Saturday, August 31, 2019

Meaning of Education

The Key to Success â€Å"Yep, that’s the last of it† my dad yelled as he slammed the trunk shut. Totes were piled up high and filled with clothes, shoes, and lots of old memories. After getting all settled in my new apartment my family and I said our goodbyes. This next chapter in my life was finally here. I was now a college student entering the real world. We all have our purposes for taking the next step in life and going to college. My purpose for attending college is to take a leap towards creating success and meaning in my life.My family has been a giant influence on attending college. The day my older brother went off to college it was no surprise. It seems that moving on to college was the natural thing to do. For instance, graduating kindergarten and moving to the 1st grade is similar to graduating from high school and moving on to college. It’s just a chapter in life that our parents brought us up expecting to reach and we’ve been taught that it would be the right choice since elementary school. It’s what we grew up knowing we were supposed to do when we got to that point in life.Ultimately, we were taught that this step would lead us to the success to building a more meaningful life. All in all, education is the key to success. Having an education opens many doors to amazing opportunities. Why waste time stuck in a slump when one can go out into the world and be someone, make a difference in this world, and have the pride to say that â€Å"I am successful†. With a college education, the amount of freedom is endless. There are many more careers to choose from and the ability to stand out from others increases your career success.An education helps one develop a more meaningful life, that’s what I want to achieve. I want to make a difference in this world by not only my art but my everyday life. My goals are to one day be very well off financially, enabling me to support my future family and enjoy all th e accomplishments and great opportunities life has to offer. Just on a walk to school, I get a glance of the harsh reality by seeing all the unfortunate civilians struggling to survive each day. For instance, an old man and his dog, hungry as can be, asking for money on the corner of the street.This makes me realize that I am very grateful for what I have and that an education is what I must pursue to accomplish my goals and dreams. With all the love and support of my family and friends I have a great positive outlook on a college education. Having moved on to this next step in my life, I already feel as if I’m that much closer to reaching my goals. I can see how proud my family is as they watch me better my life and future. With all my past experiences, I now have a strong mentality to finish with pride and follow all my dreams. Overall, an education is the way to success and the key to many great opportunities.

Friday, August 30, 2019

Bigfoot

Bigfoot Introduction: The Committee for Skeptical Inquiry is an organization that’s mission is to promote scientific inquiry, critical investigation, and the use of reason in examining controversial and extraordinary claims. (CSI) Pseudoscience’s are beliefs that claim to be science but do not meet the criteria of science. (Notes on Web unit 1 part 3) Pseudoscience in not based on scientific literature or on scientific experiments that have been peer reviewed. Coker 2001) It is based on someone saying that they did an experiment and got a certain result and that result not being tested in order to see if it can be duplicated therefore it is not falsifiable. (Coker 2001) There are many different pseudoscience’s, astrology, palm reading, and crystal healing are some more commonly known ones. Cryptozoology is one as well all of these can be found on The Committee for Skeptical Inquiry website. (CSI) Cryptozoology is the study of the unknown animal. (Michael Dennett Science and Footprints article) Materials and Methods:The belief of the existence of Bigfoot is cyptozoology. When you google the word bigfoot you will get 8,400,000 hits. (google search). The trash has to be weeded out which can be done by using google scholar’s advance search options and narrow down the field in which bigfoot research and scientific peer-reviewed articles can be found. Most of the reliable links lead back to the skeptical inquirer, which is a publication from The Committee of Skeptical Inquiry. Other resources used to support this paper were found at one of two libraries located in two different counties.All of the other literature at these libraries that was on Bigfoot was found in the fiction section, so was determined to be trash. A huge red flag for trash was if they site was a . com site. There is a huge amount of . com trash on Bigfoot as indicated by my Google search. As Mr. Stewart stated . com stands for commercial sites and it is known that commer cial sites are used by anyone and everyone and are not peer-reviewed. Results: Timeline: The name Bigfoot came from the alleged footprints of the alleged animal. (Radford 2002) J.Bord and Colin Brod’s The Bigfoot Caslbook states that Bigfoot sightings date back to the 1830s. Some belivers think that Bigfoot lives all over the United States. (Radford 2002) Evidence: There are four types of evidence that has been brought forth as Bigfoot evidence. (Radford 2002) They are eyewitness sightings, footprints, recordings, and somatic samples which simpler put means hair and/or blood samples. (Radford 2002) There are numerous, reports of sightings, theories, and footprint casts from all over North America. Radford 2002) It is known that eyewitness testimony is the weakest form of evidence, like scientist, lawyers and judges want hard evidence to prove their case. (Radford 2002) The footprint tracks that have been classified as evidence to support Bigfoot believers have all varied in s ize, shape, and other factors that have been closely examined. (Radford 2002) How can there be such a difference and be from the same animal or species? The evidence contradicts itself. (Radford 2002) Ignoring evidence that conflicts is part of pseudoscience. Coker 2001) It is poor quality and most have been proven to be other animals or synthetic fibers. (Radford 2002) With so many gunshots fired at this creature where is the hard evidence. (Boston 2003) In Ben Radford’s review of The Field Guide to Bigfoot, Yeti, and Other Mystery Primates Worldwide, wrote by Loren Coleman and Patrick Huyghe published in 1999 by Avon Books, He points out that the believers who wrote the book cannot explain why claims of Bigfoot being killed presented no bones or bodies as evidence. Radford 2000) The book also claims that eyewitnesses even admitted they could have misidentified another animal as Bigfoot. (Radford 2000) A short film taken in 1967 by Roger Patterson and Bog Gimlin shows the al leged Bigfoot crossing a clearing. (Radford 2002) The question of it is a hoax or not is not important the important thing is the fact that the statement it cannot be a fake claim is able to be false. (Radford 2002) Don Grieve who is an anatomist specializing in human gait has concluded that the alleged Bigfoot gait that was claimed couldn’t have been made by a human in fact could have. Radford 2002) â€Å"The existence of a large primate such as Bigfoot especially in North America is almost impossibility speaking, because the discovery of a new mouse is big news these days. † stated by Dr. Richard W. Thorington, Jr. who in 1980 was the head primatologist in the Department of Vertebrate Zoology at the National Museum of Natural History in the Smithsonian Institution. (Wylie 1980) Money: â€Å"Some are doubters some believe, the rest of us just know†, this was the slogan of the 2006 Bigfoot Rendezvous Conference. Ben Radford was a speaker at this event.He stated â€Å"Enormous time money and energy have been spent trying to find Bigfoot. Today in 2006 we have more footprints than ever before. We have more photographs and videotapes and film footage than at any other time in history. The problem is not that we don’t have enough evidence; the problem is that that evidence is inconclusive at best. † (Radford 2006) He also made it clear that skeptics do detailed research. (Radford 2006) Tom Biscardi is an explorer that travels looking for Bigfoot, he and his crew was feature on our own KWII news searching the Paris, TX. rea for Bigfoot. (Gotera 2007) Him and his team get paid to explore for Bigfoot, one week of exploring can cost around $70,000. 00. (Gotera 2007) Thomas Biscardi also had a webpage that you could subscribe. (Dennett 2006) Patterson made a profit off of his film and book as well as the organization he started. (Radford 2002) News about a Bigfoot encounter generates money. (Dennett 2006) The Sci Fi Investigates is a television series that claims to investigate mysterious phenomena. (Radford 2007) It is for entertainment urposes and to make profits, even the cast that has no scientific credentials, has pointed out that eyewitness Bigfoot encounters are not explainable. (Radford 2007) A lot of the episodes aired are based on anecdotes, as previously stated anecdotes are not scientifically testable. (Radford 2007) In one episode they try to make a convincing Bigfoot film, by making this what did they prove about Bigfoot, nothing. (Radford 2007) The show lacks skeptical investigators for a reason if it wanted them the producers would have hired them, the bottom line is profits. Radford 2007) Conclusion: Science isn’t based on our beliefs it is based on investigation and repetition of results, pseudoscience is based on belief without data or results that can be repeated or explained. (Coker 2001) Often times pseudoscience is favored by our religious beliefs or cultural beliefs, religion and c ultural beliefs are not testable in the realm of science they do not follow natural law. (Coker 2001) Cryptozoology is based mostly on anecdotal evidence which is evidence that cannot be tested, or proven falsifiable, which is why it is pseudoscience. Radford 2002) The monstrous amount of bad quality evidence has not lessened the popularity of the existence of Bigfoot. (Radford 2006) The search of Bigfoot for some people is what they pass their time doing it brings together people with a common interest. (Radford 2006) Bigfoot hobbyists enjoy the outdoors and the adventure of the possibility of seeing, hearing, or finding something to prove the existence. (Radford 2006) BACONS QUOTE Literature Cited Boston, Rob. 2003, Scenes from a Bigfoot Conference [Internet]. [cited 2011 Feb 8]; 13. 4 Available from: http://www. csicop. rg/sb/show/scenes_from_a_bigfoot_conference Coker, Rory. 2001. Science and Pseudoscience [Internet]. [cited 2011 March 22] Available from: http://www. quackwatch. org/01QuakeryRelatedTopics/pseudo. html Dennett, Michael. 2006, Experiments Cast Doubt on Bigfoot ‘Evidence’ [Internet]. [cited 2011 Feb. 8]; 16. 3 Available from: http://www. csicop. org/sb/show/exeperiments_cast_doubt_on_bigfoot_evidence Dennett, Michael. 2006, The Bigfoot Legend Lives [Internet]. [cited 2011 Feb. 8] ; 16. 1 Available from: http://www. csicop. org/sb/show/the_bigfoot_legend_lives Gotera, Daniel. 2007, The Hunt for Bigfoot [Internet]. cited 2011 March 22] Available from: http://www. kxii. com/home/headlines/11090741. html Radford, Ben. 2002, Bigfoot at 50 Evaluating a Half Century of Bigfoot Evidence [Internet]. [cited 2011 March 22] 26. 2 Available from: http:// http://www. csicop. org/sb/show/bigfoot_at_50_evaluating_a_half_century_of_bigfoot_evidence Radford, Ben. 2007, Sci Fi Investigates, Finds Only Pseudoscience [Internet] [cited 2011 March 10] 31. 2 Available from: http://www. csicop. org/sb/show/sci_fi_investigates_finds_only_pseudoscience Rad ford, Ben. 2006, Among the Bigfooters [Internet] [cited 2011 March 10]Available from: http://www. csicop. org/sb/show/among_the_bigfooters Radford, Ben. 2000, The flawed Guide to Bigfoot [Internet] [cited 2011 March 22]; 24. 1 Available from: http://www. csicop. org/sb/show/flawed_guide _to_bigfoot/ Stewart, Bruce. Notes on the Web-Unit One-Part 3 Pseudoscience: A Cultural Pathogen [Internet] [cited 2011 Jan. 15] Available from: http://www. sciencethinking. org/zoology/pseudoscience. htm The Committee of Skepical Inquiry Website [Internet] [cited 2011 March 20] Available from: http://www. csicop. org/ Wylie, Kenneth. 1980, Bigfoot, New York (NY) The Viking Press; pages 150-153

FHR detection common method for antenatal determination of fetal well being

IntroductionCardiotocography Fetal bosom rate ( FHR ) sensing is one of the most common important methods for prenatal finding of foetal well being helping in the designation of possible jeopardies to the foetus such as foetal hypoxia and hurt ( Philip 2002 ) . More than 60 per centum of foetal deceases occur before the oncoming of bringing ( RCOG 2001 ) , hence it would be natural to widen the rules of intrapartum foetal bosom rate ( FHR ) monitoring to the prenatal period. An of import figure of prenatal deceases happens in adult females who have hazard factors for uteroplacental inadequacy ( UPI ) ( Garite TJ et al1978 ) . An ideal trial for measuring the antepartum foetus would allow intercession before foetal decease or asphyxia harm. Before the handiness of such trials, the lone method to avoid this job was to excessively early deliver such foetuss based on empirical hazard informations, as in the method proposed by Priscilla White for pull offing diabetics ( Pecile A et Al 1969 ) . Acute intrapartum exigencies and hapless foetal oxygenation normally contribute to stillbirth and neonatal deceases, every bit good as to long-run neurologic disablements, including mental damage and intellectual paralysis ( Lawn JE 2009 ; Lawn J 2005 ; Lawn JE 2009 ; Stanton C 2006 ; Hill K 2007 ) . Much of modern obstetric attention in high and many middle-income states have been directed at cut downing both antepartum and intrapartum foetal O want. These attempts have included the designation of adult females at hazard, such as those adult females with pre-eclampsia, reaping hook cell disease and diabetes, and those with compromised foetuss at hazard in the absence of maternal complications, such as those with growing limitation or oligohydramnios. Designation of these conditions in the prenatal period is normally followed by assorted types of antenatal showing to observe those foetuss at even higher hazard for hapless oxygenation. The usage of ultrasound for supervising amnionic fluid degrees and foetal advancement electronic foetal bosom rate monitoring, foetal motion numeration, and Doppler blood flow measurings have all contributed to better designation of at hazard gestations ( Koblinsky M 2006 ; Lawn JE 2005 ; Ronsmans C 2including foetal bosom rate monitoring to place those foetuss in danger. rapid instrumental birth or cesarian bringing consequences in significant mortality decreases during labour and in the early neonatal period ( Hart JT 1971 ) . Therefore, by and big, high income states have successfully reduced intrapartum foetal organ harm and the associated inauspicious gestation results, including intrapartum spontaneous abortion and intrapartum related neonatal mortality ( Hill K 2007 ) . In the 3rd universe states, particularly those have been missing in a well-functioning health care system, intrapartum foetal organ harm due to hapless oxygenation remains a really considerable job ( Hill K 2007 ; Velaphi S 2007 ; Lee AC 2009 ; WHO 2005 ; Darmstadt GL 2009 ) . In these countries, because of chronic nutritionary want, increased exposure to environmental pollutants, and the presence of many ill or untreated medical environments, the hazard of foetal harm during labor is mostly increased compared with that seen in high-income states. As inveterate malnourished adult females tend to hold little pelvic girdles, they are at increased hazard of enduring long and obstructed labor, which besides well increases the hazard of the foetus or newborn enduring an intrapartum hurt. Lack of entree to allow obstetric attention, particularly during labors, compounds the hazard of unfavorable foetal results such as decease or disablement. Antepartum foetal monitoring based on the conventional cardiotocography ( CTG ) is a non-invasive and simple instrument to prove foetal status. Its debut in the clinical modus operandi reduced the incidence of foetal jobs taking to a restriction of the precocious kid mortality. Even so, really hapless indicants on foetal pathology position can be understood from the automatic CTG analysis methods, which are, in fact, have been used. The sense is that foetal bosom rate ( FHR ) signals and uterine contractions convoy much more information on fetal province than is normally extracted by conventional analysis methods. In peculiar, FHR signal contains indicants about the nervous development of the foetus. FHR form acknowledgment, including the relationship between the uterine contractions and foetal bosom rate slowings, are simple to the usage of uninterrupted CTGA A monitoring. Algorithms have been developed to measure and records. What is normal, what requires more careful attending and what is considered unnatural necessitating immediate bringing of the babe ( RCOG 2001a ) . However, CTG hints are frequently interpreted in a varied manner by differentA degrees of experience ofA the health professionals ( inter-observer fluctuation ) and even by the same health professional construing the same record at different times ( intra-observer fluctuation ) ( Devane 2005a ) . Such fluctuation in reading of CTG tracings may ensue inA A false comfort or deficiency of appropriate intercession. Although we were unable to turn up surveies who sought to look into inter and intra perceiver fluctuation in intermittent auscultation, it would look realistic to propose that this techniqueA is non immu ne to alike jobs caused by inter- and intra-observer fluctuation ( AlfirevicA A 2007 ) . A CTG, composed of FHR and uterine contractions ( UC ) recordings, is an indispensable tool for foetal observation and has been used in a scope of diagnostic trials, such as the non-stress trial ( NST ) which is based on the analysis of the FHR signal ( Fontenla-Romero et al. 2001 ) . Its debut in mundane clinical pattern limited the happening of a foetal job therefore taking to extinguish and cut downing of the precocious kid mortality ( Signorini et al. 2003 ) . Each twelvemonth at least 500.000 adult females around the universe base on balls off due to pregnancy-related causes. Merely in the Third World states, 99 % of these deceases occur, Where troubles get downing from gestation and illegal abortions are the first slayers of adult females in 20s and 30s ages.A A The World Health Organization ( WHO ) functionaries warning that maternal deceases those following straight or indirectly from gestation within 40 two yearss from the labor day of the month, caused abortion, or failureA A may really be twice the estimated facts. What is to boot for all adult females who pass off, many more suffer serious, over and over long-run wellness jobs, that bearing life leads decease to so many adult females is a painful incongruousness. It isA farther moreA straitening given that household planning and preventative medical specialty may cut down these loses ( UNICEF 2009 ) . Because more than two tierces of foetal deceases take topographic point before the start of labor ( HEW/NIH 1979 ; Fontenla-Romero et Al. 2001 ) . It would be natural to widen the rules of intrapartum foetal bosom rate ( FHR ) monitoring to the prenatal period in an attempt to avoid these foetal deceases. A significant figure of prenatal deceases occurs in adult females who have hazard factors for uteroplacental inadequacy ( UPI ) ( Garite TJ et Al 1978 ) . Figure 1.1 shows Causes of deceases among kids under age five ( WHO 2010, UNICEF 2010, ) . An ideal trial for measuring the antepartum foetus would allow intercession before foetal decease or asphyctic harm. As in the method proposed by Priscilla White for pull offing diabetics ( White P 1965 ) . The job with such an attack is double: The bulk of such prematurely delivered foetuss were non in jeopardy, and the morbidity and mortality from premature intercession frequently go over those of the original hazard factor. It would be pr eferred to handle the disease procedure and let the foetus to travel to term ; nevertheless, we have made few progresss in handling UPI. Figure 1.1 Major causes of decease in neonates and kids ( WHO2010 ) Continuous monitoring of the foetal bosom rate during labor became a common pattern during the 1970s and has remained an recognized technique for measuring foetal good being in labour unit moderately late. Attitudes towards foetal monitoring have changed as more research findings are published and reviewed foregrounding both the good and damaging effects of uninterrupted electronic foetal bosom rate monitoring ( EFM ) ( RCOG 2001a ; Quintiles et Al 1995 ; Neilson & A ; Grant 1993 ) . The foetal bosom rate ( FHR ) is being used to bespeak the wellbeing of the foetus for over 160 old ages. Merely during the last 25 old ages of the last century the development in scientific discipline and engineering have made the uninterrupted monitoring possible ( Rooth et al. 1987 ) . The bosom rate ( HR ) provides information ‘s about the synergic activity of the independent nervous system ( ANS ) which controls the bosom round kineticss ( Kamath & A ; Fallen 1993 ) . FHR reflects the interactions between the sympathetic ( SNS ) and parasympathetic nervous system ( PSNS ) . In the normal foetus, the stimulation of SNS consequences in an addition of HR while the stimulation of PSNS consequences in a lessening of HR ( Parer 1997 ; Georgoulas et Al. 2006a ) . In add-on, several conditions such as foetal hypoxia, academe and drug initiation produce rather apparent FHR fluctuations both in the clip and frequence sphere which provide reliable indicants on the foetal position ( S mith et al. 1988 ; Lindecrantz et Al. 1993 ) .PROBLEM STATEMENT AND MOTIVATIONChild birth is considered a natural procedure sometimes it can be more complicated than usual. Harmonizing to WHO study ( WHO 2005 ; WHO 2007 ) , maternal mortality and still births are among the most lurid gestation results. Over 600,000 maternal deceases and 4 million spontaneous abortions occur every twelvemonth worldwide ( McCLure et al. 2007 ) . There is a big difference in both maternal mortality and spontaneous abortion between the developed and developing states. Largest Numberss of babes die in South-East-Asian part: 1.4 million still births each twelvemonth ( WHO 2005 ) . This was the chief motive behind this work. Better wellness attention installations like regular foetal monitoring, particularly for high hazard gestations can convey down the maternal and child morbidity and mortality rate. Figure 1.2 shows the decease rate all over the universe. Figure 1.2 Mortality rate all over the universe Although CTG represents the most widely used non-invasive tool in clinical pattern for foetal monitoring since 1970, it fails to place all the exigencies of foetal pathologies ( Signorini et al. 2003 ) . Since 1970 many research workers have employed different methods to assist the physicians to construe the CTG hint form from the field of signal processing and computing machine scheduling. They have supported physicians and readings in order to make a satisfactory degree of dependability to move as a determination support system in OBs. Up to now, none of them has been adopted worldwide for mundane pattern ( van Geijnt 1996 ) . There is presently no consensus on the best methodological analysis for baseline appraisal in computing machine analysis of the cardiotocograph. The algorithm proposed in this paper will assist and back up the physicians and readings to do a good reading for all gestation instances before bringing and its application can be used in all infirmaries as first co mputerized sensing package for CTG form parametric quantity analyser. There are still several jobs related to its effectivity and consistence ( MacDonald et al. 1985 ) particularly, during ocular reading ( Georgoulas et al. 2006a ) . Clinical CTG reading is soon based on ocular analysis ( Guijarro-Berdinas et al. 2002a ) , and this classical method is subjective as emotional, single experience and different degrees of expertness ( Jezewski et al. 2007 ) will hold a catalytic consequence on the concluding determination a hold in the sensing of an anomalousness and in subsequent clinical intercession could magnify the complications during intrapartum, postpartum and even in the early months of life. Despite the possibility that the presence of many international guidelines from the international federation of Obstetricss and gynaecology ( FIGO ) ( Rooth et al. 1987 ) , National institute of kid Health ( NICE ) ( National Institute of Child Health, Human Development Research Planning Workshop 1997 ) and the royal college of accoucheurs and genecology ( RCOG ) for electronic foetal monitoring there exists a high grade of inter-observer and intra-observer variableness ( Ayres-de-campo et al. 1999 ; Bernardes et Al. 19 97 ; Georgoulas et Al. 2007 ) . While incompatibilities in CTG reading and addition in false positive diagnosing created incredulity, the progresss in signal processing and pattern acknowledgment methods smoothed the manner for machine-controlled techniques to supply early warnings about the foetal conditions. Any mechanization procedure in CTG analysis will hold to cover with the job of characteristic extraction and categorizations to come out with a diagnosing. This job is the effect of an improper and imprecise set of definition on the parametric quantities involved and mechanisms employed in the literature for the intent ( Guijarro-Berdinas et al. 2002a ) . FHR is normally found normal even for pregnant adult females with high hazard of premature birth and abortion. FHR monitoring is one of the methods to prove foetal wellbeing, place for possible abnormalcies, and acknowledge the diseased status. FHR abnormalcies may, nevertheless, occur at any clip. The ability to execute long-run monitoring of the FHR would therefore supply more information on the foetal status ( Brown & A ; Patrick 1981 ; Mohd Ali et Al. 1995 ) .OBJECTIVES OF THESISThe chief aim of this research is to develop effectual algorithms for FHR characteristic extraction and systematic categorization utilizing both programming package ‘s and fuzzed logic. The major undertakings involved are listed below: Design and development of conventional FHR characteristic extractions methods based on RCOG guidelines. Design and development of conventional CTG categorization methods based on RCOG guidelines. Design and development of a signal sweetening method for both FHR and UC recordings of CTG signals. Followed by, determining the effectivity of the proposed signal sweetening method by comparing the consequences with those of bing methods and experts ( accoucheurs ) appraisal. Validating the conventional procedure by comparing the consequences with those of experts ocular reading utilizing an appropriate statistical method for comparing.Scope OF STUDYThis thesis presents a fresh method for CTG signal sweetening and characteristic extractions and categorization ; the method based on the cardinal forms defined by the RCOG guidelines ; conventional method which is wholly independent of the basic FHR characteristic such as baseline, variableness, accelerations, slowings and uterine contractions. An extended survey on the bing methods for CTG signal sweetening and analysis was done to happen out the aid of experient accoucheurs ocular analysis consequence, as it is considered as one of the gold criterions in this field.ORGANIZATION OF THE THESISIn order to depict basicss of the research activities involved in the survey, this thesis has been organized carefully. The organisation of the thesis is described as follows: A A A A A A A A A A A A A A Chapter I demonstrates the background information on the capable affair and motive behind this research. It besides lists out the job statement, aims of the thesis, range of survey and organisation of the thesis. A A A A A A A A A A A A A A A Chapter II presents an overview of the foetal bosom and its circulation and different techniques of foetal monitoring. Since uterine contractions influence the fluctuation in foetal bosom rate, physiology of uterine contraction and assorted ways of supervising uterine contraction are besides discussed. A elaborate survey on the cardiotocography, the devices used in electronic foetal monitoring, different signal sweetening techniques and assorted characteristics that can be extracted in a clip and frequence sphere and besides the morphological characteristics are presented. There are several guidelines depicting FHR forms and the manner of categorising them. These guidelines are besides presented in this chapter along with foetal hurt and the usage of CTG in naming it. This chapter describes the different methodological analysis employed by research workers in an effort to work out the CTG jobs. Advantages and restrictions of the CTG technique are discuss ed towards the terminal of the chapter. A A A A A A A A A A A A A A A Chapter III describes the CTG informations acquisitions procedure in item inclusive of the devices and the package employed. Data ‘s direction and protocols used for informations acquisition are elaborated in this chapter. Detailed account is provided on the conventional FHR characteristic extraction and categorization method employed to accomplish the aims of this work.A A A A A A A A A A A A A A A A Chapter IV presents a consequence and overall treatment of the research findings. First, description on consequences of the conventional method for pull outing FHR characteristics categorization system are given. Then a elaborate account on the consequences obtained from the pre-processing phase is presented. Methods employed for formalizing the proposed work are discussed, and the results are presented at all phases. A A A A A A A A A A A A A A A Chapter V provides a decision on the research describes the sum-up of parts and recommends interesting and necessary hereafter work in this field.

Thursday, August 29, 2019

Social Media Addiction Amongst University Students Research Paper

Social Media Addiction Amongst University Students - Research Paper Example Hence, the research question for this study is, â€Å"Which gender and age group is more addicted to social media and why?† Review of Literature Dryer (2010) reported that by March of 2010, there were 200 million blogs worldwide, 450 million Facebook accounts, 27 million tweets every 24 hours from Twitter and 1.2 billion views on You Tube every day. As of 2012, it was reported that almost 75% of teens and young adults are members of at least one social networking site (Thompson & Lougheed, 2012), and with Facebook users, 250 million log into the site daily (Facebook, 2011). Such astounding statistics show explosive social media has grown over a short period of time and is expected to relentlessly grow more in the future. Dryer (2010) notes: Social media, i.e., blogs, wikis, social networking sites like Facebook and LinkedIn, multimedia sharing sites like YouTube and Flickr, and social tagging sites like Digg and Yelp, represents a revolutionary shift in the way we communicate. Social media has democratized information and empowered ordinary citizens with the ability to organize, share information, and be heard like never before in our history. Social media is word of mouth on steroids and is beginning to morph from a fun and easy way to stay socially connected with friends into a dynamic and interactive way of doing business (p. 16). Berinstein (2011) contends that the obsession with social media is linked to people’s desperate need to feel good. She concludes that â€Å"social media has offered us a new way to anesthetize a deep-rooted feeling of lack: the more likes we get, the better we feel† (Bernstein, 2011, para. 1). What is addictive is actually the... This essay stresses that going back to the research question, â€Å"Which gender and age group is more addicted to social media and why?†, this research echoes results of past studies that women and younger university students in the age group of 17-21 years are more prone to social media addiction due to the more prolonged time they spend online. Young ladies derive much satisfaction and a boost in their self-esteem when friends like or comment on their posts, especially their photos. They also invest more emotions on their responses to friends’ posts, and are more emotionally distraught when they get disconnected from social media. The roller coaster of emotions they get from such social media sites make it more addictive to them as they continuously search for â€Å"highs† beyond the â€Å"lows† in emotions. In terms of age, younger people have a stronger need to establish human connections with their peers, so they use social media as an avenue to esta blish and nurture these relationships. This paper makes a conclusion that addiction to social media is more common than people think, and surprisingly, more acceptable by society. Living in the age of information and technology is bound to develop such addiction since being socially and intellectually stimulated is a natural preference of people. What needs to be developed to a greater degree is the awareness and self-control necessary in balancing time and effort to enjoy social media as well as live more fulfilled lives in the â€Å"real world† with one’s family and friends.

Wednesday, August 28, 2019

Cancer and what if cancer is cured Term Paper Example | Topics and Well Written Essays - 2250 words

Cancer and what if cancer is cured - Term Paper Example The uncontrollable growth of cells results in formation of malignant tumors. The cells divide and grow fast to invade surrounding body parts as the growth enlarges and expands. Some cancerous growths spread to other very distant places on the body through the blood stream or the lymphatic system. It is worth noting that not all tumors and growths on the body are cancerous. Benign tumors for instance do not spread all over the body or invade body tissues near them. As of today, there are about 200 known types of cancerous infections that inflict human beings. The cancerous growths are often very harmful to and affect the normal functioning of the human body. After a cancer infection, one’s body loses control over the growth of the cells which begin to divide and split and enlarge. Healthy and normal body cells often split and divide from time to time as they create other healthy cells in the body. This process however has been used to facilitate the growth and spread of cancero us cells once one becomes infected. The cancerous cells divide and recreate themselves as they make other copies of themselves leading to more cancerous cells. The process goes on as the tumors enlarge and expand to the nearby parts. These cancerous growths usually make the victim uncomfortable and in some cancers, it is usually very painful. Metastasis is a process that enables cancerous cells to spread to other body tissues. Metastasis involves cancerous cells moving through the blood stream of the lymphatic system. This process of spreading cancer cells to other body parts is often referred to as metastasizing. In developed countries, cancer has been recognized as the biggest cause of death. In some cases it has been compared to HIV/AIDS in developing countries especially in the early 90’s. It has become one of the most researched diseases in the world today with most studies focusing on prevention and cure, as well as early detection among other aspects of the dreaded dis ease. Cancer can affect anyone irrespective of their age. A majority of the cancer infections however mostly affect people as they tend to grow older (Kinzler & Vogelstein, 2002). The reason for this is that as an individual grows older, their DNA gets old too. This results in the DNA being damaged, or any other damage that may have happened before may get worsen the situation as one grows older. There are also other types of cancer that are more common among young people than the old. Testicular cancer, also known as cancer of the testicles, for instance is more common among young males than among older men. Cancer is caused by a wide range of complex and diverse issues, most of them have only been understood partially with studies going on to determine the specific causes. The few universally acknowledged causal agents of cancer include exposure to radiation, obesity, tobacco, environmental pollutions, other dietary factors and lack of adequate physical activity. All these factors damage body genes leading to development of cancerous cells. They can also combine with other factors in the body to damage genes and cause cancer to victims through mutations on various body parts that will spread to other parts throughout the development of the disease. About 5-10% of cancer infections occur as inherited genetic defects from cancerous infections that run down through

Tuesday, August 27, 2019

Unites States Current Account Deficit Essay Example | Topics and Well Written Essays - 3000 words

Unites States Current Account Deficit - Essay Example Other government funded interests such as education, military and infrastructure will suffer greatly as well. Why these statements are valid along with imparting a general overview of the national debt so as to illuminate the crisis is this paper’s purpose. If Congress does not control its overspending through measures such as passing a balanced budget amendment to the Constitution and adhering to it, the country’s economic future is in deep peril. The President submits a proposed budget to Congress in early February for the coming fiscal year that runs from October 1 to September 30 (Executive Office, 2002). The President’s budget request to Congress accomplishes two main objectives. First, it relays the President’s opinion of how much should be taken in via taxation and how much should be spent. Second, it prioritizes the President’s present and future federal funding desires. â€Å"The budget typically sketches out fiscal policy and budget priorities not only for the coming year but for the next five years or more† (Coven & Kogan, 2006). When Congress receives the President’s budget, it usually conducts hearings to discuss many of the requests before developing a budget resolution. This is the budgetary parameters that Congress will work within when making their determinations regarding taxes and spending. The budget resolution, drafted by both Senate and House Budget Committees includes b oth mandatory and discretionary spending goals (Executive Office, 2002). Following committee approval, the resolution is submitted for a vote and possible amendments by the entire membership of the Senate and House. Afterwards, a joint House-Senate committee is convened to resolve any disparities in the resolution of the two versions passed by each house of congress. The resulting joint report is sent back to

Monday, August 26, 2019

Terrorism and Domestic Preparedness Essay Example | Topics and Well Written Essays - 2000 words

Terrorism and Domestic Preparedness - Essay Example he bureaucratic structure of communication and management of security activities and details among the security agents in the federal, state and local jurisdictions. It is recommended that security policies which favor coordination and efficient communication among the security agencies are provided within the legal framework of the federation. This will ensure that standards are set for compliance of security agencies and provision of guidelines for effective communication and financial resources for training and security information technology. International terrorism is recognized as an ongoing and serious domestic and security threat. Basically, international threat is defined as terrorism that is practiced and sometimes planned in a foreign country by terrorists (individuals or groups) who are not native to that particular country. The definition mostly used by United States government is terrorism that involves the property or citizens of more one or more countries (Siniver, 2010). As noted for over the years, the threat of international terrorism is more serious in the United States of America than in any other country in the world. It is a widely agreed fact that the United States terrorism threat level has been substantial especially after the 9/11 attacks substantial, that is, there is a strong possibility of terrorist attacks. Siniver (2010) argues that international terrorism is considered a major United States’ domestic and foreign security threat because its target selection and timing by terrorists can significantly affect the interests of the United States in numerous areas such as trade, nuclear non- proliferation, Middle East peace process, and budgetary allocations among other economic, social, and political interests. It is against this background that the United States government through the Department of Homeland Security has made protection of the American people from terrorist threats as its highest priority. The department has put a

Sunday, August 25, 2019

Solar PV on a Lifeboat Essay Example | Topics and Well Written Essays - 1500 words

Solar PV on a Lifeboat - Essay Example On the other hand, there are alternate ways to power the life boat in case emergency. Solar energy and wind energy are always available during any condition and these two renewable resources can be used to power a life boat. Solar and wind energy are not only environment friendly but also cost little. Moreover, solar and wind energy are not going to end as it is most concerned factors with diesel. Solar and wind energy are efficient source of energy as there is no operational cost. Solar energy is good for the life boats as solar panels are light weight and available is different sizes and shapes. Flexible solar panels are best suited for the inflatable life boats. It is most efficient technology for the life bots and can be used in combination with other technologies. In combination with the diesel power engines, the system will immediately switch to solar panel supply unit. The designed solar panels will have higher efficiency, waterproof layer and can resist a higher pressure during launch of life boat. An alternate energy sources is solar thermal energy. With the help of this technology water the temperature of water can be increased. In general, evacuated tubes and flat plate solar heat collection panels are mounted on the rooftops or on open regions to collect the solar thermal energy. For the power generation sector, molten salt or some other such material are utilized to attain maximum energy output from evacuated tubes. Molten salt stores the excessive thermal energy during day and gives it for the power generation during night. In some colder regions, two systems are utilized; antifreeze rust proof liquid is pumped through the flat plate collects or tubular collector to make the system running at low temperatures. Solar geysers are also installed with the evacuated tube collector to collect the hot water during night. Solar thermal is an efficient process to increase the temperature of water. The system

Saturday, August 24, 2019

Inventions and Discoveries Term Paper Example | Topics and Well Written Essays - 1000 words

Inventions and Discoveries - Term Paper Example A brief description of each discovery will be included in this discussion as well as how each discovery has challenged traditions and changed society for the good. Telescope Telescope is a device used to form magnified images of distant objects. Telescope is undoubtedly the most important investigative tool in astronomy. Galileo was the first person who used the telescope to study extraterrestrial bodies (Encyclopedia Britannica, 2011). The exact history about the invention of telescope is still unknown and controversial. However, it is believed that the first practical telescope was invented in Netherlands in the 17 th century. Astronomy and astrophysics developed a lot after the discovery of telescope. Heliocentric Model The Heliocentric Model was originally discovered by Nicolas Copernicus in 1543. The model assumed the Sun lies at or near the central point while the Earth and other bodies revolve around it (Encyclopedia Britannica, 2010). Copernicus was able to prove that all the planets are revolving around the sun in fixed orbits. He assumed that in the solar system, sun remains as the nucleus and the planets are rotating around the sun. The centripetal force towards the nucleus exerted by the sun was keeping the planets in their orbits. This model was in opposition of Claudius Ptolemy’s Geocentric Model which asserted the Earth was the central point. Ptolemy’s Geocentric Model assumed that Earth was at the nucleus and all the other planets and sun were rotating around the earth. He assumed that we are seeing sun at the east in the morning and at the west in the evening because of the rotation of the sun around earth. With the development of the telescope, Galileo was able to question the above belief and confirmed that Copernicus’ Heliocentric Model was accurate. The discovery that the Earth was not the central point of the universe would prove to be epic and would go on enhance human understanding of nature. The model challenged the Protestant and Catholic positions as well as the geocentric view of the universe. The long-standing societal tradition was that the Holy Bible super ceded all in regard to human discovery. The discovery of the Heliocentric Model certainly challenged this tradition. After all, the word written by God himself was recorded in the Bible, how could God’s word be wrong? The question â€Å"is the Bible is wrong or not† is debatable. It is not necessarily that the Bible was wrong; it is certainly plausible that its contents may have been misinterpreted or taken out of context. Nevertheless, the discovery forced a resistant society to examine how the Bible was interpreted and it also challenged previous assumptions made about the universe up to that point. Earlier, people believed that earth is stationary whereas sun is rotating. However after the discovery of telescope, Galileo assumed that sun remains stationary whereas earth is rotating. In Bible, there is a contradictory s tatement against the above belief. The Israeli leader Joshua once asked the sun to remain stationary in order to defeat the Palestine in an ongoing war. Bible says that because of Joshua’s prayer, the sun remained stationary for 24 hours in order to help Joshua in defeating the Palestine. After Galileo discovered the telescope, the above words of Bible were

Friday, August 23, 2019

VOLUME AND REVENUE PROJECT Research Paper Example | Topics and Well Written Essays - 250 words

VOLUME AND REVENUE PROJECT - Research Paper Example The costs are divided into fixed and variable costs. The marginal costs or the contribution is calculated by subtracting the variable costs from total revenues per unit. Medical spending with regards to private insurance spending is expected to grow in the year 2014 by an estimated 9.4% (National Health Expenditure Projections 2010-2020). Spending by the government is also expected to grow in Medicare and Medicaid by 6.2 and 300 percent respectively (National Health Expenditure Projections 2010-2020). Based on this estimated for the hospital to be profitable it either has to increase the volume of patients and or increase the revenue received per procedure. conservative figure for the projected revenue of $ 15,694,583, this is by using increments in number of procedures and cost per procedure to reflect the change estimates. The total expenses are estimated to be at $ 3,134,381 Looking at the expenses it could be noted that the physician contract services had a variance of -27.8% which affected the general result of the hospital. Other areas that should be focused on are the salaries and telephone costs. The hospital could consider employing more staff for its operations. National Health Expenditure Projections 2010-2020. 20 October 2013

Thursday, August 22, 2019

Historical development of Continental Philosophy Essay

Historical development of Continental Philosophy - Essay Example This resulted in Hegel's theories, as well as the deeper focus on existentialism and phenomenology. Hegel's idealism, also known as Absolute Idealism, has severely affected society at large. The primary reason for this is because Hegel's work developed the framework for both Marxism and Darwin's Evolutionary Theory. Hegel's notions start with the idea that knowledge does not have the ability to explain itself; therefore human beings must trust their senses to understand knowledge. The mind also comes into play here, because the mind processes all senses, and thus becomes the primary focus of knowledge. Hegel believed that humans must contradict themselves in order to form a new way of thinking. To further explain this, Hegel burrowed the idea of the Absolute Ego from Fichte and renamed it the Absolute Spirit; to Hegel this meant that the earth cannot be measured based on personality. Hegel heavily believed in Pantheism and attributed this to the absolute spirit; basically, Hegel believed that God was in everything. This belief is a reflection of a Romantic view, and was a movement in the 19th century in direct result of the Industrial Revolution occurring in Europe. ... Many of these themes were introduced by Arthur Schopenhauer, Soren Kierkegaard, and Friedrich Nietzsche. Existentialism believed that philosophy focuses on the individual, and that individual's interactions with the world. For example, Nietzche, a Continental philosopher, did not agree with Hegel's concept of idealism. Nietzche firmly felt the world is controlled by will-to-power. Furthermore, Nietzche also disagreed with Hegel on the concept of absolute truth; Nietzche did not believe in an absolute truth, he felt that everything was open to one's own interpretation. This is far different from Hegel's notion that the individual must look inward, to the self. Another concept promoted by existentialism that conflicts with Hegel's notions is the existentialist idea that the world itself is an absurd place, and there is no description for why the world acts in this way. Furthermore, existentialists believe that this inability for humans to understand why the world is chaotic causes self doubt, and therefore individuals have to decide how to live and progress in this type of chaotic world. Hegel, being a pantheist, would have seen some order in the world, as reflected in the idea that God is in everything. He would not have agreed with the concepts of a chaotic world causing self doubt. Hegel did not accept the existentialist concept of the "thing-in-itself." He believed that reality was a reflection of thought and rational. Thus, reality was not a collection of separate specifics; instead, it functioned like an articulate system of thinking, like mathematics; forming one large whole which pieces are all connected. Where Hegel was abstract to a degree rarely found outside mathematics, Kierkgaard was concerned with how and what

High School and Republic High Books Essay Example for Free

High School and Republic High Books Essay Ms. P Andy Lau Argumentative Essay Censorship is the government is control the media, censorship can used to control or protect people. Some groups feel that books with objectionable material should be censored for many different reasons,such as sexual content,against a religion ,bad language,racism violence. I believe that books shouldn’t be censored because we have the right to read it,and it depends on your own personality. Therefore I intend to prove that the banning of books in schools is completely unjustified. In Fahrenheit 451,There is a old women in the story,she is willing to die to not leave her books. It shows that books are so important to us, and our society that she was willing to die rather than give them up,also the character Guy Montag is curious to read those books,she quitted his job for those books. In the article â€Å"You have insulted me â€Å" by kurt Vonnegut. He is angry because his books got burned by the school board. †That’s because people speak coarsely in real life†this shows people speak bad word in real life,so why can’t books have bad words. Both the article supports my opinion that book shouldn’t be banged from high school. †Two books pulled form Republic school library shelves†this article is two of the three Republic High books singled out in a public complaint last year will now removed from the school curriculum and library. Those three books are â€Å"Speak†by Laurie Halse Anderson. Kurt Vonnegut’s†Slaughterhouse Five†and Sarh Ockler’s â€Å"Twenty Boy Summer†. And they didn’t banned â€Å"Speak†because it didn’t describe sex so much,and it has a good message. Also they just banned those books in classroom,students can still read it in library and independence reading . The second article is talking about parents and school districts have debated what books are appropriate for a school library collection and what books should be banned. ACLU didn’t ban books because they say its against the First Amendment . also they said†You clearly can’t remove a book because you disagree with the ideas in them†,this shows books shouldn’t get banned . We have to see different face of books ,bad way and good way. I believe that books should not be censored because books can send us good messages and our imaginary . It also depends on your own personality,if we have a evil mind ,we could only see the evil thing in the books,if we are normal human,we suppose to able to learn something form books,so I am sure that banning of books in schools is completely unjustified.

Wednesday, August 21, 2019

Cooper Green Hospital Care Plan

Cooper Green Hospital Care Plan The case, Cooper Green Hospital and its Community Care Plan is a very interesting case, which tries to outline the problems that plagued the hospitals growth and the attempts made by the top management of the hospital to enhance its reach to maximum number of poor and undeserved citizens who were in dire need of medical treatment. This mission of CGH made it stand in front of constant scrutiny from country commission. Media and the community challenges about the quality of care provided by CGH limited its ability to attract patients with private insurance. For the first 2 decades the hospital face increasing budget pressures, cost overruns were a common phenomenon. The hospital was understaffed, under stocked and overflow with patients. Some of the major problems faced by the hospital were balancing cost with maximum access to care, managing employee within budget, performance and demand and simplifying procedures and aligning them with policies. The two plans are named as Health first, a traditional fee for service plan and the community care plan , a prepaid membership plan based on family size and income, which would give opportunity to the people to receive quality medical care for at affordable price and with less waiting time. In a scenario where there are constant changes in the US health care system, where managed care was altering how providers interacted with patients funding for care was restricted and many health care systems were using non-physician providers to cut cost, CGH had an opportunity and challenge to attract uninsured patients and outperform its competitors. In the light of all these issues, the question that posed in front of the top management was, is to move ahead with the expansion plans or hold and improve operational efficiency or give up altogether. Key Issues The hospital was understaffed, under stocked and was overflowing with patients. The major problems that plagued the companys growth were as providing affordable good quality medical services to the indigent population of deficient country, streamlining procedures with polices, managing employees and gauging their performances, declining revenue, decreasing enrollments and under utilization, no upgrading enhancement of technologies, indifferent behavior of some employees towards the patients, inability of the infrastructure to cater to the increasing demands of the out patients section, resulting in long waiting hours and frustrated patients. Situation analysis The top management needs to make some critical calls on some top level strategic issues. If these problems are not taken care of then the following could be the repercussion: Negative revenue Dissatisfied patients Thrown away by competition Loss of goodwill and mistrust among people Inability to achieve the mission providing good quality service at affordable price and enhancing access to care. Complete shutdown of the hospital Directional strategies The directional strategies are undertaken by the hospital to improve its position and enhance its reach and ability to serve maximum number of patients starts with the defining of its mission statement vision and goals. Mission statement CGH is committed to serve the residents of Jefferson country with high quality health care regardless of ability to pay (Copper green mercy,). The hospital strike to attract and maintain a dedicated and compassionated staff of professionals who believe in serving the society and seek to continuously improve the services and adapt to need the changing health needs of the communities. (Cooper green mercy,). Vision Statements CGH is the leader to an evitable and just health care system through excellence, quality, compaction and trust. (Copper green mercy,). Value Statements Some of the key value statements for the company are commitment to health and well being of those being served expectation, to achieve the highest level of excellence, understanding the vital importance of advocacy for those being served, imbibing creativity and innovation, recognizing the importance of working with the patients and the community and dedication towards providing high level education to health professionals. Legislative-Political Changes The Medicare program was established in 1965 to insure medical coverage for the aged and disabled. It then expanded to in compass other people entitle to social security or rail road retirement benefits and also people with end stage renal disease. Another provision allowed non covered aged individuals to also benefit from the plan. There are 2 separate programs for Medicare i.e. Part-A :- Hospital insurance (free of charge) Part-B :- supplemental medical insurance (against monthly fee) In 1997 Medicare as a whole covered 38 millions people utilization of Part-A and B was 87% of enrollees. (DeButts, 2010). Title XIX of the social security act of 1965 gave rise to Medicaid as part of the federal state welfare structure to aid Americas poor population. It allowed federal funding for state run programs. In order to provide basic health service including hospitals in patients and out patients service laboratory and X-ray services and physician services. In 1998 Alabama Medicaid program provided benefits to variety of population but the majority were for indigent women and children and elderly persons in nursing home. In 1998 15.3% of Alabamas population was eligible for Medicaid program. The balance budget act of 1997 brought a significant change for the Alabama hospital in the light of ALLKIDS programs. Economic changes Health care cost rose at twice the inflation rate from the mid 1980s to mid 1990s creating a 1 trillion dollars industry that accounted for 14% of the US GDP. By the end of century the health care industry had grown to more than 1.5 trillion dollar or 18% of GDP. In 1995 nearly 3 quarters of American workers were insured by HMO, PPO and POS plans up from only 27% in 1987. (The Economy in,). Social-Demographic changes By the 1990s Jefferson Country has become a diversified economy with industries spanning across various industries like Biotechnology, healthcare, engineering and financial sector. As of 1998, the Birmingham metropolitan statistical areas population was approximately 875,000.Jefferson Country population was approximately 652,000. According to a 1993 survey it was found out that 1/3rd of Jefferson country resident were uninsured. 12 acute care hospitals were located in Birmingham. In 1998 8 out of 12 hospitals reported experienced decline in admission, in patient capacity in the area exceeded demand in order to reposition themselves. (Johnson, 2006). To respond to this and other changes in health care environment many hospitals went in for strategic alliance like the Brook wood Medical Centre, Medical centre East and Lloyd Noland Hospital. The other hospitals spread across the diverse geography of Jefferson are as follows: Princeton Baptist Medical centre. Montclair Baptist Centre Brook wood Medical Centre Cooper Green Hospital Health South Medical Centre Saint Vincents Hospital etc. Technological changes In the 1990s there was an increasing emphasis on outpatient care driven by the need to reduce cost and improve technology that would enable more types of care to be delivered on the outpatient basis. The lack of capital resources with CGH to invest in technology enhancement, new medical renovation led to longer waiting time, patient frustration and declining enrollments. The shortage of examination rooms, clerks, nurses, waiting room space further worsened the patients experience. Sometimes the reason for this frustrated experience was the discourteous and uncompassionate behavior of some of the staffs with the patients. There were some staffs that were very dedicated and loyal and compassionate but some were not interested in their jobs and used to perform below the expected levels and show negative attitude to the patients. The administration made several attempts to improve the employee morale but it was of little use as there remained a core of negative people who demoralized other staff members and angered patients. Competitive Changes In order to provide good quality health care at affordable and fair prices to the poor and needy patients, the hospitals both Non Profit making and profit making should go in for a strong alliance and should complement each others competitive strengths and ensure to pass on the benefits of reduced cost, higher advanced technological developments, better quality health care to the indigent population. (DeButts, 2010) Internal Environment SWOT Strengths: Pool of talented and compassionate staff members who choose to work at Jefferson health systems and believed in its mission and enjoyed serving those in need. Turnover of the staff was pretty low High overall patients satisfaction which averaged about 90%. Patients recorded the most satisfaction with issues related to the health care providers. Many patients expressed their gratitude for the care they received. They often remarked as saying they would have no way of obtaining health care without JHS and God bless CHS. CGS was considered one of the safety net providers across the US because of its mission to provide medical care to the poor. Weakness: Declining revenue of the Hospital Majority of capital was funded and only 6% was operating revenue. With this low operating revenue, operations may become unsustainable in future Hospital was not able to attract patients who are not insured Resources are not adequately utilized Inadequate infrastructure to take care of the growing demand in out patients section. Opportunities: Managed care was dominated form of insurance in US and enrollment was expected to increase Change in the US health care system. Managed care was altering how health care providers interacted with patients, funding for care was being restricted and many health care system were using non physician providers to cut cost. This threw plethora of opportunities in front of CGS. Threats: Vandalism and violence Stiff competition in the health care segment Technological advancements along with insufficient capital Inability to cope up with competition in the light of technological advancements which made diagnosis of multiple problems possible and insufficient capital. Comparative strategies According to a 1993 survey conducted by CGH centre for community care more than 1/3rd of the resident of Jefferson country was uninsured. Many poor people were delayed getting necessary medical care because they had no health insurance. Some 48 thousand residents have been denied care because they lacked health insurances. On average health care was listed as the 6th most important issue. This unexploited segment of uninsured population gave an opportunity to CGH to cater to the demands of segment that top management was able to identify this niche market. In order to serve this niche market CGH and Jefferson country development of health (JCDH) established a working alliance in order to improve continuity of care for the indigent population. JCDH physician staff privileges at CGH. They also explored the idea of more comprehensive alliance but no plans could materialize before 1999. JCDH operated an extensive health care network to service approx 80 thousand people every year. Health care services were available to people at the cost of service based on their ability to pay. Seminars were also sponsored by the health centres on disease eradication and health promotion topics. Recommendations The following actions could be taken in order to resolve the problem faced by the hospital: Developing the infrastructure facility so as to meet the growing demands of the out patients segment, as the hospital was designed to take care of the in patient. Establishing strategic alliances with some of the top profit making hospital. Giving better training and education to the staff so that they can be adequately utilized Offer better discounted bundle price/package to the patients so as to attract the insured patients as well. This will help increase the number of enrollments and increase the patient base. Increasing operational efficiency and reducing waiting time in the clinic. Reducing the dependency on funding and establish more ways to generate operational revenue Investing in technological advancements and providing high quality modern medical facilities to the patients Implementation strategies In order to implement the recommendation the following strategies should be adopted Establish more number of CCP clinics which would take care of in patients demand and reduce the waiting time CGH can go in for a comprehensive alliance with top performing hospitals just like Brook wood Medical Centre, Medical Centre East and Lloyd Noland Hospital formed an alliance in 1995. Aligning with the apex health care institutes to provide high quality training to the staff Involving more non physician providers like registered nurse and practicing physician under the supervision of medical experts. Motivating the staff to work efficiently by addressing their monetary as well as personal requirements Increasing the synchronization among the various departments so as to reduce the waiting time. Giving better offers for both Health First and Community Care Plan to the existing uninsured patients as well as the new insured patients. This will enhance the revenue base and decrease the dependency on funding Attracting investors by means of more aggressive marketing initiatives in order to enhance the popularity of the CCP concept. Marketing Strategies In order to make the CCP success some marketing initiatives were undertaken which did not turn out to be successful A health fare was scheduled at the site of the first CCP clinic before its establishment but because of construction delay the clinic couldnt be operational several months after the fare thereby nullifying the impact of the promotional efforts. The primary approaches to marketing during the first two years were appearances by the top management and staff members at community organization, church groups, schools along with promotional materials placed within the hospital. The intention of all these marketing activities was to educate staff neighboring communities, social services, uninsured people, small businesses and other hospitals in the area regarding CCP and how to access the service. Word of mouth had proven to be the promising and reliable avenue of retaining patients. Due to limited administrated staff no one person was responsible for coordinating the marketing efforts. Before the commencement of the first clinic focus group were used to assess the membership plan but there were no service to assess the patient awareness attitude or understanding about CGH or CCP. Benchmarks for Success In order to ensure the success of the CGH in achieving its goal of providing quality treatment at affordable fees and increase access to care, following strategies/ actions should be adopted / executed: Increasing the revenue base by attracting more patients both insured and uninsured Taking advantage of the niche market of uninsured population Offering better compensation services so that the patients feel that they are getting more for less Educate staff members and train them properly so that the patients waiting time is reduced and patient experience enhanced Go in for strategic alliances with good profit making hospitals to get access to capital and make necessary investments in technology.

Tuesday, August 20, 2019

Skin to Skin Contact in Nursing

Skin to Skin Contact in Nursing Introduction Nowadays, separation of mothers from their newborn babies at delivery has become a usual practice despite the escalating evidence that this may have negative effects on the newborn. A growing volume of research supports skin to skin contact between the mother and the newborn in the immediate post-delivery period. Skin to skin contact is defined as placing the naked newborn baby, prone covered across the back with a warm blanket, on the mothers bare chest instantaneously following birth. A substantial number of studies showed that early skin to skin contact between the mother and the newborn is beneficial to the newborn. Some of the benefits of skin to skin contact include stabilization of the newborns body temperature through thermoregulation, regulation of heart rate and regulation of respiratory rate (Wallace Marshal, 2001). Additionally, early skin to skin contact facilitates the initiation of breastfeeding, helps neonatal thermoregulation and promotes maternal-infant bonding (Dabrowski, 2007; Wallace Marshal, 2001). Skin to skin contact may also ensure colonization of the baby with the mothers own skin flora, for which the child will have some resistance (Wallace Marshal, 2001). Despite its aforementioned benefits and despite the UNICEFs Baby Friendly best practice campaign which calls for early skin to skin contact, this practice is still not being implemented in the labor room in Bahrain. This can be due to lack of labor room nurses knowledge about the benefits of skin to skin contact. Therefore, the purpose of this study is to assess the current knowledge level of labor room nurses about skin to skin contact. The problem statement is: what is the perception of labor room nurses towards skin to skin contact between mother and the newborn? The research questions are (1) what do labor room nurses know about skin to skin contact?, (2) what are the factors labor room nurses identify as barriers to implementation of skin to skin contact, (3) what are the factors labor room nurses identify as facilitators to implementation of skin to skin contact? Identifying knowledge level of labor room nurses will help in designing and implementing in-service education programs to educate nurses about the importance of skin to skin contact. Additionally, identifying the barriers and facilitators of skin to skin contact will help in designing interventions to decrease the barriers and increase the factors that will facilitate skin to skin contact. Increasing knowledge level of labor room nurses, decreasing the barriers and increasing the factors that facilitate skin to skin contact will help in increased implementation of skin to skin contact in the labor rooms in Bahrain. Conceptual definition: 1. Skin to skin contact: Placing the naked newborn on the mothers bare chest immediately after birth. 2. Knowledge: Information about skin to skin contact 3. Barriers: Factors that decrease the likelihood of implementing skin to skin contact 4. Facilitators: Factors that encourage the implementation of skin to skin contact Operational definition: 1. Skin to skin contact: placing the naked newborn baby, on his/her stomach covered across the back with a warm blanket, on the mothers bare chest for at least 15 minutes starting immediately after birth. 2. Knowledge: the amount of information labor room nurses have about how to implement skin to skin contact and the benefits of skin to skin contact. 3. Barriers: the factors that prevent labor room nurses from implementing skin to skin contact. 4. Facilitators: the factors that help labor room nurses to implement skin to skin contact. One limitation of this study was the difficulties we encountered in trying to meet with the key stakeholders. Their busy schedules prevented them from devoting enough time to understanding our study. Another limitation was the fact that our group could not meet as frequently as we would have liked. Carrying out as group had several limitations due to other commitments it was difficult to meet frequently.

Monday, August 19, 2019

Bright Star Essay -- Literary Analysis, Eliza Heywood

Eliza Haywood is a visionary. In her set of love letters, Love Letters on All Occasions, Haywood distinctly uses select words, such as metaphors, to subconsciously drive home the message to the reader. Whether it be re-enforcing the relationship between the two writers, or rather undercutting it, the reader understands their relationship more fully thanks to Haywood’s choice words. In Haywood’s collection Love Letters on All Occasions from her novel Fantomina and Other Works, two letters in particular, â€Å"Letter XXV† and â€Å"Letter XXVII†, Haywood’s use of metaphors and select word choices help to reinforce the sentiment between the writers to the reader. In â€Å"Letter XXV,† Haywood writes a letter from Theano to Elismonda. Reading the letter, the reader can clearly tell that Theano is madly in love with Elismonda. The fact that Haywood ends the letter with Theano writing, â€Å"My most loved, most Ador’d Elisamonda’s Constantly Zealous Votary, Theano† (Haywood 196) might as well be the final decal in the room Theano has built for Elismonda in his heart. Haywood’s use of the phrase â€Å"zealous votary† is one of the occasions where she re-enforces Theano’s love for Elismonda. Apart, the words â€Å"zealous† and â€Å"votary† don’t mean much. The Oxford English Dictionary defines zealous as â€Å"having or showing zeal,† (Oxford 1) which is â€Å"great energy or enthusiasm in pursuit of a cause or an objective† (1). Votary is defined as â€Å"a person, such as a monk or nun, who has made vows of dedication to religious service† (1). Haywoodâ €™s combination of the two terms is a metaphor for Theano’s devotion to Elismonda. He is constantly showing great enthusiasm in pursuit of Elismonda, who he views almost as a religion. He is a â€Å"votary,† but not as a monk or nun making ... ... her and knows he would never cross her. Haywood’s response letter written from Elismonda to Theano uses select language and references to his letters to re-enforce the readers apprehension of the complete and utter love these two writers feel for each other. Haywood uses metaphors and select word choices to help reinforce the sentiment between the writers to the reader in two letters, â€Å"Letter XXV† and â€Å"Letter XXVII† in her collection Love Stories on All Occasions from her novel Fantomina and Other Works. Unlike many works from this time frame, both Theano and Elismonda are madly in love with each other and desire each other greatly. This is a rare case of a happy couple in the age of Seduction Fiction, where most tales often ended in tragedy. Haywood’s account of Theano and Elismonda could be considered one of the bright stars in an otherwise cloudy night sky.

Sunday, August 18, 2019

Essay --

Final Report Chanel Lawrence CMN 279-201 Dianne Nubla November 2013 OPEN OPTIONS Date: November 14, 2013 To: Mr. Jason John, Client From: Chanel Lawrence, Career Councilor Subject: Career Counseling At your request I have examined the two career choices; Event Coordination and Veterinary Sciences. This report presents data documenting the job description, the salary, working conditions and educational requirements of both career paths. Event Coordinator As an event coordinator you are directly responsible for the conception, production and execution of events. Events include: †¢ Corporate, †¢ Promotions and product launches †¢ Charity or social events †¢ Festivals †¢ Seminars †¢ Conventions †¢ Meetings As an event coordinator you have the opportunity to work freelance or can be employed by tourism associations, convention and conference centers, governments and by conference and event planning companies. (Common menu bar links, n.d) The job is very hands on and will involve teamwork. It is a high-pressure job as it requires close attention to detail and coordinators must have the following skills: †¢ Good and clear communication †¢ The ability to complete wide range activities †¢ Excellent organizational skills †¢ Good time management †¢ Problem Solving and Decision making Due to the fact that different events will vary, the role of event coordinator will depend on the organization and type of event involved. Typical tasks include: †¢ Liaising with clients to ensure their precise event requirements †¢ Creating detailed proposals for events such as timelines, venues, suppliers, legal obligations, staffing and the event budget †¢ Managing a budget, securing and booking a suitable venue or ... ... organiser: Salary and conditions, N.d) My recommendation In conclusion, as your Career Councilor I believe that a career path in Veterinary Science is more beneficial to you as you can receive up to $48,46/hour whereas in Events you are only able to make $24.95/hour. As a Veterinarian you would make up to twice as much in salary and you have the opportunity to save the lives of animals. When it comes to educational requirements the Veterinary Science process is far more specific compared to the vague and varied courses that you could take regarding events. This would entail that you are able to gain more knowledge during your undergraduate study and therefore it would be more satisfying in personal gain. Based solely on the educational benefits, salary difference and personal self-fulfillment I believe that Veterinary Sciences is a career you should pursue.

Saturday, August 17, 2019

Knights Tale Essay

Anthony Slaughter 10/27/11 The Knight’s Tale Essay In the beginning of the movie Will is just a peasant, squire but by the end of the movie, upon finding his newfound talent of jousting, he transformed is his social status from peasant to royalty by becoming a knight. In the beginning of the movie, The Knight’s Tale, William Thatcher and his two friends, Wat and Roland, start off as three ordinary squires. Right before a jousting match their knight that they serve dies; with their knight dead there is no one else of royalty to ride in his place. However, with the threat of forfeiting approaching, William decides to ride in his knight’s place, risking being caught and put to prison or worse. Once Will was done getting ready for the joust, it was time to see what he could do and to the surprise of Will, Wat, and Roland he had won the joust. After winning, they received prize money in which they divided up among themselves. Wat and Roland wanted take their share of money and go to the bar, but Will had other plans. Will convinced them to put all their money together and train him to become a better jouster. Wat and Roland agreed and they began to train Will; after a while of training and practicing Will got it down, yet the one thing he didn’t have was documentation that he was born of royalty, which was the only qualification of becoming a knight. Luckily, one day while traveling they came across a man named Geoffrey Chaucer, he was a writer/scribe who had a gambling problem and because of his problem he had lost his cloths and was completely naked on the road. Chaucer promised to create documentation for Will, if Will clothed, fed, shoed, and let him travel with them. Will agreed and all four of them were off to their first jousting tournament. At Wills first tournament, he competed in joust and in sword fighting. Also at this tournament he saw a beautiful woman who peeked his interest, her name was Joseline. Will jousted first and did very well until he faced the cocky and undefeated, Count Adhemar who had mocked him and made him look like a fool in front of Joseline. Will competed in swords next, winning first prize in the competition, but Will was not happy because all he wanted to do was beat Adhemar in jousting, which meant Will had to invest all his time into jousting to have a chance to meet Adhemar in the jousting championships. With his goal in sight, Will began winning all the tournaments he competed in, making his name known throughout Europe. His new armor forged and crafted by the women blacksmith, Kate, who now traveled with them, helped him win his tournaments because of its lightness and strength. Joseline also noticed Will, not because of the fame he had earned but because of her unannounced love for him and invited him to a dance after one of his wins, and their love for each other grew from there. Because of Will’s success he was able to move on to the championships, which took place in his hometown. While in his hometown, Will searched and located his father, John Thatcher who he had not seen in 12 years. Unfortunately, Adhemar watched Will try to sneak out. That next day, before the joust with his adversary, Adhemar, Will was arrested for using fake documentation that said that he was born of royal blood. However, Prince Edward, who had great respect for Will because Will didn’t forfeit the jousting match to him just because he was the Prince, was in the crowd with his personal bodyguard. Prince Edward said that Will was a descendant of ancient royalty, freeing Will. The Prince then knighted Will, enabling him to compete in his jousting championship match between Adhemar. When the match started, Will jumped to a quick lead, Adhemar didn’t like that so he decided to use a lance with a solid, metal tip to intentionally hurt Will†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Characterization is the process by which the writer reveals the personality of a character. There are two ways the author can reveal characterization, direct characterization and indirect characterization. Direct Characterization tells the audience what the personality of the character is. Indirect Characterization shows things that reveal the personality of a character. In the movie the author uses indirect characterization by describing Will’s personality through his actions and choices he makes throughout the movie. One example is at the end, when Will still goes out to joust Adhemar, instead of trying to run away, even though he knows he will most likely get arrested. Will’s act in this situation showed his heart, determination, and relentlessness to complete his goal of defeating Adhemar. Will’s personality led him to follow morals such as bravery, determination, respect, and chivalry. Through these morals Will learned some lessons. Will learned the chivalry of a knight, when jousting Prince Edward, he learned respect when he fell in love with Joseline. Through these lessons he became a noble and honorable man, far different than the peasant life he once lived.

Friday, August 16, 2019

Big Bad Burger

The Brain Behind the Big, Bad Burger Section 1: Analysis Most Americans will consume any food regardless of the calories, nutritional value and health related consequences. The Brain behind the Big, Bad Burger article mentions the importance of using a Business Intelligence System (BIS) which â€Å"provides them with insights, not just mountains of data† (Levison, 2005). Business Intelligence gets its strength from being able to pull data from disparate sources store it for use in a loosely coupled way, and then pull it out in an accurate and meaningful way.Organizations can pull data from customer surveys and sales reports; however, this information is useless without a framework. Jeff Chasney, CKE’S CIO clarified this point further by stating â€Å"There's nothing worse, in my opinion, than a business intelligence system that reports changes on a weekly basis, he says, because those systems don't provide any context as to what factors are influencing those changes.Wi thout that context, you don't know whether the data is good or bad; it's just useless† (Levison, 2005). BIS gathers information from various data points in the company to create multifaceted contextual statistics for better decision making. For example, BIS helped CKE determine if the Thickburger was actually contributing to increases in sales at restaurants or if it was just cannibalizing sales of other, lesser burgers. CKE Thickburger in fact did increase their sales â€Å"it was selling like gangbusters†.The success was measured through a variety of data points including cost of production, average unit volume compared with other burgers, total sales for each of the test stores, and the contribution of that menu item to total sales (Levinson, 2005). The Monster Thickburger exceeded expectations in test market, and this is why CKE decided to roll it out nationwide. Section 2: Summary of Discussion Questions 1. BIS add values to CKP by focusing on the company's most im portant performance indicators which included sales and cost of sale, historical and forward-looking business trends.BIS uses econometric models to provide context which explains performance. By having this information the company is more agile and responsive to improve making decisions and finding problems areas to correct and take new directions in the rapidly changing fast-food industry environments. 2. Some tips for using BIS is for strategic decisions such as what new products to add to menus, which dishes to remove and which underperforming stores should be closed. BIS can be used for tactical matters like renegotiating contracts with food suppliers and identifying opportunities to improve inefficient processes.BIS can also help improve the infrastructure of the supply chain. BIS is an analytical tool that helps executives make better decisions. It is important that we pay attention to data quality and integrity to make sure that we are not basing our judgment on erroneous dat a. I will also suggest devising key performance metrics (KPI’s) that are most relevant to the business to examine the deviations that are causing losses to the operations and locate opportunities areas to grow and take advantage of. One last tip which is very important is to take into account users’ feelings, and address their concerns up front.The success of the BI systems is user acceptance and without user acceptance, companies will waste time and money establishing a Business Intelligence System. 3. The Monster Thickburger was a good idea because it increased sales at restaurants and it narrowed its overall losses and even turned a profit in 2003. As long as you have an idea of what information you are looking for a system can be implemented in order to find that information and make sense of it. References Levinson, Meredith. (2005). The Brain Behind the Big, Bad Burger and Other Tales of Business Intelligence. CIO Magazine.

Pathological gambling intervention Essay

When looking at pathological gambling we ask ourselves how someone gets to the point of addiction. In that regard there are both internal and external factors, beahior and environment related aspects leading to someone’s impulsive urge to gamble. Speaking of which, impulsivity can be a direct factor of a pathological gambler, Impulsive people are naturally more prone to gambling problems because of their nature and personality. That is not to say that all impulsive people will develop gambling habits or problems but they could if the right factors were in play at the right times. Inability to control impulses and also inability to delay gratification are two major impulsivity-related symptoms of pathological gamblers (McCormick & Taber, 1988). Other behavior factors include, coping strategies, high stress levels, family history, gender as males tend to be more prone to this affliction and â€Å"Pathological gamblers have been known to also exhibit antisocial behavior which is related to the impulse control disorder causing antisocial behavior such as exhibited in antisocial personality disorder† (Slutske et al. , 2001). The environment one grows up in Also plays a valuable role in understanding gambling. It’s a common misconception that pathological gamblers are only those that are near major casinos. That can be a tendency but in todays society technology has opened the door to universal in gambling before impossible. With computers and the internet people are now able to gamble straight from their homes on sports, online poker, etc. This boom in technology has allowed more people, from more places and economic statuses and younger ages be able to easily get involved in gambling. Our group even met a professional gambler who would have all of his bets placed on his computer before noon and then do nothing the rest of the day. Technology has extended the reach of gambling to social circles that before may have not been affected. Predisposing, Reinforcing, Enabling Factors Predisposing factors are what set someone up with the highest chances of being a pathological gambler. An addictive personality makes anyone more susceptible as well as having addictions or just gambling itself run in the family. A persons level of impulsivity is also a huge factor, an impulsive person is more likely to give into reckless decisions and follow the activities that give a rush sensation. Impulsive people have problems with delaying gratification making addictive and compulsive tendencies stand out. †Pathological gambling is a problem of impulse control. The more accessible gambling is, the harder it is to maintain the control. †(3) Predisposing factors can also be socioeconomic status, does one have the funds to feed the addiction, or did one one grow up in rough situations and use gambling as a crutch or coping strategy, the factors are vast and varying. Environment as brought up by the last quotation can also be a predisposing factor. Does one have access and how easily plays into an addiction. The closer one is to gambling the more likely they will partake. That used to entail how close someone was to casinos or legal areas of gambling and in many cases still does as more areas are becoming gambling friendly and more funerals pop up in for example, Oklahoma, Louisiana and Missouri, However with technology and the internet, access has become easier for all regardless, of location, sex, race, or economic status. With gambling there are different stages, stages that can reinforce the behavior because despite popular belief many gamblers are reinforced even when they don’t win. â€Å"WINNING PHASE Here the gambler is winning more than losing, has achieved a minimum of one big win. This early big win, bolsters the confidence of the gambler, causing ego to inflate, superior thinking and feeling over other participants. The gambler in this phase begins to spend more time gambling, is gambling for and with larger amounts of money. Winning streak begins to wane, losses start. LOSING PHASE In the losing phase, the gambler begins betting even larger amounts. The gambler accepts the fact that these losses are part of the game. The gambler bets on the long shots, knowing chances are not good for winning, however will pay big if win occurs. The gambler is now losing more than winning. In an attempt to gain back the money lost, the gambler spends more time gambling. Gambler must frequently lie to family, friends, employer, even casinos to convince them that the gambler is still a happy person and all around good person. Deep financial troubles begin. Using lying techniques, the gambler is able to convince employer, family, etc. , of some type of cataclysmic disaster, which requires a borrowing of large amounts of money. Soon the gambler is using this bailout to gamble more. The gambler life has now become unmanageable, family life is increasingly difficult, with deterioration occurring. DESPERATION PHASE During this phase, the majority of the gambler’s time is preoccupied with gambling on all levels. The gambler has no control over the gambling, to alleviate the inner pain, the gambler gambles, knowing the odds of wining are gone, and it does not matter. Lying is out of control. The gambler has one focus and one goal†¦get money in which to gamble with regardless of costs. Family life has deteriorated to the point of non-existence. Illegal activity is now a norm. †(paraphrased from Journal of Addictive Disorders) These phases help explain the reinforcement of pathological gambling along with more well known factor such as the adrenaline rush, the gamblers fallacy, instant gratification and payout. Enabling factors help keep a pathological gambler stuck in their ways and should be avoided as much as possible. Enabling factors can include dwelling on regrets, the focus of could’ve beens. (Pathological Gambling Resources) Looking for quick fixes for gambling addiction can also end up making the problem worse, pathological gambling is an illness that needs in depth treatment and support to be overcome, not a quickfix as those never entail the lifestyle change necessary to change an addicts life. Excluding those afflicted from normal activities or interactions as punishment or a means to help is also a counter intuitive strategy, Addicts need love and support and pushing them away may only compound upon the problem. Furthermore â€Å"Enabling is when you do anything that helps the gambler to continue with his addiction. For example, if you pay his bills for him, lend or give him money, you become an enabler. If you lie to help him cover his lies, you are an enabler. Or if you offer ultimatums in order to control his behavior, you are an enabler. Even if you in any way, directly or indirectly, make it easier for him to continue with his compulsive gambling, you are an enabler. †(Nguyen) Just like an accomplice is guilty in a murder an enabler is guilty through association. Although these may relieve the problem temporarily in some situations, it is always adding to the problem and hurting the addict. Goals And Objectives Our goals are a little more long-term related and the objectives are more specific short term goals. We are focusing more on educational endeavors for the families and friends of the afflicted as this builds the supportive environment necessary to truly help pathological gamblers. Our goals will focus on creating an increase in awareness in the Austin area of pathological gambling, it’s causes and effects, on individuals as well as the community as a whole. We want to create larger supportive environment in the community through the families and friends of the afflicted primarily through educational and awareness increase regimes. As well as provide increase in overall education on the matter for the community, even those not directly affected. As previously mnetioned these goals are broad and wide reaching. Our objectives however are more specific. We want to introduce educational, communication and family based interventions for the increase in awareness of pathological gambling. We will also work with the community and families to ensure interventions are done correctly and effectively fulfilling the needs of the afflicted and their loved ones. Finally but not least in importance we want to gain access to funding and support that will help establish effective educational based, wide reaching and successful intervention programs and learning processes.

Thursday, August 15, 2019

Evaluating Poetry Essay

The poem â€Å"Gods Will for You and Me† is the good poem and â€Å"Pied Beauty† is the bad poem according to Perrine standards.  The central purpose of both these poems is to encourage the readers’ individual feelings about God. The poem â€Å"Pied Beauty† is extremely didactic. The writer of this poem is preaching God on the reader. They are trying to get the reader to see all of the things that God has created on the earth and how amazing each one is. The whole poem seems to be a continuous praise on God. The poem even ends with a very clear cut statement, â€Å"Praise him.† This may leave a reader feeling uncomfortable or uneasy. Some of the phrases used in â€Å"Pied Beauty† do not seem to be the best choices for the writing. The phrase â€Å"brinded cow† does not sound as nice as other phrases and does not make me want to love the cow like the writer is suggesting. The phrase â€Å"with swift, slow; sweet, sour; adazzle, dim;† breaks the flow of the poem and could have been left out or worded in a different way. The poem â€Å"Gods Will for You and Me† is getting the point across to be â€Å"loyal to God† in a much simpler and easy going manner. The poem is more realistic and although it has a childlike rhyme to it, it is still fresh and original. It makes me feel, as a reader, that following Gods plan is easy and simple, such as the poem itself. While it is sweet and sentimental it is not over the top or over stimulating to the readers emotions. When it comes to evaluating poetry according to Perrine’s standards, I don’t agree that rating a poem good or bad should be based on certain rules. As a reader, if what you are reading is making you feel good inside then it should be considered a good poem, even if it is sentimental, rhetorical, or didactic. For me, when I read poetry, if I can make sense of what the writer is saying and makes me feel any emotion from the writing, then I declare it a good poem. Didactic poetry should be considered good also, due to the fact that even though it is praising, it is still a strong emotional reading that is getting a point across, whether the reader chooses to follow or agree is  up to them to decide.

Wednesday, August 14, 2019

Developing Yourself as an Effective Hr Practitioner

Developing Yourself as an Effective Human Resource Practitioner The CIPD Human Resources Profession Map The CIPD is the professional body for those working within a HR related role, to â€Å"manage the employer-employee relationship and align an organisation’s culture with its people† (CIPD). Researched through collaboration with business leaders the CIPD has developed a map of the activities, knowledge and behaviours required by the different HR roles to meet current business needs (diagram 1).The map consists of ten Professional areas, four Bands and eight Behaviours. Each area has an extended definition to clarify the key requirements of people who work in that area. Diagram 1 Diagram 1 At the core of the map lie ‘Insights, Strategy and Solutions’ and ‘Leading HR’. These two core elements are considered key areas as they extend across all the elements of the HR profession. Also read: HR Profession Map EssayInsights, Strategy and Solutions relates to the need for a successful HR professional to present and develop strategies and solutions based on a firm understanding of the business, it’s internal environment (vision, values, culture, structure and strategy) and its external challenges (competition, world economy, work/life balance, changing demographics of its workforce, changing legislation etc. ) It demonstrates the profession as a recognised business discipline with people and the organisation at its heart.Leading HR is defined as providing ‘active, insight-led leadership: owning, shaping and driving themselves, others and activity in the organisation’ (CIPD). Great leaders can be found across three main areas of leadership – personal leadership, leading others and leading issues. The ten Professional areas relate to the different roles within HR profession e. g. the requirement of someone operating within an Employee Eng agement role is defined as being responsible for ensuring â€Å" †¦ ll aspects of the employment experience – the emotional connection that all employees have with their work, colleagues and to their organisation (in particular line manager relationship) is positive and understood, and that it delivers greater discretionary effort in their work and the way they relate to their organisation†. The four bands of professional competence define the different levels of work activities and the corresponding responsibilities within each professional area, ranging from administrator to board level.Within the HR Map there is also a useful section on the knowledge and . activities required to transition from one band to the next. Finally the eight behaviours describe how the work activities should be carried out within each professional area. The Agency The Agency, despite being less than two years old, has grown from a team of five to 21 employees – 15 Consultants an d six Compliance Officers. The office is very fast paced and competitive, with Consultants urged to secure new posts for high calibre candidates as quickly as possible.Prospective candidates are invited to come into the branch for a registration interview, where they meet the Consultants who will try and place them within schools. Vivien is an experienced Compliance Officer, supporting three Consultants on her pod. Her role is to meet and greet new candidates when they come in for the registration interview, and check they have supplied the necessary paperwork to meet strict safeguarding guidelines before handing them over their consultant for interview. She works alongside Hans, the lead consultant in her pod.They have a very poor relationship, arguing frequently and demonstrate very little respect for each other’s point of view The Candidate proves to be outstanding and Hans manages to place the candidate in a school within two days. Hans is overjoyed and celebrating loudly in the office, at which point Vivien points out to him that she has Vivien has not completed all the necessary vetting procedures so the candidate does not yet meet the safeguarding requirements to begin work. Hans must now contact the school and delay the candidate’s start date, which inconveniences the school and reflects poorly on the agency.HR CUSTOMERS Consultants Need to meet targets to place high fully vetted high calibre teaching staff in school Consultants Need to meet targets to place high fully vetted high calibre teaching staff in school Managing Director Needs to ensure the company’s strategic objectives are met Managing Director Needs to ensure the company’s strategic objectives are met EMPLOYEE RELATIONS OFFICER EMPLOYEE RELATIONS OFFICER Compliance Officer Need to process high volume of new candidates quickly and accurately Compliance Officer Need to process high volume of new candidates quickly and accurately Diagram 2) (Diagram 2) HOW TO PRIOR ITISE NEEDS ‘Customers do want an HR function with strategic business impact, but this is about solving problems that are strategically important for the business, not about separate HR strategies’ (Hirsh et al) As a result of this lapse in correct protocols the school has threatened to end their contract with the agency, which would have a big impact in the revenue brought in by the pod. Hans is a very successful consultant, and part of his success he will interview a high volume of candidates, averaging 6 interviews per day.Hans has accused Vivien of not processing files quickly enough, letting them pile up on her desk. Vivien responds by telling them she can’t process files when she’s interviewing candidates consistently throughout her day for all three consultants. Vivien has asked in the past to change pods as hers is the most successful so she feels overworked whilst the other Compliance Officers are far less busy. The issues identified in this scena rio are a breakdown in communication, imbalance of workload, and damage limitation to one of the agency’s clients.They order in which they are prioritised – their significance, importance and urgency – must be taken in view of the company’s organisational needs and requirements. When faced with such competing priorities, Stephen Covey’s Grid is a useful tool. In this scenario addressing the school’s needs will fall into Quadrant 1, whilst addressing the poor relationship between Hans and Vivien may fall into Quadrant 2. Good communication is the lifeblood of any successful organisation, the results of which can be detrimental (as in the above scenario).There are many ways of communicating within an organisation, and the method and significance of the message can often determine the best method. TYPE OF COMMUNICATION| ADVANTAGE| DISADAVANTAGE| ELECTRONIC| Provides a record for referral follow-up| Can be impersonal and open to interpretation. | WRITTEN/ POSTER| Easily accessed and visible| The Sender does not know if the communication is received unless a reply is required| VERBAL – FACE TO FACE| Allows immediate feedback | Poor communication ability can interfere with how the message os received. Key elements in providing an effective HR Service. Having an understanding and awareness of the strategic purpose of the company will enable the HR professional to operate in an advisory or educational role, assist in decision making, be proactive by applying an overseeing (or policing) role. Senior managers particularly look to the HR function to have an independent, and challenging, view The key elements of effective HR as identified as: Effective service deliveryChallenges the way in which things are done, to find solutions that are better, cheaper or faster as well as an administrative role in implementing relevant processes and practices. Handling and resolving complaints, informal methods, formal methods, appeals a nd escalation (if required) Effective HR services for employees are seen as supporting, not diluting, the responsibility of the line for people management, and the ability of HR to coach line managers, especially around managing performance, is highly valued.Reinforces the compliance role of the HR/personnel function (both legally and ethically) when it is necessary Building and maintaining good relationships A HR professional needs to have its finger on the pulse of what employees are feeling and how well they are working, balancing the interests of employees with the needs of the business. Delivering service on time with any budget implications Affective time management skills, keeping interested parties ‘in the loop’ Dealing with difficult customers Continuous Improvement Keeps in touch with their ‘customers' through networking in order to understand the business better, reacts to feedback and proactively develops (or contributes to the development of service i nnovations which yield ‘customer' advantage in order to provide continuous measured improvement (Kaizen concept).References: CIPD – The Truth about HR http://www. cliffsnotes. com/study_guide/Methods-of-Communication. topicArticleId-8944,articleId-8919. html Employee communication – Richard Croucher, Human Resource Management , A case study approach Michael Muller-Carmen, Richard Croucher and Susan Leigh. 7 Habits of Highly Effective People, Stephen Covey ï » ¿Developing Yourself As An Effective HR Practitioner I am doing this HR course to further my career at work. I am supervisor.I am involved in HR in my job, as we do not have an HR department. I work with my Manager at present to help conduct annual appraisals, disciplinary procedures and inductions. I have also been involved with redundancies.We are a medium sized company, which has expanded since I joined in 2000 but as we are growing we feel the need to have 1 person to take on the HR role so that all staff have someone official that they can go to with any problems that they may have.HRPM: this is an easy to use table containing behaviours, professional areas and bands of competence. It allows users to assess their capability in the HR role they have chosen – whether it is general or specialist.The two core professional areas are insights, strategies & solutions and leading HR.As an example of insights in my role at work there are quite a few members of staff who are nearing retirement age and will retire within around two ye ars of each other so we will be losing all the experience and knowledge that they bring to their roles within the business whether that be manufacturing cables or within our quality assurance department, So I have suggested that we employ younger people who we can train working closely with these people so that their knowledge can be passed on. This has been proven to work as we have two members of staff who joined us around 6 years ago straight from school and are some of our best operators as we have trained them in the way we work.The core of the map is about developing an understanding of the organisation that the user is working in, clerk of the works, contracts manager, and architect.Performance and reward – this allows individuals within a work place to use their own skills, behaviours and experience by using a reward scheme such as bonuses.Learning and Development: Build individual and organisational capability and knowledge to meet current requirements – in ma ny industries it is necessary to train an re-train employees as companies become more diverse to keep up with competitors for example, at my place of work we are starting to build completely different types of cable harnesses to what we would have been building one year ago so there is a lot of re-training required for all shop floor staff.Band 1 of the HRPM is most essential in the company I work for, as it is customer orientated.When I am doing the HR role full time my main customers will be shop floor staff although I will be working for others such as Engineers, Our Receptionist and the Managing Director.There are 8 behaviours on the HRPM.Curious: This person is open minded and focused on the future of the business they are in, inquisitive and is always thinking of ways to add to their organisation, focused on the future of the business they are in and is always thinking of ways to add value to their organisation.Decisive Thinker: This person takes in data and information and is a fast learner. They use the information they receive in a structured way to identify options and make recommendations.Skilled Influencer: This person can influence stakeholders to gain commitment and support within the company/industry they work within.Personally Credible: This person uses professionalism to bring value to the whole company they work in including stakeholders and peers.Collaborative: This person works very well with other people within and outside of work.Driven To Deliver: This person is determined and resourceful and uses these skills to deliver the best results for their company.Courage To Challenge: This person will speak up for what they believe in even if confontated with resistance and unfamiliar circumstances.Role Model: This person always leads by example, has integrity and independence and balances personal organisational and legal matters very well.Activity 2In my HR role, I have 4 main customers. These are shop floor staff which includes inductions for new members off staff, Engineers and Our Receptionist. Shop floor staff: I sit in on (and will conduct) appraisals. We have a written assessment, which the shop floor staff must fill out before attending the appraisal. This includes questions about personal development. In the appraisal we discuss the types of work they would like to do in the future, any pay/skills upgrades they may be getting and when they can expect to get them by. We also discuss any problems they may be having although we always encourage them to come to us (our manager, the other shop floor supervisor or myself) with any problems as they come up rather than waiting for the appraisal.The shop floor manager currently  conducts the appraisals and I sit in on them and take notes then type up all the outcomes of the appraisal with a copy to be given to the employee. I conduct Return To Work interviews for employees who have had any unauthorised absence(s). This is conducted using a form with set questions asked and recorded by my-self about the nature of the absence. The Employee and myself then sign it and it is then scanned into their personnel file. I have sat in on and taken the minutes for redundancy meetings. I have had a limited role in these. As well as taking minutes, I am there for moral support, as I know all of our employees personally due to My job as a supervisor and the number of years I have worked there.Engineers:When I am a full time HR practitioner, I will be able to support the engineers with any problems they may have with other members of staff such as conflicts about the way the engineers plan jobs and the way they are actually built on the shop floor. This can be an issue for both the engineers and shop floor staff as the engineers quote the times for each job but they are not always accurate so this means that the shop floor staff may appear to not build cables in the allocated time.New Employees:I will be conducting all inductions for new Employees – This i ncludes a walk around the factory introducing them to key members of staff such as our other supervisor, first aid, fire marshals and the other members of staff who they will be working closest with. I will also show them the fire exits, evacuation points and show them the fireboard with everybody’s names on. I will tell them when the fire alarm is tested and register them on out hand scanner, which clocks everyone in and out of the building and is also used for payroll. I will show them where the toilets are and what times their breaks and lunch breaks are. New Employees have to read our health and safety handbook thoroughly.Conflicting Needs:I prioritise these by consulting with my manager and shop floor staff so that I am able to decide what to deal with first. For example, I would deal with a conflict between two or more employees by speaking to them separately away from their normal work environment and if appropriate, I would get them together to talk about the problem. This would take priority over an appraisal or other day-to-day activity.Communication:I use email to communicate at work. The advantage of this is that everything that is said between Myself and the person I am communicating with is in writing and can be referred back to if necessary. The disadvantage of this is that if it is something urgent, the person I am communicating with may not see the email straight away, as many members of staff are not desk bound. Verbal communication: this has the advantage of getting the message across immediately and being able to get an instant reaction both verbally and assessing through their body language. The disadvantage of this is that you would not be able to accurately refer back to the conversation at a later date, as verbal conversations are not always accurately remembered.Printed memo:I use these to communicate anything I need to tell the whole shop floor as they do not have access to email in their workplace. The advantage of this is tha t I can carefully think about and word the memo exactly how I want it to be put across. It is also good because it is in writing and can be referred back to at a later date. The disadvantage is that I cant always get an instant reaction to it as everyone gets it at the same time so will not necessarily inform me of any feedback unless I ask them.An example of all the above methods of communication is that when we unfortunately had to make redundancies some time ago, there was a memo given to every member of staff from their manager to let them know that everyone was at risk of being made redundant. My Manager and I then had to liase with our legal specialists via telephone and by e-mail. We then sat with each individual and let him or  her know if they were being made redundant or not. We felt that sitting down with everyone individually, they would be able to speak about any concerns they had whether they were being made redundant or not.