Wednesday, August 26, 2020

Analyse Contribution Of Engagement In Biopsychosocial Assessment Client Nursing Essay

Investigate Contribution Of Engagement In Biopsychosocial Assessment Client Nursing Essay In this exposition the way toward building a restorative relationship and surveying customers own conditions inside the inpatient confirmation and the system found by and by will be utilizes examined and censured by utilizing Johns (1994) model of reflection. The system that has been utilized in psychological well-being administrations is the Care Program Approach (CPA), which it has been significantly scrutinized since it was presented. In this way the reflection will investigate other model of nursing, Tidal Model, which offers an alternate way of thinking of care. The reflection will likewise investigate the relational connections hypotheses which the breast fed utilized during the evaluation and how these supported to draw in the customer in the biopsychosocial surveying process. It additionally will be examined other mediation models and the conceivable utilization in comparative circumstances. So as to start the examination of the above focuses, commitment should be characterized. Thurgood (refered to by Norman and Ryrie (2004) p.650) portrayed it as: can be extensively characterized as offering an assistance that is experienced by administration clients (counting carers) as adequate, open, positive and engaging. Despite the fact that this definition gives a thought of the idea, it needs to characterize the key components of commitment, which Cutcliffe and Barker (2002) distinguished as framing a human to human relationship, communicating resistance and acknowledgment, and hearing and comprehension. The two definitions accumulate the expert estimations of the administration and the cooperation itself. However, Cutcliffe and Barker (2002) definition can be viewed as increasingly down to earth when comprehensively evaluating customers. In any case, these definitions don't recognize variables of commitment that are behind the relational relationship, for example, individual o r authoritative points of view of commitment. The individual viewpoint for the medical caretakers practice is supported by poor auxiliary association, word related societies and stress, bureaucratic obliges, absence of time and nursing society driven by quantifiable targets (Hosany et al (2007) and Addis and Gamble (2004)). Then again, customers and their families are molded by the psychological maladjustment, their past encounters with different administrations, the trust in the administration and its significance. Moreover, the authoritative issues impact upon commitment and care by lessening administrations financial plans, by not giving assets and furthermore by governmental issues. Commitment has been perceived as a significant piece of emotional well-being administrations clients care. The National Service Framework (NSF), the National Institute for Clinical Excellence (NICE) and the Department of Health (DoH) delegate that clients under CPA ought to be given assets to assemble a restorative relationship, enhance commitment and diminish dangers. These reports additionally feature the need to give a restorative situation so as to give best mind and to connect with the customers and their families with the administration. Considering all the above data an intelligent record will be occurring in the accompanying pages by utilizing Johns model of reflection (1994). 1. Depiction of the experience The clinical condition where this evaluation occurred was in an intense grown-up ward. The ward is situated in an old psychological wellness medical clinic, which has old and pilling off wooden windows, chaotic rooftops and antiquated deck. The ward had messy rugs, the drapes didn't draw fittingly and the artistic creation on the dividers was stripping off. These are the hierarchical obstructions influencing commitment. This specific customer was known by the administration as of now, to ensure his entitlement to privacy he will be alluded as John (NMC code of training 2008). John had been steady for a long time, however in the previous scarcely any months his psychological state had intensified. His psychosis and levels of uneasiness expanded; he doubted neighbors and different colleagues just as outsiders. Subsequently, he quit leaving his home and started to self cure with over the counter narcotics. Emergency and Resolution Home Treatment Team (CRHTT) was included and as they felt that John couldn't adapt at home, they concluded that an inpatient affirmation would be useful. Before the confirmation the CRHTT sent the CPA structure 1A, which refreshed the ward staff about the most recent appraisal of the customers biopsychosocial needs. When John showed up to the ward, he completely comprehended the circumstance where he was in. He had the option to assent and had ability to concur with treatment and, hence, he was conceded as a casual customer. This encouraged the underlying association and the underlying establishing for the medical caretaker/customer relationship. Prior to the start of the evaluation Tom (Johns named nurture) acquainted everybody with John, jobs were clarified, an invite pack with the ward data and a CPA booklet were given and Tom gave all the data in an oral and composed way. The medical attendant began the evaluation by detailing open inquiries. Anyway John offered single direct responses (indeed, not, not certain ). Therefore, the medical caretaker chose to change to more straightforward addressing. After that the customer was very co-usable and was addressing all the inquiries. He answered to be exceptionally restless, which additionally was recognizable by looking to his non-verbal communication (he was sweat-soaked, holding his fingers, scouring his hands on the seats arms and expelling his exhibitions a few times during the meeting). At this stage the medical attendant chose to embrace a nervousness appraisal by utilizing the scales apparatuses accessible on the ward the Becks Anxiety Inventory (BAI, see Appendix 1). Following this appraisal, John started to address the inquiries more inside and out and he showed up progressively facilitated, expressing a few times that he was in emergency clinic for help and would do everything that was accessible for his recuperation. Following the nearby trust strategies and NICE rules, the CPA 1A evaluation was finished up (as it must to be finished inside 72 hours of the confirmation); the Integrated Care Pathway for Inpatient Safety and the Patient Property Liability Disclaimer were filled in and marked by medical attendant and customer. 2. Reflection The entire evaluation was expected to accumulate however much data as could reasonably be expected about John so as to comprehend the customers genuine biopsychosocial circumstance (all encompassing appraisal) and the setting that prompted the affirmation, which would feature the necessities and qualities of the customer. Be that as it may, inpatient affirmations are bound to concentrate on an increasingly clinical way to deal with wellbeing, principally on the grounds that social mediations can't be executed until the customers mental state has settled and he is prepared to proceed onward to network settings. Along this procedure the multi-disciplinary group sorts out consideration to develop the grounds to empower recuperation (Simpson 2009). This specific ward was center around treatment and balancing out, taking a shot at coordinated mediations (nurture customer), constructing a restorative relationship through organized and unstructured intercessions, and utilized CPA as a nursi ng intercession structure. Close by these individual cooperations, the movement attendants and the word related specialist offered every day social and relaxation exercises. These gatherings gave abilities and diversion to the customers on the ward, however didn't follow a specific model of nursing, for example, the Tidal Model, and they offered exercises to save the spare time on the ward without advancing recuperation. The Tidal Model gives organized gathering work fixated on recuperation (Barker and Buchanan-Barker 2005). This model habitats its evaluation on an all encompassing methodology for the short and long haul needs, seeing the psychological maladjustment as a one of a kind encounter of every person, their families and social condition. It investigates the absolute bottom of the sickness, (for example, an inpatient affirmation like Johns) as where the recuperation starts with a positive way to deal with the disease. There are three working gatherings suggested in this model: revelation, arrangements and data (see addendum 3), where restorative relationship is assembled and gives regular to the individual and others are talked about and investigated. As referenced over, the ward attendants had increasingly organized mediations with customers, and the issues talked about in these meetings were related to the Tidals Model topic gatherings. In these meetings the customers draw in with their essential medical caretakers and they talk about their interests comparable to their consideration or other individual issues. These intercessions or meetings were expected to occur in any event twice week by week for at any rate 60 minutes. Nonetheless, for hierarchical issues (generally low number of staffing) not all the customers had the chance to profit by these balanced mediations all the time. At first, the Tidal Model exploration was censured for being predisposition, for lacking to completely depict customers pre and post intercession with the model, not considering Hawthorne impact and a large portion of physiological variables and by not thinking the requirement for another model in psychological wellness care (Noak 2001). Nonetheless, further exploration and examination demonstrated that the Tidal Model gives devices and structure to improve care in intense ward affirmations filling the holes in care pointed in the NSF and The Sainsbury Center for Mental Health (Gordon et al 2005). One could state that this model has been appeared to improve psychological wellness administrations, satisfy the authentic holes inside nursing practice and to be grounded on proof based practice. In any case, the writer of this paper accepts, subsequent to perusing the applicable writing, that for the usage of the Tidal Model the degrees of staffing (and in this manner the administration s pending plan) ought to be expanded and nursing practice societies must be changed by reinstructing the workforce. Ostensibly the two executions are extremely hard to accomplish as the wellbeing administration has seen financial plans cut downs in the ongoing years and medical caretakers rehearsed has been liable to negative ward societies towards nursing models. Then again

Saturday, August 22, 2020

Integration Paper (Operations Management) Essay Example | Topics and Well Written Essays - 500 words

Incorporation Paper (Operations Management) - Essay Example These two ideas when taken by and by and proficient are definitely and related and can't be truly isolated. Actually, ERP is something that one needs to learn so as to amplify the utilization of assets (budgetary and time). I realize that I can relate on how explicit sources of info ought to be taken care of so as to get the most advantages. A case of this is the productive distribution of spending which is extremely critical with the current monetary circumstance. Expertly, the ideas of ERP and SCM ought to consistently be considered in any movement noticing the benefit amplifying objective of the firm. Along these lines, every worker should make sure that all assets ought to be placed into best use. The most fascinating exercise for the week is JIT and lean activities. I am truly flabbergasted by these ideas in tasks the board. I have consistently asked why Dell Inc doesn't have retail merchants for their items. I figured it may have been recently simple for them to stock their items and trust that stroll in clients will purchase. Nonetheless, with the conversation, I have valued this procedure of JIT where items are produced as they are requested by clients.

Friday, August 21, 2020

New Student Photo Series 2011 #26 COLUMBIA UNIVERSITY - SIPA Admissions Blog

New Student Photo Series 2011 â€" #26 COLUMBIA UNIVERSITY - SIPA Admissions Blog We are close to winding down the incoming student photos series.   Thank you to all of those that have helped to add life to the blog over the summer! Christian Loubeau MIA-Economic and Political Development. The first photo was taken in the White Desert in Egypt during the summer of 2010.   I was in the desert for an overnight camping trip and we were checking out white rock formations that resembled people and animals.   My friend took this photo of me at dusk next to a formation known as Chicken Mountain. This photo was taken in Caracas, Venezuela when I lived there in the fall of 2007.   President Chavez spoke at this rally a few hours after the photo was taken.   At the time President Chavez was rallying his supporters to back a referendum that would, among many items, abolish presidential term limits.   I like the dignified look of hope on the womans face while the man stands tall contemplating what lies ahead.   There were several points of contention regarding the referendum and I think the overcast skies speak to the stormy path that lies ahead.   Although the referendum was at one point expected to pass rather easily, it was defeated about a month after this picture was taken. This photo was taken on the Great Wall of China during the summer of 2010.   My friend and I squeezed this quick trip in on our last night in Beijing.   I didnt have much time to visit the wall as I had to catch a flight later that night yet we managed to find a moment to clown around.   This part of the wall was on a steep incline so I was able to lean forward without any support. Hello, my name is Marisol Alarcón, an incoming MDP. Im from Ecuador/Chile and had the great opportunity to work in slums from different countries in Latin America. Apart from the overwhelming poverty, I have also seen beautiful, contrasting sights and met amazing and strong people. These pictures are just a glimpse of what I have seen these past years. Family Canaan: This family represents the many families living in Canaan, the camp city 5 miles up north from Port-au-Prince. Their smiles and bright eyes were always surprising. 13 de Julio: This boy lives in the slum 13 de Julio, in Buenos Aires, Argentina. He is playing naturally surrounded by trash and houses made with waste materials.   The dirt on his skin is his regular condition, not the result of one day on the play ground like it would be for most of us. This place is only minutes away from downtown Buenos Aires, one of the largest metropolitan cities in the region. Favela Padroiera: This girl is washing the dishes after our lunch together.   She lives in the Slum Padroeira, on the outside of Sao Paulo, Brazil. The photo shows the incredible overcrowding of the favelas and the hard living conditions the families must face.

Sunday, May 24, 2020

Being The Baby Of The Family - 1712 Words

Being the baby of the family seems to automatically qualify me to be unaware of what the real world is all about and the responsibilities of being an adult. For years I take insults my older sister, Jessica who is now twenty-three, would tell me because what she said was nothing but the truth. Like Jessica, my father, Fernando, also nagged me about getting employed. Only my mother, Bertha, supported me in not getting a job and rather focus fully on academics. Anger began to accumulate within me until one day I simply could not support it anymore. Clearly to them I was a burden, which gave me that extra inner fire to call and make my first ever job interview happen. Even with a job, though, all the badgering would not seize. Lets start from the beginning, where everything truly began. Years back Jessica began to rebel like any other teen, never ending well. Seeing my parents suffer because of her made me realize that I did not - would not - put them in that kind of situation. At a young age I began to act mature, responsible even, but it seemed like a funny joke to them. Only at nine years of age I began to clean the house, cook dinner, and still keep up with homework. Truthfully, I knew nothing about the adult problems, still did not make me naà ¯ve about what was to come in my later years. â€Å"Vanessa, Jessica come sit down please. I want to tell you girls something,† my father yelled at us from the kitchen. Jessica replied, â€Å"What do you want?† Unpleased with the tone sheShow MoreRelatedRacism Destroys A Family, Desiree s Baby864 Words   |  4 PagesDestroys a Family Dà ©sirà ©e s Baby How can racism and arrogance destroy a whole family? In the short story Dà ©sirà ©e s Baby written by Kate Chopin reflects on how racism played a huge role before the American Civil War. Dà ©sirà ©e was abandoned by her family when she was young and was adopted by, Madame Valmonde, a rich white family. One day Armand Aubigny was passing when he saw Dà ©sirà ©e next to a stone pillar, where he falls in love with her instantly . They get married and have a baby boy. AfterRead MoreBaby Girl versus Adoptive Couple Essay1552 Words   |  7 Pagescase, Baby Girl v. Adoptive Couple, in which a child who was partially Cherokee Indian, because of her father, and Hispanic, because of her mother. The adoption of Baby Girl was a difficult one due to the fact that she has an ancestry of Cherokee Indian. Therefore, under the Indian Child Welfare Act (ICWA), the adoption of Baby Girl seemed impossible because Biological Father had the right to have custody of his child, Baby Girl, if he ch ose to. So, the court greatly sees that by giving Baby GirlRead MoreDescription Of Agency, Program And Supervisor1672 Words   |  7 Pagesagency I volunteered and shadowed at is the 30th Airman and Family Readiness Center: United States Air Force, usually referred to as the Family Readiness Center. This agency currently does not have a mission statement, however, the purpose of this agency is to provide a one-stop location for necessary family resources. The resources provided by the Airman and Family Readiness Center include, family events and classes in order to promote family advocacy, military and life counseling, personal and workRead MoreAbortion is the Destruction of a Human Being Essay1010 Words   |  5 Pages Bringing a new baby to this world is the most wonderful feeling ever. Why want to abort a baby? Babies are the most precious things in the world. Most people love babies I know I do, I’m having one of my own and happy to say my baby is coming to this world a nd me becoming a mommy. Abortion shouldn’t be allowed anywhere it’s the worst thing in the world. The important ways of looking at the issues of abortion are most categorized into five major points, legal precedence, birth control issues, humanRead MoreThe Problem Of Child Birth876 Words   |  4 Pagesthe past I might focus more on the baby, focus on the way to make baby healthy, but after this lecture, read some articles and watched some information on TV, I start to concentrate more on the mother herself, because she is the one give birth to the baby, we should consider the well-being of herself. According to my observation these years I found our people’s view also have changed a lot. Nowadays on the TV show about mothers they talk about both how to keep baby healthy and how to maintain a goodRead MoreShould Parents Be Legal?1444 Words   |  6 Pageslife-changing and exciting experience a mother could ever have. When a woman is pregnant, one of the most common questions that people will ask is, â€Å"Is the baby a boy or a girl?† Parents have the opportunity to find out the sex of the baby beforehand by going through a procedure known as an ultrasound. An ultrasound relies on sound waves to create an image of the baby in the uterus. This safe and painless procedure normally takes place between 18-20 weeks of pregnancy. Thanks to the advancement in our technologyRead MoreDesigning Our Future With Designer Babies1484 Words   |  6 Pages Designing our future with designer babies, many might not know what they are. Designer babies are babies that have their genetic make-up selected for them by their parents and are born to look specific to what the parents chose. It’s a great idea! This is an amazing option to choose for many other reasons than to have a beautiful baby! You can choose the eyes, nose, mouth, and head shape. You can choose the skin color, height, and gender, (yes, you can choose whether or not to have your divaliciousRead MoreThe Neonatal Intensive Care Unit1501 Words   |  7 Pagesdream of having the perfect pr egnancy. A pregnancy that is free of making difficult decisions for mom and baby, no complications with their pregnancy and free from any worries about the health of their newborn baby. All soon to be parents hope that ultimately the will give birth that result in a healthy newborn baby that they will take home to nurture and love. For far too many families this dream is shattered in the delivery room after giving birth. Their awful reality of this situation is suddenlyRead MoreMotherhood and Pregnancy1429 Words   |  6 Pagesâ€Å" Being a Motherhood is a choice you make every day, to put someone elses happiness and well-being ahead of your own, to teach the hard lessons, to do the right thing even when youre not sure what the right thing is...and to forgive yourself, over and over again, for doing everything wrong.† MMMMM. Being mother is one of the most blessed and the most challenging job in the world. Giving birth to a new life and making it walk through the new wo rld holding its hands showing a good trail makes a motherRead MoreEssay on Babies Movie Analysis721 Words   |  3 Pagesa cheap toy. The same goes for babies, babies from all parts of the world grow up in different societies and cultures. They do have unequal things about their infant worlds, such as having or not having a playground or having little food or a bunch of food. Through all these differences there is still one equal and same objective, to raise the baby so that it can survive in the culture or place it will grow up in. In the movie Babies there are different babies growing up in different cultures

Thursday, May 14, 2020

Bottle Gourd Domestication and History

The bottle gourd (Lagenaria siceraria) has had a complex domestication history written for it over the past twenty years. However, recent DNA research suggests that it was domesticated three times: in Asia, at least 10,000 years ago; in Central America, about 10,000 years ago; and in Africa, about 4,000 years ago. In addition, the bottle gourds dispersal throughout Polynesia is a key part of evidence supporting the possible Polynesian discovery of the New World, circa 1000 AD. The bottle gourd is a diploid, monoecious plant of the Cucurbitacea. The plant has thick vines with large white flowers that open only at night. The fruit comes in a large variety of shapes, selected for by their human users. The bottle gourd is primarily grown for its fruit, which when dried forms a woody hollow vessel that is suitable for containing water and food, for fishing floats, for musical instruments and for clothing, among other things. In fact, the fruit itself floats, and bottle gourds with still-viable seeds have been discovered after floating in seawater for more than seven months. Domestication History The bottle gourd is native to Africa: wild populations of the plant have recently been discovered in Zimbabwe. Two subspecies, likely representing two separate domestication events, have been identified: Lagenaria siceraria spp. siceraria (in Africa, domesticated some 4,000 years ago) and L. s. spp. asiatica (Asia, domesticated at least 10,000 years ago0. The likelihood of a third domestication event, in Central America about 10,000 years ago, has been implied from genetic analysis of American bottle gourds (Kistler et al.), Domesticated bottle gourds have been recovered in the Americas at sites such as Guila Naquitz in Mexico by ~10,000 years ago. Bottle Gourd Dispersals The earliest dispersal of the bottle gourd into the Americas was long believed by scholars to have occurred from the floating of domesticated fruits across the Atlantic. In 2005, researchers David Erickson and colleagues (among others) argued that bottle gourds, like dogs, had been brought into the Americas with the arrival of Paleoindian hunter-gatherers, at least 10,000 years ago. If true, then the Asian form of the bottle gourd was domesticated at least a couple of thousand years before that. Evidence of that has not been discovered, although domestic bottle gourds from several Jomon period sites on Japan have early dates. In 2014, researchers Kistler et al. disputed that theory, in part because it would have required the tropical and subtropical bottle gourd to have been planted at the crossing place into the Americas in the Bering Land Bridge region, an area far too cold to support that; and evidence for its presence in the likely entryway into the Americas has yet to be found. Instead, Kistlers team looked at DNA from samples in several locales in the Americas between 8,000 BC and 1925 AD (included Guila Naquitz and Quebrada Jaguay) and concluded that Africa is the clear source region of the bottle gourd in the Americas. Kistler et al. suggest that the African bottle gourds were domesticated in the American Neotropics, derived from seeds out of gourds which had drifted across the Atlantic. Later dispersals throughout eastern Polynesia, Hawaii, New Zealand and the western South American coastal region may have been driven by Polynesian seafaring. New Zealand bottle gourds exhibit features of both subspecies. The Kistler study identified the Polynesia bottle gourds as L. siceria ssp. asiatica, more closely related to Asian examples, but the puzzle was not addressed in that study. Important Bottle Gourd Sites AMS radiocarbon dates on bottle gourd rinds are reported after the site name unless otherwise noted. Note: dates in the literature are recorded as they appear, but are listed in roughly chronological order from oldest to youngest. Spirit Cave (Thailand), 10000-6000 BC (seeds)Azazu (Japan), 9000-8500 BC (seeds)Little Salt Spring (Florida, US), 8241-7832 cal BCGuila Naquitz (Mexico) 10,000-9000 BP 7043-6679 cal BCTorihama (Japan), 8000-6000 cal BP (a rind may be dated ~15,000 bp)Awatsu-kotei (Japan), associated date 9600 BPQuebrada Jaguay (Peru), 6594-6431 cal BCWindover Bog (Florida, US) 8100 BPCoxcatlan Cave (Mexico) 7200 BP (5248-5200 cal BC)Paloma (Peru) 6500 BPTorihama (Japan), associated date 6000 BPShimo-yakebe (Japan), 5300 cal BPSannai Maruyama (Japan), associated date 2500 BCTe Niu (Easter Island), pollen, AD 1450    Sources Thanks to Hiroo Nasu of the Japanese Association of Historical Botany for the latest information about Jomon sites in Japan. This glossary entry is a part of the About.com guide to Plant Domestication and the Dictionary of Archaeology. Clarke AC, Burtenshaw MK, McLenachan PA, Erickson DL, and Penny D. 2006. Reconstructing the Origins and Dispersal of the Polynesian Bottle Gourd (Lagenaria siceraria). Molecular Biology and Evolution 23(5):893-900. Duncan NA, Pearsall DM, and Benfer J, Robert A. 2009. Gourd and squash artifacts yield starch grains of feasting foods from preceramic Peru. Proceedings of the National Academy of Sciences 106(32):13202-13206. Erickson DL, Smith BD, Clarke AC, Sandweiss DH, and Tuross N. 2005. An Asian origin for a 10,000-year-old domesticated plant in the Americas. Proceedings of the National Academy of Sciences 102(51):18315–18320. Fuller DQ, Hosoya LA, Zheng Y, and Qin L. 2010. A Contribution to the Prehistory of Domesticated Bottle Gourds in Asia: Rind Measurements from Jomon Japan and Neolithic Zhejiang, China. Economic Botany 64(3):260-265. Horrocks M, Shane PA, Barber IG, D’Costa DM, and Nichol SL. 2004. Microbotanical remains reveal Polynesian agriculture and mixed cropping in early New Zealand. Review of Palaeobotany and Palynology 131:147-157. doi:10.1016/j.revpalbo.2004.03.003 Horrocks M, and Wozniak JA. 2008. Plant microfossil analysis reveals disturbed forest and a mixed-crop, dryland production system at Te Niu, Easter Island. Journal of Archaeological Science 35(1):126-142.doi: 10.1016/j.jas.2007.02.014 Kistler L, Montenegro à , Smith BD, Gifford JA, Green RE, Newsom LA, and Shapiro B. 2014. Transoceanic drift and the domestication of African bottle gourds in the Americas. Proceedings of the National Academy of Sciences 111(8):2937-2941. doi: 10.1073/pnas.1318678111 Kudo Y, and Sasaki Y. 2010. Characterization of Plant Remains on Jomon Potteries Excavated from the Shimo-yakebe Site, Tokyo, Japan. Bulletin of the National Museum of Japanese History 158:1-26. (in Japanese) Pearsall DM. 2008. Plant domestication. In: Pearsall DM, editor. Encyclopedia of Archaeology. London: Elsevier Inc. p 1822-1842. doi:10.1016/B978-012373962-9.00081-9 Schaffer AA, and Paris HS. 2003. Melons, squashes and gourds. In: Caballero B, editor. Encyclopedia of Food Sciences and Nutrition. second ed. London: Elsevier. p 3817-3826. doi: 10.1016/B0-12-227055-X/00760-4 Smith BD. 2005. Reassessing Coxcatlan Cave and the early history of domesticated plants in Mesoamerica. Proceedings of the National Academy of Sciences 102(27):9438-9445. Zeder MA, Emshwiller E, Smith BD, and Bradley DG. 2006. Documenting domestication: the intersection of genetics and archaeology. Trends in Genetics 22(3):139-155. doi:10.1016/j.tig.2006.01.007

Wednesday, May 6, 2020

The Effect of Conditioned Stimulus (Light Intensity) on...

The Effect of Conditioned Stimulus (Light Intensity) on Movement Ratio Innate or instinctive behaviors are thought to be inherited behavioral responses to a particular event or stimulus (e.g., modal action pattern). A reflexive response could be characterized as an involuntary response pertaining to a specific stimulus, for example dust irritating the nasal passageway eliciting a sneeze. The concept of the reflex was described in the works of Renà © Descartes who was influential in our understanding of involuntary behavior, and thought it was a commonality we shared with animals. These reflexive processes are thought to be evolutionary adaptations to one’s environment, some of these reflexive adaptations are apparent in infants such as the grasping reflexe and sucking reflex identified by Schott and Rossor (2003). Historically a prevailing view was that reflexive processes were fixed, however the work of Ivan Petrovich Pavlov demonstrated that this was not the case. In his research endeavors, Ivan Pavlov, a physiologist studying the process of digestion in dogs, uncovered what is now known as reflexive learning. In his studies of the process of digestion in dogs Pavlov observed that his laboratory dogs would salivate when their food was being prepared. This process of salivation occurred naturally and prior to learning and he identified it as an unconditional response. He furthered his observation by pairing the food with the implementation of the metronome (neutral stimulus)Show MoreRelatedAp Psychology Review Packet12425 Words   |  50 Pagesdetect a particular stimulus 50% of the time. 2.Accommodation:  the process by which the eyes lens changes shape to focus near or far images on the retina. 3.Acetylcholine:  neurotransmitter that enables muscle action, learning and memory. 4.Achievement Motivation:  desire for accomplishment. 5.Achievement Test:  an exam designed to test what a person has earned. 6.Acoustic Encoding:  encoding of sound, especially words. 7.Acquisition:  the initial stage when one links a neutral stimulus and an unconditionedRead MoreExercise Referral Foundation Course Assessment 2: Case Study Report13144 Words   |  53 Pageseffective exercise prescription usually consists of rhythmical continuous exercise that is low to moderate intensity (aerobic), thus having significant improvement upon the cardiovascular (CV) system (muscle pump/vascular and pulmonary function); in fact research suggests that this type of exercise can reduce SBP by up to 7mmHg. Wilkins (2006), moreover resistance exercise that is low into moderate intensity can also be adopted providing it is safe and effective for the individual. Table 1 shows the classificationRead MorePsychology the Nervous System Essay examples3305 Words   |  14 Pagesthe ear receives signals, these signals cause impulses to travel along the auditory nerve to the auditory cortex. And signals from the eye cause impulses to travel along the optic nerve to the visual cortex. Because of these anatomical differences, light and sound produce different sensations. b) The code in the nervous system that helps explain why a pinprick and kiss feel different is known as functional. These codes rely on the fact that sensory receptors and neurons fire or are inhibited fromRead MoreEffectiveness Of Placebo And Treatment3833 Words   |  16 Pagesdisagreement to the mechanism of pain relief. The various theories that will be looked at are expectation-activated opioid system, condition activated specific subsystems and doctor-patient relationship. The primary focus of the paper is neurobiological effect of placebo analgesia in which it is key to remember that the neurobiological mechanisms occur in different physiological systems in various medical conditions and in healthy volunteers (Finniss et al, 2010). 2.1 The brain The brain is relativelyRead MoreMarketing Management130471 Words   |  522 Pagesmarketing approaches and principles 3. MARKETING MANAGEMENT: Marketing has evolved into a very important functional area in management basically due to the increasing supply and lower demand over the years. This is primarily through the competitive intensity in every sphere of the market. When competition increases, as you know, every firm wants to be heard in the market. This will make the firms to be different than the competitors. Hence marketing becomes a very important functional area for everyRead MoreBrand Building Blocks96400 Words   |  386 Pagesmeasurements are ever more refined, timely, and detailed. The short-term impact of promotions, for example, can be demonstrated with scanner data. The resulting situation is a bit like the drunk who looks for his or her car keys under a street light because the light is better there than where the keys were lost. The net outcome is a sometimes-debilitating bias toward short-term results. 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They included market share (assuming that the higher the market share of a firm, the higher its profitability); firm capital intensity (assuming that the more a firm is automated and up-to-date in technology and equipment, the more profitable it is); size of the firm in assets (assuming that economies of scale and efficiency can be used in large firms to increase profitability);Read MoreContemporary Issues in Management Accounting211377 Words   |  846 Pagestheory analysis, contingency frameworks, performance measurement systems, and strategic cost management, which are considered from the perspective of chan ging concerns facing modern organizations and present-day management thought as well as in the light of some of their historical dimensions. Other chapters deal with newly emerging concerns in management accounting, including network relations, digitization, integrated cost management systems, knowledge management pursuits, and environmental managementRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 Pagestasks in particular, IT professionals are still critically needed to perform important â€Å"in-house† IT roles. (These will be discussed further in Chapter 13.) BUSINESS/IT RELATIONSHIPS The importance of this type of IT resource was first brought to light in the mid1990s as packaged software systems and the Internet were catalysts for an increase in new IT investments (Ross et al., 1996). How well an organization uses joint IT-business decision making for making investments in a firm’s technology

Tuesday, May 5, 2020

Marketing Essentials In Hospitality and Tourism

Question: Identify an article from one of the recommended online sources that relates to a specific concept we discussed during the lecture? Answer: The article is on Amara Cay Resort, in line with the, The Moorings Village Spa. The similarity lies in the style but the former has bridged the gap of a suitable budget for many travelers. The article talks about the corals and gems which adorn the furnishing of the resorts through furniture, etc. This renovation of the former Hampton Inn has studied customer behavior and included Tiki Bar and luxurious Spa. Another similar Hotel Player Playa Largowill open Key Largo which will exhibit luxuries of Beachside Bungalows, tennis courts and not to forget, a delight for travelers, exclusive spas ("HNN"). The decor will be nature based and all this at neutral prices. The article relates to the content covered in the lecture as it is indicating how the hotels have revamped their assets to attract the customers and make sure they return back after check out, giving the best things at neutral prices. The earlier high end models have been leveled up to retain customers. The KYC method identified that travelers and nature lovers would like elements like seaside bungalows, nature decor, etc (Shoemaker and Shaw). They have made sure through the hotel accommodations and the services that the customers stay, enjoy and remember to come back after they check-out. It has worked towards filling the gap between, post check - in and reservation for many customers. It also relates to the concept of experimental marketing, customer-behavior study and, the inseparability or intangibility of services/ Furnishing, etc. Works Cited "HNN". Hotelnewsnow.com. N.p., 2016. Web. 6 Mar. 2016. Shoemaker, Stowe, and Margaret Shaw. Marketing Essentials In Hospitality And Tourism. Upper Saddle River, N.J.: Pearson/Prentice Hall, 2008. Print.

Saturday, April 4, 2020

The Period Between 1860 Into 1877, While Being Extremely Important In

The period between 1860 into 1877, while being extremely important in the development of our nation, was also an intensely revolutionary period of our country's history in the way that every single act commited during this time was a presedent and in its own way revolutionary itself. This was the first time for our nation to ever go through anything of this magnittude and importance. Everything that was happening here was happening for the very first time. And because of this our country went through a tremedously trying time in both the social and the constitutional fronts. Constitutionaly this nation went through one of the most momentous revolutions in its time. The country was now torn apart over the idea that the south had the constitutional right to decide whether or not slavery should be allowed. The south believed that as is stated in the constitution any power not delegated to the national government is solemnly reserved for the states and the people. Never had an issue been so feircely fought about that it took a nation to be torn in half and many thousands of lives lost until it was finally set right. Another prime example of this was that after the great civil war had been fought and the north declared the victors the government was almost in a state of anarchy. There were arguments every about whether the government had true constitutional means to do anything about the civil rights of Blacks, how would the southern states be reintroduced into the union, should they use Lincolns 10% plan which would allow the rebel states representation onc e more after 10% of the voters of the 1860 election had sworn eliegence to the union or the much harsher plan of the radical republicans which would only allow the states back into the union after 50% of the voters had sworn eliegence and other much harsher circumstance had been completed? There were many dispute over how to handle each and everyone of these issues that lead all the way to the presidency. The constitution was being used in ways that it never had been before, but through all this chaos and disarray it was the one thing that kept this country bound as a union. With out it we may have never survived the even more colossal social developments during this time period. During the time shortly after the civil war the nation went through a revolutionary period of hatred and disgust for each other and the government that had never seen before. Much of this was caused by a trend of corruption that seemed to have taken over many of the government positions. One such example of this was found in a man named Burley "Boss" Tweed who created a personal empire out of his profiteering and soon became a millionaire. This trend was not however limited to the low-lying government positions. It was found all the way up to the office of the vice president. It was said that when the man in the moon passed over America he had to hold his breath because of its retched smell. This in turn created a national mistrust for the government within the people. This was not the only social development that can be called revolutionary. Now that the blacks were free and at least constitutionally supposed to be equal the went through much harder times than and faced much fiercer prejeduce than before the war. Before the civil war they were slaves to their own masters. Now that the have been emancipated they were slaves to their own freedon. When the were with their masters they were dependent upon them for food and shelter. But now that they were free they had do deal with these problems on their own. And because the freedmen's bureau ,which was instituted to help the blacks make the transition from servitude into freedom, had been made ineffective by President Johnson. It was almost impossible for a black man to get a good education. Most often the former slave would have to go back to work for his old master in worse conditions and for very small pay. The time between 1860 and 1877 was revolutionary in the

Sunday, March 8, 2020

San Francisco State - SAT Scores and Admissions Data

San Francisco State - SAT Scores and Admissions Data San Francisco State University Admissions Overview: As part of the application, students will need to submit scores from the SAT or ACT. While the majority of applicants submit SAT scores, the university accepts both equally. For more information, check out the schools website or contact the admissions office. Will You Get In? Calculate Your Chances of Getting In  with this free tool from Cappex Admissions Data (2016): San Francisco State University Acceptance Rate: 68%SF State GPA, SAT and ACT Score GraphTest Scores 25th / 75th PercentileSAT Critical Reading: 430 / 540SAT Math: 430 / 550SAT Writing: - / -What these SAT numbers meanCompare Cal State SAT ScoresACT Composite: 18 / 24ACT English: 16  / 24ACT Math: 17 / 24What these ACT numbers meanCompare Cal State ACT Scores San Francisco State Description: Founded in 1899, San Francisco State University takes pride in the diversity of its student body. 67% of undergraduates are students of color. Students come from 94 countries, and the school enrolls more international students than any other masters degree-granting university in the U.S. San Francisco State offers 115 bachelors and 95 masters programs. The 142-acre urban campus gives students ready access to the dining and cultural attractions of the city. In athletics, the San Francisco State Gators compete in the NCAA Division II  California Collegiate Athletic Association. Popular sports include softball, cross country, basketball, soccer, and wrestling.  SFS is one of the  23 Cal State schools. Enrollment (2016): Total Enrollment: 29,045  (25,945 undergraduates)Gender Breakdown: 44% Male / 56% Female83% Full-time Costs (2016- 17): Tuition and Fees: $6,484  (in-state); $17,644  (out-of-state)Books: $1,900  (why so much?)Room and Board: $13,882Other Expenses: $2,966Total Cost: $25,232  (in-state); $36,392 (out-of-state) San Francisco State Financial Aid (2015- 16): Percentage of New Students Receiving Aid: 76%Percentage of New Students Receiving Types of AidGrants: 69%Loans: 42%Average Amount of AidGrants: $8,817Loans: $5,441 Academic Programs: Most Popular Majors:  Biology, Business Administration, Criminal Justice, Early Childhood Education, English, Film Studies, Liberal Arts and Sciences, Psychology, Radio and Television, Speech and Rhetorical Studies What major is right for you?  Sign up to take the free My Careers and Majors Quiz at Cappex. Transfer, Graduation and Retention Rates: First Year Student Retention (full-time students): 80%Transfer Out Rate: 6%4-Year Graduation Rate: 18%6-Year Graduation Rate: 53% Intercollegiate Athletic Programs: Mens Sports:  Soccer, Wrestling, Cross Country, Baseball, BasketballWomens Sports:  Softball, Volleyball, Track and Field, Basketball, Soccer, Cross Country Data Source: National Center for Educational Statistics Admissions Profiles for Other Cal State Campuses Bakersfield | Channel Islands | Chico | Dominquez Hills | East Bay | Fresno State | Fullerton | Humboldt | Long Beach | Los Angeles | Maritime | Monterey Bay | Northridge | Pomona (Cal Poly) | Sacramento | San Bernardino | San Diego | San Francisco | San Jose State | San Luis Obispo (Cal Poly) | San Marcos | Sonoma State | Stanislaus More California Public University Information SAT Score Comparison for Cal State SchoolsACT Score Comparison for Cal State SchoolsThe University of California SystemSAT Score Comparison for the UC SystemACT Score Comparison for the UC System

Friday, February 21, 2020

Mid term constitutional law 3 Essay Example | Topics and Well Written Essays - 500 words

Mid term constitutional law 3 - Essay Example There are two varied views on the right for a person to hold and carry weapons, those who agree with this right and those against it (Bogus, 2000). Those for this view argue that individuals need guns for their self protection within the confines of their residences and that so long as they keep these weapons dismantled and not functioning, there is no cause for alarm. Others who love hunting as a sport argue that they need their guns for this purpose reasoning that as long as they are doing it strictly on their property there is no danger posed by the usage of their weapons. Consequently, both these groups of people in favor of this right maintain that owning a weapon is their fundamental freedom right (Halbrook, 1989). On the other hand, those against this view argue that the Second Amendment has no control on criminals and the mentally challenged possessing weapons; neither does it help deter people carrying weapons while entering institutions and buildings or moving around freely with a firearm. They also maintain that Second Amendment fails to provide provisions that govern weapons being sold. For instance, person may acquire an unlicensed weapon illegally and use it to commit a crime then use the second amendment right as defense alleging that his rights were infringed upon by quoting the Bill of Rights (Halbrook, 1989). The stance I find convincing is the one that is against the possession of weapons despite the reasons for ownership. For one, this is extremely dangerous especially if the weapon is kept at home, and minors have access to it (Bogus, 2000). Then there is the probability of it going off unexpectedly and injuring an innocent person. There have been several cases in learning institutions where innocent students and teachers have been killed or injured by a student carrying a weapon to school (Halbrook, 1989). Further still, there are no clear provisions that govern the weapons being sold. I believe that rights should also have some

Wednesday, February 5, 2020

Personal Statement + Answering a Question Example | Topics and Well Written Essays - 750 words

+ Answering a Question - Personal Statement Example I was overwhelmed with joy after securing admission into North Seattle College to study for an Associate Business (AB) degree. My success in high school meant a lot to me and to my family as well. It was the first time I was in overseas country after securing a scholarship to study abroad away from home. I worked so hard to ensure I triumphed in the business school in order to secure a possible scholarship to further my studies. However, a fateful event happened one early morning as I was rushing to class to prepare for my first end of semester exam. I had just alighted the bus and was preparing to cross the road and walk into the school compound when I saw a speeding SUV screech to a halt at the forefront of a computer sales shop. Two masked gunmen emerged from the vehicle and ran into the shop. A few moments later, they ran back into the vehicle and sped off. Whereas I could figure out a robbery had just happened, I could not imagine that the shop attendant was already injured. It was a critical moment for me because I was torn between rushing to school and prepare for my exams or help the badly injured person. In a flash of a second, I remembered a court case where a volunteer had been mistaken as a murderer because his fingerprints were found on a dead man’s body. The case had lasted for more than five years until the man was finally cleared of the murder charges and the real murderers put in jail. However, I could see the collapsed man was bleeding profusely and had lost consciousness. Being an early morning, there was hardly anybody passing by. At that moment, I had two choices, save a life and compromise my grades in college or just run to school and leave the man helpless. Additionally, I could think of the after effects of helping the person. The police would take my valuable college time through endless interrogations, as I would be a key witness. I resolved to

Tuesday, January 28, 2020

The Criticism Of The Modigliani And Miller Hypothesis Finance Essay

The Criticism Of The Modigliani And Miller Hypothesis Finance Essay Capital structure has a major implication to the ability of firms to meet the various needs of stakeholders. There were various studies carried out on capital structure and major development on new theories for optimal debt to equity ratio. The first milestone on the issue was set by Modigliani and Miller(1958) through which they presented in their seminal work two important propositions that shaped the economic theory behind capital structure and its effect on firm value. The Modigliani and Miller hypothesis is identical with the net operating income approach. At its heart, the theorem is an irrelevance proposition, but the Modigliani-Miller Theorem provides conditions under which a firms financial decisions do not affect its value. They argue that in the absence of taxes, a firms market value and the cost of capital remain invariant to the capital structure changes. In their 1958 articles, they provide analytically and logically consistent behavioural justification in favour of their hypothesis and reject any other capital structure theory as incorrect. The Modigliani-Miller theorem states that, in the absence of taxes, bankruptcy costs, and asymmetric information, and in an efficient market, a companys value is unaffected by how it is financed, regardless of whether the companys capital consists of equities or debt, or a combination of these, or what the dividend policy is. Miller (1991) explains the intuition for the Theorem with a simple analogy. Think of the firm as a gigantic tub of whole milk. The farmer can sell the whole milk as it is. Or he can separate out the cream, and sell it at a considerably higher price than the whole milk would bring. He continues, The Modigliani-Miller proposition says that if there were no costs of separation, (and, of course, no government dairy support program), the cream plus the skim milk would bring the same price as the whole milk. The main content of the argument is that increasing the amount of debt (cream) lowers the value of outstanding equity (skim milk) and selling off safe cash flows to debt-holders leaves the firm with more lower valued equity,thus keeping the total value of the firm unchanged. Furthermore, any gain from using more of what might seem to be cheaper debt is offset by the higher cost of now riskier equity. Assumptions: The Modigliani-Miller theorem can be best explained in terms of their proposition 1 and proposition 2. However their proposition are base on certain assumption and particularly relate to the behaviour of investors, capital market, the actions of the firm and the tax environment. According to I.M Pandey(1999) the assumptions of the Modigliani Miller theorem is based on: Perfect capital markets These are securities (shares and debt instruments)which are traded in the perfect capital market situation and complete information is available to all investors with no cost to be paid. This also means that an investor is free to buy or sell securities, he can borrow without restriction at the same terms as the firm do and he behave rationally. It also implies that the transaction cost(cost of buying and selling securities) do not exist. Homogeneous risk classes Firms can be group into homogeneous risk classes. Firms would be considered to belong to a homogeneous risk class if their expected earnings have identical risk characteristics. It is generally implied under the M-M hypothesis that firms within same industry constitute a homogeneous class. Risk The risk of the investors is defined in terms of the variability of the net operating income(NOI). The risk of investors depends on both the random fluctuations of the expected NOI and the possibility that the actual value of the variable may turn out to be different than their best estimate. No taxes In the original formulation of their hypothesis, M-M assume that no corporate income taxes and personal tax exist. That is, they are both perfect substitute. Full payout Firms distribute all net earnings to the shareholders, which means a 100% payout. Proposition 1: the market value of any firms is independent of its capital structure. M-M(Modigliani and miller) argue that for firms in the same risk class the total market value is independent of the debt-equity mix and is given by capitalizing the expected net operating income by the rate appropriate to that risk class. This is their proposition 1 and can be expressed as follows: Value of firm= Market value of equity + Market value of debt = V= (S + D) = = Where V = the market value of the firm S = the market value of the firms ordinary equity D = the market value of debt = the expected net operating income on the assets of the firm = the capitalization rate appropriate to the risk class of the firm. Also, M-M extended proposition 1 by arguing that there is a linear relationship between cost the cost of equity and the financial leverage. Financial leverage is measured by the Debt to Equity ratio(D/E).The cost of equity capital can be denoted by the following relationship: = + ( ) DE Where denotes cost of equity capital; denotes overall cost of capital and denotes cost of debts of the firm L . Based on the assumption that there is no corporate tax then is equal to the rate of interest on financial leverage employed by the firm. The diagram below shows the cost of capital under the Modigliani and Miller proposition 1.http://htmlimg3.scribdassets.com/2vohdy2ptsw5n23/images/12-7ef603c995.jpg Example: Example 1 Example 2 DE 2/3 1 0.18 1.18 0.10 0.10 23.3% 26% It can be seen that due to an increase in financial leverage the risk premium of equity shareholders have increased from (23-18) = 5% to (26-18) = 8 %. We can also verify for the , which is given below: When debt equity ratio is 2:3 + = 18% The similar result is obtained when DE is 1. + = 18% It can be concluded that the overall cost of capital, which is the weighted average cost of debt and cost of equity, is unaffected even if the degree of financial leverage is increased. As per the M-M model, however , any benefits arising by substituting cheaper leverage for more expensive equity are offset by an increase in both the costs as reflected on the following graph. Arbitrage process: Arbitrage process is base on the principle that Proposition 1 is based on the assumption that 2 firms are identical except for their capital structure which cannot command different market value and have different cost of capital. Modigliani and Miller do not accept the net income approach on the fact that two identical firms except for the degree of leverage, have different market values. Arbitrage process will take place to enable investors to engage in personal leverage to offset the corporate leverage and thus restoring equilibrium in the market. Criticism of the Modigliani and Miller hypothesis: On the basis of the arbitrage process, M-M conclude that the market value of firms are not affected by leverage but due to the existence of imperfections in the capital market, arbitrage may fail to work and may give rise to differences between the market values of levered and unlevered firms. The arbitrage process may fail to bring equilibrium in the capital market for the following reasons: Lending and borrowing rates differences: Based on the assumption that firms and individuals can borrow and lend at the same rate of interest does not hold good in practice. This is so because firms which hold a substantial amount of fixed assets will have a higher credit standing, thus they will be able to borrow at a lower rate of interest than individuals. Non-substitutability of personal and corporate leverages: It is incorrect to say that personal leverage and corporate leverage are perfect substitute because of the existence of limited liability a firms hold compare to the unlimited liability of individuals hold. For examples, if a levered firm goes bankrupt, all investors will lose the amount of the purchase price of the shares. But if an investor creates personal leverage, in the event of a unlevered firms insolvency, he would lose not only his principal in the shares but also be liable to return the amount of his personal loan. Transaction costs: Transaction cost interfere with the working of the arbitrage. Due to the cost involved in the buying and selling of securities, it is necessary to invest a larger amount in order to earn the same return. As a result , the levered firm will have a higher market value. Institutional restrictions: Personal leverage are not feasible as a number of investors would not be able to substitute personal leverage for corporate leverage and thus affecting the work of arbitrage process. Corporate taxation and personal taxation: M-M theory is also criticize for the reason that it ignores the corporate taxation and personal taxation. Retained earnings: It also ignores personal aspect of financing through retained earnings. In real world , corporate will not pay out the entire earnings in the form of dividends. Investors willingness: Investors will not show much interest in purchasing low rated issued by highly geared firms.

Sunday, January 19, 2020

Impact of Recess on Classroom Behavior Essay -- essays papers

Impact of Recess on Classroom Behavior When comparing the amount of time American children spend at ‘recess’ during the school day, you will see, that it is considerably less than the amount of time given by other countries. Japanese schools typically have a 10-20 min recess period between 45-min lessons or 5-min breaks between lessons, with a long play period after lunch. In Taiwan, schools typically have many recess periods during the day; children are also given 5-6 min of transition after recess in which to settle down. British schools have three 15-min recess periods throughout the day and 80-90 minutes at lunch. Many researcher believe that this recess period is key to classroom instruction. Research was done to determine the effect of a recess break on classroom behavior; specifically working, fidgeting, and listlessness. A southern urban school district with a ‘no recess policy’, granted permission for two grade 4 classes to have recess once a week so that behavior on recess days could be compared to that of behavior on non-recess days. Because recess was not in the normal daily schedule, the students would not anticipate it, and this anticipation could not effect the results. The days for recess were chosen randomly so that a pattern would not develop and be anticipated. The study looked at 43 children, 18 boys and 25 girls, from a variety of backgrounds; socially, ethnically, and economically. The school was located in middle class-upper middle class neighborhood and serves neighborhood children as well as children bussed in from transient housing. This quantitative study explained very clearly the types of children that were to be studied, the specific controls that would be used, and the results that were being anticipated. Researchers conducting this test were looking for the effectiveness that recess has on the student, if any. The children were placed into two research groups; A and B. Classroom A’s normal morning schedule is as follows. 8:00-9:30 Instruction in their own classroom 9:30-11:15 Mathematics and science in another classroom (where they were observed) 11:15-12:00 Instruction in their own classroom On the days when the children had recess, they took a break from mathematics and science to go outside from approximately 10:30-10:50. Classroom B’s normal morning schedule is as foll... ...gnificant research for educators to know and that if used properly it could, and would, increase the learning in a classroom. Most public schools have a period set aside each day for recess that coincides with the lunch schedule. This proves that schools are taking advantage of the recess method. I think that the ‘anticipation factor’ is key to giving recess the greatest impact possible. Schools would have to devise a schedule that would shift the recess periods around so students would be unaware of the days scheduled recess time. This would be dependent on teacher and administrator cooperation. I believe that the research done has ‘real world’ significance to teachers and students alike. The changes that would have to take place are minimal and the effects that would be achieved are obvious from the start. Teachers everywhere would benefit from using this information in the day to day running of their classrooms by saving countless minutes trying to keep the class on task. We have learned that the most important parts to a lesson are the ‘first’ and ‘last’ facts. When you add recess into the daily schedule you have another ‘start’ and ‘finish’ for kids to remember.

Saturday, January 11, 2020

General Electric Medical Systems

1. Q 1. What is the underlying logic behind the global product idea? What are the costs and the benefits that are expected? Global Products Company(GPC) strategy is based on the following underlying logical premises: a. Markets for medical equipment are systems are becoming increasingly global in nature. They are no more restricted to only the developed First and Second World countries having advanced healthcare systems. The burgeoning market is that of emerging and developing economies. Thus, there is a need to meet the growing demand for affordable medical equipment in these economies and retain its market leadership b. Needless to say that low-cost leverage is the only way to win a large chunk of this new pie and therefore GEMS has to shift to a cost-efficient strategy c. GEMS realised the potential of tapping production & sourcing centres where there was parity in output quality and labour skill-sets but overall cost was much lower. d. The GPC strategy involved sourcing quality components from the most cost-effective suppliers and establishing the manufacturing bases in most cost-effective geographies. e. As most of the GEMS manufacturing involved sourcing complicated components from across the globe to two-three manufacturing/assembling centres and then distributing across the globe from these centres, the challenging aspect of GPC was in the development of intermediaries along the supply chain to ensure un-interrupted supply & production flows. The following are some of the costs and benefits of the above mentioned strategy of globalizing production to facilitate a low cost production: Benefits: 1. As materials form 80% of the manufacturing cost, sourcing of materials from low-cost countries would enable a significant amount of saving. The key would be to develop long-term relationships with local suppliers and once that is done, it means unparalleled cost savings in future. 2. Having manufacturing centres in low-cost-labour countries would also enable a substantial cost reduction as labour formed 20% of the manufacturing cost. 3. Now, as labour and materials form almost 85% of the total variable cost, substantial reduction in both would enable GEMS to have a cost reduction to he tune of approximately 30% in the total cost. It has to be noted that the incremental fixed cost in case of GEMS was close to nil (Exhibit 7). Costs: 1. In addition to the fixed costs that had to be incurred additionally to enter into the low-cost countries, other GPC-specific costs included inventory, logistics, documentation, and import- duty costs relating to moving materials and products around the world. 2. Developing a long-standing relationship with new suppliers in these low-cost countries was another area that required considerable allocation of time and effort. . Reducing investments in developed countries, from where bulk of their demand came, meant deteriorating relationship and loss of concessions from these countries. 4. Costs related to hiring less experienced workforce in these new locations, and human toll on the workforce as a result of long trips from home for the employees from both old locations and headquarters. If we analyse GEMS’s strategy mentioned in the body above using the AAA model, we can conclude that it is primarily using the arbitrage strategy of globalization with some elements of aggregation. Q. 2 Should the global product philosophy be changed or altered to suit the China market? Please identify both sides of the argument and take a position explaining the rationale behind your stand. Does it make economic sense? The choice between continuing with the current Global Product Concept(GPC) and adopting â€Å"In China for China† for the low end products is a very difficult call for GE managers. On one hand there are several advantages of adopting â€Å"In China for China† such as: In China there is a huge growth potential for medical diagnostics and as of now it is the world's third largest market for the same. By adopting â€Å"In China for China†, GEMS can design and customize products according to local needs in China and further the GE managers believe that China being a nationalistic country, domestically produced products will have greater demand than imported ones. There are other factors like low incremental fixed cost for moving facilities to China, avoidance of duties and tariffs, availability of cheaper local labor and low transportation cost all of which would help in cost saving for GEMS. On the other hand in order to adopt â€Å"In China for China† strategy GEMS will have to break the GPC concept which may result in ecreased quality due to lack of readily available skilled labor and reduced cost cutting efficiency. Also the management will have to address the challenge of development of suppliers which may result in inefficiency. GEMS do not have good history of managing joint ventures because of the unethical practices of the partner which eventually lead GEMS a cquiring the partners. As understood from the case there are two different market segments in China namely the high end markets served which is served only through imports and the low end markets which is served through domestic production. The adoption of â€Å"In China for China† strategy will result in the company distancing itself from high end customers which will end up in losing the revenue for the business to high end customers. Considering all these factors we suggest that it is better for GEMS not to adopt â€Å"In China for China† strategy and to stay with Global Product Concept. Q3. Should GEMS be aggressively pursuing genomics and healthcare-IT related opportunities in addition to or instead of the China opportunity? What priorities would you suggest? Explain your reasoning carefully? No doubt, being third largest healthcare market with tremendous growing potential in future, China is a lucrative market that GEMS can’t easily neglect. But at the same time, with the growth of technological advancement in the field of healthcare, genomics and healthcare-IT related products and services going to have an important role in the coming decades and the companies having those expertise will bound to dominate the global healthcare market in future for sure. So we think that GEMS should take both the China opportunity and the genomics and Healthcare –IT related opportunities seriously. We believe that GEMS has the capacity to look at both the opportunities simultaneously obviating the need to sacrifice one for the other. The company’s strong financial condition along with its strong emphasis on R&D would help the organization in meeting both the objectives. China Opportunity : But in doing so GEMS should initially put more focus on the China market than the R&D on genomics and healthcare-IT projects. Because it is very important for GEMS to catch hold of the China’s market before other competitors like Siemens, Philips. Also the gestation period of genomics and healthcare related projects are too high usually 5-10 years and in such a situation to maintain a good balance sheet GEMS should have a good market share in China. The low end product accounts for 20% of the global sales and to succeed in the low end , presence is Chinese market is a must for any company. Secondly, The China opportunity requires GEMS to shift the production from the other parts of the world to China. The incremental cost associated with that shift in production process is a mere $1 million which should not be an obstacle in GEMS China policy. So GEMS can easily do that without worrying too much about the financial aspects. Genomics and healthcare-IT related opportunities Genomics and preventive health care is going to play a deciding factor in coming decades. But these projects are far more complex than what GEMS did till now. Genomics requires not only technological know-how but also expertise on biomedical science which presently GEMS lacks off. So for better output from these R&D, Tie-up with pharmaceutical companies that develop viruses and chemical reagents would help GEMS to understand and increase their expertise on bio medical science. Collaboration with leading universities around the world on researches on topics relevant to these projects would also help GEMS. Funding for these researches, Supplying machines and tools to support those researches would help GEMS in getting good responses from R&D teams around the world. So with the steps mentioned above and few modifications to the present system, GEMS can take both the opportunities

Friday, January 3, 2020

Healthcare Enhancing Patient Safety - 1644 Words

Pyxis in Healthcare: Enhancing Patient Safety NR 340: Information Systems In Healthcare Instructor: Amy Johnson Team Yellow Pyxis: An Introduction The Pyxis medication dispensing system is used in a wide variety of medical settings to aid in the safe administration of medication. The Pyxis system simplifies the inventory, stocking, ordering and distribution of medications through the use of information systems. Objectives Discuss the purpose and use of the Pyxis. Discuss the history and background of the Pyxis medication dispensing system. Discuss the impact Pyxis use has had on healthcare. Discuss the effectiveness of Pyxis use in regards to patient safety Discuss the advantages and disadvantages of Pyxis use. History Los Angeles, Doctor and founder John McLaughlin, came up with the idea to reduce health care costs and improve patient safety Pyxis Corporation based in San Diego, CA, first manufactured and introduced the MedStation System (Pyxis Machine) around 1989-90 In 1996, Ohio based organization, Cardinal Health obtained rights from Pyxis Corp By 2009, Cardinal Health separated, into what we know today as CareFusion Cont.’ History Before Pyxis Ward trolley used for storing medications dispensed by pharmacy for individual patients Stockpiling of items not kept organized due to frustration in obtaining medications Current Use Background Automated unit used for the distribution and storage of medicine in clinical areas Interfaces with Patient Management SystemShow MoreRelatedMedical Errors And Unsafe Care Harm1319 Words   |  6 PagesApproximately two million healthcare-associated infections occur annually in the United States, accounting for an estimated 90,000 deaths and more than $4.5 billion in hospital healthcare costs (Patient Safety, 2015). Safety is one of the six competencies the QSEN faculty and National Advisory Board explained to be initiated in nursing pre-licensure programs in order to increase the quality and safety of healthcare systems. Safety in healthcare decreases risk of harm to patients and providers throughRead MoreElements Of A Risk Management Program1400 Words   |  6 PagesElements of a risk management program Introduction Quality and safety of care are the biggest goals of every health care organization. A risk to the patient, healthcare professional and the organization are prevalent in health care settings, which can be minimized and prevented by having well trained and educated risk management team within the organization. Risk management is the systematic effort to reduce an incidence of preventable accidents, which not only prevents the injuries and financialRead MoreWhat Is The Overview Of The Singapore Airlines Case Study900 Words   |  4 Pagessatisfaction of the customer services, moved the company to the leading place among the airlines services. The analysis of the Singapore Airlines case may offer the clarification to the Banner Healthcare organization methodology of the successful management system within the company. The Banner Healthcare system of the Phoenix, Arizona is known as one of the biggest non-profit system in the United States. Banner Health system provides services to communities in six states, includes about 50 000Read MoreThe Australian Healthcare System Case Study1037 Words   |  5 PagesThe Australian healthcare system has been ranked as one of the leading nations in the developed world (Smiley, 2017). Common measures of health is life expectancy and burden of disease, with Australia performing particularly well in overall population health status (OCED, 2015). Health, as developed by the World Health Organisation (WHO) in 1948, is defined as â€Å"a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity,† (Grad, 2002, pg. 984). DespiteRead MoreThe Need for Sharps Safety in Hospital Settings927 Words   |  4 PagesFlames of evolution in patient care have been fanned into a wholesome revolution in the nature of nursi ng care due to the ever changing healthcare needs and demands of patients. This has led to a paradigm shift from generalized patient care to a patient centered approach. The increase in interaction and individualized patient management has improved healthcare delivery. However, on the flipside, this has not come with new challenges. Healthcare providers are increasingly being exposed to new healthRead MoreIntroduction and Evaluation in Healthcare843 Words   |  3 Pagesthe absence thereof - bring about healthcare errors as well as their ensuing adverse situations. For instance, a research of iatrogenic cardiac event discovered that more than half of the arrests contributing to death may have already been avoided by closer checking of individuals as well as their overall health condition details. Consequently, numerous turn to computerized methods to cut back errors in medical care. Paradoxically, research workers in healthcare informatics have mentioned that informationRead MoreTh e Information Flow Of E Commerce1594 Words   |  7 Pagestransactions as well as knowledge processing. It further helps in enhancing the revenues for the business by adding value to products, building enduring relationships with the customers and generating a new revenue stream with online transactions like advertising and information. However, with the increasing use of the IT interface in business operations there are growing concerns for the privacy of the information, security and safety of transactions as well as the security issues for the region, invasionRead MorePatient Safety1044 Words   |  5 PagesPatient Safety at Grand River Hospital amp; St. Mary’s General Hospital Most patients would like to think that safety is a major priority at the hospital they are visiting. They would like to believe that the hospital actively engages in practices that should nearly diminish any possibility for an accident or mistake to occur. However, the premise of patient safety is relatively new. Medical errors remain a sensitive topic with patients, physicians, and hospital administrators. Physicians andRead MoreAn Organizational QI Plan for ABC hospital933 Words   |  4 Pagesorganizational improvement plan At ABC hospital healthcare facilities are provided to patients at home under the supervision of experienced and expert physicians. This system is generally referred to as as home healthcare system. The type of care the organization provides Multiple services are provided under home healthcare systems. The main services are medical social services, speech-language therapy, occupational, physical and nursing care to the patients. Organizations mission and Quality ImprovementRead MoreTeam Performance And Patient Safety Initiatives1305 Words   |  6 PagesTeam Performance and Patient Safety Initiatives Patient safety and quality care is the center of every health care provider’s initiatives. According to the Institute of Medicine (IOM) report â€Å"To Err is Human†, adverse events and medical errors happen at an alarming rate with approximately 400,000 deaths a year (Epps Levin, 2015). An evidence-based practice, team strategies and tools to enhance performance and patient safety (TeamSTEPPS), is a comprehensive program that brings staff together to