Saturday, August 31, 2019

Life of Gangsters

â€Å"Quick a coppers coming!† said Dominic, Ringleader of the robbers. † I can't get this crap to start up!† said Vincent. (Vinc) â€Å"Oi stop in the name of the law!† yelled the police officer. At this point the police officer was running after the Hi-Jackers like a bullet. He was so eager to apprehend the law-binding criminals. â€Å"Yes it's started,† shouted Vinc. â€Å"Run him over, he's trying to mess us around!† Cried Dominic at the top of his voice. The Car backed up like the speed of lightning and hit the Police officer leaving him crippled like a boneless dog. â€Å"Bingo! Nice aim huh? Asked Vinc. The robbers had a good getaway leaving the policeman behind. The sun was setting and the view was beautiful. The robbers were cruising towards an urban area. â€Å"Dom where do you want to go now?† asked Vinc. â€Å"Lets go and see Dred, I need announce of weed.† Replied Clyde. They pulled up at an old wrecked garage. The garage was like a rusty old skip there was a sign that said â€Å"Dred Motor Company.† The sign was about to fall off it was hanging vertically. The robbers went inside and saw a big huge figure. â€Å"Yo what do you need today boys?† asked the huge figure. â€Å"I just need an ounce of weed,† said Dom. Dred pulled out a small transparent bag with some cannabis inside it. â€Å"Is this enough ma boy Dom?† asked Dred. â€Å"Yeah that's enough,† said Dom Dom was about to grab the bag, but Dred demanded for some money first â€Å"Money First† said Dred. Dom went towards the car and pulled out a machine gun. â€Å"Gimme the Flipin weed before I blow yo big ass off permanently!† Said Dom â€Å"Yo Dom you know im just messing around with you here take it its all yours† said Dred in a discreet voice. Vincent and Dominic drove off leaving not a footprint in sight. Dom was busy rolling up a spliff when Vinc pulled up at a petrol station. Bonnie filled the tank up to the maximum amount of petrol. He was about to drive off when the shopkeeper came out and threatened to shoot if they drove off. Dom came outside with his machinegun and shot the innocent shopkeeper in his head. As soon as they were about to drive off, 10 police cars and 3 riot vans surrounded the exits. Clyde shot four of the police officers. It was a narrow getaway, but they made it. Riot vans and police cars were chasing them. With Vincent's Skilful driving the pair lost the cops. Hey Dom this car is mashed man! We need to boost another car. Then do it, but make sure no cops are involved. They approached a little quite area and saw a Nissan skyline. Dom this will do us nicely. Within a minute they drove off in a Nissan Skyline without anyone knowing. There, nice new car and no cops, but we are broke. â€Å"How fast does this baby go?† asked Dominic. This one will do over 170mph. Great! I know some one who organises street races. If we enter this car into a race we are sure to win! Dominic took out his mobile phone and phoned a guy called Hector. â€Å"Hector its me Dominic, I need some cash. Are there any races going on?† asked Dominic â€Å"It's a good job you phoned me there is one today. Why what car you got?† asked Hector. â€Å"I got a Nissan R34 Skyline.† â€Å"Meet me at the cafà ¯Ã‚ ¿Ã‚ ½ seven o'clock sharp.† Said Hector. Dominic and Vincent just arrive at the cafà ¯Ã‚ ¿Ã‚ ½, and meet Hector. â€Å"Hey Dom long time no see and who's the other guy?† asked Hector. This is my man Vinc. Vinc this is Hector. Hector, Vinc is going to drive. Right then, let's roll! There are three other guys who you are going to be racing with. As soon as Vinc took a right the cops were on their tail. They caught Dominic and Vinc And arrested them on murder, grand theft auto and possession of drugs. They were sentenced life and both died in prison.

Friday, August 30, 2019

Wound Care

Program Evaluation: Wound Care Center The Methodist Hospital offers a Wound Care & Hyperbaric Medicine Program which works closely with patients and specially trained physicians (2010). The program focuses on monitoring, management, and treatment of chronic and non-healing wounds (TMHS, 2010). Non healing wounds affect a large number of the populace and prevent people from leading an active life. Researchers report new technologies are altering the process in which chronic wounds are treated. More options for wound treatment are available today than previously available. Bio-engineered skin substitutes, specialized dressings and the latest compression wraps are a few of the more recent methods for wound treatment. The Methodist Hospital's Wound Care & Hyperbaric Medicine Program offers state-of-the-art technologies and advanced wound care techniques to effectively care for non-healing wounds. Evidence depicts that a wound that has not healed in over a month should not be overlooked (CDC, 2009). The TMHWC program uses a team approach to promote advanced wound healing. The first step of healing for patients enrolled in the wound care program is a methodical evaluation by a wound care physician. There is a huge need for quality wound centers. Non healing wounds and excessive management cost health care centers a substantial amount of money each year. According to Pompeo (2010) health care organizations want well-organized and precise figures to decide which cost effective wound care services to propose. The difficulty with chronic wounds is that it is very demanding on staff within a hospital’s organization (Shai & Halevy, 2005). The burden of chronic wound management is constant and an evaluation is necessary in an effort to prove the importance of maintaining The Methodist Hospital Wound Center. The purpose of this evaluation is to examine the wound care program at The Methodist Hospital in Houston Texas. This evaluation will provide the history and overview of the root source for chronic wounds and the effectiveness of treatment of those wounds. This evaluation will also comprise a review of the programs patient population, chronic wound diagnoses, primary diseases, treatment devices, as well as costs associated with the health care organization. The assessment will expand the findings of the previously submitted needs analysis for the healthcare organization expansion of services. The components of the proposal are consistent with the organizational mission, values and vision. Background The Methodist Hospital's wound care Treatment Center came to exist from a meeting between several surgeons at a wound care clinic in Southeast Texas. The physicians were discussing a patient who had suffered with wounds for a number of years. The physicians were interested in increasing improving the credentialing and recognition of wound care services. The Wound Care Center was founded and incorporated in 1990 as an extension of The Methodist Hospital. The Methodist Wound Care Center is dedicated to the multidisciplinary team approach in promoting the science of prevention, care, and treatment of acute and chronic wounds. Today the Methodist Wound Center continues to offer treatment and intervention for chronic wounds. The Methodist Wound Center is an independent center staffed and funded by The Methodist Hospital. A chronic wound has an appearance of one or more underlying conditions which become evident on the skin. Chronic wounds are reported to have the following etiologies (Krasner, 2001): pressure, venous, arterial, diabetic, ischemic, cancer, and end-of-life. A chronic wound entails intervention by numerous health care authorities to address the many conditions and co-morbidities that impact future prognosis and healing. Mission The mission of The Methodist Hospital's Wound Care Center is to provide a full range of the highest quality, outcome oriented physical therapy services for a variety of patients with wounds. The Methodist Hospital Wound Care Clinic team of specialists works together for improved healing rates and fewer amputations in chronic wound cases. In the course of treatment, the clinics aim is to prevent prolonged or permanent disability and reduce hospitalizations. Vision Statement Where people want to work, where physicians want to practice, and most important, where registered patients want to go when they need healthcare services. The vision statement sets specific goals in objective terms, and a time frame for the goals to be met (Pelland, 2009). Literature Review Webster's New Riverside University Dictionary (2010) defines an ulcer as an inflammatory, often suppurating lesion on the skin or an internal mucosal surface of the body, as in the duodenum, resulting in necrosis of the tissue. Dorland's Medical Dictionary (2010) describes an ulcer as a local defect or excavation on the surface of an organ or tissue which is produced by sloughing of inflammatory necrotic tissue. Wounds that do not respond within the expected time frame are defined as chronic wounds or ulcers (Wollina, Hansel, Kronert, & Heinig, 2010). Chronic wounds are contributed to primary diagnoses which slow down the healing process and may sometimes result in death (CDC, 2007). The first step in conducting a needs analysis for the Wound Care Center is to identify the services most in need of support. A review of the number of referrals for different services could direct an initial effort. Networking with practices that have already implemented similar services may be of assistance. Performance measures must be in place for monitoring program success. Performance measures should assess for method reimbursement and sustainability, patient and provider satisfaction, treatment outcomes, and areas for improvement (Lockamy & Smith, 2009). Development of standards makes ease of operation with other systems a reality and are necessary for efficient operations (Spivack, 2005). Principles to be considered in selection, implementation, and evaluation are patient satisfaction, strategic alignments, process management, performance measurement, and project management (Lockamy & Smith). Developing community and governing commission liaisons will strengthen the chance of program implementation success (Dick, Manson, Hansen, Huggins, & Trullinger, 2007). The CDC (2009) reported that over 25 billion dollars is spent annually to govern the management of non-healing wounds. Each year seven million Americans are diagnosed with at least one type of chronic wound. The incidence rate of chronic wounds ranges about ten percent annually and is contributed to the current increase in age of the populace. Stages of Wound Healing There are three phases of wound healing (Fishman, 2008). First, there's phase one-the inflammatory phase, which immediately begins and is active for the first five days of injury. The inflammatory phase generates coagulate from vaso-constriction, platelet aggregation, and thromboplastin formation. The proliferative phase is the second stage of wound healing. This phase transpires up to three weeks after injury. Granulation, contraction and epithelialization draw the ulcerated edges together in an effort to reduce the deficiency (Fishman, 2008). Stage three of wound healing is sometimes defined as the remodeling phase. The modification stage last up to two years. Collagen is formed, which increases the overall vigor of the wound (Fishman, 2008). There are three types of cost analyses. They are cost-effective analysis, cost-benefit analysis, cost-utility analysis and cost-utility analysis. They are aimed at reducing the wastage of resources in invalid methods by getting the advantages of use of a particular activity with the value in terms of cost. People with diabetes are more prone to developing ulcers on their feet. Decreased sensation and a lack of circulation lead to this problem. The best way to prevent ulcers from forming is by performing a daily foot inspection. The three are not mutually exclusive in their use and can be used in any one particular situation though in different stages of the pyramid. An example is the use of exercise as a cost-effective means of tackling diabetes. In one of its many advantages, the exercise does not only help manage the diabetes but other conditions are catered for in the primary stage. This includes, stress reduction and hypertension which may be additions to the disease. There are many benefits of using exercise to various diseases like the cardiovascular types. The use of exercise is implemented in the third stage, tertiary stage that will include the treatment or management of the disease. It helps in burning down the excess calories in the body. (Hatziandreu, E. , 2003) Wound Center Protocol Patients undergo an inclusive physical upon admission to the wound care center. The work up plan for wound care consists of physical evaluations, blood work, Xrays and wound assessments. Medical staff meets daily to discuss the best plan of care for the patients. The treatment protocol Centers which practice systematic ways to develop wound treatment provide excellent care, including evidence based treatment protocols which lead to superior clinical outcomes (Fishman, 2008). The Methodist Hospital's Wound Care Center treats and takes care of the wounds at any part of the body including sacral, abdominal and even in the lower extremities. The center treats all types of wounds caused by burns and pressure, diabetes, radiation and vascular diseases. The centers protocol is to treat all chronic wounds until they heal as well as prevents recurrence and preserve limbs. The center’s staff does not only treat but also monitors wounds teaches prevention ways such as eating proper nutrition among other specialties. Program Objectives The American Physiological Society (2010) website indicated the evaluation provides formative feedback that helps guide a program as it is being implemented. It also provides summative data that clearly demonstrates that the program is accomplishing its stated goals and objectives. Without an efficient evaluation, the program personnel may be unsuccessful with regard to documentation of impactful program issues. The Wound Care Center employs five full time registered nurses, certified in wound care. The center also employs three administrative personnel, including the clinic administrator. The wound care center employees several medical staff physicians, including a podiatrist, 2 general surgeons and one plastic and internal medicine. The treatment of chronic wounds and research on the pathogen has been going on for many years now. Despite the effort, a large number of people still face the problem when it comes to wound care. A number of people have named lack of integrative perspective in research methodology as a critical issue facing wound care centers (Singhal, Reis, and Kerstein, 2001). Researchers do not view treatment of wounds holistically but have focused on efficacy and safety of specific therapies. The Methodist Hospital's Wound Care Center objectives are to continue with single treatment investigation in addition to pursuing an integrated approach to the mechanisms of wound healing. Integrated approach deals with the physiological activities that make a wound heal or not heal based on the fundamental activities. Study design This study design is pertinent to an evaluation of the wound care center and the subsequent hospital visits from patients subsequent to discharge. The study design for this research is quantitative and the population will be those patients who required treatment at the Wound Center within the last 24 months. The study will use data from Method admissions data base to calculate the number of patients. The system will also track the number of patients returned to the center. Quantitative designs require a prearranged selection of variables. Quantitative designs clarify the result of an experiment, a correlation testing, and often involve the acceptance or the failure to rejection the null hypothesis (Sproull, 2004) using statistical formulas and hypothesis testing with a significant randomly selected sample that represents the population (Creswell, 2004). Sample Patients who are currently admitted in the wound care center and scheduled for discharge within the next 30 days will be the population for this study. The population will be reviewed and counted from the Method’s computer system. We will aggregate the data of all patients admitted and discharged from the last 24 months. The selection process can be described as systematic sampling. The specificity of the items in the database is controlled by change. The series of items is compiled from the medical record number and is tracked over the last 24 months. The advantage of systematic sampling is that, unlike simple random sampling, a designated number does not need to be assigned to every item. Most patients have been discharged from the program because the wounds have healed or they have transferred to other wound care facilities. Recruitment of Participants. This evaluation will not require an excessive amount of contact with participants. There will be no questions or surveys provided to the participants. An option for this evaluation is to review the data in Method and analyze the discharge and monitoring of each wound care patient. MethoD is the computer admitting database which reports on all admitted patients to any program within the institution. Methods The research study objectives is to identify chronic wound services that need most support, to review the number of referrals and to determine the favorable ways of treating, preventing and controlling chronic wounds. The study uses quantitative data from The Methodist Hospital's Wound Care Center computer records. The study will use a systematic sampling of all the patients that have been treated for wound in the last 24 months. The study will record all the patients who have visited the hospital with wounds, it will determine their age, sex and the type of wound they were treated on. The study will also record how many times the patient has been treated and when the wound healed and if it did not heal the preventive advice given to the patient. The methods of data collection will be observation and investigations of medical records. The prearranged selection of variables includes age, sex, type of the wound and the duration it takes for the wound to heal. The correlation testing will be used to find out if there is a relationship between persons age and time the wound takes to heal or the type of the wound and the sex of a person. The study will apply statistical model of wound healing rates because it predicts the actual healing of the wound. The statistical model does not impose a fixed methodological structure on the healing structure such as time but monitors the progress and actual behavior of the wound (Kumar, 2007). Data Analysis The results obtained from the centers medical records and analyzed by Method’s computer system showed that the center had received quite a number of wounded patients. The computer software showed that 3-4 people out of a hundred people who visited the hospital were wounded. An estimate of 20-30% of the hospital beds were occupied by patients with wounds a big percentage being patients whom had acquired wounds during hospitalization. Pressure ulcers obtained during the period of medication is the major cause of chronic wound affecting an estimate of five inpatients. The results also showed that 5% of patients died after contracting surgical wound infection during the period. The result statistics indicated through tables and graphs drawn using method computer programs showed that chronic wound were caused by a number of factors such as immobility which usually affected patients on hospital bed causing bed sores and pressure ulcers. The other factors included diabetes, trauma, poor circulation and vascular disease (Stillman, 2010). Diabetes was the major cause of developing a chronic would as statistics showed as 20-50% of people with diabetes had the risk of contracting . Wounds can also be caused by other causes namely unhealthy nutrition, ill-fitting shoes, hygiene and lack of exercises. A big number of people obtained wounds after falling. The research study used a new statistical model that combines both the wound’s size wand the time of closure. This was because it was not easy to determine the actual time that most patients would heal after they were released from the hospital. Methodist Wound Care Center just like other hospital and clinical centers released their patients after their wounds closed after giving them advice on proper preventive measures. The model analyzed the wound size against time. A graph drawn should exhibit negative correlation, that is, as time goes the size of the wound reduces in order to indicate healing. Implications Meta-analytic review of wound healing processes showed that the duration a wound took to heal depended on the type of treatment given and the size of the wound. A large number of wounds do not heal completely but only undergo a process called closure. It is therefore not easy to calculate the correlation between the size of the wound and the duration it takes to heal completely. The statistical approach therefore calculated the time of closure as the healing of the wound. Studies have shown that there are four major stages of healing. A normal would heal even before stage IV but a chronic wound that progresses to stage IV may have serious implication that may lead to amputation (Columbia University Medical Center, 2007). Stage IV is usual the wound closure as it involves formation of a new skin and scarring but it does not mean the wound is completely healed. The data analyzed showed there was a negative correlation between the time of closure and the size of the wound. The size of the wound decreased as time the patient undertook treatment increased. This was a measure that healing process was taking place. While 45% of the patients admitted in the hospital for the given period showed a healing trend, some patient’s wounds did not heal regardless of the time frame. In fact some small wounds grew in size as time progressed. The study results did not indicate a linear relationship since some wounds grew in size as time progressed while others became smaller as time increased. The study results showed a non-exponential Gompertz-type model that shows specific differences and variations in individual wound behavior. Monitoring The modified Gompertz-type model was the best for monitoring and evaluating the healing process of the wound as it applied to all types of wound (both the ones that healed and the ones that did not heal). The model has advantage over other models as it could predict the rate of healing based on the treatment and similarity of wound type. Healing involves tissue healing and wound closure. The study model monitored all the patients that had visited the hospital in the last 30 days to determine which stage of healing process they were in. Generally the healing process involved four phases namely inflammatory phase, proliferative phase, remodeling phase and epithelialization(Hess, 2005). All the wounded patients for the last 30 days were monitored and the phase they were in recorded. The wounded patients that had already visited the hospital in last 24 months were expected to be at various phases depending on the size and type of the wound. A table was thereafter recorded and graphs drawn to analyze the data in order to gain conclusive results of the study. A normal wound requires 3-4 days to be at the epithelialization phase where another layer of skin form leading to scarring (Sussman and Bates-Jensen, 2007). Some wounds take more than that depending on the size of the wound. The research study was given 30 days period in which to monitor the phases of patients wound in order to get conclusive results. A table was set up for all the wounded patients, the time they were admitted and the time they underwent all the four phases. At the end of the one month period a time table was prepared that showed the time period and the number of patients at a particular phase.

Thursday, August 29, 2019

The Great Doubling Essay Example | Topics and Well Written Essays - 3750 words

The Great Doubling - Essay Example During this time, innovations in communication and innovation made it easier for offshoring and the global migration of workers (Grossman & Rossi, 2008, p.1987).   The new wave of globalization that has swept the world has brought about both actual and perceived labor market insecurities in industrialized countries. Over the past 15 to 20 years, the number of workers who have been displaced by foreign trade and investment as well as labor inflows from India and China has increased considerably. â€Å"The Great Doubling† was a term coined by Richard Freeman to describe the increase of the global labor pool from about 1.46 billion in the 1990s to about 2.93 billion currently (doubling). Freeman (2006, p.11) argues that if the US and generally other industrialized countries are able to adjust well to this great doubling, people from these countries can be able to benefit from having all people on the same economic status.   The â€Å"great doubling† compliments well with Baldwin’s (2006, p.45) great unbundling where he argues that globalization means the great unbundling and is set to be a dominant factor in the economic field. Globalization applies pressures to an organization to relocate their resources. Before globalization reached its apex, economic interactions were bundled together such that transport costs were minimized or in some situations eliminated completely. Due to this, the number of wages to be paid plus the cost of goods was determined by the local market and not the global market. Globalization is set to bring major changes to this and thus will affect the wages of skilled and unskilled workers in both low wage countries and advanced countries.

Wednesday, August 28, 2019

Leadership Assessment Essay Example | Topics and Well Written Essays - 1750 words

Leadership Assessment - Essay Example Hence it is pivotal for a manager to have the leadership ability and to possess the salient attributes of leadership. For in the current global environment, leadership is of immense importance in the sense that it is eventually the leadership skills inherent in the organizations that imbue them with a competitive advantage. So as to assure an optimal organizational efficiency, it is a must for the managers deployed at varied levels in an organization to possess leadership abilities (Storey, 2007, p. 73). Q1: Analyze the leadership style(s) of a senior executive (CEO, CFO, COO, Director, etc.) in your current or previous organization who made a positive or negative impact on you. It is a known fact that organizations simply cannot succeed unless they are endowed with teams that are skilled, motivated and competent. In that context, as group effort and team work are imperative for organizational success, thereby the role of leadership becomes of prime relevance in organizations. Throug h good leadership, managers can motivate the employees to give way to a wholesome and supportive work environment that stimulates most of the employees to work to the best of their ability. The Chief Executive Officer is the organization I work is predominantly affiliated to a participative or democratic leadership style. Though it is he who takes the final decisions pertaining to the important issues impacting the organization, he does make it a point to invite the staff members associated with specific projects to extend their inputs and ideas (Keohane, 2010, p. 233). This approach not only extends to the staff a sense of participation, but also encourages them to perform to the best of their ability (Keohane, 2010). Besides, the participation of the concerned employees in the overall decision making process brought in a spirit of creativity and ingenuity in the overall decision making process Our CEO makes it a point to aptly reward the employees with economic and non-economic be nefits. Not only has he played a guiding role for his subordinates, but going by his participative style, he makes it a point to extend to his subordinates the opportunities for skill acquisition and growth. This not only makes the employees feel cherished and wanted, but also imparts to them a sense of control over their future. No wonder, this motivates the employees to work hard and to contribute to the best of their ability. Though, owing to the democratic leadership of our CEO, things sometimes tend to move at a slow pace, but overall it leads to better results and outcomes. Q2: Analyze the organizational structure and culture of the company for which you work (or would like to work) to determine its approach to team development, and whether that approach helped to enhance your relationship skills in the workplace. In a simplistic sense, an organization tends to be a shared platform over which individuals and employees from diverse backgrounds tend to work in cohesion to achiev e the aspired for organizational goals. Hence, each and every organization tends to have some peculiar values, rules, guidelines and policies that not only collectively constitute the organizational culture, but also determine to a large extent the eventual success and efficiency

Tuesday, August 27, 2019

Understanding Tourism Essay Example | Topics and Well Written Essays - 2250 words

Understanding Tourism - Essay Example Consequently, this behaviour of tourists towards certain destinations create the understanding about demand in the tourism industry. Hence, the aspects of tourism that influence tourists’ behaviours towards preference for a particular destination defines the success of a given tourism region. A tourist region can either be tourist generating or tourist destination. However, this paper focuses on tourist generating regions. According to Williams (2004), â€Å"Tourism generation regions can be defined as the permanent residential bases of tourists, the place where the tourist begin and end, and in particular those features of the region which incidentally cause or stimulate the temporary outflow† (p.32). Tourist generating region provides the basic market and the source for prospective tourism demand in the tourism industry. As such, major tourism activities such a marketing takes place in this region including wholesaling, retailing, promotion and advertising. Since such regions exhibit tourist exodus, it is important to understand the commercial and sociological factors that motivate them to go for holidays in other places. Similarly, it is imperative to evaluate the economic, cultural, and social effects of this exodus on in a community where people depart to other areas. The components of a tourist generating region include both geographical setting and behavioural factors that relate to motivation. This essays explores these components, as well as performance of France as a tourist generating region. French people go for both leisure and business destinations. For the leisure destinations, the holidays starts in the months of July or August depending on a person’s preference. The idea of a vacation in France is a taste of luxury life. However, this is not the luxury of overpriced accommodation and Fifth Avenue shopping, but luxury of a life free from work. This

Monday, August 26, 2019

Interview Essay Example | Topics and Well Written Essays - 1250 words - 6

Interview - Essay Example The US had to react to this visit because Nixon’s stance against Communism was not a secret, while China was, not only a Communist country, but practiced an extreme form of communism no different from Stalinism. Moreover, Americans were perplexed at President Nixon’s decision, as his anti-Communist rhetoric had gotten him elected in 1952 as Vice President (Ragone & Velshi 13). With this background in mind, this interview will seek to uncover the machinations behind the visit and its consequences. A. As president of the United States, Richard Nixon travelled to the Communist People’s Republic of China in 1972. There he met both the Central Committee of the Communist Party’s Chairman Mao Zedong and the premier of the PRC Zhou En-Lai. The two governments agreed on the Chinese Communiquà © during the visit, which was one of the most important agreements between the two countries in improving relations following years of mistrust and hostility (Ragone & Velshi 33). A. Well, you have to realize that the two countries had been estranged diplomatically since the 1940s and the Chinese Communist Revolution. Following Chairman Mao Zedong’s victory for the Communists in 1949 and the establishment of the PRC on the mainland of China, officials and soldiers of the vanquished Republic of China moved to Taiwan. Relationships soured totally when the US chose to recognize the ROC over the PRC as China’s legitimate government, leading to a complete break in diplomatic relations (Ragone & Velshi 34). A. You see, despite the obvious lack of diplomatic channels, there were all indications by the late 60s that the PRC and the US were considering rapprochement. The escalation of the Vietnam War with the Soviet-backed Viet Cong and the US-backed KMT led officials in the US government to improve relations with China. This was important in the new US strategy to decrease

Sunday, August 25, 2019

Registered Nurse, Psychiatric Specialty Research Paper

Registered Nurse, Psychiatric Specialty - Research Paper Example These functions include: assistance during surgeries, administration of medications, monitoring vital signs, monitoring for side-effects of surgeries and/or medications, and also monitoring for complications. Aside from these assistive functions however, these nurses also carry out independent nursing functions, functions which do not need to be ordered by doctors or other health professionals (Temple, 2012). For psychiatric nursing, nursing care involves the administration of psychiatric drugs, observing patient symptoms, including extra-pyramidal symptoms, providing therapeutic care, carrying out suicide watch, and preventing self-harm (Temple, 2012). In order to be RNs, a state licensure exam is often needed. Each state has its own licensure examination and has its own requisite for practice. II. Education and Certification The basic requirement for a career as a registered nurse is to pass the licensure examination in the state where one desires to practice (Nazarko, 2004). Befor e the licensure examination is taken however, the applicant needs to finish first a Bachelor’s Degree in Nursing. ... The National Council Licensure Examination (NCLEX) is also a requirement for entry into the registered nursing career. As was mentioned above, the examinations vary with each state, and depending on the entry requirements for each state, practice can include other licensed nurses from other states (Rosdahl and Kowalski, 2007). The cost of education for a career in registered nursing varies with each state and for each country. In the US however, Lee (2012) discusses that the average cost for 4 years tuition for a Bachelor’s degree in nursing is $26,340 in a public university, and for a private university, about $100,572 (Lee, 2012). This is the comparable tuition rate for nursing. The University of Washington for example, estimates $28,000 for state residents and $93,000 for non-state residents for their BS Nursing degrees. An ivy-league school like the University of Pennsylvania averages about $150,000 for its nursing program (Lee, 2012). Aside from the tuition, other academi c requirements like books, laboratory and administrative fees are also essential. Other costs also accrue in terms of living arrangements, including housing, parking, and other living expenses which would vary depending on the student’s circumstances and the country or state where the student is studying (Lee, 2012). Registered psychiatric nurses have to go additional training and certifications in psychiatric nursing (APNA, 2012). These nurses need a Master’s Degree in psychiatric mental health nursing. Doctorate degrees in psychiatric nursing are also options for interested RNs. Such degrees would allow them to participate in teaching, research, and in administration (APNA, 2012).

Saturday, August 24, 2019

ECON Essay Example | Topics and Well Written Essays - 500 words

ECON - Essay Example Comparing answers of A and B above, the opportunity costs of additional 20,000 tons of coal at point B is C. greater than the opportunity costs of additional 20,000 tons of coal at point A. This reflects D. the law of increasing opportunity costs. If soil quality is improved, the initial production possibility frontier shift from left to right as shown by the second new production possibility frontier in graph 2 with a red curve. So the new curve representing effects of improvement of soil is the red curve. D. If Jack acquires a new tool to produce twice as many trains per hour as before without affecting his ability to produce drums, the production possibility frontier adjust to the right as shown below. If both two countries, Greece and Denmark produce oil and wine, the opportunity cost of Greece producing a bottle of wine is 3 barrels of oil, while the opportunity cost of Denmark producing a bottle of wine is 8 barrels of oil. C. If Greece and Denmark consider trading wine and oil with each other, Greece can gain from specialization as long as it can receives more than 3 barrels of oil for each bottle of wine it exports to Denmark. C. If Freedonia and Sylvania specializes in production of goods for which each has comparative advantage, together, the two countries can produce C. 12 million pounds of tea and D. 16 million pounds of potatoes. In addition, If the first bill introduced mandates doubling of security to increase probability of catching a terrorist from 10% to 20% without changing position of the blue curve, the opportunity cost of increased security is A. 15 million visitors per year given that initial numbers of visitors were 55 million at a security of 10%. 2.3 The first bill introduced mandates doubling of security to increase probability of catching a terrorist from 10% to 20%, a situation which is not satisfactory to some. In response, one representative introduced a bill to increase security by additional 10% from 20% to

Friday, August 23, 2019

Introduction to the research paper of business process mapping Essay - 1

Introduction to the research paper of business process mapping (operations management) - Essay Example rials, employees and other resources, developing them according to the organization’s needs and utilizing them as effectively and efficiently possible for the organization. (Brown et al, 2001). Operations management is a very broad segment of the organization and covers many areas including costing, manufacturing and supervising. (Stevenson, 2008). No matter the business falls in the category of service industry, manufacturing industry or a combination of both, operations management is nevertheless an essential ingredient for its success. (Jacka and Keller, 2009). However, there might be a drastic difference in the operations management of any two given organizations depending upon the nature of the business and the way the companies operate. (Brown et al, 2001). In case of a manufacturing organization, the operations manager is expected to take care of every single step involved in manufacturing the end-product starting right from the purchase of raw materials and hiring of human resource. (Greasley, 2009). In terms of a service-oriented firm, operations management would mean taking care of each and every step related to delivering the service to the customer and maintaining the flow of processes within the organization. (Stevenson, 2008). In today’s business environment, a successful organization either has an operations management section in its hierarchy or it would outsource such processes to the professional operations management firms present in the market since without it, keeping track of constantly evolving business practices is next to impossible and the business is likely to fail. (Brown et al, 2001). One of the most important aspects of operations management is Business Process Mapping. In order to maintain effectiveness and efficiency in the business processes and to keep track of the developments and procedures, the operations manager needs to lay device a tool to map the operations and processes. (Page, 2010). This tool is called Business

Can animal experimentation be justified Research Paper

Can animal experimentation be justified - Research Paper Example It can be used as well to promote interests and welfare of animals such as breakthroughs in veterinary practice. The experiment done on dogs led to the treatment of most canine diseases such as diabetes and heart irregularities (Paul, 6). The pros also argued that it is immoral to risk the life of humans for medical breakthrough when animals can be used instead. Let us take the example of Pondimin and Redux diet drugs. If the federal law would not require testing on animals before distribution on humans, disasters such as increase incidence of heart-valve defects might be experienced by millions of humans (Paul, 5). On the other hand, cons strongly believe that just like humans, animals have the right to be treated as beings and be protected against experimentation as in the experimentation infecting monkeys with AIDS. Animals should never be harmed just for potential gain in humanity. Unlike human, animals aren’t able to give their consent so it is not acceptable to test medi cines on them even if it will be used for other animals including the case of cows and sheep being infected with tuberculosis just to find the pathogenesis of the disease (Paul, 4). The cons believe that what is more immoral is to experiment animals and later on, found out that it is not a reliable guide to human reactions. Humans treated animals as a disposable and worthless biological object. The most popular examples are the experiments done on mice and rodents and later on rejected for they are not equally reliable to the human physiology. Definition of Animal Experimentation Animal experimentation is defined as â€Å"the use of live animals in research in the biological, psychological, and medical technological sciences, the state in which animals are used in the production of biological extracts and the testing of consumer products, drugs and food through partial or complete dissection of live animals for research purposes† (Monamy, 6). Practices Involved in Animal Expe rimentation There are practices that are being used in animal experimentation going back 2,000 years ago. In Egypt, animals were used to study body functions. Aristotle learned the structure and development of animals by dissection. Galen, a Romanian, used certain animals to prove that veins do not carry air but blood. William Harvey used animals in 1622 to describe the blood circulation in 1622. It was in 1846 when animals were used to determine the effects of anesthesia and in 1878 to show the relationship between bacteria and disease. During the 20th century, advances made in medicine, cure of infectious diseases and immunization, and surgical procedures became possible because of animal experimentation. In the practice of animal experimentation, several animals need to be sacrificed in achieving scientific goal. To reduce the rate of polio, hundreds of primates were sacrificed to develop polio vaccine. Monkeys were used to test HIV vaccines. Recently, a research in the Universit y of Massachusetts have taken immature cells from spinal cord of adult rats and made them grow and implanted in paralyzed rats. Soon, these rats were able to move, stand and walk. This practice of tissue engineering in animal experimentation has given hope to several people who suffer from spinal cord injury (MacKinnon, 208). Other practices involve in animal experimentation used transgenic animals as drug- producing machines. This

Thursday, August 22, 2019

Hrm Ulrichs Model Essay Example for Free

Hrm Ulrichs Model Essay ?Briefly describe the major features you would expect to find in an HR function which has adopted the Ulrich Model as the basis for its structure. The HR model as defined by Ulrich (1997) states that HR function should be: 1. Strategic Partners: Sit at the managerial table and contribute to the organisations strategy and alignment of HR strategy. Communicates efficiently with line management. Understands the business environment and drives key business processes and activities 2. Change Agents: Support, facilitate and initiate change, act as a stabilising force for employees in times of change 3. Employee Champions: Takes action to protect the interests and well being of the employees and ensuring they are the voice of the employee. 4. Administrative Experts: Ensures polices and procedures are up to date, they are legally compliant and have the ability to deliver innovative HR practices in HR recruitment, employee development and communication In the 1990’s Dave Ulrich moved to the three legged stool model for the organisation of the HR Function, this provided Centres of excellence This is a HR unit or an outsourced facility that provides HR services to a number of parties within the organisation. HR experts provide high level advice and solutions on key services and hr activities such as training and development, recruitment, reward and employee relations. Strategic Business Partners Senior HR Managers work closely with business leaders and line managers to contribute to the overall organisations strategy and align with HR strategy. They understand the business environment and drive key business processes and activities. HRM are expected to be creative Shared Services centres Large organisations provide a centralised HR function which deliver routine HR administration such as payroll, recruitment administration or absence monitoring.

Wednesday, August 21, 2019

Should The Government Censor The Internet Media Essay

Should The Government Censor The Internet Media Essay The growth of information and communication technology has significantly impacted on every facet of the world on most often noted is the internet. The advancement of Information and communication technology ICT, coupled with the rapid uptake of increasingly affordable, key technologies such as the Internet, has also helped foster an environment that promotes globalization of knowledge and information. The Internet has revolutionalized communication making information access across boundaries deemed seemingly impossible in the past a thing of general practice. People around the world are able to communicate with unprecedented ease. In the past, government has enjoyed great successes in censoring traditional communication media and this has affected information flow to the masses. The internet on the other hand with is multi-directional information flow communication nature where anyone can air their opinions on any desired issue at will has posed great challenges to governments. For countries with repressive regimes, the Internet has become a revolutionary force as it allows the free flow of information and which has been perceived as threat by the authorities in some countries. Government in some countries have responded imposing strict censorship on Internet usage by the public through monitoring, filtering and access to some site in the internet in a bid to control access to information. Internet censorship can be defined as the control or suppression of the publishing or accessing of information on the Internet. Internet censorship has been a greatly debated topic around the world with people having different opinions. In most countries governments at different level have been the in the fore front in the campaign for a regulated internet. Though there are a few arguments that support the need to have the internet censored, it has been largely rejected by organizations and individuals across the world as censorship of the internet is widely regarded by many as an attempt by government to suppress freedom of speech. This essay examines the arguments against internet censorship by government, its impact, successes and failures of government in some countries that embarked on such projects, and the challenges they have faced. It also assesses the key importance of censorship and concludes with an individual opinion evaluating the stated arguments. The case against the government Campaigners against the governments censorship of the internet have strongly opposed censorship and have stated that it prevents freedom of speech thus undermining confidence and trusts in the medium and this inhibits crucial flows of data. Also, Internet censorship and filtering leads to monitoring which is seen by many as another big brother ploy by government to invade the public privacy. It is more often argued that the government will use internet censorship as a tool to promote political agenda and the public has been quick to conclude that the true voice of the public will not be heard. In Australia, the National-Anarchists reject any parliamentary censorship of material and the reasons given has been summed up simply, any society that would give up a little liberty to gain a little security will deserve neither and lose both Benjamin Franklin.[1] Reports on internet censorship show the level of its pervasiveness recently being experienced in some countries. There are several tools and solutions instituted by the government of these countries for the purpose of internet censorship and also the content censored also vary with most blocked contents being political, pornographic, religious contents and others. [2] The common argument used by most countries in proposing censorship is that of child pornography. Most people however believe that the governments plans on internet censorship do not quite provide the solution to child pornography. It is often seen as, and in fact proven by experts that websites play only a minor role in circulation of child abuse materials and cannot be simply banned by Government [1]. It is often suggested that censoring for children by utilizing a user backed software and filtering systems instead of governmental censorship is a viable solution for keeping children away from indecent internet content. There are several software systems that allow parental control of internet materials. The OpenNet Initiative (ONI) has made a categorization of nations that is classes as internet enemy list. The ONI is joint project between some academic institutions across the world with the goal to monitor and report on internet filtering and surveillance activities by different nation. The project uses several means to determine the extent and nature of government-run internet filtering programs. It lists China, Iran Saudi Arabia etc in the forefront of internet censorship in the world. A new wave is now being generated by the Australian government as it moves to launch its own internet censorship project, [3] which has sparked up several arguments across the world. According to the ONI reports, censorship varies with countries and some countries have pervasive filtering policies, often routinely blocking access to not just pornographic and prohibited contents, but also human rights organizations, news, blogs, and Web services that challenge the status quo or are deemed threatening or undesirable. The Chinese governments The Great firewall currently uses four mechanisms DNS blocking, reset commands, URL keyword blocking and content scanning to prevent Internet users in the country from reaching blacklisted Web sites or content [16]. This technique though quite effective faces some technology challenges as private VPNs used by banks, manufacturing and other businesses often allow users within these organizations bypass this great firewall. These VPN services are now even open to the public for sign up at a fee that is quite affordable and attempts by the government to clamp down on this may impact on the economy since businesses will be affecte d. The general public thus rides on this loophole [4]. Methods of implementing censorship have also been criticized. Blocking unwanted and prohibited content using a dynamic process that would require analysis of website content in real-time would significantly slow down the internet. This is already being experience on the china network. [4]. Reports from Australia also suggests this will be the case when the Australian project kick off. The Australian Communications and Media Authority (ACMA) confirmed that under trial conditions internet filtering reduced speeds between 2% and in excess of 75%, but with half the tested products falling between 20-30%. It was concluded that proper implementation of the censorship project could result in a 20% drop in internet speeds [5]. Policies have been another hugely criticize factor. Often times government policies on censorship do not make a clear distinction on materials unfit for internet content, this resulting in legal and harmless contents being blocked. Organizations have challenged and even filed lawsuits to prevent passage of censorship bills in some states citing free speech violation and the decision to embark on censorship as unconstitutional. This is the case of a Utah Internet Censorship law, intended to restrict childrens access to material on the Internet but that may in fact also restrict adults access to a wide range of lawful material [6]. Examples cited COPA internet censorship law of 1998, included whether an education web page showing young women how to perform self examinations for breast cancer be banned and being classed as sexually explicit [7]. Australian government for example intends to use a public complaints mechanism for blacklisting URLs as well as URLs provided by international agencies. Analysts have questioned the accountability and transparency of this and have stated that the same government bureaucrats who put together their initialed flawed blacklist would remain responsible as arbitrators of the system. In support of the publics claim, a recently leaked list of blacklisted website showed that about half of the sites listed were in fact not related to child porn as claimed by the government but rather other contents that were to a certain degree could be classified as legal content for the adult community. This has sparked further debate on the issue [8]. A word for the government The biggest arguments presented so far by the government in support of internet censorship have been issues relating to preventing access to illegal contents and child pornography, racism, fraud terrorism, religion etc. With the attempts so far made by several nations to impose some form of censorship meeting with similar resistance, government should realize that the key challenges faced are three fold, the people, the law and the coping with technology. One could however wonder why the topic on censoring the internet would generate so much argument when the public indeed presently abides by certain degree of censorship. From schools preventing access to certain contents and websites, warnings are displayed on university networks on the impact of downloading of file sharing, companies prevent employees from accessing chat systems, networking website and other sites at work using firewalls to ISPs blocking potential dangerous contents either because of virus or to keep their network safe and uncompromised, Why then is the public so opposed to the government censoring the internet? It could be safe to state that the public is just not ready for the extreme spectrum of Internet control which would result in a globally regulated internet by the government for the fear that the public could lose its freedom of speech and the fear unknown. Conclusion Recommendation Though internet censorship could be considered a necessity in cases where there is need to set a standard for publishing and the kind of information to publish on highly sensitive topics, by and large the foreseeable disadvantages far surpasses the benefits that may be accrued. I do not see Government succeeding in the offing in the fight to regulate content on the internet. Technology favours the public internet users rather than government and as such the government will be playing catch-up and their efforts may yet be foiled. Technology is presently enabling data encryption, user generated videos and pod casts thus complicating the tasks by the monitoring bodies. Also the laws governing internet censorship if passed will meet several barriers as they are more likely to be passed by countries independently. The internet spans boundaries and how these laws would apply to other countries a crucial aspect of consideration. The law will need to keep up with changing technology as such there will be no rest for law makers. Passing laws takes considerable time, and lapse in law would result in loopholes that could be exploited by the public. In addition, the controversies generated by government censoring the internet far outweigh the benefit. The internet is a global communication platform and the government needs to study close before imposing laws. Close attention should however the paid to the fact that the global nature of the net does present problems to censorship. To conclude, though the proposed laws by government to regulate the internet is of good intention, it is unwise for the government to censor the internet because any law infringing on the publics right to free speech or breaching individuals right to privacy and freedom on such a vast communication medium as the internet will be difficult to enforce.

Tuesday, August 20, 2019

The Ethnic Inequalities Faced In Canada Sociology Essay

The Ethnic Inequalities Faced In Canada Sociology Essay Immigration into Canada totally changed the racial diversity of the Canadian population. In their study Gee et al. (2007) noted that since the beginning of European immigration and settlements, the Canadian society has been ordered based on racial and ethnic dimensions. Ethnicity has occupied a central position in Canadians rising inequality (2007:3). John Porter first studied this subject in 1965 and found that entry into the Canadian elite class was racially-ranked and determined by income, ethnic prestige and occupations. His findings found that, British-Canadians topped the group, French-Canadians took second position, and other European-Canadians were third while Blacks and Aboriginals-visible minorities occupied the bottom strata. Economic Inequalities Empirical examples shows that, substantial and convincing studies have been done on ethnically or racially-based economic inequalities in Canada. Well studied areas on this subject include income disparities and inequality in occupations. Gee et al. (2007) summarized the various studies done on this subject. (Reitz and Banerjee 2007) concluded that visible minorities in Canada have higher poverty rates and lower comparable incomes than ethnic Canadians of European origin. Gee et al. (2007) noted that recent studies on ethnic/racial orientations of income inequalities show that, household incomes of Aboriginals and visible minorities are usually low than those of Canadians with a European Origin. This is despite the fact that such studies have been conducted by different researchers at different times and applying different racial classifications and control variables. They further noted that racial disparities in the household incomes of European-Canadians have nearly minimized. Additionally, they also found indications showing that Canadians of southern European origin earn lower incomes than Canadians of British origin, while Canadians of French Origin earned much far better (2007:14). On occupations, (Nakhaie 1997 as cited in Gee et al. 2007:16) found that British-Canadians continue leading the class of Canadian elites, despite the fact that Canadians of other origins have made efforts to join the elite class over the years. Gee et al. (2007) also noted that the correlation between ethnicity/racism and occupation can be studied in two different ways. One way is by establishing whether certain ethnic groups are concentrated in specific occupations (based on division of labor). The other alternative is evaluating the position of racial groups in the Hierarchy or strata of prestigious occupations (2007:17). Applying the first dimension, and using the male gender, studies showed that Aboriginals dominate the construction and building industries representing more than double of the Canadian male populations. They are extremely underrepresented in administrative and management occupations. Their women counterparts are represented in service jobs. They therefore conclude d that, the Canadian labor force is more gendered than ethnically-based. In terms of prestige of occupations, Jewish, British and Chinese Canadians top the hierarchy. Blacks, Greeks, Aboriginals and Portuguese Canadians occupy the lower strata in that order. In the case of the female gender, the picture doesnt change. In this case ethnicity and racism outweighs gender. Employment and Home Ownership Despite the fact that Canada among the first countries to assume multiculturalism as a policy, cases of social discrimination against visible minorities have existed in history. Racial minorities were supposed to perform duties deemed undesirable for the whites. During the construction of the Canadian National Railway, Chinese males were desirable source of cheap labor. After its completion, the Chinese were no longer valuable. A head tax was indeed imposed on Chinese immigrants to Canada (Kendall, Murray, and Linden, 1997). (Li 2000 as cited in Reitz and Banerjee 2007:6) noted that the main economic problem that ethnic minority immigrants face in Canada is securing sufficient employment. This is associated with amicable reasons like, the entry effect-related to immigration problems and adjusting to the new environment (urban settlement), academic qualifications and racism. Ethnic minority immigrants experience more impediments than immigrants of European-origin (Reitz and Banerjee 2007:6) Gee et al. (2007) asserted that findings show that in terms of home ownership, the picture is no different. It reflects the same strata as it is observed in household income levels and occupations. Osberg (2008:33) noted that, despite the fact that much literature has ignored the role of interest rates, wealth distribution, and household incomes of the wealthy and focused on earning trends, Canada now has much information on economic and other social inequalities and broad conclusions are apparent. He concludes that data shows an increase in economic inequality in Canada today. Health Inequalities Better health care is one of the basic needs that all human beings aspire to get any ware in the world. Low household incomes are frequently linked with poor health. Despite intensified research and studies on health inequality in Canada, little attention has been directed at ethno-cultural disparities on health. Gee et al. (2007) looked at both heath care access and health status. However much of the literature that they examined didnt show a direct correlation between ethnicity and health status. In some instances data showed that, some recent immigrants, irregardless of race or ethnic group had better health than their Canadian-born counterparts. This healthy immigrant effect was however associated with the health requirements in the Canadian immigration act that locked out immigrants with chronic health conditions. Their studies concluded that Canadians whose mother tongue is non-English or non-French are economically disadvantaged. Recent visible immigrants are typically disadvantaged. Their analysis also found significant disparities in health status and utilization depending on country of immigrant and language. The health status of recent Immigrants declines as their years of stay in Canada increase. This is because they hardly report for medical checkups, due to the fear discriminati on, prejudice and low household incomes. Perceptions of Discrimination and Prejudice: A Barrier to Social Cohesion Ethnic and racial inequality might be less decisive if it is as a result of circumstances amicable to the visible minority, such as status of new immigrants, language differences, or academic and technical training not compliant with Canadian requirements. In other words inequality would not be a threat to social cohesion if it is viewed as legitimate. The feeling of discrimination, prejudice and racism is another issue all together (Reitz and Banerjee 2007:8). A 2002 Ethnic Diversity Survey, which sought to get views of individual experiences of ethnic and racial discrimination, showed that 35.9% of all the respondents consisting visible minorities reported cases of discrimination and prejudice compared with 10.6% of all Whites who responded to the Survey, of the visible minorities, blacks recorded the highest rate at 49.6%. (20007: 8:9). The Visible minorities also reported incidences of perceived discrimination of their ethnic group. Despite improving economic status of immigrants as they cope up with Canadian environment and society an ethnic divide in perceptions of racial discrimination is eminent among immigrants with longer stay and experience in Canada (2007:9), this is even more persistence among children. Cases of non-recognition of immigrant qualifications also abound, despite in some cases being equivalent to those of native Canadians. Failure to recognize foreign qualifications and experience are some of the barriers that visible minorities come across as they seek employment. Racial discrimination is viewed with skepticism in Canada, but the mutual covenant is that it exists and cannot be ignored. It is true that one of the effects of racial discrimination of minorities is its impact on the social cohesion of the Canadian society. Social cohesion generally means the capacity of a society to formulate, implement and adhere to policies that guide it. Lack of it may lead to conflicts and civil disorders as it happened in France and the United Kingdom. Other effects may be failure of a group to participate in making decisions and sometimes withdrawing its support for certain decisions or societal policies. Integrating ethnic minorities is an important issue in Canada. Social integration and social cohesion are mutually exclusive and cannot be separated. Proper social integration of minority ethnic groups in Canada is a sine qua non for a peaceful and prosperous society that is viewed by its occupants as a means to the achievement of their needs. This will strengthen the Canadian society; raise the spirit of inclusiveness, civic and voluntary participation in activities concerning human life. Conclusion Inequality is a social evil; no society is a friend to it. The above revelations reveal that forms of inequality based on ethnic considerations exist in Canada irregardless of how minute they are. This is a big concern to racial minorities. It is not only a challenge to the racial group that experience it, but also to the whole Canadian society in terms of forging a peaceful and an all inclusive society acceptable to all. The process of socially integrating ethnic minorities into Canadian society is often slower than that of European immigrants. This is often associated with their feeling of exclusion and perceived discrimination. Of emphasis is that economic integration should match social integration, none should supersede the other. Existing Canadian policies and legal structures are laudable against racial discrimination and economic inequality. This is possibly due to international conventions and pressure to eliminate global racism and ethnicity, but it is not clear whether they are sufficient in addressing the issues that affect minority ethnic groups in Canada. However may consent is that ethnic prejudice and discrimination is a social construction that can only be changed by the subconscious minds of individuals-the way we think and see others. We should all join hands and fight ethnic inequality. We should judge others by their competence and content of their minds rather than the pigmentation of their skin. There shall be no solution to this race problem until, you yourselves, strike the blow for liberty-Marcus Garvey

Monday, August 19, 2019

Essay --

Objective: Providing community-based mental health services is crucial and is an agreed plan between Iran Mental Health Office and Eastern Mediterranean Region. The aim of this study was to determine the effectiveness of home-visit clinical case-management services on the hospitalization rate and other clinical outcomes in patients with severe mental illness. Methods: One hundred eighty two patients were randomly allocated in to three groups ; home visit (n = 60), telephone follow-up (n = 61) and as-usual care group (n = 61).Trained nurses as clinical case-managers were provided home-visit services and the telephone follow-up tasks. Hospitalization rate as a measure of recurrence, as well as burden, knowledge, and general health condition of care givers, with positive/negative symptoms, satisfaction, quality of life and social skills of the consumers were assessed as main and secondary outcomes respectively. Results: Most clinical variables were improved in both interventional groups compared with control group. During the one year follow-up, the rate of re-hospitalization were 1.5 and 2.5 times more than home-visit group for telephone follow-up and as-usual group respectively. Conclusion: Single clinical case-managers are able to provide continuous care services for patients with severe mental illness. The telephone follow-up services also could have beneficiary outcome for the consumers, their caregivers and health system network. Key words: Case-management, Caregivers, Hospitalization, Mental illness Registered in IRCT.ir, with ID : IRCT201110261959N5 Introduction Since 1950, with the â€Å"deinstitutionalization† trend in the developed industrial nations, large size psychiatric hospitals were shut down and were subs... ...at in our social and cultural conditions, clinical case-management service is able to reduce the re-hospitalization and improve the clinical outcomes of the individuals who are suffering from severe mental illness. Also, the telephone follow-up services could have beneficiary outcome for the consumers, their caregivers and health system network. The results of current study has shown that an individual trained case manager is capable to provide effective service which is more compatible with the socio-economic condition of our society as a low middle income country. Although a few patients who needs community based cares are receiving such services by a team organized by Welfare organization ( such as general physicians, psychologist, and social worker), but it could be cost-benefit in our country in which the acute psychiatric beds are less than required. Essay -- Objective: Providing community-based mental health services is crucial and is an agreed plan between Iran Mental Health Office and Eastern Mediterranean Region. The aim of this study was to determine the effectiveness of home-visit clinical case-management services on the hospitalization rate and other clinical outcomes in patients with severe mental illness. Methods: One hundred eighty two patients were randomly allocated in to three groups ; home visit (n = 60), telephone follow-up (n = 61) and as-usual care group (n = 61).Trained nurses as clinical case-managers were provided home-visit services and the telephone follow-up tasks. Hospitalization rate as a measure of recurrence, as well as burden, knowledge, and general health condition of care givers, with positive/negative symptoms, satisfaction, quality of life and social skills of the consumers were assessed as main and secondary outcomes respectively. Results: Most clinical variables were improved in both interventional groups compared with control group. During the one year follow-up, the rate of re-hospitalization were 1.5 and 2.5 times more than home-visit group for telephone follow-up and as-usual group respectively. Conclusion: Single clinical case-managers are able to provide continuous care services for patients with severe mental illness. The telephone follow-up services also could have beneficiary outcome for the consumers, their caregivers and health system network. Key words: Case-management, Caregivers, Hospitalization, Mental illness Registered in IRCT.ir, with ID : IRCT201110261959N5 Introduction Since 1950, with the â€Å"deinstitutionalization† trend in the developed industrial nations, large size psychiatric hospitals were shut down and were subs... ...at in our social and cultural conditions, clinical case-management service is able to reduce the re-hospitalization and improve the clinical outcomes of the individuals who are suffering from severe mental illness. Also, the telephone follow-up services could have beneficiary outcome for the consumers, their caregivers and health system network. The results of current study has shown that an individual trained case manager is capable to provide effective service which is more compatible with the socio-economic condition of our society as a low middle income country. Although a few patients who needs community based cares are receiving such services by a team organized by Welfare organization ( such as general physicians, psychologist, and social worker), but it could be cost-benefit in our country in which the acute psychiatric beds are less than required.

Sunday, August 18, 2019

Rhetorical Analysis of a The New York Times Article Essay example -- A

The article titled "The man with the snow job" appears in the Opinion Pages, The New York Times. Author, Gail Collins, opens her article with the question: â€Å"Who is to blame for this weather?† which hooks readers’ attention and makes them curious about what they are going to read. In her writing, Collins talks about the current snowstorm in the United States and how it is used for everyone’s advantage. She also points out how government officials such as Arnold Schwarzenegger, Al Gore, George W. Bush, and Barack Obama use the occasion of snowfall for their own purposes. The author borrows images of global warming effects to discuss some controversial problems in the society these days. She applies the following elements to establish the sarcastic tone throughout her article: hyperbole, metaphor, and simile. First, Collins uses hyperbole by repeating the word â€Å"snow† five times in one sentence: â€Å"Chicago’s snowfall was so huge that the news media ran out of things to attach to â€Å"snow† - thundersnow! snowpocalypse! snowmageddon!† (Collins). She consecutively uses three portmanteaus of the word "snow" with increasing stress level to create strong feelings. She wants to emphasize that Chicago is experiencing the most massive snowstorm in the United States, one of the consequences of global warming. This is a circumstance that causes people panic. She then reminds the readers about the blizzard of 1979 which made Mayor Michael Bilandic get â€Å"kicked out of office six weeks later in the Democratic primary.† It seems that she wants to make a connection between the congressman and a snow job. Besides hyperbole, Collins does an excellent job of using metaphors. She uses metaphor from very beginning. The phrase â€Å"snow job† in the title is a coll... ...d we have been suffering for what we have done. Human beings have to be responsible for that. Collins successfully uses the method of satire throughout her article. According to Oxford Dictionary, satire is defined as â€Å"the use of humor, irony, exaggeration, or ridicule to expose and criticize people's stupidity or vices, particularly in the context of contemporary politics and other topical issues.† Humor does play a big role in this article. Government officials take the occasion of snowstorms to build their image in public, attack their opponents. And even author Collins; she uses snow to make her article interesting and attractive. Works Cited Collins, Gail. http://www.nytimes.com/pages/opinion/index.html. 2 February 2011. 8 February 2011 .

America: The Land of Opportunities Essay -- Careers Education Economic

America: The Land of Opportunities In modern day society, a college degree leads to people making specific assumptions about an individual’s capabilities, which proceed to shape social generalizations that may assist or inhibit the success of an individual in the economic system or job market. Universal standards form throughout the job market as a result of those assumptions made about students who attend college that may not encourage a full understanding of an individual’s ability to perform his duties. The assumptions made about a college education demonstrate the general principles of reductionism, in which people follow a logical approach according to his observations. As reductionists correlate the type of college degree to an individual’s intelligence, the overdeterminist looks to consider an individual’s surroundings and experiences (which include the education received) while evaluating an individuals’ aptitude. This social process becomes apparent not only in my own person al life, as I reflect upon the way in which society views me because I attend Mount Holyoke college, but also through the characters’ lives in the films: Mississippi Masala and the Boiler Room. I look to reevaluate the importance that the job market places on a college education, as well as the consequential economic trap that follows from the construction of assumptions. Society assumes that people who attend prestigious universities are capable and astute individuals. After having told people that I go to Mount Holyoke College, I have had people expect that I am a capable and intelligent woman solely based on the university’s image. While serving at a restaurant over the summer, customers frequently treated me with more respect as they found o... ..., the amount of exceptions to those clearly laid out generalizations may appear minute and trivial now, but they could grow to a catastrophic level as the theory expands on a macro level and becomes an unquestionable mentality in the job market. By affirming assumptions throughout society, it will eventually lead to huge misconceptions about groups of people that may be completely unwarranted. Although it clarifies situations, its also minimizes the complexity and ignores truths that should be considered, for example, when evaluating an applicant in the job market. Also due to the simplicity and attractiveness in the logic, a perpetuating cycle evolves that intensifies the class processes. By offering me an opportunity simply on the basis that I attend Mount Holyoke, both Mount Holyoke alumni and society follow image and deny others chances through erroneous means.

Saturday, August 17, 2019

Effects of Media on Society Essay

The Mass Media is a unique feature of modern society ;its development has accompanied an increase in the magnitude and complexity of societal actions and engagements, rapid social change, technological innovation, rising personal income and standard of life and the decline of some traditional forms of control and authority. There is an association between Media Influence CRITICALLY ASSESS THE WAYS IN WHICH THE MEDIA CAN BE SAID TO INFLUENCE OR HAVE EFFECTS ON SOCIETY. /> The Mass Media is a unique feature of modern society †¦ the development of mass media and social change, although the degree and direction of this association is still debated upon even after years of study into media influence. Many of the consequences, either detrimental or beneficial, which have been attributed to the mass media, are almost undoubtedly due to other tendencies within society. Few sociologists would refute the importance of the mass media, and mass communications as a whole, as being a major factor in the construction and circulation of Media Influence MEDIA INFLUENCE The media play an important role in our lives and influence us in our choices and things we value in life. We definitely live in an information †¦ social understanding and social imagery in modern societies. Therefore it is argued that the mass media is used as ?an instrument?, both more powerful and more flexible than anything in previous existence, for influencing people into certain modes of belief and understanding within society. Read more:  Effects of Mass Media on Society The question of medias influence on society and its cultural framework has often been debated upon from leading theorists to anyone with any form of media connections, but to The Influence Of Media On Basketball Influences of Mass Media in Sport When communication is spread not just between two individuals but rather between tens of millions of people it is known as mass media. †¦ contemplate that a character in Coronation Street or Eastenders can have an influence on an audience members attitude, beliefs or interpretations of society is a very simplistic and debatable version of the truth. The media does influence, but using more diverse and subtle roles of impact. Some theorists suggest that it is even a case of society influencing the media and not the more widespread and presumed version. History In the Media’s Influence On Teenagers Josh Goldstein 4/25/01 DOES MEDIA (TV, radio, magazines) INFLUENCE US TEENAGERS? â€Å"I wake up to the radio, eat breakfast to the TV, drive to school to the radio, use computers †¦ early 1930?s, the Payne Studies study took place into the effects and influences of the mass media on the society as a whole using, at times, theories or beliefs that dated back to the late nineteenth century. This is regarded as one of the first in the area of or notion that the mass media has an affect on the societal attitudes and beliefs of that time.

Friday, August 16, 2019

Four Freedoms

The basic idea of the four freedoms has changed drastically from the times of the 1940s to the current time we are living in now. In the 1940s, the freedoms that people were promised to receive weren’t for all people of different races and they were different from what the four freedoms had to offer the common good of society compared to our time now. In present time, people are more accepted for who they are and what race they are. Also, almost everyone in America has the privilege to enjoy the perks of what the four freedoms promises Americans.As a nation the meaning of the four freedoms has changed overtime and the people’s tolerance of each other no matter what race, skin color, or where they are from has changed the freedoms largely over a period of 60-70 years. The freedom that I think has changed the most out of the four freedoms is the freedom of speech. Back in the 1940’s racial borders would prevent black people from being taken seriously if they were t o speak out on their own opinions and the way they see things. There was still this sense of racism in the 1940’s and African-Americans were still in the struggle to get the same civil rights as the white man.Also, if a black man was ever to speak out against the government he would be punished for even saying anything. An example of this was when Martin. Luther King. Jr. spoke out his opinion and started peaceful protests that would eventually get him in trouble. He ended up being sent to jail for sharing his opinion on black civil rights. Overtime he was killed by a James Earl Ray by assassination. In our present time we’ve learned to accept what everyone has to say and it’s respect to speak out on your opinion and there are no racial barriers.An example of freedom of speech today is Barack Obama. He believed and throughout his campaign for presidency proclaimed that healthcare should be available for every American. Before in the 1940’s a black man wou ldn’t be taken seriously and a black man wouldn’t see the point of speaking out his opinion when it doesn’t matter to anyone else. In comparison from back then to this point of time the freedom of speech has changed and people have learned to be more acceptable or open to whatever anyone else has to say no matter who the person is, what color their skin is or where they are from.Everyone truly does have the right now to say however they feel in America. The freedom that I think has changed the least is the freedom of fear. In the 1940’s the whole country has a sense of togetherness since Roosevelt was trying to unite our nation to fight back against Japan and Germany. World War II inserted a sense of fear into us when they bombed Pearl Harbor and we were all scared that other countries would take over ours. Roosevelt preached that if he country all stuck together we would do just fine and win this war as long as we were all a team.Everyone in America fear ed that we would be attacked and it relates to our time now in a way. When 9’11 happened in 2001 fear struck us. We couldn’t believe that airplanes were coming down and destroying massive buildings. We never expect anything like that to happen to us and we feared, â€Å"What if we were next? † As a nation we fought back against the terrorists and captured Osama Bin Laden the leader of Al-Qaeda, the terrorist group that bombed our country, and we showed the world that America shouldn’t be messed with because we are all one big community of a billion people.The people of America put trust in our government to do the right thing and they did. Overtime things have stayed the same in our nation and the unity to keep the rights we are promised as American citizens has drove us to make our country better. As Americans we know we are in good hands with the safety that the marines, army, air force and navy give us. The freedom that I think is the most important is the freedom from want. The freedom from want is to not want anything you can’t have and not being able to have it ever.In the 1940’s the freedom from want was available to all people besides people who were segregated against. The certain groups were Japanese, African-Americans, and sometimes Jewish people. For example, Japanese people were segregated against because of the attacks on Pearl Harbor and everyone thought all Japanese people were spies. Also, African-Americans were treated wrong just because of their history as slaves and they white man thinking they’re better than them. Another group were the Jews because Jews over the history of time were blamed for anything bad ever happening.Jews were always looked down by society and it’s sad that they couldn’t get the rights they were promised to have as American citizens. In our present time everyone has the opportunity to be whoever they are trying to be. Black people earned the right to be at equal status as white people. An example is Barack Obama and his life goal. Barack Obama knew from an early age what he wanted to do and he did it. He works really hard in school, did everything that could get him to where he is now and never took a bad turn in life.Back then it was a joke to think a black man would ever be President of the United States, but he proved the world wrong. Back then you would never think these people would have these rights, but they do now and everything is for the better since everyone can earn whatever they want to do as long as they set their minds to it. The freedom that in my eyes is the least important is the freedom of religion. The freedom of religion is being able to practice any religion of your own choice.In the 1940’s people were certainly able to practice any religion they want, but some religions were frowned upon and considered against the law. An example is the Ku-Klux-Klan and their practices in the 1940s. They used to murder b lack people, Jews and people who didn’t fit in with their society. Eventually this would become a religion for this group. In the 1940’s not every religion was accepted, but still is the same now. It’s not about the spiritual thoughts of hate against different races that got them in trouble, but the things they actually did physically that made the religion frowned upon and against the law.Now people are accepting any religion that practices spiritually, but when it comes to physical or verbal practices that hurt people then it’s against the law. The government cracks down on most of these hate groups, but the thing is you can’t stop anyone from what they want to do. Times have changed, but the ability to practice any religion you want will stay the same. The four freedoms have stayed the same and changed over a series of time. We consider the freedoms the same today and they all apply strongly to this day.As a nation we have bettered our self-inte rest to fit the nation’s best interest and learned to accept each other for who we are. Every person of every race has all the same rights. There still are those people, who don’t find each other equal, but they can’t publicly speak the way they fell or they will get in trouble. The four freedoms has ensured all Americans the safety, freedom of speech, freedom to practice any religion they want, and the ability to be anyone you want to be if you strive for it. Being American has perks, but the four freedoms help us distinguish us as Americans and make us who we are.

Thursday, August 15, 2019

Quikr vs Olx

SWOT ANALYSIS TEMPLATE Before you sit down to plan the future of your club’s marketing activities, you need to take stock of where your club is now and why you are there. One useful way to get a clear picture of where your club currently sits is by using a SWOT analysis. SWOT stands for Strengths, Weaknesses, Opportunities and Threats. By using the SWOT analysis you can identify where your club stands in the market, which provides a useful launch pad for making future marketing plans. Take the time to work through the SWOT process carefully and you will have a clearer idea of: The things your club does well, and the things you need to improve on (strengths and opportunities). †¢ What types of competition exist for your club and which ones can be defended (strengths and threats) †¢ Whether your club needs to change the product itself to protect from outside influences (weaknesses and threats) †¢ Which issues your club needs to make as its priorities (weaknesses a nd opportunities). Strengths When you look at the strengths, concentrate on the club itself and whether it can achieve the outcomes you want.Examples of strengths include: †¢ Strong financial base. †¢ Strong local need for your product, many new members, etc. †¢ Group of skilled volunteers. †¢ Support from local businesses, politicians, etc. †¢ Well-equipped clubhouse. †¢ Committee is well-structured, enthusiastic, capable, etc. Weaknesses Weaknesses often appear as the direct opposite of the strengths listed above and include: †¢ Weak financial base. †¢ Diminishing need or desire for your product, fewer new members, etc. †¢ Few volunteers. †¢ No support from local businesses, politicians, etc. Out of date ill equipped clubhouse. †¢ Committee is poorly structured, overworked, disinterested, etc. Opportunities Opportunities refer to the possibilities of new growth because of the changes in the external environment and can include such things as: †¢ Promotion of sport by government authorities, e. g. renewed ‘Push Play† campaign. †¢ New population of potential users moving into the area, e. g. with children. †¢ Grants by local and national government to encourage sport and recreation. †¢ Organisations looking to sponsor local activities. Seasonal interest in particular sports, e. g cricket in summer, football in winter. †¢ International or national interests the activity your club is involved in, e. g Commonwealth or Olympic Games. †¢ Promotion of your activity to a different age group or gender e. g. lawn bowls to teenagers, rugby to girls. Threats As with strengths and weaknesses, the threats are often very similar to the opportunities. Examples of threats include: †¢ Traditional sponsors of sport and recreation changing the way they spend their sponsorship dollars. Seasonal interest in particular sports or activities which is in direct competition with your o wn, e. g. competing codes of Rugby. †¢ Promotion of sport to different age groups or gender which competes with your club’s interest e. g. ballet and soccer for girls. †¢ Other interests including television, video games, school activities, part-time work for teenagers, and so on. †¢ Time related issues for example, competition for volunteers time, longer working hours, both parents working – children unable to attend, limited available free time for both children and parents. Other organisations with better facilities. †¢ Lack of knowledge and interest in your product. A SWOT Analysis should be drawn up to look like this: |Internal |STRENGTHS |WEAKNESSES | |Factors |Vision : simple and quick |Not having international experience, therefore diversification | |(Things about |Strong funding |might be a problem at later stage. |your club) |Experienced partners: Norwest Venture Partners brings in a lot of |No acquisition till date as a result OLX has s urpassed quikr. | | |experience |Employee base is very low: Need to increase the sales force and| | |Horizontal rather than vertical |target other opportunity to increase market share. | |Customer Centric, not just technology centric : Free missed call | | | |Investment in analytics, mobile platforms | | |External |OPPORTUNITIES |THREATS | |Factors |Internet penetration(10%) is bound to increase |Low entry barrier | |(Things |Internet surfing through mobiles has surpassed PC. Competitors have international experience and deep pockets. | |outside of |Mobile base is huge and recently they have introduced a missed call |Zero switching cost. | |your club) |feature. |Intense Competiton | | |Cloud computing (SaaS, PaaS) could be useful in reducing the cost. | | | |Network Effects | | It’s a great idea to draw this up on a whiteboard or large piece of paper and use as a brainstorming base at a committee meeting.

Wednesday, August 14, 2019

Opening Chapter of Mice and Men

John Steinbeck displays contrast between Leonie, is a giant of a man ‘a huge man', ponderous in his walk and has the mind of a young child. Therefore, is dramatically effective as it leaves the reader uncertain about the situation as we think what do these different characters have In common, why are they together, are they up to something? The reader soon discovers that they have a very close bond. This Is because they both share the same dream of owning their own ranch, after many hard working years, moving from ranch o ranch, living in complete poverty and working for next to nothing they finally try to achieve this life long dream.At the end of the beginning chapter Leonie pleads with George to tell him over and over again about their dream ranch, when Lenis main task will be the rabbits. Again Steinbeck shows how immature Leonie is, I think George and Leonie have a bond which represent father and son. George being the father not very patient always telling Leonie off and L eonie very childlike keeps rebelling. Steinbeck emphasis his writing skills by revealing a Blvd description of the place and atmosphere ‘A few miles south, On the sandy bank under the trees, shade climbed up the hills towards the top'.This type of writing method is effective because it's so detailed that it becomes vivid and lifelike in our imagination, so that we feel like we have become involved in story, we the reader feel connected to the novel. In the opening chapter, Steinbeck immediately introduces the idea of isolation and loneliness and the idea of the men living temporary worker lives, with no real direction. Steinbeck cleverly uses the setting to convey these ideas. The path George and Leonie are walking on is described as ‘A path beaten hard by boys'. Beaten hard by tramps who came wearily down from the highway In the evening to Jungle, up near water' and ‘an ash pile made by many fires'. Not only do these quotes describe the setting, they also give us a detailed description of the men's tragic, Isolated lives as well. I en mall themes touting ten story Is loneliness, tons Is an Inevitable Tact AT Tie that not even the strongest can avoid. In his novel, Of Mice and Men, John Steinbeck illustrates the loneliness of California ranch life in the early sass's.Throughout the story, the reader discovers the many sources of solitude, primarily being discrimination and prejudice, resulting in loneliness and isolation. One of the most important things that are really needed is a friend. Without friends, people would suffer from loneliness and solitude. The characters in this novel are intrigued yet envious of the special friendship shared by George and Leonie because they do not have that in their life. However the theme in chapter 1 is about animal imagery. Tending the rabbits represents all the ideology of the free and happy spirit to Leonie.He doesn't consciously understand the totality of his dream, because by wanting to tend the rabbi ts he is really expressing his want to make something of himself and live simply, ‘off the fatty the Ian'. If asked, George would go on and on about settling down with a wife and raising a family on his own little farm, Leonie would simply say he wanted to tend the rabbits. This is dramatic effective because the reader assume that its going to be very difficult for George as he has to stay with Leonie, but also makes the reader wait in excitement for the next chapter to see how the main characters will survive.If the reader were to analyses the story in a more detailed way they would soon discover that the rabbit is the symbol of all that he desires, and the particular characteristic, which is endemic to rabbits, is their softness of fur. When Leonie touches something soft he is that much closer to discovering his dream. So, he is reluctant to halt any act, which allows him to caress something soft. Any force that comes between him and his ‘dream' is at great risk, cause Leonie is dangerous when angry ‘don't get to tend the rabbits! ‘ Suddenly his anger arose. ‘God damn you,' he cried.Unknown to Leonie, the mice may have had a dream Just like him. Though most mice probably would not have dreamt about owning their own land, a dream may have still existed. Maybe the mice would have wanted to live some place safe from people. Dreaming of a place in which a mouse could eat all the time not having to search for food, Leonie may have killed them. This harsh reality is exactly the same as what had happened to Leonie. It is unable to be disproved that what George had done to Leonie in his time of weakness was not the same as what Leonie had done to the mice in their time of helplessness.Possibly, that was how the mice wanted to die though, happy picturing their dreams in their heads. On the other hand, one is not to be sure that these mice did not die in excruciating pain, paralyzed by the touch of this enormous creature. However these po or creatures died, they were unable to live the rest of their lives. Overall , ten TLS chanter Is aromatic as It concentrates more on ten ascription AT ten atmosphere, this creates uncertainty for the reader as we do not know what is going to happen.I believe the author has displayed little information on each particular character so the reader believes that the novel is ambiguous. The reader's imagination starts to take over and consider what and who are George and Leonie. Already the audiences have become Judgmental about the main characters this highlights the writers skills towards the physical appearance of the George and Leonie, which may persuade the audience to have a specific view on the characters.