Data Anlaysis Assignment Example | Topics and Well Written Essays - 1500 words

Information Anlaysis - Assignment Example Utilize a number cruncher and your example to figure âˆ'X, âˆ'Y, âˆ'XY and âˆ'X2. Utilize these qualities to record the pair of ‘normal equations’ the arrangements of which give the steady term (an) and the incline coefficient (b) of the fitted Ordinary Least Squares line Y = a + bX. Step 2. This advance includes taking the incomplete subsidiaries and setting them equivalent zero furnishes us with applicant focuses for a minimization or augmentation. In this progression we compose the condition that the incomplete subsidiaries will be taken in framework structure. Step 3. The halfway subsidiaries of the lattice is made in this stride and set equivalent to zero. b is a vector or coefficients or boundaries. Since the condition is in grid structure, there are k incomplete subordinates (one for every boundary in b) set equivalent to zero. Step 4. Simple framework variable based math is utilized to modify the condition. The primary request conditions are to set the partials equivalent to zero. To start with, all terms are partitioned by the scalar 2. This expels the scalar from the condition. This is basically for ease. Second, is added to both side of the condition. On the left hand side, the two terms and offset each other leaving the invalid network. This progression moves to the correct hand side. Step 5. Finally, b is found by pre increasing the two sides by . Division by lattices isn't characterized, however increasing by the opposite is a comparative activity. Review, , where I is the character lattice. Increasing any lattice, A, by I brings about A, like duplicating by one in straight variable based math. The coefficient of GDP is 0.0098662. So for each unit increment in GDP, a .0.0098662 unit increment in IN is anticipated, holding every single other variable steady. Then again the p-esteem related with the GDP is 0.800 a worth more noteworthy than 0.05 (hugeness level), we consequently neglect to dismiss the invalid speculation and presume that the coefficient for GDP (.0098662) isn't measurably essentially not quite the same as 0. In this manner at 5% level of noteworthiness

Analysis of Hills Like White Elephants by Ernest Hemingway Essay

Examination of Hills Like White Elephants by Ernest Hemingway Slopes Like White Elephants, is a short story,. It is an anecdote about a man and a lady holding up at a train station discussing an issue that they never name. I accept this issue is premature birth. In this paper I will demonstrate that the young lady in the story, what name's identity is' Jig, at long last chooses to feel free to have the child despite the fact that the man, who doesn't have a name, needs her to have a fetus removal. It is the finish of the story that makes me think this. As a matter of first importance I will demonstrate that it is a premature birth that this couple is talking about. The man says that it is an activity, and a fetus removal is an activity. Additionally, he says that it is simply to give the air access, which can be deciphered as implying that the specialists who are playing out the premature birth will give the air access to the uterus as they expel the embryo. The man says that he has known loads of individuals that have done it. Which proposes this is a typical activity like a premature birth. It likewise shows the ethical degeneracy of the universe of these individuals on the grounds that such huge numbers of ladies are having premature births. At long last, the man says that he needs their relationship to be much the same as we were previously. This recommends the relationship has changed, as it would with a child, if the young lady has a fetus removal things will come back to equivalent to before the pregnancy. We don't have the foggiest idea what the couple acted like before the pregnancy, in any case, we are surely not intended to like their conduct as they talk about the fetus removal. Since I have set up that the couple is having a premature birth, I will build up the young lady's conduct since this is significant for making sense of the manner by which she has decided toward the finish of the story. Right off the bat in the story we get a brief look at J... ... now in the story is the aftereffect of being disregarded for a couple of moments so she could choose what she need to do all alone. Her last remark that There's nothing amiss with me tells us that she no longer considers the to be as something incorrectly. She has acknowledged her pregnancy and plans to keep the infant. Taking everything into account, Ernest Hemingway's short story Slopes Like White Elephants is about a man and a lady battling to manage an undesirable child. The creator, never expressly mentions to us what the young lady chooses to do about the infant, yet he gives us enough intimations to make sense of what she has chosen before the finish of the story. These pieces of information have to do with the story's tone like the way that the things that the person says cause us to comprehend Jig's tone of dissatisfaction. Generally speaking this story resembles an icy mass with the vast majority of the substance stowing away underneath the surface.

EA Deadline Tomorrow

EA Deadline Tomorrow Hello party people! I know. November 1 is looming and you are probably feeling like Gary here: As admissions counselor on duty today, Ive been helping answer your calls and want you to know that you arent alone! Lots of students have the same questions you do, so Im listing the most common questions were getting below. I will be monitoring the blog through the deadline, so you can ask here as well! Early Action applications should be submitted by 11:59pm Eastern Time on November 1. Your school/teachers may submit their materials after the deadline. We are much more flexible and understanding with teachers and schools. Your recommendations do not need to be in our office by November 1. They can arrive and be processed well after this date and you will still be fine. Please note that materials only need to be sent to MIT, not processed, by the Nov. 1 deadline. Please allow 10-14 days for the processing of all submitted materials. Items are not posted directly to your MyMIT account from Naviance or the ApplyWithUs site. Materials requested through ApplyWithUs but sent to MIT through Naviance, fax or mail will not appear as submitted on the ApplyWithUs site. Check your MyMIT account to follow the progress of your application. Again, please allow 10-14 business days for processing of all materials at this busy time. Interview reports are still coming in. If your interview was conducted and you want to let us know, you can submit an Interview Conducted Form in MyMIT so we know to follow up with your interviewer. If youve decided you need more time to submit your application components and would like to apply RA, email us to let us know. Make sure your MIT ID is in the email. Slideroom portfolios need to be submitted by the November 1 deadline. Like your other recommendations, it is okay if the recommendation is processed after the first. Once you submit your application, you will not be able to go back to make changes to Part 1 or 2. Dont forget to take some time to relax after the 1st, and have a Happy Halloween tonight!

What is Organizational Theory - 532 Words

Organizational Theories Organizational theory deals with the study of the interaction of an organization with its environment. Emphasis on organizational theories has over time changed from the stiff and hierarchical structures, widespread during the industrial era to more broader and flexible structures prevalent in the modern, technological era. In this regard, organizational theories have attracted serious attention. This post focuses on three organizational theories of the 20th century and if or not they are applicable in the 21st century integrating organizational culture, structures, leadership and enabling technologies. These are classical organizational theory, human relation theory, and contingency theory. Classical Organizational Theory Classical organizational theory originated in the first half of the 20th century. This theory concentrated on formal organizations and ideas to increase efficiency in their management. This theory merged together the scientific, bureaucratic and administrative theories. Relative to structure, this theory was constructed on a hierarchical structure dividing workers based on functionality with various reporting paths on every working unit. That is, workers report to their respective manager(s) for their tasks as well as disciplinary matters. This theory puts the manager/owner of the organization in total control over the workers. Furthermore, this theory employed enabling technologies to increase efficiency. The classicalShow MoreRelatedWhat Is Organizational Theory And The Key Procedure Worked On The Quandong Community Health Service?2602 Words   |  11 PagesThe Quandong Community Health Service (QCHS). I am predominantly clarifying the idea of Organizational Theory and the key procedure worked on the Quandong Community Health Service (QCHS) .The QCHS is putting forth best administration in the advising in Health Service Management in the territorial region. QCHS has its focal points like doing administration in local territory and detriments likewise like absence of expert workforce and subsidizing. I might want to clarify the vital choice on advisingRead MoreOrganization and Management Analysis1470 Words   |  6 Pagesï » ¿ Organizational and management analysis are an essential part of organizational environment. In the modern world, working environment characteristics are team work, delegation, information technology interfaces, which have an impact on the effectiveness of organization and management. This helps in cost reduction, decrease in environmental waste, improved employee satisfaction and an increase in overall productivity. To have an organizational and management analysis review of organizational chartsRead MoreOrganizational And Management Analysis : Organizational Analysis1503 Words   |  7 PagesANALYSIS 1 Organizational and management analysis are an essential part of organizational environment. 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Early leadership theories focused on the characteristics of the leader and have shifted to focus on the leader’s behavior, skills and style. Emerging leadership theories continued to shift focus to team leadership and subordinate motivation. Organizational culture is exists in all organizations and influences the work environment. Researchers have studied leadership and organizational culture individually; however there have been less focus on gainingRead MoreOrganizational Cha nge Essays1078 Words   |  5 PagesOrganizational change can be intimidating for business leaders. The internet hosts several sites for small consulting firms that specialize in helping corporate leaders initiative positive change in their organizational culture. One such firm, Change Management Solutions, Inc., (CMS) uses a five-step change model, which encompasses contemporary collective and collaborative theories and models of change and change leadership. 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Horrific Events of the World War II The Holocaust Essay

The Holocaust, genocide, the Final Solution, or World War II; it doesnt matter what you call it, nothing can make the horrific events that occurred any less terrible. From 1939 to 1945 a raging war between the Allies and Axis powers. The Allies, who were made up of the United States of America, led by President Franklin Delanor Roosevelt, the Soviet Union, led by Joseph Stalin, and Great Britain, led by Winston Churchill. The Allies were trying to defeat the Axis powers made up of Germany, led by the heinous dictator Adolf Hitler, Italy, led by Benito Mussolini, and Japan, led by Hideki Tojo. The war resulted in many casualties, many by civilians who had to part in the conflict. The events that occurred will be remembered forever in text,†¦show more content†¦He then finally became in control when the Paul van Hindenburg suddenly died. Hitlers plan for a perfect world, was just getting started. The plan, which he called the Final Solution, consisted of of the Aryan race, whi ch were humans that had blue eyes, were tall, and had blonde hair. Strange enough, Hitler had none of those attributes. Adolf wanted to rid the world of Undesirables. The Undesirables were Jews, comunists, blacks, gypsies, homosexuals, the mentally impared, and many others. These were the focal point for Hitler in his attempt to control the world, but were not his only targets. The Nazi forces of Germany, known by their emblem, the Swastika, created camps to take prisioner the millions of Undesirables. They would send out notices to families that were on their list of Undesirables for them to report to the athorities and turn themselves in. If you did not report, the Nazis would send police to fetch you. From there, they load you on to flithy, disgusting, cramped railroad cars and ship you to one of the large camps. Once the prisioners arrive, they are seperated by men and women. They then strip the people from their jewlry, items, and clothing. The prisioners recieve a tattoo on their forearm of a number. They do this to make the people more alike and take away their individuality. Instead of being treated like humans, they are being treated like cattle being herded around,Show MoreRelatedEssay on Nazi Book Burning858 Words   |  4 PagesNearly a century before World War II, German Jewish poet Heinrich Heine wrote, â€Å"Where they burn books, they will also ultimately burn people (â€Å"Holocaust History†). These chilling words not only forecasted the events to come, but also went up in flames in Germany during the Nazi book burning. Throughout Germany on May 10, 1933, thousands of people came out to witness these horrid events. These public displays of censorship were monstrous in nature. Book burning is defined as â€Å"the ritual destructionRead MoreIris Changs The Rape Of Nanking And The Forgotten Holocaust1416 Words   |  6 PagesIn the midst of war, the city became dilapidated and riddled with destruction. The aftermath resulted in a debatable death toll, ranging from tens of thousands to hundreds of thousands of civilians and soldiers. Despite the atrocities and chaos that happened, there are little media representations on the Nanking massacre. Mass media can tell the story of an event that official documents cannot share. The Holocaust, for example, is internationally known to be a horrific, tragic event where countlessRead MoreThe Atomic Bombings Of Hiroshima And Nagasaki1702 Words   |  7 Pages As its name implies, World War II affected every country on earth either directly or indirectly. 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Set theRead MoreThe Comic Book Maus1662 Words   |  7 Pagesshows the readers what people endured during the Holocaust terror. Art mostly spoke about persons of Jewish descent. He utilized great imagery, and characteristics to allow readers to get a mental image and painting of the immense pain and suffering Jews endured during the Holocaust. His use of symbolism of mice and cats helped to show how Jews were just pawns, and experimental factors to Germans. Art allows for the reader to see how terrifying and horrific it was for Jews to live through the senselessRead MoreThe Causes Behind The Atrocities Experienced During World War II1166 Words   |  5 PagesWhen evaluating the causes behind the atrocities experienced during World War II, many reasons for these events can be found in the conditions occurring beforehand. Beyond this, many of these causes can be applicable contributions to each World War. 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World War II would be considered the deadliest war in history, murdering millions of civilians. In 1939, Adolf Hitler invaded Poland resulting in a deadly six-year battle until the final allied defeat of both Nazi Germany andRead MoreEffects of War on Children: Comparing Experiences of Children During the Holocaust and Children Affected by the War on Terrorism1746 Words   |  7 PagesPope John Paul II once said â€Å"We wish to remember. But we wish to remember for a purpose, namely to ensure that never again will evil prevail, as it did for the millions of innocent victims of Nazism.† (Paul, 2000) This speech goes with all wars that occurred in the past and present. This synopsis will focus on the effects of war on children and the different ways they survived through it. It will compare the children of the Holocaust and the children of the war on terrorism. War has a great effect

Jim Braddock and The Great Depression - 1154 Words

Franklin Roosevelt said, â€Å"When you come to the end of your rope, tie a knot and hang on,† and it directly relates to the Great Depression. People thought that because of this huge downturn that they would not survive but they had to â€Å"tie a knot in their rope,† and continue to try and survive. The great depression was a time of horror and failure. The giant Stock Market crashes of the 1930’s triggered this major blow to the nations economy. This major devastation also leads many families into terrible poverty. In the movie Cinderella Man the main character Jim Braddock went through a ton of devastating events in his family during this time. Jim is an easy person to relate to and we see in the movie what his life was like during this†¦show more content†¦Jim was also faced with loosing some people he was very close to cause of the Great Depression. His family friend died living in a terrible environment in the hoovervilles. Jim had to wat ch as loved ones around him died similar to many families that lived through the Great Depression. Unfortunately, Jim faced many hard times during this time in his life but in the end dealing with all the problems he faced made him stronger. Americans living our time period today, 2010 have a lot of the same similarities as the Americans living in the period of 1934. One of the main similarities is the amount of spending. During 1934 Americans loved to buy things just like Americans due during this time today. Americans in 2010 are said to spend almost three times more then the people that lived five years ago, similar to the people who were a major cause of the Great Depression. Recently last March America faced another Stock Market crash; this one was not at all as severe as the one at the time of the Great Depression. This crash did in fact really hurt families all over our nation though similar to the Great Depression. Families are getting wrenched out of their homes because they cannot pay the bills. Businesses are having to fire an immense portion of there staff because the business cannot afford to pay that may employees. Just like the time of the GreatShow MoreRelatedEssay on Great Depression973 Words   |  4 PagesGreat Depression â€Å"No one can possibly have lived through the Great Depression without being scarred by it. No amount of experience since the depression can convince someone who has lived through it that the world is safe economically.† was once stated by Isaac Asimov. The Great Depression was one of the horrific and troubling times of American history. Many homes were affected by this tragedy and many families were broken as a result of it. Man had the opportunity to prove himself by both continuingRead MoreEssay on The Great Depression and the Cinderella Man 896 Words   |  4 PagesCinderella Man came out in the year 2005, it is a non fiction movie directed by Ron Howard. It is based on the story of a boxer during the Depression, James J. Braddock. Braddock had to over come many adversities such as the economical and societal conditions. Another adversity he had to overcome was living in the Depression and all the things that go along with that. Braddock’s character traits s hown in the movie are all important and appropriate due to the harshness of those times. Read MoreCinderella Man and the Great Depression837 Words   |  4 PagesJames J. Braddock once said, I have to believe that once things are bad, I have to change them. The movie Cinderella Man is about Braddock rising from a poor, unsuccessful boxer to the heavyweight boxing champion of the world. The historical background to his life and career was during the same time period as the Great Depression. James Braddock was not always the boxer he is now known to be, in the 1920’s he had lost one third of his fights and people referred to him as a â€Å"bum† which is the lowestRead MoreAmericas Dark Days: The Great Depression727 Words   |  3 Pagesand does nothing to try to help the nation. Black Tuesday in 1929 cause thousands of people end up homeless because they can not keep up with their bills and taxes. Jim J. Braddock and his family is one of many struggling families to keep basic needs for the family and will do anything to pay for the family expenses. The great depression creates turmoil in america and makes work impossible to get. â€Å"The Roaring Twenties† stock market was more bull market than a bear market by a landslide. In this occasionRead MoreCinderella Man Movie Analysis889 Words   |  4 PagesCinderella Man is a movie about what life was like in the 1930s during the Great Depression. This time was hard for almost everyone because they all had to find a way to make money to support their families. Living from payday to payday can be very stressful and lead to some families to split because of the stress. Before the depression people were prospering, the economy was great and most were happy. Once the stock market crashed most people lost all or most of their money and went from being richRead MoreCinderella Man Essay1542 Words   |  7 PagesThe Man, the Father, the Legend In Damon Runyons Cinderella Man From its title, one gets the idea this story is going to be a myth about redemption and empowerment. In actuality, this is a tremendous true story about a man named Jimmy Braddock who lives out a fairy tale, not a sugar coated fairy tale, but more of a grimace one. Cinderella Man is a film of survival and people finding strength within, to do what they have to do to carry on, particularly for what it takes a man to provide for hisRead MoreThe Great Depression in Cinderella Man Essay1592 Words   |  7 PagesThe Great Depression is seen as one of the most sorrowful and desolate times in the history of the United States. This time was the longest period of recession ever seen by this nation so far. It lasted from 1929 to 1939, over ten years of complete confusion and despondency within the people. Many Americans were affected greatly by this tragic time and sacrificed much of their lives so that they and their families may have the chance to live. This act of desperation can be seen throughout the movieRead MoreBlack Tuesday865 Words   |  4 PagesThe stock market crash, October 29, 1929 this is also known as Black Tuesday. The Great Depression was an economic slump in North America and Europe. The industrialized Western world had experienced the most ruthless and prolonged depression. Cinderella Man is only one example of how families struggle and overcame the great depression. You will see how this effective many Americans. Why the stock market crashed, was due to two factors, economic and financial. For example economic factorsRead MoreHigh School Student Essay20272 Words   |  82 Pageshave time to turn around to see who said it. (Sears, 1993, p. 129) †¢ ââ€"  †¢ Students report that treatment such as this makes them feel â€Å"sad and worthless† and â€Å"powerless† (Shakeshaft et al., 1997). This harassment contributes to higher rates of depression, substance abuse, and suicide for gay students (Berk, 2003). ISBN: 0-536-29980-3 Chapter 3 Learner Diversity 101 Introduction to Teaching: Becoming a Professional, Second Edition, by Donald Kauchak and Paul Eggen Published by Prentice-Hall/MerrillRead MoreStrategic Human Resource Management View.Pdf Uploaded Successfully133347 Words   |  534 Pagesinvesting in physical capital because the employer does not own the resource. Employees are free to leave, although contractual arrangements may limit their mobility. In order for investments in human resources to be attractive, the returns must be great enough to overcome the risks. Further, for some investments, such as cash outlays to maintain no-layoff policies, the benefits are not easily quantified and there are meaningful costs. Decision makers Page 7 STRATEGIC HUMAN RESOURCE MANAGEMENT

Building Organizational Capacity in Health Care

Question: Discuss about the Building Organizational Capacity in Health Care. Answer: Critical Analysis: Advantages and Disadvantages of Current Organizational Structure This section presents a critical analysis of merits and disadvantages of prevailing hospital organization structure for present health care setting and altering health needs of the populace. The prevailing hospital has adopted the traditional, functional (bureaucratic) organizational structure. The functional organization describes a situation in which the organization is divided into distinct units anchored on roles like marketing, accounting, research and development. This structure provides various potential merits and demerits (Cordery et al., 2015). The advantages include specialization and efficiency and productivity whereas limitations are lack of teamwork and difficult management control. With respect to specialization, this structure is that it provides a high degree of specialization. Individual unit runs as a kind of independent mini-organization, delegated with undertaking its particular role (Cummings Worley, 2014). Workers characteristically commerce their respective professions in entries level point under function as well as develop specific knowledge as they shift up in the ladder. The employees turn into professional in their functional regions, and the unit as well as organization gain from their respective know-how along with experience over period (Dunning, 2015). As provided for in the in the vision statement provide positive health experiences for the community, specialization will help propel this vision. This is because the work will be divided to particular units and each unit will have developed the required expertise to needed to achieve this vision statement. With respect to mission statement, specialization will also help achieve the mission (Fan, Wong Zhang, 2013). The mission for example, is emphasized on quality and this is what specialization provides as expertise and specialist health care will be accomplished. Specialization will also enhance the achievement of the overall strategic goal (Hurlburt et al., 2014). This is because specialization allows for expertise who will push for the accomplishment of the strategic goal. Another advantage is efficiency and productivity. Since functional organizational structure produces an expert worker through specialization in his corresponding functional area, it can accomplish the tasks with a high degree of swiftness as well as competence thus augmenting organizations productivity. Workforces in this hospital will know their jobs well and will able to proceed with confidence as well as with a least amount of mistakes. Since the career paths within the functional unit is clear, the workers will be highly motivated to advance their respective careers in the organization by attainment of the following step on ladder, thus making them more productive. This is in line with vision, mission and overal strategic goal of the organization as explained above. The limitation of the functional organizational structure is that there will be lack of teamwork. The vision and mission of the hospital as stated above will be dealt a blow with lack of teamwork. This is because whereas specialized components within functional structure usually execute under a high degree of efficiencies, there will be trouble working well with some other units in the organization. The units will become territorials and unwilling to collaborate with one another to achieve the mission, strategic goals and vision as stated above. This is because individual unit will serve in its individual best interests rather than those of organization in entirety. The backbiting in the organization will cause tasks and projects to fall behind schedule. The other disadvantage is problematic management control. This structure will inflict a test for the top management to uphold effective control as the organization enlarges. As the hospital get greater and the top management embraces more delegation relating to decision-making errands to particular functional area, the degree of independence will rise. This makes the coordination of activities critical in meeting the mission, vision and strategic goals above more difficult. Maintaining control of as well as managing separate functions become even more challenging hence derailing the expected accomplishments. Alternative Organizational Structure Identification The best alternative organizational structure to push this agenda through is the collaborative structure. This structure will be appropriate for the new health service. The features of this structure include; a networked along with nonhierarchical organizational structure; an openness, trust and honesty and; an engaged along with valued staff culture. It is basically a fundamental culture of collaboration which propels all activities with organization. Under the networked and non-hierarchical structure, it gives the antithesis for the traditional command as well as control organization and hence will eliminate the rigidity of roes and management authority. It is a more fluid as well as flat with individual workers assigned greater responsibility to make decisions suitable to their respective roles as well as concerned tasks without bottlenecks resulting from coatings of management endorsements along with red tape (Garner, 2014). The players are well-defined by what they are trying to accomplish rather than their respective positions in the organization and emphasis is put on leadership with targets being set for individuals alongside teams and subsequently offering suitable inspiration besides backing to assist them accomplish such goals. Under the culture of openness, trust and honesty, every stakeholder including employees will have a voice besides being fortified to showcase their diverse opinions deprived of any dread of treading on toes of the executives. It is fewer around individuals being availed a podium to publicly criticize their counterparts, managers and even leaders, but rather about the creation of a surrounding in which openness, sharing as well as discussions remain core to everything which happens, be that declaration or explanation of a newfangled approach or course for the organization, a proposed alteration to processes in a given part of business, or simply event, news items or suggestions at the local degree. It does not imply to assert that each action, conclusion inside this cooperative organization is essentially continuously accomplished collaboratively, nonetheless rather there is a shared pledge of trust amid the peers, between employees and leaders. This means no intellect of threat or inconveniences from inviting other people to underwrite an opinion, or offer response, and individuals remain confident as well as willing to do that when the need arises. Under the engaged and valued workforce, the workers are provided greater responsibility, as well as chance to communicate their opinion, engage with peers as well as managers. In doing so, the employees have a say in the manner things are undertaken and direction the organization is taking. The outcome is the staff which is increasingly engrossed in the affluences of the organization, who cares whether the organization achieves its goals as well as feeling a collective sense of ownership along with involvement in process of accomplishing such goals. The workforce will be an empowered one with much greater loyalty to the organization. They will likely churn often as persons seeking to gain greater degrees of accountability, and finding a proprietor with healthier values to workers dedication. The collaborative organizational structure could better expedite the achievement of the new mission along with strategic goals of this Hospital. The strategic goal and mission stand best achieved under this new alternative structure. This is because the rigidities noted in the functional organizational structure as explained above will be uprooted (Majchrzak et al., 2014). The employees and leaders will have a more collaboration with sharing of new ideas and opinions that help drive the goals and mission. The employees will also be motivated and feeling part of the organization and this means that they will give their best to achieve the mission and strategic goals as explained above. Lines of Authorities and Responsibilities The fundamental authority lines along with responsibilities for accomplishing the overall organizational strategic goals within the recommended structure (collaborative organizational structure. Since this structure is less-structured and less rigid as compared to functional structure, the authorities are reduced as people can communicate and share information across the organization irrespective of leaders, executives and employees. Sharing of information will be increased and consultation will be done without the bureaucratic procedures and authorities (McEvily, Soda Tortoriello, 2014). The Hospital will benefit greatly as execution of new ideas will be swifter thereby enabling the hospital to respond to the fast growing competitive challenges and market structures (Baron et al., 2014). Advantages and Disadvantages of Suggested Structure The benefits is this slightly- structured and nonhierarchical collaborative context for working is that it will allow for the execution of new ideas more swiftly thereby enabling the hospital to respond to the fast growing competitive challenges and market structures (Vincent, Burnett Carthey, 2014). Moreover, the new projects and teams will get up as well as run rapidly, deprived of the necessity for substantial reorganizations hence generating new dynamics in the Hospital. Communication is considerably quicker, with core news that allow for accessing individuals directly, instead of being filtered via management (Ashkenas et al., 2015). The information will as well flow more effortlessly in the entire organization through a peer-to-peer channel. This effectively aligns to altering health care atmosphere alongside what this Hospital desires to accomplish for its stakeholders. The limitation of the collaborative structure is that some employees may over criticize in pretense of offering opinions and ideas which may delay the achievement of the set goals (Albers, Wohlgezogen Zajac, 2016). Also, some traditional managers and leaders may feel as if they are not respected when employees offer their opinion hence bringing conflicts. References Albers, S., Wohlgezogen, F., Zajac, E. J. (2016). Strategic alliance structures: An organization design perspective. Journal of Management, 42(3), 582-614. Ashkenas, R., Ulrich, D., Jick, T., Kerr, S. (2015). The boundaryless organization: Breaking the chains of organizational structure. John Wiley Sons. Baron, S. L., Beard, S., Davis, L. K., Delp, L., Forst, L., Kidd?Taylor, A., ... Welch, L. S. (2014). Promoting integrated approaches to reducing health inequities among low?income workers: Applying a social ecological framework. American journal of industrial medicine, 57(5), 539-556. Cordery, J. L., Cripps, E., Gibson, C. B., Soo, C., Kirkman, B. L., Mathieu, J. E. (2015). The operational impact of organizational communities of practice: A Bayesian approach to analyzing organizational change. Journal of Management, 41(2), 644-664. Cummings, T. G., Worley, C. G. (2014). Organization development and change. Cengage learning. Dunning, J. H. (2015). Reappraising the eclectic paradigm in an age of alliance capitalism. In The Eclectic Paradigm (pp. 111-142). Palgrave Macmillan UK. Fan, J. P., Wong, T. J., Zhang, T. (2013). Institutions and organizational structure: The case of state-owned corporate pyramids. Journal of Law, Economics, and Organization, 29(6), 1217-1252. Garner, W. R. (2014). The processing of information and structure. Psychology Press. Hurlburt, M., Aarons, G. A., Fettes, D., Willging, C., Gunderson, L., Chaffin, M. J. (2014). Interagency collaborative team model for capacity building to scale-up evidence-based practice. Children and Youth Services Review, 39, 160-168. Majchrzak, A., Rice, R. E., King, N., Malhotra, A., Ba, S. (2014). Computer-mediated inter-organizational knowledge-sharing: Insights from a virtual team innovating using a collaborative tool. McEvily, B., Soda, G., Tortoriello, M. (2014). More formally: Rediscovering the missing link between formal organization and informal social structure. The Academy of Management Annals, 8(1), 299-345. Vincent, C., Burnett, S., Carthey, J. (2014). Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. BMJ quality safety, 23(8), 670-677.

Virginia Tech Massacre free essay sample

Samantha Mackowiak Dr. Kozlowski English 2 D 14 May 2009 A Destructible Outcome to a Preventable Cause: The Reasons of the Virginia Tech Massacre Volcanoes, hurricanes, and tornadoes are unpreventable disasters in nature. Society goes along day by day knowing that they can occur and there is nothing we can do about it because it is not our place to control. Shootings, however, are preventable. Our law enforcement holds the power to grant and take away weapons, but still so many people are able to acquire these items and use them for their own ill will. Due to the previous lack in gun control in the US, Cho Seuing-Hui was able to massacre 33 people at Virginia Tech University on April 17, 2007, despite the fact he had clearly been an unstable candidate for possession of a weapon, and only after this horrible atrocity was committed were the gun laws finally made stricter and more conservative and were campus security and safety officially readjusted to keep closer watch on mentally ill students. We will write a custom essay sample on Virginia Tech Massacre or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Many people have believed that Cho Seung-Hui had been unstable from the time he was born. He dismissed himself as an attribute to society. Seung-Hui’s childhood had been one of scorn and ridicule and he had been trapped in a generational warp. His peers did not accept him for his Korean-American ethnicity. Seung-Hui’s parents sent him to Christian youth camps that only darkened him. While he was there, he was not saved from the harassment from others or the mocking that was brought upon him. It is believed that somewhere, somehow there was a great deal of emotional stress plunged upon Seung-Hui that caused his feelings of alienation to increase drastically (Making of a Massacre p. 4-7). Professors and researchers believed Seung-Hui’s mental disposition may have been caused by overwhelming pressure from academics. Seung-Hui’s parents had immigrated from Korea in hopes of him being able to pursue the American dream through the increasing education opportunities. In addition to the already high standards his parents had for him, the Seung-Hui’s only wanted Cho to attend an Ivy League school (Making of a Massacre p. 9-10). The increasing stress on Cho eventually led to him having breakdowns during school. He would sit in the back of classrooms and shut away from everyone. His parents attempted to get him help, but he was already too far gone. As Seung-Hui grew older, he was accepted into Virginia Tech University. Virginia Tech was not the Ivy League school his parents had dreamed of, but they were still proud of his accomplishments of being accepted. People say around this time, Seung-Hui was finally being accepted. He was often invited to parties and outings with people in his classes or from around his dorm. At the outings however, Seung-Hui would remain expressionless and not talk about personal experiences. When he did speak, they were ridiculing, twisted, and perverted remarks. Pretty soon, he began sending harassing text messages to girls which led to him to be reported as a stalker (Shute, Nancy p. 1). His fellow college mates were highly scared of him. The signs that Seung-Hui may have had psychological problems were becoming more and more evident. In 2005, he was hospitalized as a suicide risk and released when he convinced a judge he wouldn’t kill himself. (Shute, Nancy p. 2) He wrote poems pertaining to death and took pictures of his fellow classmates from under his desk. His antics caused students to stop attending classes to be able to avoid him. When asked to clean the content of his poetry or drop the class himself, he responded to his teacher, â€Å"You can’t make me,† (Making of a Massacre p. 14-19). Lucinda Roy was the teacher of this creative writing course at Virginia Tech. She had eye witnessed the fear Seung-Hui consistently instilled in his classmates and even herself. On numerous occasions she attempted talking with him. She wanted to discuss opportunities for therapy or group counseling. After a few months, Roy gave up on trying to help Seung-Hui. She labeled him as obnoxious and rude. Furthermore, she notified the Division of Student Affairs, the Cook Counseling Center, the Schiffert Health Center, the Virginia Tech Police, and the College of Liberal Arts and Human Science of Seung-Hui’s strange behavior (Making of a Massacre p. 22-25). The debate over guns and gun control violence has been disputed for ages and as a result of the Virginia Tech shootings where 33 students were murdered, gun control laws began to change sporadically. When shootings like Virginia Tech happen, where the murderer is a mentally unstable person who has access to the weapon, the debate usually reignites. However, the cases are usually not strong enough to actually have a significant change on the gun control laws. There was an exception after the shootings however because Cho Seung-Hui had been ordered to undergo outpatient therapy a few days earlier, clearly making him an unstable candidate to own any sort of weapons. Because of the state of Virginia never sending this information to the national background check system, Cho was allowed to buy the weapons with ease. Within weeks of the shootings, Rep. John Dingell and Rep. Carolyn McCarthy introduced a bill. The NRA supported their efforts. However, the vice president of the National Rifle Associatian (NRA), Wayne LaPierre, thought the law focused enough on gun control stating, â€Å"We’ve always been vigilant about protecting the rights of law-abiding citizens to purchase guns, and equally vigilant about keeping guns out of the hands of criminals and the mentally defective and people who shouldn’t have them† (Second Amendment pp. 6). Others also had great distaste for the bill. The bill stated that the rights of gun-purchasing for veterans who had been diagnosed with mental problems could be used as a way of obtaining disability benefits. The NRA has said that around 80,000 veterans have been placed in the National Instant Criminal Background Check System (NICS) background check system since it has been created. If veterans want their gun privileges back, all they have to do is show that they are not a threat to society and have been treated for their illnesses and have since recovered (Second Amendment pp. 7). Dingell and McCarthy’s law also asked that all funds from the NICS would not be used for purposes other than gun control. There were many protesters to the bill being passed, but in the US House of Representatives there was only one protester, Rep. Ron Paul from Texas, who believed the gun control law would be against the second amendment. The bill was officially passed in December of 2007 being signed off into law on January 8, 2008 (Second Amendment pp. 10). The effect that the Virginia Tech shooting had on the United States was overwhelming. The nation was in fear for terrorists and people just like Cho Seung-Hui. Many students refused to go to their classes, and many students families took them out of schools for weeks to avoid a tragedy like that of Virginia Tech. The emotional disrupt it caused families and friends alike was heart wrenching. College campuses were supposed to be a safe place to send your children, the starting of their own lives separate from their parent, and at Virginia Tech in that month of April, college campuses became a place of fear. Some people still grieve the losses of Virginia Tech today and each year Virginia Tech still holds a memorial service to those who were murdered by the lack of gun control in our society today. Gun control was not the only issue that administrators and government began to correct. University administrators and campus mental health counselors across the country began to re- examine the issues of treatment for mentally ill students (Shute, Nancy p. 3). While many students are going off to college with illnesses such as schizophrenia, administrators cannot say anything to anyone unless they find the student to be a clear threat. That does not help many people’s consciences and fears. Many colleges fear they are doing too little to help prevent major disasters from happening. Edward Shapiro, a psychiatrist from Massachusetts stated that, â€Å"The legal system and the medical system conspire to leave these kids more alone than they should be†¦If the kid isn’t failing courses, if they’re not hassling people, and they’re doing their work, there’s not much the colleges can do† (Shute, Nancy p. 5). This rationalization leaves many counselors in the dark as to what means of caution they can take with students. However, many schools now try harder to identify students who seem depressed with the intent of luring them in for treatment and rehabilitation. When these actions fail, campuses revert to mandatory medical withdrawal even though that it not the solution and can lead to lawsuits (Shute, Nancy p. 7). The only solution that is felt acceptable by any is encouragement for the medically ill student to take a semi-vacation and –as many colleges hope for- keeping the student at home and sending them to nearby colleges. Although some of the effects of the Virginia Tech Massacre are still in the process of being passed and ratified, the good things that will come after they are accepted will be exuberant.

Compare Contrast Religion Essays - Prophets Of Islam, Messianism

Compare Contrast Religion Essays - Prophets Of Islam, Messianism Compare Contrast Religion ************************************************************************** ***** Joe Stas [emailprotected] This was an A essay! ************************************************************************** ***** Compare and Contrast essay: Christianity, Islam, and Judaism Introduction of Religions Christianity most widely distributed of the world religions, having substantial representation in all the populated continents of the globe. Its total membership may exceed 1.7 billion people. Islam, a major world religion, founded in Arabia and based on the teachings of Muhammad, who is called the Prophet. One who practices Islam is a Muslim. Muslims follow the Koran, the written revelation brought by Muhammad. The Muslim world population is estimated at more than 1 billion. Islam is the quickest growing religion. Judaism is one of the world's oldest religious traditions. Pre-modern Judaism constituted (and traditional Judaism today constitutes) an integrated cultural system of Jewish law, custom, and practice encompassing the totality of individual and communal existence. It is a system of sanctification in which all is to be subsumed under God's rule. Judaism originated in the Middle East, but Jewish communities have existed at one time or another in almost all parts of the world, a result of both voluntary migrations and forced exile or expulsions. Origin The central element of Christianity is the person of Jesus Christ. Jesus of Nazareth, a Jewish rabbi, attracted a following of people who believed him to be a new prophet. Their recollections of Jesus' words and deeds recall his days on earth and the miracle of his resurrection from the dead on the first Easter. These Jewish Christians began the first churches, in Jerusalem. Much like Christianity Islam was based on the prophesies and teaching of person or prophet, Muhammad. In Mohammed's time (570?-632), the Arabian Peninsula was inhabited by nomadic Bedouins and city-dwelling Arabs. Muhammad began his ministry at the age of 40, when, he claimed, the archangel Gabriel appeared to him in a vision. At first Muhammad confided his visions only to his family and close friends. After four years he began to preach openly in his native city of Mecca. Ridiculed by the Meccans, he went to Medina in 622. At his death in 632, Muhammad was the leader of an Arab state growing rapidly in power. The third duty of a Muslim is to pay zakat. This tax was originally levied by Muhammad ,and later by Muslim states, on the wealthy members of the community, primarily to help the poor. The fourth duty is the fast of the month of Ramadan. During the fasting month, one must refrain from eating, drinking, smoking, and sexual intercourse from dawn until sunset. The fifth duty is the pilgrimage to Mecca. Every adult Muslim who is physically and economically able to do so must make this pilgrimage at least once in his or her lifetime. Unlike the other two major religions Judaism evolved form the Israelites who didn't deny the existence of other gods for other nations, though they only worshipped one deity. Its deity was Yahweh, the god of the patriarchs, who was worshipped in a sacrificial cult centered in Jerusalem and later at sanctuaries in the north, where a rival Jewish kingdom was formed. Prophets who warned against the people's reliance on these temple cults saw themselves vindicated when both the northern and southern kingdoms were destroyed by foreign conquerors. The exile of the Judeans to Babylonia in 586 BC was a major turning point in Israelite religion. The prior history of Israel now was reinterpreted in light of the events of 586, laying the foundation for the traditional biblical Pentateuch, prophetic canon, and historical books. A truly monotheistic religion, called Judaism, developed from these events. In 539 BC the Jews were permitted to return to Israel. Doctrines and Practices In Christian teaching, Jesus is the supreme preacher and exemplar of the moral life, but for most Christians that does not fully justify significance of his life and work. Christians teach that God is almighty in dominion over all that is in heaven and on earth, righteous judgment over good and evil. Baptism is the means of initiation into Christianity. Another fundamental component of the Christian faith and practice is its community. The community of faith in the church is the primary setting for Christian worship, although Christians of all traditions have placed a strong emphasis on private devotion and individual prayer. Unlike Christianity Islam has two fundamental sources of doctrine and practice, which are the Koran and the Sunna. Muslims regard the Koran as the speech of God to Muhammad and they believe that God himself is the author. The Sunna is known through Hadith, the body of traditions based on the words and actions of the Prophet. Unlike the Koran, Hadith is not considered infallible. The Islamic culture also believes that there are fundamental things for all Muslims to do so they go to heaven. According

Problems with Degu as a result of Incorrect Feeding Coursework

Problems with Degu as a result of Incorrect Feeding - Coursework Example This makes them drink more water and urinate more. If there is too much fat in the food, this causes liver problems in especially female degus who are in fertile age. This results in a drastic increase in weight. Diarrhea is another problem that may occur in degus when they eat too much of something, like a fruit or a vegetable sprayed with chemicals. They will mess around in little bits instead of large droppings. Constipation is caused by incorrect feedings like not taking enough water or dehydration. Overfeeding or unrestricted feeding results in obesity which may also result from diabetes and hepatitis. Hepatitis occurs when degu’s diet contains too much of protein or fat. Degu may also become lethargic and stressful resulting in temperament changes and weakness, a condition called anorexia caused by malnutrition or deficiency of vitamin C. However, excess of vitamin C causes breeding problems like a reproductive failure in male degus. Stress or lack of iron in the diet ma y result in alopecia that causes fur loss. Imbalanced diet for longer periods may also result in degu’s death. To prevent these problems, degu’s diet must be moderated according to the recommended 10 grams of food for a degu per day. Diet should not be high in protein, fat, and sugar. Water should always be available for him. It is important not to breed from degus who have had diabetes in their history. Good exercise levels should be maintained for degus by providing him running wheels and time out of the cage.

Electronic Healthcare Record Research Paper Example | Topics and Well Written Essays - 3000 words

Electronic Healthcare Record - Research Paper Example As such, the current standards that exist are focussed on ensuring that the EHR are interoperable and they allow the practice to showcase meaningful use. The Office of the National Coordinator for Health Information Technology’s (ONC) is on the forefront to seek ways that will propagate interoperability in vendor’s EHR systems. As such, they have backed up the Clinical Document Architecture (CLA) Continuity of Care Document (CCD) of Health Level 7 International (HL7) (EHR Intelligence, 2013). Other standard’s initiatives include: the standardization of healthcare vocabularies; transport through email protocols that are secure; services through transparent and accessible application programming interfaces (API’s); privacy and security through the implementation of standards set out by the National Institute of Standards and Technology (NIST). It is recommended that EHR systems should be implemented by hospitals and clinics so as to improve on the quality of care. As such, below is the step by step guide while implementing EHR systems (USDHHS, 2013). This step involves: conducting an assessment of the EHR system need; outlining the goals and objectives to be achieved when the EHR system has been implemented and determining the financial capability to implement the EHR system. The second step involves planning how the EHR will be implemented successfully. Moreover, the goals and objectives mentioned in step one should be reviewed so as to ensure that the plan is efficient and effective. Other factors that need to be reviewed include: the information security policy template; EHR workflow process mapping and implementation and the workflow redesign templates. The third step involves selecting the best EHR that suits the practice processes and operations. It is important for the practice to implement an EHR system that has been certified so as to avoid

The Needs Of Older People In Palliative Care Nursing Essay

The Needs Of Older People In Palliative Care Nursing Essay Worldwide, populations are experiencing an increase in life expectancy with associated serious chronic illnesses towards the end of life (World Health Organisation (WHO), 2011). In the UK, 457,000 people require palliative care services annually, however there are significant shortcomings in providing care to all those in need. In a recent survey, by the Palliative Care Funding Review (2011), it was estimated that 92,000 people are not being reached by palliative care services. After decades of declining death rates, we now face the dual demographic challenges of increasing life expectancy and an incline in chronic illnesses towards the end stage of life. As a result a rise in patients with more complex healthcare requirements could be expected. Palliative care advocates a holistic, problem-based approach for patients facing terminal disease in order to improve quality of life and symptom control (WHO, 2009). Studies have shown that, in addition to receiving the best possible treatment, patients want to be approached as individuals and have autonomy regarding decisions affecting their care (Gomes and Higginson, 2008). This essay aims to discuss how an ageing population will influence the delivery of physiotherapy to the older person in palliative care. It will address the current necessary factors required to meet the needs of the older person whilst also evaluate the barriers preventing access to physiotherapy services in palliative care. The role of the physiotherapist will be evaluated with reference to appropriate and current health care policies. In order to discuss meeting the needs of the older person, it is essential to establish a definition of the older person. As defined by WHO (2012) (1) most developed world countries have accepted the chronological age of 65 years as a definition of elderly or older person. Whilst it has generally been agreed by the United Nations (UN) that 60+ years is thought of as the cut-off point when referring to an older person (WHO, 2011). Over the last 25 years, the number of people aged 65 and over in the UK has increased by 18%, from 8.4 million to 9.9 million, and it continues to steadily increase (Office for National Statistics, 2010). Changing demographics mean that on average, people worldwide are living 30 years longer than they did a hundred years ago with life expectancy continuing to increase by approximately 4 months every year (United Nations, 2008). WHO (2011) estimates indicate that by 2050, more than one quarter of the population will be aged 65 years and older. Whilst changing demographics indicate an inevitable increase in population of the older person, patterns of disease are also changing, with more people dying from multiple debilitating conditions such as cardiovascular disease, neurological conditions, and diabetes. It could be argued that advances in medical knowledge and technology have allowed many patients to live longer, however a paradox of this success is that many will struggle in managing such a wide range of diseases, symptoms, and disabilities towards the end of live (Wu and Quill, 2011). Inevitably the combined pressures of increasing life expectancy and greater numbers of people living with multiple conditions at the end of life mean that pressure will be put on palliative health and social care capacity in order to adapt to these changing demographics (NCPC, 2010). Palliative care is defined by The World Health Organisation (WHO) as: à ¢Ã¢â€š ¬Ã‚ ¦an approach that improves quality of life of patients and their families facing the problems associated with life-threatening illness, through prevention, assessment and treatment of pain and other physical, psychosocial and spiritual problems. (WHO, 2002) Physiotherapists are vital members of specialist palliative care teams, with a critical role to play in the management of the older person in palliative care (CSP, 2004). Physiotherapists work to restore physical function, reduce pain and disability and increase mobility ultimately improving the life of patients, regardless of life expectancy (Medscape, 2011). The Association of Chartered Physiotherapists in Oncology and Palliative Care (ACPOPC), guidelines for Good Practice (1993) describes the role of the physiotherapist in palliative care as being: . . . To improve the patients quality of life by helping to achieve maximum potential of functional ability and independence. As recognised by Baldwin and Woodhouse (2011), rehabilitation and palliative care may appear to be at the opposite ends of the spectrum however the World Health Organisations definition of palliative care (WHO, 2002) advocates offering support to improve quality of life and maximize functional ability until death. The appropriate physiotherapeutic intervention can allow functional ability and mobility levels to be maximized, thus improving quality of life. This in return promotes independence for the older person facing end of life. There is sufficient evidence demonstrating that exercise can improve reduced mobility which is so prevalent among the elderly. In a high intensity strength training program of 100 nursing home residents, William (1999) concluded that because of their low functional status and high incidence of chronic disease, there is no segment of the population that can benefit more from exercise than the elderly. A fundamental core value of palliative care is to allow the older person to feel empowered facing the end of their life. Wikman and Faitholm (2006) describe an empowered patient as a patient who works with the multidisciplinary team to formulate goals and make treatment decisions. A fundamental component of physiotherapy is to establish achievable goals with patients and work in partnership with both the patient and relatives to achieve these goals. Within palliative care, realistic joint goal setting provides the patient with control over their treatment when they are experiencing a loss of independence (Robinson, 2000). However, regardless of the evidence demonstrating the benefits of physiotherapy intervention to the older person, the National Institute of Health and Clinical Excellence (NICE) guidelines (2004) found that some patients are still unable to receive access to rehabilitation services. It is suggested that this is due to the patients needs not being recognized by healthcare members and a lack of allied health professionals who are adequately trained in the care of patients under palliative care (NICE, 2004). Despite the important role physiotherapists can contribute and provide to the older person in palliative care, there are current barriers preventing the ageing population from accessing such services. With the current ageing population estimated to increase it is essential these barriers are overcome with measures set in place so that the demands and needs of such changing demographics can be met. To date, the needs of the older person in palliative care has not been a research priority. Current research predominantly focuses on recommendations on the needs of the older person facing end of life as opposed to formal evaluations of the effectiveness of palliative care (WHO, 2004; WHO, 2011). Until recently palliative care has been largely focused towards patients with a cancer diagnosis, with a large majority of palliative care research focusing upon palliative care specifically for the cancer diagnosis (Baldwin and Woodhouse 2011). However it is estimated by the National Council for Palliative Care that 300,000 people die each year from progressive non-malignant disease (Royal College of Physicians, 2007). For example, the Coronary Heart Disease Collaborative (2004) concedes that heart failure produces greater suffering and is associated with a worse prognosis than many cancers (Baldwin and Woodhouse 2011). Whilst a study by Byrne et al (2009) concludes that there is a scarcity of evidence identifying the palliative care needs of patients with neurological conditions. Considering that the number of older people having prolonged long-term medical conditions towards the end of life has been forecasted to increase, the inclusion of non-cancer related diseases within palliative care is essential (Gott and Ingleton, 2011). In correlation with recommendations from WHO (2011) guidelines, in order to meet the care needs of the older person, the dimensions of palliative care need to be expanded to encompass a broader range of conditions. This will require understanding from healthcare staff at all levels. Discussions of ageing and palliative care assume that ageism is an important factor limiting access to palliative care for the older person. The TLC model of Palliative Care, Jerant et al., (2004) argues that palliative care is viewed as a terminal event rather than a longitudinal process. He argues that this can result in unnecessary distress to the elderly patient suffering from chronic, slowly progressive illnesses (Jerant et al., 2004). The TLC model further goes on to recognise that palliative care of the older person is essential to relieve the physical and emotional complications that often accompany chronic long term end of life diseases and the illnesses associated with ageing (Jerant et al., 2004). Therefore, regardless of whether death is imminent, palliative care should be a major focus throughout the ageing process, with physiotherapy services being readily available to improve symptom control (Jerant et al., 2004). It can be predicted that physiotherapy services will be required over a prolonged period as a result of the older person facing more long term, chronic debilitating diseases. This emphasizes the need for palliative care teams to draw upon more physiotherapists to ensure the needs of the older person are met during the end of life. Although changing demographics may suggest that more physiotherapists will be required in order to meet the demands of the older person, the CSP (2004) highlights that in current clinical practice there is already a shortfall of physiotherapists working within palliative care. They further go on to emphasize that a predominant problem in accessing physiotherapy services as part of palliative care is a lack of experienced physiotherapists available CSP (2004). With an increase in ageing population and the changes in demographic trends of long term chronic conditions, a shortage of physiotherapists within palliative care teams will reduce the effectiveness of care packages provided. It is recognised worldwide that physiotherapy in palliative care is a specialty with physiotherapists required to have years of experience before they become involved in palliative care (CSP, 2004; WHO, 2011). Specialist palliative care is defined by the NCPC as a multidisciplinary approach, providing a variety of specialist services to patients facing end of life, either as a result of the ageing process or terminal illness. There is compelling evidence to demonstrate that compared to conventional care, specialist teams improve satisfaction and identify dealing more with patient and family needs, whilst they can also reduce the overall cost of care by reducing the time patients spend in acute hospital settings (House of Commons Health Committee, 2004) It is the ability to call upon a broad range of health professionals in specialist palliative care teams that provides care responsive to the older patients individual needs.  However, physiotherapists are only infrequently incorporated into specialist palliative care teams (CSP, 2004). In order for physiotherapists to be able to meet the demands of changing demographics of the ageing population it is essential that the role of the physiotherapist within palliative care is defined. Although NICE Guidelines on Supportive and Palliative Care (NICE, 2004) set aims relevant to the physiotherapeutic profession, whilst NICE (2011) guidelines on Palliative Care also state that physiotherapists are able to provide specialist skills, there is a lack of specific mention of physiotherapists and the role contributed. Proposals, such as NICE guidelines on Palliative Care (2011) and recommendations by WHO (2011) emphasis the importance of a multidisciplinary approach to palliative care however m entions of specialist palliative care teams are restricted to doctors, nurses and careers. Although guidelines recommend rehabilitation to be available to all patients, the role and effectiveness of the physiotherapist is not highlighted. The NHS Cancer Plan (2000) outlines palliative care guidelines to ensure patients receive the right healthcare services and support, as well as receiving the best, most holistic treatment. However in contradiction to this it has been found by Montagnini, Lodhi and Born (2003) that in the palliative care setting, rehabilitation interventions are often overlooked and underutilized, despite patients demonstrating high levels of functional disability. This has raised concerns as by excluding the attributes of specialist physiotherapists from specialist palliative care teams will be detrimental to patient care (CSP, 2004). More research is therefore required to identify the value and effectiveness of physiotherapy intervention for the older person under palliative care. Furthermore, it is essential that palliative care core guidelines are not just limited to medical teams and that physiotherapists are also recognised and identified as core members of specialised palliative care teams. This will allow for the development and production of a recognised clinical career structure for physiotherapists working in palliative care and thus to keep up with the changing demographics of ageing populations. Specialist palliative care teams encompasses hospice care, including services such as inpatient services, day care and community care as well as a range of advice, education, support and care (NICE, 2011). Given that a common problem presented by the older person is a functional decline in mobility, a major barrier preventing the older person from accessing palliative care services are difficulties leaving the home. Worryingly, physical inactivity has been demonstrated to correlate to an increase in premature deaths of patients under palliative care services, therefore it is essential that provisions are put in place for patients unable to access palliative care services (Pate  et al, (1995); Bryan  et al, (2007). There is an advantage for the older person to receive physiotherapy in their home setting as not only does it provide familiarity but it grants patient centred holistic care. Whilst it has also been found that the older person, specifically with dementia, have been shown to demonstrate greater progress and benefits when treated in a familiar setting such as the home setting rather than the clinical setting (Brissette, 2004). However as stated by Kumar  and  Jim (2011), the scope of physiotherapy practice is influenced by the ratio of qualified physiotherapists to the population. Therefore in order to meet the needs of the older person under changing demographics, the scope of physiotherapy services within palliative care will be required to expand, with more physiotherapists being readily available to treat the older person in outpatient and home settings. CONCLUSION

Malcolm X Essay example -- Civil Rights Movement

Malcolm X The fifties and sixties were a crazy time to live; riots were happening, many Civil Rights Movement leaders were speaking in the streets, and student sit-ins were held. Many radical activists were preaching their thoughts on racism and things needed for equality. Some people felt it necessary to turn the other cheek to violence while others claimed it to be a right to defend themselves. The major figures in the Civil Rights Movement had their own opinions on how to equalize society. Martin Luther King, Jr. felt that a peaceful movement was the best route to freedom. I discovered after much research that famous African American figures tended to side with Malcolm X and Elijah Muhammad on the best approach. Rosa Parks, Maya Angelou and James Baldwin fall under this category. They did not by any means agree completely, but had many views in common with the Islam thinkers. Malcolm X was not a pro-violence leader, but encouraged it when necessary for self-defense and protecting loved ones as Jenkins reported, â€Å"Malcolm X encouraged blacks to take a stand against their white oppressors if they were physically threatened,† (Jenkins 267). This was Malcolm’s motto when asked how blacks should fight the â€Å"white man†. James Baldwin does not share this idea even though he does admire many of Malcolm X†s thoughts. Malcolm and Baldwin strongly believe that history is an important part of knowledge and is necessary to live a prosperous life. I am going to explain more about the Malcolm X that many admire and respect. While he was a child he received the best grades in an all white school and was even class president once. His aspiration was to be a lawyer, but his favorite teacher had told him that he could not keep dreaming unrea... ...ill existed. One can only put up with so much before he starts to develop hate right back. I do not endorse this thinking, but can understand where Malcolm is coming from when he admits this. Works Cited Baldwin, James. â€Å"Down at the Cross.† 1995. James Baldwin: Collected Essays. Ed. Toni Morrison. New York: Library of America, 1998. 296-347 Baldwin, James. â€Å"White Man’s Guilt.† 1995. James Baldwin: Collected Essays. Ed. Toni Morrison. New York: Library of America, 1998. 722-727 Clark, Michael. â€Å"Rise in Racial Extremism Worries Harlem Leaders.† New York Times 25 Jan. 1960:1. Jenkins, Robert. The Malcolm X Encyclopedia. Connecticut: Greenwood Press, 2002 Malcolm X. â€Å"Black Man’s History† speech. Abdul, Alkalimat, ed., Maclolm X: A Research Site (launched May 19,1999 : University of Toledo and Twenty- first Century Books). http://www.brothermalcolm.net. Malcolm X Essay example -- Civil Rights Movement Malcolm X The fifties and sixties were a crazy time to live; riots were happening, many Civil Rights Movement leaders were speaking in the streets, and student sit-ins were held. Many radical activists were preaching their thoughts on racism and things needed for equality. Some people felt it necessary to turn the other cheek to violence while others claimed it to be a right to defend themselves. The major figures in the Civil Rights Movement had their own opinions on how to equalize society. Martin Luther King, Jr. felt that a peaceful movement was the best route to freedom. I discovered after much research that famous African American figures tended to side with Malcolm X and Elijah Muhammad on the best approach. Rosa Parks, Maya Angelou and James Baldwin fall under this category. They did not by any means agree completely, but had many views in common with the Islam thinkers. Malcolm X was not a pro-violence leader, but encouraged it when necessary for self-defense and protecting loved ones as Jenkins reported, â€Å"Malcolm X encouraged blacks to take a stand against their white oppressors if they were physically threatened,† (Jenkins 267). This was Malcolm’s motto when asked how blacks should fight the â€Å"white man†. James Baldwin does not share this idea even though he does admire many of Malcolm X†s thoughts. Malcolm and Baldwin strongly believe that history is an important part of knowledge and is necessary to live a prosperous life. I am going to explain more about the Malcolm X that many admire and respect. While he was a child he received the best grades in an all white school and was even class president once. His aspiration was to be a lawyer, but his favorite teacher had told him that he could not keep dreaming unrea... ...ill existed. One can only put up with so much before he starts to develop hate right back. I do not endorse this thinking, but can understand where Malcolm is coming from when he admits this. Works Cited Baldwin, James. â€Å"Down at the Cross.† 1995. James Baldwin: Collected Essays. Ed. Toni Morrison. New York: Library of America, 1998. 296-347 Baldwin, James. â€Å"White Man’s Guilt.† 1995. James Baldwin: Collected Essays. Ed. Toni Morrison. New York: Library of America, 1998. 722-727 Clark, Michael. â€Å"Rise in Racial Extremism Worries Harlem Leaders.† New York Times 25 Jan. 1960:1. Jenkins, Robert. The Malcolm X Encyclopedia. Connecticut: Greenwood Press, 2002 Malcolm X. â€Å"Black Man’s History† speech. Abdul, Alkalimat, ed., Maclolm X: A Research Site (launched May 19,1999 : University of Toledo and Twenty- first Century Books). http://www.brothermalcolm.net.

Video Case – Supply Chain Management at Regal Marine

VIDEO CASE: SUPPLY-CHAIN MANAGEMENT AT REGAL MARINE 1. What other techniques might Regal Marine use to improve supply chain management? Answer: The other techniques might Regal Marine uses to improve supply change management are as follows: * Allowing the supplier to become part of the company coalition. Specialization – utilizing the efficiency and knowledge of persons specializing in supply chain management * Virtual company – relying on a variety of supplier relationships to ensure the product is produced on time and within the demands of the customers * Using the latest computer and transmission technologies to schedule and manage the shipment of parts in and finished products out, would help to increase the efficiency of the company. 2. What kind of response might members of the supply chain expect from Regal Marine in response to their â€Å"partnering† in the supply chain?Answer: Regal Marine expects continuous innovation and high quality performance to en sure that the final goods and services reach customer satisfaction. The members of the supply chain expect that the expectations of Regal Marine transfer into a chain of suppliers that focuses on maximizing value and quality. They can expect loyalty from Regal, and the suppliers can gain prestige by representing the high-quality products which Regal Marine produces, which can result in profit margins.Suppliers can also largely benefit from economies of scale and learning curves, reducing the production cost. 3. Why is supply chain management important to Regal Marine? Answer: Supply chain management is about integration of activities that procure materials and services and transform them into the final product of the company. Supply-chain management enables Regal Marine to compete in a multibillion-dollar industry, and helps it to differentiate its products from competitors (e. g. rocure materials and services, transforming them into intermediate goods and final products, and delive ring the final products through a distribution system). As Regal Marine spends a large portion of its revenue on purchases, supply-chain management provides the company with the opportunity to work on closer long-term strategic relationship with key suppliers. Supply-chain management allows Regal Marine to increase its competitiveness via product customization, high quality, cost reduction and speed to market.Therefore, as a result, Regal Marine has been able to reduce costs while improving quality, responsiveness and innovation. Thus, its effective and efficient supply-chain management enables Regal Marine to differentiate its products through quality, innovation, unique features, up-to-date technology and responsiveness. Regal Marine’s innovative approach to supply-chain management not only benefits the company but the end user as well.

My Philosophy Of Education And The Principalship Over The...

I am excited and humbled to begin a magnificent journey with all of you to educate our children. I want to share with you my administrative and educational philosophies, which will guide our work together for the children of Muskegon. Administrative philosophy I have developed my philosophy of education and the principalship over the past twelve years. These years have given me a healthy and balanced perspective from which to construct effective programs to improve and support student learning. In keeping with my recent experience, some of my beliefs have evolved. Many other ideas, developed during my years as an educator in Grand Rapids Public School and Davenport University, have been affirmed. This blending of ideas and approaches, gives me much to offer students, staff and community stakeholders in any school under my leadership. Given the right instruction in the appropriate environment, all students can learn to the peak of their natural ability. Of course there are obstacles, but it is up to educators to ensure that each student receives his or her optimal instructional program in a high quality learning environment. As a principal, it is up to me to provide teachers and staff with the training, resources and motivation to make this happen. My experiences have confirmed that students from various cultures are delicately different in how they learn and how they present behaviors. This is a result of what is valued in their society, cultural expectations for