â   thinking skills and thinking strategies. Thinking skills involves the talent to collect, understand, classify and manufacture information, where else thinking strategies includes processing information while students engage in solving the problem so as to come up with relevant solution. The recommendations of learning and teaching social studies revolve around some basic dimensions which are necessary in ensuring meaningful programs. The dimensions cover widely on the essential parts of all social study program and teaching. They include; multi disciplinary approaches, skills of intellectual, breadth and depth, student-teaching, knowledge, and evaluation and patterns for organizing data among other dimensions. Higgs, P. L. (1996). ‘Using Inquiry to Teach Social Studies.’ The Charter Schools Resource Journal, 1(1), 20-32. This journal article by Higgs revolves around the ‘studying and teaching’ of social studies through the use of inquiry. Through this mode of teaching, the structure encourages teachers to teach without the use of exclusive textbooks. This is done with the aim of assisting the students to make relations with the world; in other words beyond the classroom setting. The article calls for more participation and thinking of the student to come up with solutions towards emerging problems when applying the same skills in the new information fields. Further, this method includes special and advanced techniques of dealing with social studies, this includes; public dialogue, decision making and resident participation principles that anticipate learners to examine their humanity as social It also encourages and explains the need for scientists to conduct empirical studies through the use of scientific skills to recognize emerging issues and to be in better position of solving such problems that lead to feasible solutions. The basic standard of ‘inquiry’ expects the instructors to connect the learners in an advanced manner and categorize the thinking activities. This comes with the benefits of expanding learner’s knowledge concerning social studies education. Mostly, this is achieved through comprising students in substantive conversations and further creating lots of activities that help students relate with the world beyond the classroom. The journal article reiterates further on the importance of teachers planning and assessing lessons. Â  This enhances better and advanced experience which in turn results to production of meaningful learning. Basically, influential social studies in this article are seen to be of help in guiding students to create meaningful learning by serving students to associate truth and concepts which they later apply and explain to the entire globe. References Higgs, P. L. (1996). ‘Using Inquiry to Teach Social Studies.’ The Charter Schools Resource Journal, 1(1), 20-32. Lawlor, D. Mariscal, Q. (2006). ‘Longman Social Studies.’ Journal of Social Studies Research, 10(3), 34-41. ‘Social studies.’ Source: 11 United States History and Government. The New York Education Department. Albany, NY. Adapted for Journal of Social Studies Research.

Is It Out Right to Deny a Right Free Essays

Jensen 1 Ellie Jensen Dr. Rubina Khan English 121 8 July 2012 Is it Our Right to Deny a Right? On May 17, 2004, Marcia Hams and Susan Shepherd became the first same-sex couple to accomplish a state-sanctioned marriage in the United States, according to Time Magazine’s article, â€Å"A Brief History of: Gay Marriage†. Gay marriage was first brought to national attention in 1993, when a judge in Hawaii ruled that a same-sex couple was not permitted to get married on account of the state’s constitution. We will write a custom essay sample on Is It Out Right to Deny a Right? or any similar topic only for you Order Now The ruling of the judge persuaded Congress to create the 1996 Defense of Marriage Act, which prevented homosexual couples from receiving benefits traditionally granted by marriage. Since then, states have interpreted their own viewpoint on the issue. However, same-sex marriage proceeds to remain illegal in 44 states at the present time (Sullivan 1). America has supported equal rights since the nineteenth century, including the separation between contrasting races and genders, however, America is facing the ongoing battle of samesex marriage. According to Connecticut Post’s article, â€Å"Same-sex marriage: A Constitutional Right†, only 6 states allow same-sex marriage in America at the present time. The Constitution exists to provide structure for the entire country and its citizens. It protects certain rights, ensures state laws do not violate them, and forms a fair government. In the past, the Supreme Court has verified 14 times that all citizens have the right to get married. Nevertheless, 44 states deny citizens their right to marry someone of the same-sex due to the fact that it violates religious Jensen 2 morality, weakens the definition and respect for the institution of marriage, and it weakens the traditional family values that America has. Despite that, any law banning same-sex marriage exploits the privileges of the citizens and denies people equal rights under the protection of the law. Although the popular vote is necessary in some cases, citizens should not be able to take away the freedom of speech and expression from other individuals that have different opinions and interests (Benedosso 1). During the recording of â€Å"The View†, President Barack Obama announced, â€Å"I want everyone treated fairly in this country. We have never gone wrong when we’ve extended rights and responsibilities to everybody. That doesn’t weaken families, that strengthens families† (Killough 1). Furthermore, same-sex spouses pay as much as $6,000 per year in extra taxes since the government refuses to recognize gay marriage, according to Cable News Network’s article, â€Å"Same-Sex Spouses Lose Big On Taxes†. Due to the fact that same-sex couples are not allowed to file their federal returns jointly, they do not receive tax benefits in the same manner as heterosexual couples do (Benedosso 1). â€Å"It’s costing these families thousands of dollars a year, as well as the emotional pain and suffering,† said Ken Weissenberg, a partner at the accounting firm, EisnerAmper. In addition, same-sex couples are not permitted to inherit a shared home, assets, or personal items in the absence of a will after an unexpected death (Ellis 1). They are also not allowed to assist their spouse in paying off their debt, take medical leave to care for a sick spouse or for their kids, cover their families on their health plans without paying taxes on the coverage, nor eligible for Medicare and Medicaid coverage, and many employers do not cover domestic partners or their biological or non-biological children in their health insurance plans (Bernard 2). On top of that, same-sex couples can be denied or disfavored in Jensen 3 their applications for public housing, denied the automatic right to joint parenting, joint adoption, joint foster care, and visitation for non-biological parents, and denied withdrawal rights and protective tax treatment given to spouses with regard to IRA’s and other retirement plans (Bernard 3). According to Cable News Network’s article, â€Å"Denied Divorce: Some same-sex couples wed-locked†, several states in America do not grant divorces for same-sex marriages that occurred outside of the state’s borders. Same-sex couples can currently marry in six states. There is no residency requirement to get married in those states, which is how many same-sex couples are able to get married in the first place. However, if a marriage was to fall apart in a state that does not recognize the couple’s legal status, they will not be able to dissolve their marriage. â€Å"In order to get a divorce from a same-sex partner, they would have to live in a state for six months to two years†, said Susan Sommer, director of constitutional litigation at Lambda Legal (Landau 1). Since several states in America do not allow same-sex marriages, many people do not understand why states are not willing to dissolve these marriages (Landau 4). As Obama announced in Cable News Network’s article, â€Å"Obama Calls For Marriage Equality†, all citizens should be treated equally in America. However, as shown in this paragraph, same-sex couples are not receiving the same rights as other citizens that marry the opposite sex. America has always expressed itself as a free and equal country. Nevertheless, same-sex couples proceed to travel around the country to marry the individual that they desire to spend the rest of their lives with. As the 14th Amendment declares, â€Å"No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to Jensen 4 any person within its jurisdiction the equal protection of the laws†. Any law banning same-sex marriage exploits the privileges of the citizens and denies people equal rights under the protection of the law (Benedosso 1). Jensen 5 Works Cited Benedosso, Michael. â€Å"Same-sex Marriage: A Constitutional Right. † Ctpost. com. Hearst Communications, 12 Aug. 2010. Web. 25 June 2012. . Bernard, Tara Siegel. â€Å"The High Price of Being a Gay Couple. † Nytimes. com. New York Times, 2 Oct. 2009. Web. 26 June 2012. . Ellis, Blake. â€Å"Same-sex Spouses Lose Big on Taxes. CNN. com. Cable News Network, 31 Dec. 2011. Web. 25 June 2012. . Killough, Ashley. â€Å"Obama Calls for Marriage Equality, Says ‘I Want Everyone Treated Fairly'† CNN. com. Cable News Network, 14 May 2012. Web. 25 June 2012. . Landau, Elizabeth. â€Å"Denied Divorce, Some Same-sex Couples ‘wed-locked'† CNN. com. Cable News Network, 7 June 2012. Web. 25 June 2012. . Sullivan, Justin. â€Å"A Brief History Of: Gay Marriage. † Time. com. Cable Ne ws Network, 22 May 2008. Web. 25 May 2012. . How to cite Is It Out Right to Deny a Right?, Essay examples

The Internet, Pornography, And Children Essays - Pornography Law

The Internet, Pornography, and Children Why should anyone be concerned about pornography on the Internet? After all, this is a free country and everyone should have access to anything they want, right? This position would be true if only adults used the Internet; it can not be true when children also use the Internet. Most people would agree that children should not have access to Internet sites that are considered pornographic. Does that mean that children should not be allowed Internet access or that the Internet should not have pornographic sites? Of course it doesn't mean that! What it does mean is that the issues arising from the mixture of children and Internet should be dealt with and not ignored. This paper will attempt to intelligently discuss some of those issues. Areas covered will include what the Internet is, risks to children who are viewing the Internet, what pornography is, and laws concerning child pornography (in general and over the Internet). Additionally, the number, content, and accessibility of pornographic sites will be discussed. Lastly, this paper will discuss what measures can be taken to protect children from pornographic Internet sites. What exactly is the Internet? It is a global network of computers used to transmit all types of data between computers. Text, numbers, programs, illustrations, photographs, audio, animation, and video can all be transmitted over the Internet. Contrary to what some people may think, the Internet is not a single computer nor is it a single service. The Internet is not owned by or governed by anyone. It exists solely through the support of the companies and institutions that access it. Though the Internet seems relatively new, its roots actually start in the 1960s. In 1969, the Department of Defense started the ?ARPANET? project. ARPANET was a decentralized computer network that was used to link military researchers at four universities. The Internet later evolved out of ARPANET. Funding from the National Science Foundation in the 1980s eventually led to the Internet being opened to commercial traffic. Services provided over the Internet include the World Wide Web, electronic mail (the most popular service), Newsgroups, and Chat. For one computer to communicate with another computer on the Internet, both computers must be connected to the Internet. Connection to the Internet can come from commercial online services or through Internet service providers. Generally, home users connect to the Internet via the commercial online services over regular phone lines. Some of these services include Prodigy, CompuServe, and America Online. Businesses, universities, government agencies, and the like, often have direct connection to an Internet provider over high-speed digital lines. Some of these providers include Netcom and PSI.1 The number of adults online in the United States by the end of 1998 has been estimated as low as 44 million and as high as 80 million. 2 At the end of 1997, the number of children online was almost 10 million. It is estimated that by the year 2002, 45 million children will be online.3 While it is not clear how many these children have access to the Internet at home, it is clear what percentage of them have access at school. Currently, about 81.8% of all American schools have the Internet. It is estimated by the end of the 1998-1999 school year, about 95.9% of all American schools will be hooked up to the Internet.4 There are risks to a child that a parent should consider before allowing the child to access the Internet. Some of the risks include the following: 1.Exposure to material that is sexual, hateful, or violent in nature and the possible encouragement of illegal or dangerous activities. 2.The safety of a child and/or a child's family could be compromised by the child providing information or arranging to meet a person they have met over the Internet. 3.A child could be exposed , through e-mail or chat/bulletin board messages, to disturbing, demeaning, or aggressive material. 4.Legal issues resulting from a child using a parent's credit card or violating another person's rights.5 Children's access to pornography on the Internet (risk #1) is a concern of a lot of parents. Pornography is defined as ?1.Pictures, writing, or other material that is sexually explicit and sometimes equates sex with power and violence. 2.The presentation or production of this material.? 6 Of course, that definition is from a standard dictionary. What is considered pornographic usually depends on the individuals judging the material. Child pornography is prohibited in all 50 states. The general statute states that child pornography is comprised of the

How the Romans Built Bridges †History Essay

How the Romans Built Bridges – History Essay Free Online Research Papers How the Romans Built Bridges History Essay Rome was the first nation to create some of the most legendary bridges using stone. Stone is difficult to find, but compared to the more common bridge material, wood, it was better. And it is evident since most of the bridges that Rome made with stone are standing today. Then after realizing that stone is so great, Rome realized the idea of the arch. The concept behind the arch is that the structure of the arch itself is fairly weak. Only able to support a large amount on the â€Å"key† stone (or center most stone), the sides get a very large amount of compression stretching the arch to the side and the stones fall apart. But then the Romans put stones on the sides of the arch and so when the bridge stretched out to the sides, the stones pushed back creating an extremely strong archway. With this new system of bridge making, the Romans were considered the best of the best in bridge making. But after the realization that stone cost far too much, iron was created. Iron was much cheaper than stone and also iron was much stronger. But the realization was not the only development for bridge making. It was only the beginning. After realizing iron was good for making bridges stronger, next was realizing how to create steel from iron. After realizing how much stronger steel is than iron, next was the truss configuration, one of the most popular bridge configurations back then. It allowed for more stability and also, it allowed the bridge to be more resistant to wind. Because of the unique architectural design of truss bridge, wind would pass through the openings in the truss bridge decreasing the force of wind. Another breakthrough was that less brittle metals are better for tensions because they don’t give out as quickly as more brittle metals. The reason behind this is that more brittle metals have cracks and flaws and when they receive a great amount of tension, the cracks and flaws become larger Research Papers on How the Roman's Built Bridges - History EssayThe Effects of Illegal ImmigrationAssess the importance of Nationalism 1815-1850 EuropeTwilight of the UAWComparison: Letter from Birmingham and CritoThe Spring and Autumn19 Century Society: A Deeply Divided EraAppeasement Policy Towards the Outbreak of World War 2Genetic EngineeringWhere Wild and West MeetThe Project Managment Office System

Big Problems with Massive Open Online Courses

Big Problems with Massive Open Online Courses Massive  Open Online Courses (commonly known as MOOCs) are free, publicly-available classes with high enrollment. With MOOCs, you can enroll in a course at no cost, do as much work as you please, and learn just about anything from computer science to transcendental poetry. Platforms like EdX, Coursera, and Udacity bring together colleges and professors that want to contribute to the field of open education. The Atlantic called MOOCs the single most important experiment in higher education and theres no doubt that they are changing the way we learn. However, not everything in the world of open education is going well. As MOOCs have become more popular, their problems have become more pronounced. Hello†¦Is Anybody Out There? One of the biggest problems with MOOCs is their impersonal nature. In many cases, thousands of students enroll in a single section with a single instructor. Sometimes the instructor is only a facilitator rather than the course creator, and other times the instructor is absent altogether. Assignments designed to be interactive such as group discussions can reinforce the impersonal nature of these large courses. Its hard enough for a class of 30 to get to know each other, forget learning the names of your 500 peers. For some subjects, particularly those that are math and science heavy, this isnt a major problem. But, arts and humanities course traditionally rely on in-depth discussion and debate. Learners often feel that they are missing something when they study in isolation. A Student Without Feedback In traditional classrooms, the point of instructor feedback isnt just to rank students. Ideally, students are able to learn from feedback and catch future mistakes. Unfortunately, in-depth feedback simply isnt possible in most MOOCs. Many instructors teach unpaid and even the most generous simply arent capable of correcting hundreds or thousands of papers a week. In some cases, MOOCs provide automatic feedback in the form of quizzes or interactives. However, without a mentor, some students find themselves repeating the same mistakes over and over again. Few Make it to the Finish Line MOOCS: Many will try but few will pass. Those high enrollment numbers may be deceiving. When enrollment is nothing more than a few mouse clicks, getting a class of 1000 can be simple. People find out through social media, blog posts, or internet surfing and enroll in just a couple minutes. But, they soon fall behind or forget to log in to the course from the beginning. In many cases, this isnt a negative. It gives the student the chance to try out a subject without risk and allows access to materials for those that may not be willing to make a larger time commitment. However, for some students, the low completion rate means that they just werent able to stay on top of the work. The self-motivated, work-as-you-please atmosphere doesnt work for everyone. Some students thrive in a more structured environment with set deadlines and in-person motivation. Forget About the Fancy Paper Currently, theres no way to earn a degree by taking MOOCs. There has been a lot of talk about awarding credit for MOOC completion, but little action has been taken. Although there are a few ways to earn college credit, its best to think about MOOCs as a way to enrich your life or further your education without receiving formal recognition. Academia is About the Money - At Least a Little Open education has offered many benefits to students. But, some worry about the negative repercussions to teachers. In many cases, professors are developing and teaching MOOCs (as well as providing e-textbooks) for free. While professorial pay has never been particularly high, instructors used to be able to count on making a supplemental income from research, textbook writing, and additional teaching assignments. When professors become expected to do more for free, one of two things will happen: colleges will need to adjust salaries accordingly or many of the most talented academics will find work elsewhere. Students benefit when they learn from the best and brightest, so this is a concern that will increasingly affect everyone in the academic sphere.

Implications of the 2012 US elections for the policy making bodies in Essay

Implications of the 2012 US elections for the policy making bodies in the US federal government - Essay Example Furthermore, the analysis will seek to at least minimally explain to what extent the election results have impressed upon the shareholders (inclusive of the President and legislators) of the need to either seek compromise or push single-mindedly towards a highly partisan solution to each and every issue that may face them in the coming years leading up to the next election. As a means to understand this, the key changes that have been effected before and after the November 2012 election will be analyzed. Due to the intrinsically liked nature of the way that the Electoral College and the popular vote within a given state or region is linked, the two have a way of tracking with one another; albeit representing two somewhat different variants (Brown 419). For instance, the 2012 presidential election saw Mr. Romney accrue around 47% of the popular vote and carry 23 states whereas President Obama obtained 51% of the vote and carried 27 states. This of course translated to a victory for Pr esident Obama and the subsequent plurality of Electoral College votes that propelled him to re-election. Naturally, as compared to the two other forms of election results which will herein be discussed, the election for president does not have the same level of nuance. For instance, the overall total number of states won is not important; overall victory of course is. Unlike the Senate or the House of Representatives where an increasing number of seats gives another party a proportionate increase in the power it yields within such a chamber, the victory of the president is less nuanced. In this way, the overall nature of whether the president won in a landslide or won election by a very small margin matters little for the direction that the given president might chose to pursue policy goals and implementation within his term. Of course this is not to say that a first term president will not be mindful of the extent to which he experiences broad based support; quite the contrary. Rat her, it is merely meant to serve as an indication that the presidential election is a much different type of election than those which take place to make up the two houses of legislature. With respect to the Senate, a great deal of change was not incorporated as a result of the election results of 2012. For instance, the 2012 elections incrementally bettered the Democratic position in the Senate by increasing their majority by two seats (53 as compared to 51 previously), it did not provide a fundamental shift in power such as would allow either party to approach issues from a primarily different method of action. Conversely, the result of the US House of Representatives was somewhat different than the result that has thus far been discussed in the Senate. Compared to the last election, the Republicans lost 8 seats to settle at 234 whereas the Democrats of course picked up these 8 seats to settle their total at 201. This of course combined to ensure that the Republican party still ma intained a majority within the House; however, it is of course not a super majority or one that can be used in concert with the Democratically controlled Senate to affect any real level of partisan goals. With respect to the overall policy implications that the aforementioned situation is likely to entail, it will necessarily be a divergence from

McDonald's Case Study Example | Topics and Well Written Essays - 500 words

McDonald's - Case Study Example This is in line with its strategy of product re-imaging. McDonald’s know that at some point in time, products have a life cycle. In terms of pricing, McDonald’s is careful on setting the price for its product, as they consider the customer’s perception of value. Their philosophy behind this is that when their food is priced too low, customers may think that low price is indicative of low quality. Promotions play an important role in the marketing strategy of McDonalds. Most commonly used are TV, billboards, and a mix of marketing tools to get people’s attention, be interested, desire for the food and finally to act and buy. As to place, McDonald’s can be found in almost all areas around the world, which are 32,748 as of 2009. Location is part of re-imaging policy of the company. The bonus compensation plan of McDonald’s is the share-based compensation plan that grants executives various equity-based incentives that includes stock options and restricted stock units (McDonald’s Annual Report 2009) One of the problems of stock options is the upside and downward risk of price of stocks. Stock options have vesting time so that when stock option vests, the executive exercises option whether to buy the stock or not.

Challenges Faced Rural Healthcare Facilities Health And Social Care Essay

Challenges Faced Rural Healthcare Facilities Health And Social Care Essay Twenty-five percent of the total population in the United States are living in rural areas and compared with urban Americans and healthcare facilities in rural areas generally serve low-income, the elderly, and individuals who are less informed and armed with less knowledge concerning health care prevention measures. Moreover, rural individuals accessing healthcare in rural facilities face barriers to healthcare such as fewer doctors, hospitals and health resources in generation and face difficulty in accessing health services. Statement of the problem   Hospital closures and other market changes have adversely affected rural areas, leaving State and Federal policymakers, and others concerned about access to health care in rural America. Considerable changes in the health care delivery system over the past decade have intensified the need for new approaches to health care in rural areas. Managed care organizations, for example, may not be developed easily in rural areas, partly because of low population density. Research Questions          The primary research question in this study is the question of whether rural health care facilities overcome the ongoing challenges to provide quality medical care to their communities. Rationale of the Research The rationale of this research is based upon the following facts: 1.) Rural Healthcare and Barriers to Accessing Care: Many small rural hospitals have closed, while other health care supply of primary care physicians and other health care provider facilities are in financial straits. Unavailability of resources and transportation problems are barriers to access for rural populations. 2.). The supply of primary care practitioners and other health care providers in rural areas is decreasing. Some are leaving rural areas to join managed care organizations elsewhere. 3.) Barriers to Health Promotion and Disease Prevention. Goals for improving the Nations health over the next decade can be achieved only if rural populations are included in efforts to remove barriers to access and use of clinical preventive services. 4.) Barriers Related to Lack in Health Care Technology. Technologies including telemedicine offer promise of improved access to health care, but their most efficient and effective applications need further evaluation. 5.) Organizational Barriers of Service Provision to Vulnerable Rural Populations: Low population density in rural areas makes it inherently difficult to deliver services that target persons with special health needs. Groups at particular risk include: the elderly; the poor; people with HIV or AIDS; the homeless; mothers, children, and adolescents; racial or ethnic minorities; and persons with disabilities. 6.) Consumer choice and the rural hospital. Factors that drive changes in rural hospitals have a critical effect on consumer choice and access. Significance of the Study This study is significant in that individuals in rural areas are likely to continue to receive less healthcare as well as less effective healthcare if rural healthcare does not gain necessary knowledge, informed by research study as to what should be done to better deliver health care services to those in rural areas. This study is of significance to several groups including patients depending on rural healthcare services, the families of these patients, the rural communities at large and the insurance companies who provide insurance coverage for individuals in rural areas. Methodology The methodology of the proposed research is one of a qualitative nature in which data will be gathered through survey/questionnaires of individuals, physicians and business in the rural community at focus in the research in order to asses whether the needs of the community in terms of healthcare provision are being met. Data analysis will be both qualitative and quantitative in nature. After having administered and compiled data from the survey/questionnaires focus groups will be scheduled to gain further insight into the unmet needs of the community in health care services in needs assessment focus group discussions. Literature Review The California Healthcare Foundation, in its Rural Health Care Delivery: Connecting Communities through Technology report of December 2002 states : Challenges facing rural health care include scarcity of local medical resources and distance between patients, physicians and facilities. (Turisco and Metzger, 2002) Furthermore, it is related in this report that there are insufficient numbers of primary care practitioners in rural areas. (Turisco and Metzger, 2002; paraphrased) In the instance where a patient is forced to travel from home to another area for accessing health care services resulting is a range of difficulties including: (1) time away from work; (2) additional expenses; and (3) the complications of coordinating care in different locales. (Turisco and Metzger, 2002) This increases the chance the patient information will come up missing or incomplete and as well may result in care that is delayed or fragmented. (Turisco and Metzger, 2002) The physicians in rural areas as wel l as other health care providers experience negative impacts due to the low number of health care practitioners in rural areas as well as in the distance factor, which results in limitations on productivity, communication and ongoing education. (Turisco and Metzger, 2002) Research notes that there is more difficulty for the rural providers in communication with other providers of health care. There is much less in the way of opportunities to attend conferences and training due to the requirements of travel, which limits access to medical knowledge and research work. Lower efficiency results due to travel time involved in visiting patients in hospitals and nursing homes as well as in à ¢Ã¢â€š ¬Ã‚ ¦fewer face-to-face visits, and more time on the telephone with other providers and with patients. (Turisco and Metzger, 2002) In a recent report relating to healthcare in rural India stated is that: The number of patients is increasing exponentially each year, putting enormous pressure on healthcare delivery systems worldwide. Hospitals and specialists are concentrated in cities and are inaccessible to the rural poor. (Tata Consultancy Services and Microsoft Corporation, nd) This report relates that several physicians in India along with Tata Consultancy Services (TCS) and the largest IT company in India collaborated in the creation of WebHealthCentre.com which is stated to be: à ¢Ã¢â€š ¬Ã‚ ¦a comprehensive healthcare portal like no other. (Tata Consultancy Services and Microsoft Corporation, nd) Offered are abundant health-related reference material, online medical consultation, online appointment scheduling, and online lab results for physicians. (Tata Consultancy Services and Microsoft Corporation, nd) The WebHealthCentre.com website was stated to have been created with the Microsoft.NET Framework, Micr osoft Windows 2000 Advanced Server, Web services and Microsoft SQL Server 2000. The requirements set out by the physicians in rural areas included: Ease of use by a wide cross section of people; Cutting-edge yet cost-effective technologies; Simple log on by many different users and easy assignment of user rights; Tight security to keep medical records confidential; Structured data capture for future data mining; Scalable to handle millions of users; and Extensible to accommodate audio and video interface. (Tata Consultancy Services and Microsoft Corporation, nd) Benefits resulting from implementation of this healthcare service delivery Network include: Improved access to healthcare; Better use of doctors time; Rapid development, usability; Scalable to millions of patients; and Extensible to new technologies. (Tata Consultancy Services and Microsoft Corporation, nd) Key features of WebHealthCentre.com are stated to include the following: Online, real-time medical consultation with remote healthcare professionals. PC or mobile-phone access to regional directories for hospitals, specialists, blood banks, medical appliance suppliers, and welfare agencies. An online appointment scheduler that enables patients to make appointments with participating physicians. An online lab report tool that helps diagnostic centers automate the process of uploading lab reports to the Web. Access to test results through mobile devices. Online access to electronic health records. Medical image upload services. Online sonogram viewing. A medical student resource center. Healthcare job listings. Online shopping for healthcare supplies. (Tata Consultancy Services and Microsoft Corporation, nd) The Agency for Healthcare Research and Quality (AHRQ) held an expert panel meeting to provide guidance on its new health information technology on July 23-24 2003. The focus of AHRQ is the implementation and evaluation of technologies, which have been shown to be effective in small and rural communities. Secondly, the AHRQ has set its focus upon supporting advancement in the HIT field through implementation and evaluation support for innovation in technologies for use in diverse health care settings. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) The Meeting Summary reports that two general themes emerged from the discussion which are those of: (1) Bringing people together; and (2) Providing technical assistance. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Activities recommended for achieving their goals are those as follows: Support demonstration projects that involve HIT implementation and will lead to the creation of learning networks comprised of providers from various types of rural health care organizations. Create learning communities that span geography; collect and analyze the outcomes associated with participation. Once factors that facilitate learning communities and HIT implementation have been identified, engage CMS and other purchasers to define an appropriate reimbursement strategy. Incorporate evidence-based primary care guidelines with rural relevance into technological templates. Clinicians are likely to accept clinical guidelines offered by the Federal Government at no cost. Support local capacity development for HIT, including barrier analysis, education and other activities. Provide sustained technical assistance (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Evaluation of the process in rural and small communities includes: (1) scope of the project; (2) goals; (3) critical success factors; and (4) technical assistance. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Community grants have been focused on the provision of personal digital assistant (PDA) systems in assisting with the decision support role. The initiative is stated to include: (1) development of toolkits; (2) leveraging known tools; (3) developing capacity; and (4) disseminating best practices. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Ormond, Wallin, and Goldenson report in the work entitled: Supporting the Rural Health Care Safety Net (2000) state: The policy and market-driven changes in the health care sector taking place across country are not confined to metropolitan areas. Rural communities are experiencing changes impelled by many of the same forces that are affecting urban areas. However, due to the demographical differences and other facts existent only in rural life the health care system can be differentiated from those in urban areas in various ways. According to Ormond, Wallin, and Goldenson, it is that difference that highlights the importance of giving consideration explicitly to the impact of competitive forces and public policy developments on rural health care systems and the patients and communities they serve. (2000) The changes that are occurring in the health care sectors are resulting in many providers being threatened in both rural and urban areas however, health care provider failures in a rural area is likely to a much greater impact as compared to health care provider failure in urban areas. Because alternative sources of care in the community or within reasonable proximity are scarce, each provider likely plays a critical part in maintaining access to health care in the community. For this reason, in most rural communities all providers should be considered part of the health care safety net if not directly through their care for vulnerable populations, then indirectly through their contribution to the stability of the communitys health care infrastructure. (Ormond, Wallin, and Goldenson, 2000) The study reported by Ormond, Wallin and Goldenson is based on case studies in rural communities in the states of Alabama, Minnesota, Mississippi, Texas, and Washington selected in representation of à ¢Ã¢â€š ¬Ã‚ ¦a broad range of pressures facing rural providers. (2000) A debate is stated to exist in terms of limited services models for hospitals who fear that more insure d patients or those who are wealthier will be reluctant to use this facilities. Challenges to full-service facilities in rural areas include recruitment and retention of health care professionals and of ensuring the financial viability of local hospitals. (Ormond, Wallin, and Goldenson, 2000) Also related is the fact that health care providers are very reluctant to locate in communities without a hospitalà ¢Ã¢â€š ¬Ã‚ ¦ while simultaneously when there is not a strong physician practice in an area, hospitals find it difficult to attract patients. (Ormond, Wallin, and Goldenson, 2000) Constraints upon a rural hospital of either a full or limited service hospital include its rural location. The population required to support given service, such as a hospital or particular physician practice is spread over a much greater area. Low volume can mean high average costs, a factor that rural health officials feel is not always taken into account in reimbursement. (Ormond, Wallin, and Goldenso n, 2000) Demographical and socioeconomic differences in rural areas places demands upon health care system providers in terms of the need for treatment for more elderly people which are those more likely to have chronic health care needs. (Ormond, Wallin, and Goldenson, 2000) Furthermore, due to the lack of access to mass and major media in rural areas, the individuals residing in these areas are much less likely than those in urban areas to be aware of the availability of health care and public programs. Insurance coverage in rural areas is also a factor because rural areas have higher self-employment than urban areas, and specifically relating to farming operations making it very likely the employer-sponsored insurance in minimal. Of those who are insured in rural areas, it is likely that many of these are under insured with high premiums and low benefits as compared to those insured in urban areas. The social structure of rural communities may make the stigma attached to particip ation in public programs greater, particularly in the case of Medicaid. (Ormond, Wallin, and Goldenson, 2000) The range of services offered in rural hospitals is limited by the size of the area it serves as compared to the population within that area. Many of the hospitals in the study reported by Ormond, Wallin and Goldenson relied on a local primary care physician for core servicesà ¢Ã¢â€š ¬Ã‚ ¦but augmented his or her capabilities by making arrangements with other, nonlocal providers. The core services each hospital offers depend primarily on the capabilities of their physicians. (2000) In order that a hospital be able to support a visiting specialist program it is a requirement that the hospital have the staff that is appropriate and qualified to assist in the various specialties and physicians be able to monitor recovery, as well as the necessary space and equipment for procedures. (Ormond, Wallin, and Goldenson, 2000) The rural hospital is not in the position to provision all the services needed within the community it serves and this makes a requirement of having a referral system of a reliable nature. Stated to be a mainstay of the safety net in rural areas just as is the case in urban areas is the community health center. (Ormond, Wallin, and Goldenson, 2000) Another important provider of care in rural areas is the local health department. Another problem in rural areas is transportation for patients in that in rural areas there is oftentimes no public transportation. Internal strategies reported to be used by rural health care providers are inclusive of: à ¢Ã¢â€š ¬Ã‚ ¦increasing the stock of physicians and other health professionals, tailoring facilities and services to the needs of the community, and expanding, downsizing, or diversifying as needed. (Ormond, Wallin, and Goldenson, 2000) Other stated strategies are inclusive of cooperation among rural providers and developing links with urban providers through mergers, management contracts, and joint projects. (Ormond, Wallin, and Goldenson, 2000) Initiatives have been developed for recruitment of physician s and other health professionals who are familiar with life and medical practice in rural areas. (Ormond, Wallin, and Goldenson, 2000) Those who are recruited for practice in rural areas are likely to remain after recruitment. All five states in this study report that they provide support: à ¢Ã¢â€š ¬Ã‚ ¦for the development of rural health professionals by requiring, facilitating, or funding training opportunities in rural areas so that students become familiar with the particular demands and satisfactions of rural medical practice, or by funding education either through scholarships for aspiring providers from rural areas or through loan forgiveness for providers agreeing to locate in rural areas. (Ormond, Wallin, and Goldenson, 2000) Only the state of Washing is stated by this report to have a formal residency program. Service expansion is reported to be utilized by rural hospitals and clinics for enabling them in meeting a broader range of health care needs in their communities. (Ormond, Wallin, and Goldenson, 2000) Areas of expansion included: (1) the construction or renovation of a physician plant; (2) the addition of new medical services; and (3) diversification beyond traditional acute services. (Ormond, Wallin, and Goldenson, 2000) In fact, growth and expansion as compared to downsizing appeared to be the more common, and seemingly more successful, route. (Ormond, Wallin, and Goldenson, 2000) Expansion is also noted in outpatient services offered by hospitals and clinics. Cooperative efforts among rural providers as these health care providers collaborate in order to ensure the capability of serving their communities will continue is noted in this report stating that cooperation with other rural providers is also a mainstay of rural hospitals strategy to ward off encroachment by urban health care systems. (Ormond, Wallin, and Goldenson, 2000) The work of Rygh and Hjortdahl entitled: Continuous and Integrated Health Care Services in Rural Areas: A Literature Study makes a review of literature that examines possible methods of improving healthcare services in rural areas. Stated by these authors is the fact that: Healthcare providers in rural areas face challenges in providing coherent and integrated services. (Rygh and Hjortdahl, 2007) This study proposes a need for greatly flexibility in traditional professional roles and responsibilities, such as nurse practitioners of community pharmacists managing common conditions. (Rygh and Hjortdahl, 2007) Further stated is that the substitution of health personnel with lay health workers or paraprofessionals often in combination with interdisciplinary teams, is among measures proposed to alleviate staff shortage and overcome cultural barriers. (Rygh and Hjortdahl, 2007) Other findings of this study include that for those working in rural areas called for is flexibility of roles and responsibilities, delegation of tasks, and cultural adjustments by the healthcare practitioners. (Rygh and Hjortdahl, 2007) This study states that rural case management is greatly dependent upon a locally based case manager and that the highest ranked skills for rural case managers are: the ability to be creative in the coordination of resources, multidimensional nursing skills, excellent communication skills, high-caliber computer skills and excellent driving skills. (Rygh and Hjortdahl, 2007) Stated is that: Case management in a rural environment requires a much broader and generalist knowledge base, it covers all levels of prevention and transverses all age groups. Rural case management is a distinct specialty area of practice, with a distinct knowledge base and skills level, and nurses should be prepared at the advanced practice level. (Rygh and Hjortdahl, 2007) This study further relates that evidence exists of the success of: à ¢Ã¢â€š ¬Ã‚ ¦collaboration at the interface betw een primary and secondary sectors may improve access, continuity of care and the quality of service delivery in rural areas. (Rygh and Hjortdahl, 2007) This study defines telemedicine as Medicine practiced at a distance therefore encompassing diagnosis, treatment and medical education. (Rygh and Hjortdahl, 2007) The state of Maine is stated to have a well-functioning telemedicine services system using telemedicine in a broad array of interactive videoconferencing applications, including mental health and psychiatry, diabetes management, primary care, pediatrics, genetics and dermatology. (Rygh and Hjortdahl, 2007) According to this review telemedicine has the potential to be a tool of a valuable nature in achievement of healthcare access in rural areas although the cost-effectiveness of telemedicine has yet to be documented. (Rygh and Hjortdahl, 2007; paraphrased) The work entitled: Providing Hospice and Palliative Care in Rural Frontier Areas states that the National Rural Health Association (NRHA) à ¢Ã¢â€š ¬Ã‚ ¦believes that all Americans are entitled to an equitable level of health and well-being established through health care services, regardless of where they live. An important but often overlooked aspect of health and well-being is assurance of appropriate care and support when people are experiencing chronic, progressive illness and/or approaching the end of their lives. (Providing Hospice and Palliative Care in Rural Frontier Areas, 2005) In order to study this area of service provision the method for defining and assessing needs is stated to be through a needs assessment to include recruitment of a group of members of the community for participation in identifying the needs and creating a method of assessing results. Data is gained from various sources an may include the following: Demographics of the community; disease statistics (county health department and state vital statistics division); List of health care organizations/agencies that provide related services; A definition of unmet or under-met service needs; Identification of the unique characteristics that differentiate palliative care and/or hospice services from other services in the community; Vital statistics, including cause of death, age at death and location of death; Loss data; Community residents satisfaction with current hospice and/or palliative care services, obtained through interviews; and Community members preferences about hospice and palliative care. (Providing Hospice and Palliative Care in Rural Frontier Areas, 2005) Recruitment of individuals in this type study are stated to include: Community residents; Representatives from other community service providers such as a librarian, store owners, chiropractor or dentist; The president of a fraternal organization, the Rotary Club, another service club or the Chamber of Commerce; Pastors or leaders of local faith communities; Someone involved with the local food pantry or other emergency relief organization; An influential local business person such as the feed store owner; A county extension staff person active in community events and volunteer work; Someone who organizes the towns annual parade, festival or other special events; Someone who works on civic clean-up and beautification; and Representatives from other small organizations and entities in each of the countries the provider serves. (Providing Hospice and Palliative Care in Rural Frontier Areas, 2005) This study speaks of the creation of capacity building in expansion of the service provision and in meeting unmet or undermet needs in rural areas. Capacity building strategies include education and training of staff for skills development needed in broadening the services provided. Community education in establishing a broader understanding of what services and opportunities are available for care is also stated to be a strategy for capacity building as service utilization will be increased as well. Capacity building strategies as well are stated to include outreach strategies for development and sustaining partnerships and collaborations as well as in sustaining and supporting growth of expectations related to hospice and palliative care services. (Providing Hospice and Palliative Care in Rural Frontier Areas, 2005; paraphrased) Stated as practical examples of the training and education of staff and the philosophy used by rural providers in the creation and sustaining of program ca pacity are those as follows: Development and adoption of service performance parameters; Education of the board and/or local leaders in national trends such as palliative care, open access, managed care, chronic care management and the nursing shortage; Establishment of an ethics committee comprised of community members, hospital representatives, palliative care and hospice program staff, and church members to review specific ethical considerations/cases and to address projects such as advance care planning and advance directives; Importing best practices in enhancing service definition and outreach; Offering support for local and offsite continuing staff education an subsidies for staff to pursue relevant credentials; Offering support for local and offsite continuing staff education and subsidies for staff to pursue relevant credentials; Appointing full-time or substantially part-time physicians and advanced practice nurses as soon as feasible and involving these individuals in professional and community outreach; Establishment of bridge programs and/or extended palliative home care; Improved/extended utilization of volunteers in meeting caregiving requirements. For hospices, this may include volunteer participation in providing continuous care as allowed by regulations; and As needed, referrals to other organizations. (Providing Hospice and Palliative Care in Rural Frontier Areas, 2005) The work entitled: Planting the Seeds for Improving Rural Health Care relates the Chronic Care Model which portrays the essential involvement of the community, the design and function of the health care system and effective interaction between patients/families and their team of caregivers, producing optimal clinical outcomes. (2005) The following figure labeled figure 1 shows the Chronic Care Model: Figure 1 Chronic Care Model Source: Planting the Seeds for Improving Rural Health Care (2005) Components of this program include the following: Use of a rapid-cycle method for implementing quality improvements; Use of a standard set of changes for teams to implement; Sharing a vision of the ideal system of care developed by clinical experts; Monthly reporting of process and outcome measurements; Three learning sessions; A final national forum during which teams attend sessions with expert faculty to share progress, best practices, and lessons learned. (Planting the Seeds for Improving Rural Health Care, 2005) The work entitled: Practical Tips and Information Resources for Developing Collaborative Relationships Between Rural Community Health Centers (CHCs) and Rural Hospitals asks the question of Why Collaborate? and answers this question by stating that collaboration strengthens community health infrastructure; improves efficiency levels; and provides joint economic advantage. Collaboration is stated to be a process through which parties who see different aspects of a problem can explore constructively their differences and search for (and implement) solutions that go beyond their limited vision of what is possible. (Taylor-Powell, et al., 1998) There are five levels of relationships in building collaborative interorgnaizational relationships around health issues in a rural community which are: (1) networking; (2) cooperating; (3) coordination; (4) coalitions; and (5) collaboration. These five levels of relationships according to purpose, structure and process are shown in the following C ommunity Linkages- Choices and Decisions matrix. Figure 2 Community Linkages Choices and Decisions Source: Practical Tips and Information Resources for Developing Collaborative Relationships Between Rural Community Health Centers (CHCs) and Rural Hospitals (2005) The following are examples of the ways that CHCs and hospital partnerships are able to collaborate. These initiatives may also be used by any rural hospital, CHC or primary care provider: Joint training, recruitment, human resources, and clinical direction; Shared case managers; Working together on disease collaboratives; Shared medical laboratory; Partnership establishment enables organizations in qualifying for funding through grants for which they would not otherwise have been eligible to receive; and Shared electronic patient medical records systems; (Practical Tips and Information Resources for Developing Collaborative Relationships Between Rural Community Health Centers (CHCs) and Rural Hospitals (2005) This study states findings that a number of activities specific to an individual site have the potential for wider replication. Those activities are stated to be as follows: Local foundations can support rural health-related activities; namely physician recruitment and retention. Collaboration of CHCs, hospitals, nursing homes, and assisted care facilities in the same location can serve a large rural area and make efficient use of scarce resources; namely physicians. Affiliation with a large regional hospital can be a positive experience that is supportive of community-based services. Collaboration may be a vehicle for expanding benefits to CHC patients; namely as a result of the collaborative, a hospital utilizes the CHCs sliding fee scale for laboratory services provided to CHC patients. Case management for discharge planning and care coordination between the CHC, home health care agency, and the hospital can improve patient care. Electronic patient medical records systems that integrated the CHC and the hospital medical records are the key to future collaboration and the development of a comprehensive model of a health care system for the rural community. (Practical Tips and Information Resources for Developing Collaborative Relationships Between Rural Community Health Centers (CHCs) and Rural Hospitals (2005) There are important factors identified for organizing a successful collaboration which include: (1)

Nutritional and Fitness Paper

My sthrongest dimensions after taking the self-test are intellectual health, social health and environmental health. I think that I am sthrongest in intellectual health because I don’t make rash decisions in my life without thinking about the consequences. When I was younger I seemed to get myself in trouble a few times and at one point it got so bad that I had to really look at myself and question the decisions that I was making. I learned from the mistakes that I made in my teen years and have helped me a lot when making decisions in work and with friends.In social health I scored sthrongest in this category I feel because I am able to listen to others problems without making it about myself. If a friend comes to me with a problem, I tend to listen to them more than give my own opinion or feedback unless I am asked. I always try to give people the benefit of doubt and don’t judge them when I first meet them. Social health also includes relationships with family and fr iend, I come from a close knit family and have a good relationship with my immediate family and can’t see myself not ever talking to any of them.My friendship also have the stayed the same tthroughout the years, I have the same friends I have had since high school and college. In environmental health I believe was one of many sthrongest because over the years I have become aware of global warming and the affect that is being done to our planet and resources. When I am brushing my teeth, I turn of the faucet until I need the water again; I also use energy saving light bulbs all around my house to save electricity. I have been recycling bottles, cans and paper and have even gotten some of my family members to do the same.I know that I can do more in regards to getting out there and spread the word little by little. The way that I can become sthronger in physical health is by exercising more, whether it be taking the stairs instead of the elevator or going for a walk around the block. I could also try to improve my physical health by eating healthier meals during the day and cutting out junk food and instead eat more vegetables and fruits. I can also try and improve my sleeping patterns and get more sleep during the night.The way that I can change my emotional health is by understanding me more, for example, if I am feeling mad or aggravated at some one, I can take time and compose myself and approach the situation differently. The way that I can change my spiritual health is by getting more involved in the community and do more charitable events. I have to involve myself more in nature, for example, if I go to the park I can sit on a bench and listen to the birds chirping, the wind blowing and connect with Mother Nature. Some personal choices that I can make to improve my health are; exercising, eating healthy and quit smoking.I have started to get back in the routine of exercising for at least an hour a day, I will be using the shaping technique so that I won’t overwhelm myself and quit within the first couple of days. In eating healthy I can learn to cut out junk and greasy food, it’s important that I learn this because I have a daughter myself and I don’t want her to suffer from any health issues, such as diabetes or child obesity. I have to make these choices so that I can be a good example to my daughter and she will be able to make better choices.A behavior change technique that could help me I shaping, which is when â€Å"to reach a goal, you may need to take several individual steps, each designed to change one small piece of a larger behavior† (Donatelle, 2010). This technique would help me in exercising, for example, I can begin to walk for 30 minutes a day and after my body becomes accustomed to the exercise I will add more minutes to it until I have become used to working out. Another behavior change is called visualization, which mearns â€Å"mentally practice can transform healthy behavior into healthy ones† (Donatelle, 2010).This technique could help also in my exercise, for example, if I am going up a hill I can mentally tell myself â€Å"you can do this†. This will prepare my mind so that my body will go. Another technquie I called modeling which mearns â€Å"learning behaviors by watching other perform them† (Donatelle, 2010). This would be helpful in exercising because I will have someone else who can go to the gym with me and be motivated by them just being there. Controlling the situation would mean â€Å"the right setting or the right group of people will positively influence your behavior† (Donatelle, 2010).

Teddy Roosevelt A Sick Kid - 808 Words

Teddy Roosevelt. Adventurist, Workaholic, Naturalist, Republican, Hunter etc. He did it all. But he didn’t exactly start that way. We all know Teddy as the one who just wouldn’t stop. He did EVERYTHING, if he had an idea, he put it out there and no matter how dumb the idea the public supported him because they loved him so much. But once again, he didn’t start that way. Teddy Roosevelt was a sick kid from the very start, he had a breathing problem. He had an inhaler ever since he knew how to use one. Teddy was weak, small, and was always getting bullied at school, but things began to change. He was sick his whole life, start to beginning, he just got bigger and the sickness became smaller, so small in fact that sometimes he forgot about it all together for years at a time, and it all started when his dad told him to build his body. Oh, how he loved his dad so. He did everything his dad told him to, and when he told him to build his body he went on it immediately. Within the month, he had started boxing, jujitsu, and intense fighting competitions with his siblings. A year later he was almost bigger than them. On his 7th birthday he got his first gun, and started to train with it immediately. Next year he started hunting. He was great with a gun, and he loved it to. He went hunting every year with his father, and eventually he ALMOST got better than him. Then the war started, the civil war. Those were horrible times for Theodore (Teddy’s real name), he was saddened to tearsShow MoreRelatedThe life of Theodore Roosevelt500 Words   |  2 PagesThe life of Theodore Roosevelt Dillion Oster English Composition I Theodore Roosevelt was one of the most inspirational men that lived. He once stated â€Å"I have always been fond of the West African proverb: Speak softly and carry a big stick; you will go far.† This is how he ran things in the oval office and as the New York City police commissioner. Growing up he was a very sickly child, homeschooled and his father was very disappointed with him as a child. Theodore Roosevelt Said â€Å"Whenever you areRead More Theodore Roosevelt Essay1853 Words   |  8 Pages Theodore Roosevelt nbsp;nbsp;nbsp;nbsp;nbsp;â€Å"Roosevelt was among the best-liked Presidents and, in many respects, the most interesting† (World Book 149). Theodore Roosevelt did many things, some in which impacted America. nbsp;nbsp;nbsp;nbsp;nbsp;Theodore Roosevelt was born on October 27, 1858 in New York City, making him the only president born there (Lamb 152). As a child Roosevelt was always very sick and frail, and had bad asthma (Kent 13). Despite this he never got tired of playingRead MoreEssay on Theodore Roosevelt: A Pioneer for the Environment1821 Words   |  8 Pagessoftly and carry a big stick; you will go far.† Theodore Roosevelt Theodore Roosevelt, the first Cowboy environmentalist. A man who would inspire generations of outdoorsmen to protect their local and national wilderness for their own children, so that they might one day hunt, fish, and hike those the same hillsides. Roosevelt was born in 1858 into a wealthy family with good connections in New York City. Since Theodore was a sickly kid, he spent a great part of his childhood on his own, collectingRead MoreThe Affordable Care Act : A Critical Analysis Essay10519 Words   |  43 PagesTheodor Roosevelt â€Å"calling for health insurance for industry†, and upon Congress to increase more funding for government funding for the Public Health administration, also set the ball rolling for aggressive politicians in the future to stake their claim to protect the working class. (The Henry J. Kaiser Family Foundation, 2009, p. 01) He saw a need for a healthier society, especially one which accepts immigrants in vast numbers to fill at that time a growing industrialized nation. While Teddy RooseveltRead MoreLena Horne9265 Words   |  38 Pagestight in those Depression years, and Hornes mother obtained an audition for her at the Cotton Club through a friend. She was hired as a chorus girl at the c lub at the age of 16. Horne first attracted attention beyond the chorus when she replaced a sick performer in a performance of Harold Arlen and Ted Koehlers As Long As I Live with Avon Long. Soon after, she sang Cocktails for Two with Claude Hopkins His Orchestra on a theater date with the Cotton Club troupe, and she began taking singingRead MoreLogical Reasoning189930 Words   |  760 Pagescontinue with your good times. Then Juanita mentions seeing a sign back in the parking lot: Warning, Giardia has been found in many streams in the area. Sorry, but we are out of sterilization tablets. Giardia is a microorganism that makes you sick, she says. You and Emilio have never heard of it. Emilio says hes willing to bet that boiling the water will kill the critters. Besides, he says, our stream might not have Giardia. Ill take the first drink. Juanita winces. No, don’t do thatRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesDallas Edward Hampton, University of Central Florida Vernard Harrington, Radford University Nell Hartley, Robert Morris University Barbara Hassell, Indiana University, Kelley School of Business Erin Hayes, George Washington University Tom Head, Roosevelt University Douglas Heeter, Ferris State University David Henderson, University of Illinois at Chicago Scott Henley, Oklahoma City University Ted Herbert, Rollins College Susan Herman, University of Alaska Fairbanks James Hess, Ivy Tech CommunityRead MoreProject Mgmt296381 Words   |  1186 Pagesinformal rules governs the basic issue of working hours. Developers are free to adopt whatever work schedule suits them. If a developer has a sudden insight at midnight, it is not unusual for peopl e to work until dawn. Likewise, if a developer’s child is sick, the developer can stay Software Development Teams at Microsoft*  © AP Photo/Alyssa Hurst home to take care of the child, and do makeup work at some other time. Along with these â€Å"rules† on flexible working hours, almost all developers abide

Pro Illegal Immigration - 1348 Words

Whether it’s due to personal reasons, economic reasons, or unemployment, sometimes people need the opportunity to leave their nation and move somewhere new. Either to build onto what they already have or start over completely, moving to another country provides a very appealing alternative to the state of their current lifestyle. Often times this ends up in illegal immigration, which has more positive effects than people are led to believe. At one point in time America relied on outsiders so much that they were willing to enslave them in order to. Like many other settler societies, the United States, before it achieved independence and afterward, relied on the flow of newcomers from abroad to occupy its unsettled lands. They had land and†¦show more content†¦However, it lasts for only 6 years and you will not be able to travel abroad for long periods of time. The current legislation states that a person can travel abroad up to 365 days in total for the entire 6 years under Conditional Permanent Residency. Those qualified will also be eligible for student loans and federal work-study programs, but will not be eligible for federal financial aid such as Pell Grants. The dream Act requires that you complete a college degree, or participate in two years of military service, a small price to pay for freedom. The dream act also provides support groups for illegal immigration, which you can find by simply typing in your area code on the website. Nathan Thornburgh, a senior editor of Time magazine, stated that â€Å"Whether you fine illegal aliens or stick them in English classes or make them say a hundred Hail Marys, at the end of the day, illegals would be allowed to stay and become citizens... That s amnesty. And that s a good thing for America. Amnesty won t depress wages - globalization has already done that. Amnesty will not undermine the rule of law. It sounds counterintuitive, but with immigration, forgiving a crime may be the best way to restore law and order† (Thornburgh, Nathan). This idea provides a new view on illegal immigration, promoting that sometimes it is okay to forgive and forget, and in this case amnesty could be theShow MoreRelatedPro-Illegal Immigration Paper916 Words   |  4 PagesLabrada 11/16/11 FYS 138 Professor Lodge The Melting Pot The debate of illegal immigration in the United States is one that is plagued with many details, and one that sparks a huge amount of controversy among politicians and citizens alike. While it is an issue that many argue about, few people are actually knowledgeable about the subject and have facts to back up their opinions. According the Center for Immigration Studies, the â€Å"unauthorized resident immigrant population is defined by allRead MorePro Illegal Immigration Speech1722 Words   |  7 PagesSara Rosas April15th, 2010 COM103 Persuasive Speech Topic: illegal immigration General Purpose: to persuade Specific Purpose: To persuade my audience to be pro illegal immigration. Central Idea: I will persuade you that illegal immigrants should be allowed to stay in the U.S. by sharing with you some information on the subject, arguments on the subject, and also some solutions to the problem. Introduction: Imagine a teenage girl, only seventeen years old having to go three statesRead MoreThe Pros And Cons Of Illegal Immigration1964 Words   |  8 PagesIf America is a supposed â€Å"melting pot† and â€Å"land of opportunity†, why does immigration happen to be one of the biggest issues circulating the news as well as the White House? According to the Migration Policy Institute there are approximately 11 million illegal immigrants living in the United States. These men, women and children enter the country illegally, with the purpose of living a better life. These people are willing to enter America in ghastly fashions, a perfect example are the undocumentedRead More The Pros and Cons of Illegal Immigration into the United States797 Words   |  4 PagesThe Pros and Cons of Illegal Immigration into the United States Illegal immigration has been an important and serious issue for decades; which affects everyone, both Americans and immigrants themselves. Illegal Immigration has three main purposes: first to find a better life in the ?promise land?, second: free healthcare, and third: for criminal activity. Most illegal immigrants come to America with the best intentions for themselves and/or their families, but many others have alternativeRead MoreThe Pros and Cons of Illegal Immigration in the USA1007 Words   |  5 Pages Immigration is an increasingly hot controversy in southern California; there have even been various rallies recently with many supporting a path to citizenship and others arguing that we need to close our boarders and prosecute violators. Immigration is the spotlight not due to money, but because it affects problems like race, the role of government, national identity and change. There are more advantages than disadvantages on supporting illegal immigratio n and supporting an amnestyRead MoreIllegal Immigration: Pros and Cons1128 Words   |  5 PagesIllegal immigration is a major problem which most of the developed countries face in the current economy, and it has been major political problem for the political parties in America (republicans and democrats) and over years each party has a different agenda to discuss the problem. Illegal immigration can be defined as a movement of people from a source country to the destination country without any legal documents and violates destination countries immigration laws. People have moved across landsRead MorePros and Cons of Illegal Immigration Essay example1493 Words   |  6 Pageshousing with abusive landlords, have few health cares options, and are victims of fraud and other crimes. The main controversy lies in the passing of a plethera of laws throughout the existence of the US regulating immigration and in the handling of illegal immigration. Modern immigration polocies have recieved less and less publicity as tolerance becomes more widespread, although each person is entitled to their own opinion about the issue (Conover 342). Immigrant problems are related to tradeRead MoreThe Pros and Cons of Illegal Immigration in America Essay718 Words   |  3 PagesMost of the time, I would complain about all the illegal immigration there is in the United States. Researching this topic has pretty much changed my mind on illegal immigration. Although there is much controversy over illegal immigration, it has many positive benefits. We Americans are never happy, always finding something to complain about. The more we complain and take it nowhere, the more time we waste. Illegal immigrants are usually, overall intelligent and hard workers. They bring theirRead MoreImmigration Is One Of The Most Popular Topics Today1591 Words   |  7 PagesProfessor James Leary English 101 [DR] 23 February 2016 Immigration is one of the most popular topics today. Over 4.4 million illegal aliens are on the waiting list to be documented. Many U.S. citizens have been in an outrage over legalizing immigrants. But what many people fail to realize is that immigration has several advantages that far exceeds the negative concerns. Immigration brings several economic advantages to the United States. Immigration also has a huge influence on American culture. DespiteRead MoreAnalysis Of Donald Trump s President Of The United States Essay970 Words   |  4 Pagesreasons. He is pro-life, against gun-control, and supports illegal immigrants returning to their countries (Project Vote Smart). These issues are important to me and my reasoning as to why I back Donald Trump. Donald Trump is against one of the biggest talked about issues in the United States; Abortion. Although Trump hasn’t always been pro-life. He was claiming to be pro-choice from what he wrote in his book The America We Deserve back in 2000 (Novielle). Donald Trump said he was pro-life except in