Globalization and Its Merits and Demerits

[edit]Proto-globalization Main article:  Proto-globalization The next phase, known as  proto-globalization, was characterized by the rise of maritime European empires, in the 16th and 17th centuries, first the  Portuguese  and  Spanish Empires, and later the  Dutch  and  British Empires. In the 17th century, world trade developed further when  chartered companies  like the  British East India Company  (founded in 1600) and the  Dutch East India Company  (founded in 1602, often described as the first  multinational corporation  in which stock was offered) were established. [39]Animated map showing the development of European  colonial empiresfrom 1492 to present The  Age of Discovery  added the  New World  to the equation,[40]  beginning in the late 15th century. Portugal  and  Castile  sent the first exploratory voyages[41]  around the  Horn of Africa  and to the Americas, reached in 1492 by the Italian explorer  Christopher C olumbus. Global trade growth continued with the  European colonization of the Americas  initiating the  Columbian Exchange,[42]  the exchange of plants, animals, foods, human populations (including  slaves),  communicable diseases, and culture between theEastern  and  Western  hemispheres.New crops  that had come from the Americas via the European seafarers in the 16th century significantly contributed to world population growth. [43]  The Puritans migration to New England, starting in 1630 under John Winthrop with the professed mission of converting both the natives of North America to Puritan Christianity and raising up a â€Å"City Upon a Hill† that would influence the Western European world, is used as an example of globalization. [44]

Self regulation

Self regulation as defined Jackson and Hackenberg (1996) is the ability a person has to control his or her emotions, desire ad behavior with an aim of managing ones future effectively. In order to attain self regulation, an individual is needed to be able to execute functions in regard to decision making especially during difficult situations.In this view, self regulation can be deemed as stable element that is vital in guiding behavior of a person along distinctive path to a directed goal. However, it is worth noting that self regulation process is characterized by epistemic and procedural in addition to critical volitional factors.For instance, volitional factors like self-regulation failure, discrepancy detection, and goal setting are necessary for scaffolding individuals to attain self regulation. Skinner’s contribution to self regulation concept can be viewed in terms of his need to understand interrelationship between learning and behavior (Skinner, 1953, p. 230). Skinne r (1953) emphasize that learning and behavior are inseparable because, it is difficult to change or influence behavior without understanding how the behavior was learnt.Therefore, behavioral learning theories help psychology practitioners to discover why behavior occurs and how they were learnt to be better positioned to handle them. In this regard, Skinner states that in order to relate behavior and learning with regard to self regulating, principles such as Physical Restraint and physical aid, Manipulating emotional conditions, changing the stimulus, Punishment, Operant conditioning, Depriving and satiating, Using aversive stimulation, and Drugs are of essence (Skinner, 1953).This principles for attainment of self regulation that are fundamental to practitioners to treat and manage addictions and psychological disorders (p. 230).The applicability of skinner’s principles of self control can be clearly seen to be relevant to date in terms of effective curriculums designs, beh avioral approaches such as child-rearing and the example of utopian community by Walden, human resources management, and psychotherapy where desired behaviors are encouraged using rewards, while unwanted behavior are discouraged (Vohs et al., 2008). References Jackson, K. , & Hackenberg, T. D. , (1996) â€Å"Token reinforcement, choice, and self-control in pigeons† Journal of the Experimental Analysis of Behavior, 66, p. 29-49 Skinner, B. F. (1953) Science and Human Behavior, p. 230 Vohs KD, Baumeister RF, Schmeichel BJ, Twenge JM, Nelson NM, Tice DM (May 2008). â€Å"Making choices impairs subsequent self-control† J Pers Soc Psychol 94 (5): 883–98.

Linguistic Assignment Example | Topics and Well Written Essays - 500 words - 2

Linguistic - Assignment Example In most cases, nouns and pronouns perform the grammatical functions of subject. Because of this, nouns and pronouns should appear at the beginning of a sentence (Lyons, 75). Again, the same rules apply to the use of adjectives, since adjectives or adjectival phrases may also perform the grammatical function of a subject. Because of this, it is expedient to have a preposition or a prepositional phrase coming after the adjectival phrase functioning as the subject. It is for this reason that the sentence below may be correct. The converse of the foregoing is also true that in most cases, content words do not only serve as the subject, but also as the object. Since the object appears at the ultimate position of an active sentence, it is sound that a sentence is completed with a noun, a pronoun or an adjective. For this reason, it may be grammatically correct to say: In a different wavelength, Winston Churchill’s sentence: This is something up with which I will not put is wrong because it splits the to-infinitive. Prepositions are always combined with verbs to form the to-infinitive. Therefore, splitting the to-infinitive may make understanding the sentence difficult because it ignores the short-dependency that the to-infinitive put-up should

Australiana Literature Essay Example | Topics and Well Written Essays - 500 words

Australiana Literature - Essay Example e again tends to generates a dedoublement, one that there is no mistaking this time, and one that, if only for the reason that Whites tributary insertion of Dostoevskys The Brothers Karamazov into his own text, is noticeably self-referring. Is its resolution of this crisis - if that is what it is - recognizable as well? To answer in terms of Whites theme of representation-at-the-margin a good number of his story White holds out an optimism of an Australian vernacular writing that will yet remain in touch with a parent European Writing (Wilke p 97). Finally, however, what has seemed a bearable, if problematic relationship between Arthur and Waldo - and we are talking constantly regarding possibilities of representation - proves to be non-viable. As a replacement for of making for a productive synthesis, the narratives in the novel are known as "Arthur" and "Waldo" is but the same crisis of potentially aggressive confusion seen from somewhat different viewpoints. except the fact that white sees a number of positive sacrificial meaning at this point only obvious conclusion in The Solid Mandala is collapse or regression into an undifferentiated condition, into the extremely confusion of Same as well as Other it has tried to reconcile: Waldo Brown, dead of spite, in addition to his non-identical twin Arthur, sent to a mental institution, and keeping just one of his four solid mandalas. The conflict never affected their relationship as Arthur said at one occasion Ill kill," Arthur continued to bellow, "the pair of you bloody buggers if you touch," he choked, "my brother."( White p45) this showed how one brother protected the other Bound together in conflict, Waldo and Arthur represent duality in totality. Separate yet whole, the brothers symbolize the two opposing halves of the self. White advocates the need for both parts as well as for balance between the two. For example, Arthur’s insight—his almost visionary capability—is too otherworldly for this

Features of administrative leadership and successful relationship with Research Proposal

Features of administrative leadership and successful relationship with the institution - Research Proposal Example Using the specific objectives and research questions as a scope for the study, secondary data were collected using the review of related literature. As part of the literature review therefore, the specific objectives were changed into thematic topics, under which the literature review took place. Some of the major findings that were made from the literature review touched on areas such as the general definition and meaning of administrative leadership and organizational relationship, leadership styles that works best in promoting effective relationship with the institutions, challenges faced in implementing an all inclusive institutional leadership, and benefits for using administrative leadership to enrich the relationships that exists within the institution. The proposed study also involves primary data collection, which requires the researcher to set up a research setting, from which data shall be collected from a group of respondents. The generalized reason for having such primar y data collection in place was to ensure that the data that were collected from secondary sources were compared with real life situations to confirm their authenticity and accuracy. Generally, the primary data collection was also focused on the need to have an action research that would ensure that a primary is identified within a localized setting and attempted to be solved by use of an intervention. In this instance, the problem to be identified was a leadership crisis situation that was making organizational cohesion difficult for an identified institution. The intervention on the other hand was to be the introduction of the administrative leadership style, which involves and enhances effective participation between the leader and other people on the administrative staff. The primary data collection is thus proposed to take place to take place within one specific educational organization. As part of the primary data collection, various methodological approaches were followed. In the first place, the sample size was developed. This was proposed to be done by selecting a group of employees from the institution that was to be used as the research setting. These people will be tasked to respond to a self-administered questionnaire that contains questions focusing on the research objectives and the research questions to be used for the study. With questions focusing on various leadership styles and leadership skills in place at the institution, key issues of leadership that did not promote successful relationship with the institution and ways of correcting these were to be identified. The data collection process is to be followed with data analysis, which is also expected to take a quantitative approach. What this means is that the researcher shall make use of various mathematical formulas and indexes that will ensure the empirical interpretation of data. 2-Abstract This proposal focused on the impact of administrative leadership in bringing about effective rela tionship in the institution. Data collection was change oriented as it focused on leadership crisis and ways of improving it. Ahead of this, secondary data had been collected using the critical review of literature. Key ways used in the study included: leadership, change, interpersonal relationship, democratic leadership, leadership style, delegation, conflict management, shared responsibility, competency training, training and development.

Decision Making, Decision Levels and Types of Problems Research Paper

Decision Making, Decision Levels and Types of Problems - Research Paper Example System theories such as decision theory (involving studies on how to choose better solutions) and game theory (involving studies on conflict identification and resolution) are useful in organizations today. However, as organizations are governed by complex systems, there are also corresponding approaches that go with these theories. According to Walonick (1993, para. 5), there are two different approaches used in understanding a system or its components, the cross-sectional and developmental approaches. In the cross-sectional approach, a system is analyzed in relation to other systems while in the developmental approach, a system is analyzed through the changes that it undergoes throughout time. These approaches are used to understand a particular, general system; either in its own context, or in the context of its relations to other systems. Accordingly, these approaches are practiced in various fields in arts (e.g. architecture) and sciences (e.g. medicine, computer studies). Gener al Systems Theory and Approach in Information Technology As system theories and approaches are used to understand the concepts behind a system, these theories and approaches are essential elements in the process of conflict identification and resolution. ... Considering this situation, it can also be said that system theories are necessary in the decision-making process of information system creation as those influence the design of the system. Decision Levels and Types of Problems The decision-making process in creating an information system consists of a combination of complex problems and solution. As mentioned by Skyttner (2005, p. 400), there are three types of problems (structured, semi-structured, and unstructured) and three decision levels (operational, tactical, and strategical) involved in the decision-making process. Additionally Skyttner (2005, p. 400) explains that structured problems refer to problems that can be broken down into different quantifiable elements while semi-structured problems points to problems that are â€Å"partly structured and partly unstructured. Furthermore, unstructured problems refer to problems that do not have clear conventions, which require the evaluative and insightful capacity of decision-make rs. Aside from the impact system theories in the identification of the problem structure, those theories are also essential in recognizing the appropriate decision level that should be maintained in conflict resolution process. In the words of Schmidt and Wilhelm (2000, p. 1510), the tactical level in the decision-making process refers to â€Å"the material flow of from suppliers to production facilities. In this process, decision-makers are able to choose the material that should be used in operation as well as where to get those materials. Following the tactical level in the decision-making process is the strategic level wherein decision-makers prescribe the use of specific materials in the production. Thus, strategic level decisions consist of pronouncements regarding production

Selling Essay Example | Topics and Well Written Essays - 250 words

Selling - Essay Example Of course trust level is the thing which enhances the every relationship bonding but when we talk about selling it values a lot – as selling relationship are business type in nature sort of. The best salesperson never compromise on its reputation or trust and always tried its best to deliver at time. And this trust of a salesman highly depends on the customer and salesman relationship – that is understand the customer need, his level of satisfaction and having honest dealing with him. The simplest example I want to give here for my above statement is the relationship between the doctor and a sales person of a pharmaceutical corporation. Doctor never having its personal affiliation with the company whose medicine he usually does prescribe actually it is his relationship with the representative of that company who push him to recommend its medicine - in point of fact the key of selling moves around personal business relationship. The best salesman always follows the strat egy which is do business with persons not with companies. A part from all above, customer entertainment which a salesman providing him also groomed that relationship – that is having outdoor eating and other recreational activities you know giving your customer casual environment. Selling is a sort of profession which very much focused relationship ethics and you now tough times which we say ups and downs are the part of every relation. If both ends have a healthy relation then these tough tome (like any delay in scheduled delivery of stock etc) can be easily tackled. Networking, another very potential term in career of salesman. How I tell you this. Basically it increases your social relations. It also happens that buyer recommend you to others thus give a boost to salesman business. But it is better to network always rather if you want some type of business dealing. The approach to do networking always expands and strengthens the relationship in improved

Teaching Plan Essay Example | Topics and Well Written Essays - 1000 words

Teaching Plan - Essay Example Therefore, here learning will occur through teaching by word of mouth and will be supplemented by power-point slides that will have several pictures (Mayer, 2002). Goal: Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). The rationale for choosing this objective is that it targets adults especially those over 65 years of age. AF mostly affects this age group. Therefore, the objective will serve this teaching appropriately. The above HP2020 Objective relates to Alma Ata’s Health for All Global initiatives in that Alma Ata calls for the protection and promotion of all people around the world. This objective does so by targeting adults who are a risk age group in terms of their exposure to health related risks. Example – Interactive poster presentation of the Food Pyramid. After an explanation of the poster and each food category, allow students to place pictures of foods on the correct spot on the pyramid. Also, have the class analyze what a child had for lunch by putting names of foods on the poster and discussing what food group still needs to be eaten throughout day. I will evaluate my teaching plan right from the beginning of the lesson. This will be done through questions and an the topic from the beginning of the lesson, as the lesson progresses and at the end of

Native American Term Paper Example | Topics and Well Written Essays - 500 words

Native American - Term Paper Example I have noted that another major group included in the Native Americans is the African Americans also known as black Americans or Negroes. It includes descendants of captured Americans whose ancestors migrated into the territories that are currently known as United States. I have clearly seen that the ancestors were slaves brought from Africa or Caribbean states during the era of slave trade in the 17th century (William, 1969). I think that slavery remains to be one of the biggest challenges that American native faced in the mid 17th century. The prisoners of war would be captured by major African states and later on sold to American slave traders who would then transport them to work in plantations. I have noted that many slaves were restricted in their movements. In their transportation they would be chained down or stacked like wooden logs to prevent them from combining into mutiny. Once they arrived at their destination they were branded, and taken to the plantation. They would work for 18 hours a day where the whole family would work on the farm including the elderly, the sick and young children. Also, after reading, I realized that the freedom of worship was also denied to slaves where they were forcefully converted to Christianity without change of their status as slaves. The slaves were forced to grow crops, and keep chicken for their source of food to prevent dependency on the planters. They were restricted from selling any food and they were denied the right to education. I clearly see that the result of slavery included slave revolt where slaves would try to escape, despite harsh penalties by the planters. As the white planters benefited from free labor and slavery, a culture of racism and ethnic rivalry emerged where the society would undermine the Black and Asian communities. I clearly ascertain that this resulted from social superiority and technological advantage of the white planters over the black slaves (William, 1969). While

Measuring Youngs Modulus of Copper Essay Example for Free

Measuring Youngs Modulus of Copper Essay Aim: To study the stress/strain behavior of copper wire and estimate the Youngs modulus of copper Apparatus: Copper wire s.w.g.32 about 4 m G-clamp ?1 Wooden block ?2 Metre rule ?4 Pulley on clamp ?1 Micrometer screw gauge ?1 Hanger (0.01 kg) ?1 Slotted mass (0.05 kg) ?8 Slotted mass (0.1 kg) ?6 Slotted mass (0.2 kg) ?4 Slotted mass (0.5 kg) ?1 White label sticker ?1 Safety goggles ?1 Rubber tile ?1 Theory: When a force F is applied to the end of a wire with cross-sectional area A along its length, the tensile stress = If the extension of the wire is ?l, and its original length is lo, the tensile strain = Under elastic conditions, a modulus of elasticity of a wire, called the Young modulus E, is defined as the ratio of the tensile stress applied to a body to the tensile strain produced. where E is expressed in N m-2 or Pascal (Pa). E is a constant when ?l is small according to the Hookes Law which stated that the stress applied to any solid is proportional to the strain it produces for small strain. Therefore, when a material has a larger the value of E, it resists to the elastic deformation strongly and a large stress is required to produce a small strain. E is thus a measure of the elastic stiffness of a material. However, when the extension (deformation) of the wire is too large, beyond proportional limit, solid will no longer obey Hookes law i.e. E is no longer a constant. As the stress further increases, beyond the elastic limit, the wire has a permanent extension that the wire is no longer elastic and it undergoes plastic deformation. The extension increases rapidly as the force on the wire is further increased. The wire elongates and breaks. The stress just before the wire breaks is called the breaking stress. Procedures: Set-up of the apparatus 1. The apparatus was set up on the bench top as shown below The wire was firmly clamped by using a G-clamp so that it does not slip. A white label sticker was fixed on to the copper wire to act as a marker such that it is about 50 cm from the pulley. A metre rule was fixed alongside the wire with the maker for measuring the extension. Performance of the experiment 1. The hanger was tied to the end of the wire so as to straighten out the kinks in the wire and the unstretched length (lo) of the wire from the edges of the wooden blocks up to the marker was measured. 2. A micrometer screw gauge was used to measure the diameter of the wire at different angles for each of the 8 location along the wire. 3. The wire was loaded with slotted mass m in steps of 0.10kg and then 0.05kg and the extensions ?l after each loading were recorded until the wire broke. Data table: Original length of wire lo = (3.000 à ¯Ã‚ ¿Ã‚ ½ 0.001) m Percentage error in lo= Diameter of the wire (mm) 0.255 0.250 0.225 0.230 0.225 0.255 0.225 0.255 Average diameter of the wire = (0.240 à ¯Ã‚ ¿Ã‚ ½ 0.005) mm Percentage error in d = Readings for the graph: Load m / kg 0.10 0.20 0.30 0.40 0.50 0.60 0.65 Extension ?l / mm 0.5 1.0 1.5 2.0 2.5 3.0 3.5 Load m / kg 0.70 0.75 0.8 0.85 0.90 0.95 1.00 Extension ?l / mm 3.5 4.0 5.0 6.0 6.5 7.5 Broke Data analysis: Youngs modulus, where F is the tension in the wire and A is the cross-section area Since and From the graph, the slope of the best fit line through the points of the straight line portion of the graph, Assume that the cross-sectional area did not vary as the stress increased. Errors accuracy: From the graph, the slope of the best fit line: the maximum slope: the minimum slope: Deviations: m+ m = 12.1 Deviations: m m- = 26.0 The maximum error in slope = larger of the deviations = 26.0 Slope of load-extension graph = (192.7 à ¯Ã‚ ¿Ã‚ ½ 26.0) Percentage error in slope: Percentage error in E = % error in slope + % error in lo + 2 ? % error in d Youngs modulus of copper, E = (125 à ¯Ã‚ ¿Ã‚ ½ 22) GPa Conclusion: The stress applied to a copper wire (s.w.g. 32) is directly proportional to the strain it produces before the extension becomes 3.5mm. The ratio of stress to strain will get smaller and not constant when the extension beyond 3.5mm (proportional limit), i.e. after the extension reached 3.5mm, small increase in stress can produce a great increase in strain. Copper obeys the Hookes law. The Youngs modulus of copper is (125 à ¯Ã‚ ¿Ã‚ ½ 22) GPa Sources of Error: 1. The copper wire did not have a constant cross-sectional area along its length. 2. There was fractional force due to the pulley applying to the wire. 3. Reading error in measuring the extension and the unstretched length. 4. Fluctuation of room temperature might change the diameter of the wire during the experiment. 5. The wire in the experimental set-up was not exactly horizontal that made our measurement of extension not accurate. 6. The cross sectional area of the wire got thinner under stress so that the expected stress would be less than the stress actually applied. Improvement of the Experiment: 1. Fixed the metre ruler by another G-clamp so that measurement of the extension can be more accurate. 2. In order to measure extremely small extension with high precision, optical lever (a mirror mounted on a small pivot) can be used instead of just using a simple meter stick. 3. Repeat the experiment several time and take average of the extension values so that more accurate result can be obtained 4. The experiment can be repeated as below so that the small extension of the wire can be measured accurately by vernier scale; moreover, there will be no extra fractional fore due to the presence of pulley. 5. Repeat the experiment by using copper wire with different s.w.g and take an average of the Youngs modulus obtained so that we can estimate the value of Youngs modulus of copper more accurately. Precautions: 1. Wear safety goggle during the experiment so as to protect our eyes when the wire breaks eventually 2. The load should not be too high off the floor, and there should be a suitable soft landing platform, such as runner tile right below the load. 3. The unstretched length should be at least 3m for the wire to extend.

Smoking Cessation Interventions In England Health And Social Care Essay

Smoking Cessation Interventions In England Health And Social Care Essay Smoking causes a range of health issues and diseases in people particularly Cardiovascular diseases, chronic obstructive pulmonary disease (COPD), lung cancer and a range of other cancers, peptic ulcer and various other medical conditions. (National Health Service, 2010)The survival rates are low even after the person undergoes surgery. Post operative Complications may also develop which causes delays in recuperation and often people experience respiratory issues due to this. (National Institute of Clinical Excellence, 2010). Further, it can cause complications in pregnancy and labour among women who smoke during their pregnancy period, including ectopic pregnancy, bleeding, premature detachment of placenta and premature rapture of membranes. These women also suffer from a high risk of miscarriages in comparison to those who do not smoke. Also, the babies born to such mothers carry a lighter weight (average 200-250 gm) than women who do not smoke. (NICE, 2010). This can reduce the immunity system of children and place them at risk of developing diseases in childhood or death. It has been found that Smoking in pregnancy increases infant mortality by about 40 percent. (NICE, 2010). The number of deaths attributed to smoking were estimated to be 83,900 in adults aged 35 and above in 2008. Among these deaths, 23,200 resulted from respiratory diseases (mainly obstructive lung disease) and 37,000 accounted for cancer conditions (lung cancer, Cancer of the Oesophagus). (HSCIC, 2009) Given the varied benefits of stopping smoking and adopt healthy lifestyle, some smokers are willing to quit smoking and 70 percent of them make efforts to quit at least once in their lifetime. At present, the self reported rates of smoking in England is 21 percent among adults aged 16 and above. Despite the trends of reduction in smoking prevalence, it is still considered as a serious public health concern in England (Allender et al, 2008). NHS Stop smoking services It is reported that over two third (67%) of the smokers in the English population attempt to quit every year (ONS, 2009). However, smokers are often require to put in repeated efforts and attempts towards quitting smoking before succeeding (NHS, 2010). To support smokers who want to quit smoking and help them succeed in their quit efforts, National Health Service (NHS) founded a unique initiative program called as NHS Stop Smoking Services (NHSsss) in 1999. This national programme came into being following the White paper on Smoking kills published by Government in 1998.This policy guidance expressed strong commitment to address the serious health consequences of smoking and tackle the growing concern of rising prevalence rate of smoking in the population. It laid down plans for the development of a special national unit, Smoking Cessation Services) along with other initiatives (implementation of advertisement ban, ban of smoking at work and public places). NHSSS forms the part of th e wider Tobacco Control program run by Government to reduce the prevalence of smoking among the local population. Their primary role is to provide and deliver a high- quality clinical smoking cessation services to smokers who are motivated to quit smoking. Since its establishment, NHS Stop smoking services (SSS) have supported over two million people to quit smoking in the short run and 500,000 people to quit smoking in the long run without relapse. In total it has saved 70,000 lives uptill now. Even though smoking rates have dropped down since 1990s the progress has been slower in the last decade among the Routine and Manual workers population. It has been estimated that the dropping rate of smoking is 0.4 percent a year. (NICE, 2010). This suggests that health inequalities exist between different socio- economic groups. There have been expectations that SSS will make significant contributions in reducing the gap of smoking prevalence between these groups. This issue was taken up as one of the main priority in NHS Operating Framework and treatments and support were offered by Primary Care Trusts (PCTs) to people who were willing to stop smoking in deprived localities of England. (Low et al, 2007). However, quit rates among socially di sadvantaged groups remain low. Currently, out of the total smoking population, smoking rates among Routine and Manual workers are 26 percent. Also, the smoking rate is high among people who belong to ethnic minority groups in the UK population. Studies conducted in various ethnic minority communities have reported that people from these populations do not access the services offered by NHS SSS due to limited information about the accessibility and effectiveness of smoking cessation interventions. Thus, to maximise the potential of NHS Stop Smoking Services, a high and effective level of intervention is essential to target this public health concern and reach people from all socio economic and ethnic minority groups who are willing to stop smoking and benefit from it. NHS Stop Smoking Cessation Services- Delivering of interventions NHS Stop smoking support are offered and delivered in range of ways. The treatments are provided to people in a separately or a combined manner. Recommended treatments that have shown evidence to be effective over the years comprise (NICE, 2010): Brief interventions given by GP, nurses or other health practitioners practicing in the local community in the form of advice, self help materials or referrals for further clinical treatment. Individual Behaviour counselling in a one to one sessions Group Behaviour therapy ( Also known as Closed Groups) Pharmacotherapies ( providing alternate medications like Nicotine Replacement therapy, Buropion or Vareniclin) Self help materials (leaflets, quick kits) Telephone counselling and quitlines Media campaigns to spread awareness of smoking related ill health and interventions available to stop smoking. The sources of mass media campaigns include a combination of television, radio, newspaper advertising. Smokers who are willing to discontinue smoking are offered the above range of treatments options so that they can chose the one which suits them the most. The health professionals may provide, as appropriate, a combination of interventions that are sensitive to the needs, preferences and ethnic diversity of their local smoking population and at the same time being mindful of bridging the gap between health inequalities. These interventions are considered to be cost effective way of reducing ill health and prolonging life. So every smoker should be advised to stop smoking and offered help if they feel like wise in doing so. (NHS, 2010) All the interventions provided under Stop Smoking Services Clinics share some common properties. Such as Behavioural support offered in both individual and group therapies by health professionals and they normally advise the usage of Nicotine and Nicotine- based therapies along with it. (NHS, 2010). This clinical service is provided over multiple sessions to the smoker and a quit target date is set at a follow up of 4 weeks. Success ranges of quit rates by smokers depends upon the type of intervention received by them. Interventions that combine group support with Nicotine reduction therapy are more effective in achieving 4 weeks quit rates (71 percent) in comparison to individual support given in clinical settings. (Bauld et al, 2009). Though both types of intervention implement complimentary modes of action, the quit rates maintained over long term differ considerably. Other interventions like counselling support and information provided over quit lines, internet and mobile phones may be easily accessible by wide smoking population but may be less intensive and effective in comparison to the support given in clinical settings (NHS, 2010). Aims of this Research: This research is designed to meet the following aims: To assess the effect of the different interventions and support offered by Smoking cessation services to help achieve success rates of smoking abstinence over long period of time. To make a comparison between the studies that have evaluated the effectiveness of interventions undertaken by the smoker with the assistance of self help interventions in comparison to the clinical treatments provided under NHS stop smoking cessation services over the last decade. The comparative assessment will be done between the following: Self help materials (leaflets, information kits); Mobile phone and Web based support, Smoking Quitlines Vs Brief advice offered by GPs and other health professionals Brief GP advice + Nicotine reduction therapy, Bupropian and Vernaciline; Attending a smoking clinic and receiving Behavioural support +NRT, Bupropian and Vernaciline Highlight those interventions among the clinical and less clinical interventions which are more likely to produce successful quit rates at 4 weeks follow up. Rationale for conducting this Literature review Research Disease Burden from smoking: Smoking imposes a huge burden on the countrys economy. It imposes direct costs on National Health Service for health care and indirect costs on loss of productivity (ASH, 2010). It has been estimated that National Health Service spends approximately 2.7 billion on treatments and control this public health issue. In addition, it puts the smoker and their families and others through discomfort, pain and suffering. Among them, the cost of bereavement and consequent emotional and social distress, the payment of social security and benefits is given to the dependants of those who die as a result of smoking related disease. Also, it has been suggested that total number of deaths associated with smoking has not changed much in the last 10 years (Allender et al, 2008) Thus, given the expenditure spent by NHS in providing interventions under its National Program, it becomes highly important to deliver treatments that are evidenced based and help in maintaining consistent quit rates of between 35% and 70% in the population and meet the PSA target of reducing smoking prevalence rate by 21% or less by 2010 (NHS, 2010). This research will make a comparative assessment and provide information and insight of the effectiveness of the both highly clinical and less clinical interventions which will help in the meeting the current NHS targets for 2010. Knowledge transfer: For the purpose of achieving the third aim, the author has a personal interest in highlighting it. The author here wishes to gain wider information about the most effective smoking cessation intervention with the objective of transfer knowledge. The author of this dissertation belongs to India and she wanted to make an international comparative assessment of the effectiveness of national smoking cessation interventions between England and India. However, due to the limited published documents of current trends and related literature, it has not been possible to examine and make comparisons with India on this topic. But the author found some useful information from a national report produced under Ministry of Health and Social Welfare (MOHSW, 2004) raised awareness about the widespread production, consumption and resulting impact of ill health impinging on Indian population and its economy. So the author would like to transfer knowledge by sharing the results and outcomes of this research with the health professionals with the main purpose of sensitising Indian health care system; and promoting most effective tobacco cessation interventions based on the examples of English Stop Smoking Cessation services; and minimize the economic burden on Indian government. (MOHSW, 2004) Thus, Tobacco Control programmes worldwide are designed with the aim of reducing the burden of disease, disability and death related to the consumption of tobacco. In order to determine the effectiveness of such programmes in England, it is essential to describe the smoking cessation interventions; document implementation and show results and outcomes to guage their contribution towards bringing down the smoking rate in the population. Hence, The next section, Preliminary Literature review will discuss in detail the workings of NHS Stop smoking services; different Smoking Cessation treatments, and manner of implementation with statistical facts to support their contribution in bringing down the smoking rate in English population.

Women in America Essays -- essays research papers fc

â€Å"The Evolution of Women in Society†   Ã‚  Ã‚  Ã‚  Ã‚  Throughout United States history oppression of people has always been prominent, whether through African American’s and segregation or Asian American’s during the Vietnam War. What is often ignored is our history of the oppression of women. No matter what time in history, there is always a case to be found of the discrimination over gender. Many people know of how African American’s came into freedom and the long perilous road it took, but few know the struggles, changes and hardships that women have perceived to get where they are today. As the civil war halted and industrialization and urbanization came into play, the role of women changed dramatically and their status in the society in the aspects of employment, equal-rights, and in the home.   Ã‚  Ã‚  Ã‚  Ã‚  Women entered the work force suddenly and abruptly. With the advent of typewriters, clerical work, and assembly lines, women were looked for more and more to fill labor positions. Although the typewriter was not responsible for the employment of women as clerical workers its existence probably facilitated or eased the entrance of women into offices (Binder 68). Also expansions in industrial and retail sectors saw women employment in clerical jobs skyrocket. In 1920, the amount of women in clerical work was over 12 times that in 1880 (Norton 341). Some women were getting supervising jobs but they posed no threat to male managers (Norton 3...

Illegal Immigrants Threaten the American Economy Essay -- Illegal Immi

The subject of illegal migration into the United States is a very controversial and challenging issue; but overall America’s systematic approach for regulating illegal immigrants entering our country has failed. It pertains to millions of individuals and families journeying to the bulls-eye country of America without proper documentation; but it also consists of people entering the country legally, but they violate the terms of their approved visas and passports by permanently residing here, rather than the allotted time frame they’re given. Amazing enough, The Federation For American Immigration Reform or better known as FAIR, estimated that in 2007, â€Å"the illegal immigrant population seated well above 13 million people.† Also considering this massive number grows roughly by â€Å"as many as 500,000 people every year,† across the United States; therefore a more efficient way of controlling our population needs to be effectively put into action. But wh y would these aliens risk so much to inhabit and live in the United States? It doesn’t involve too much cognitive ability to understand that under the unsatisfactory circumstances of poverty, economic deficiencies, and high unemployment rates, many will do whatever it takes to pursue the American Dream. Despite the dangers and risks that could potentially arise from crossing the border, to these illegals, the benefits of successfully migrating outweigh the costs. (www.fairus.org/site/news2) An interesting law has passed merely a few weeks ago within the state of Arizona. With our government cracking down on the illegal flow by increasing more stadium lights, fences, and man power throughout Southern California, and Texas, it has â€Å"forced a shift in the flow of illegal immigrants that ... ...ection rates than that of the United States. To make matters worse, an emergence of a Multi-Drug-Resistant strain of Tuberculosis formed three years ago (MDR-TB) and can leave a patient with over a million dollars in medical fee’s, while only a fity percent of patients going under specified treatment survive. It’s rather unfortunate, but America cannot withstand the burden of financial bills for treating the world’s diseased, ill, sick, and infected population. The government should make protecting its citizens from the catastrophic diseases brought in from illegal immigrants around the globe. How many more school children will have to be infected from catching TB before something is done? What’s the purpose of screening legal aliens for diseases that are contagious if the illegals can roam our country and infect our fellow citizens? www.fairus.org/site/news2

Macbeth As A Tragedy According To Aristotles Definition :: essays research papers

While the genre of some works of literature can be debated, Macbeth written by William Shakespeare seems to fit into a perfect mold. Aristotle’s definition of a tragedy, combining seven elements that he believes make the genre of a work a tragedy, is that mold. Displaying all seven aspects, Macbeth fits the definition precisely. Key elements in the play substantiate the fact that Macbeth is a serious story, the first elements of Aristotle’s definition. From the first lines of the play, the mood is set featuring witches whom speak of witchcraft, potions and apparitions. Not only do the three witches aid in making this a serious story but also, they appealed to Elizabethans whom at the time believed in such supernatural phenomena. War for centuries has represented killing and feuding, thus, the war taking place between Scotland and Norway provided a dark component. The Thane of Cawdor’s rapidly approaching execution due to his deceiving the king also plays a role in this grim work. Murder throughout all of Macbeth is an essential aspect when dealing with the seriousness of the play. From the beginning, Lady Macbeth urges Macbeth to do anything to overthrow King Duncan, whom is the king of Scotland, the role Macbeth desperately yearns for. During the excursion to become king, Macbeth successfully murders King Duncan, Macduff’s wife and children, and with the help of a group of murderers Banquo; a brave general who will inherit the Scottish throne. Through the whole play, while such dank occurrences are used to create deep mood, Shakespeare also uses strong language and words. Such as when Lady Macbeth calls upon the gods to make her man-like so she will have the fortitude to kill King Duncan herself in this quote, â€Å"Come you spirits that tend on mortal thoughts, unsex me here†¦ Make my blood thick†¦ Come, thick night, and pall thee in the dunest smoke of hell, that my keen knife see not the wound it makes, nor heaven peep through the blanket of the dark.† This type of language provokes thoughts of death, blood and darkness though the imagery such dank words create. The play also follows through with its theme of blood by in the end of the play, having both of its lead characters die. Lady Macbeth, distraught by guilt over the bloodshed, commits su icide while Macbeth is murdered and beheaded by Macduff, a Scottish noblemen.

Hospital Administration

Quality Improvement Programme (Toward Excellence Health center for the Community) Excellence Health center for the Community) CoH CoH Quality Improvement Programme CoH Quality is very Sweet for speak, but difficult to implement. â€Å"Quality at Grassroots levels: Patient Perspectives † because because Quality is Never Improved without accepting facts without accepting facts. Dr. J. L. Meena State Quality Assurance Officer Commissionerate of Health & FW Government of Gujarat Email:- [email  protected] com Web:- www. gujhealth. gov. in/quality-assurance-program. htm www. gujhealth. gov. in Dr. J. L. MeenaHealth & Family Welfare, Govt of Gujarat Old Scenario of Health Centers. 1 CoH www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Old Scenario of Health Centers. 3 CoH Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 5 2 CoH †¢ Poor sanitation and cleanliness. †¢ Very poor Drainage facility. †¢ Poor housekeeping service. â € ¢ Very poor Biomedical waste & infection control practice. †¢ No cattle guard. www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Old Scenario of Health Centers. †¢ Non sterile suction tube & oxygen mask? †¢ Empty Oxygen Cylinders. Instrument with rust & Non sterile. www. gujhealth. gov. in Health & Family Welfare, Govt of Gujarat Old Scenario of Health Centers. Building maintenance was extremely unsatisfactory – Leaking roof, eroded floors, over flowing toilets, broken doors, No patient safety (Open transformer with Parking facilities. Invite for disaster ? ), No safe drinking water facilities. no employee safety, poor lighting and no ventilation sign. www. gujhealth. gov. in Dr. J. L. Meena 4 CoH †¢ Un-used instrument & equipments †¢ No proper used of instruments Crush Card trolley contained:- Comb, Toothpaste, Oil, Glass etc for save the pt. th www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 6 Old Scenario of Health Centers. CoH CoH †¢ Very poorly managed end of life †¢ No respect to Human body †¢ Very worst condition of Post Martum Room. www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 7 CoH ?Why should we care? should we care? ?Is improvement possible? ?What seems to make seems to make a difference? ?Why aren’t we doing a better job? www. gujhealth. gov. in GOAL Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat National Human Right Commission (NHRC Report 1999 NHRC ) Report – 1999 CoH D Grade for Mental Hospital Ahmedabad www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat HOW TO ACHIEVE EXCELLENCE IN HEALTH TQM-NABH†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 9 †¢ To develop a healthcare system based on total quality management principles (NABH / NABL) and application of information technology to achieve efficiency in operations, faster & standard communication across the state. †¢ To enhance the quality of healthcare services by providing specialized treatment and preventive healthcare at free / affordable cost. MISSION VISION †¢ To develop a pool of healthcare professionals in he public health sector trained in the implementation of health care quality standards and information technology to bring productivity and effectiveness in health care delivery system. †¢ â€Å"To be the network of finest Public Healthcare Institutions which providing quality medical care services, preventive, promotive, curative & rehabilitative health care services with the state of art technology, easy accessibility, affordability and equity to the people of Gujarat and beyond. 12 8 ?Health centers is committed to provide quality healthcare services. ?To provide the treatment as per the national and international standards. To provide treatment with the latest technology. ?To conduct trainings and workshops on regular intervals for skill development of the staffs. ?To improve the quality on continuous basis. ?To improve the quality of treatment as per the patient satisfaction survey. www. gujhealth. gov. in Dr. J. L. Meena Quality Objectives CoH CoH Quality Policy Health & Family Welfare, Govt of Gujarat 13 ? Implementation of safety and quality practices. ? Incorporation of management tools. ? Building sustainability ? Benchmarking the indicators ? Continuous Quality Improvement ? To provide 24X7 quality services to the community. To organize and implement all the national programs. ? To provide right treatment through latest technology. ? To ensure safety of patient & employee. ? To manage Human Resources for enhancing productivity. www. gujhealth. gov. in PRACTICES IMPLEMENTED CoH ? Formation of the committees & give role and responsibility. ? Gap analysis in a standards formats and fulfilled these gaps. ? Patient and employee satisfaction survey ? Clinical protocol & Standard Operation Procedure (SOPs). ? Monitoring of the qu ality indicators. ? Implementation of Patient Rights & Responsibilities ? Facility Management Practices www. gujhealth. gov. in Dr.J. L. Meena Health & Family Welfare, Govt of Gujarat A Case Study JOURNEY TOWARDS QUALITY JOURNEY TOWARDS QUALITY 15 1 2 †¢ Internal assessment by Quality Assurance Team. †¢ Gap analysis and submission of report and Planning for full filling the gaps. 3 †¢ Develop the action programme for filled these gaps. †¢ Proposed to TSP, NREGA, NRHM, State budget and Vanbandhu for financial requirements to full fill the gaps. 4 role & www. gujhealth. gov. in Cont†¦. Health & Family Welfare, Govt of Gujarat www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat A Case Study JOURNEY TOWARDS QUALITY JOURNEY TOWARDS QUALITY 7 8 17 Health & Family Welfare, Govt of Gujarat 14 ? Disaster Preparedness Plan ? Basic Infection Control Practices ? Management of Medication of Medication Code alerts ? Incidence Reporting System RED for FIRE, YELLOW for EXTERNAL ? Hospital Safety Programme CALAMITIES, BLUE for CARDIAC ARREST, ? Patient Information BLACK for BOMB THREAT, ? Inventory Management PINK for CHILD ABDUCTION ? Quality Control & Safety in diagnostics Control Safety in diagnostics 5 †¢ Regular training of core team on standards and objective elements. †¢ Formation of QA Manual, Policy, Procedure, Forms & Formats and implement. Dr. J. L. MeenaPRACTICES IMPLEMENTED CoH CoH †¢ Orientation to Quality & NABH Standards to staffs. †¢ Formation of Committees and clarified their responsibility. CoH 16 CoH †¢ Fulfilled the Human resource, Infrastructure, equipment, instrument related gaps and Statuary requirements. †¢ AMC, Calibration & insurance of the instruments. †¢ Internal Quality Control, External Quality Control. †¢ Regular Internal audit. †¢ Plan, Do, Check & Act (PDCA Cycle for improvement) †¢ Application for Pre Assessment. †¢ Pre Assessment done by NABH Assessors from Quality Council of India. †¢ Fulfilled the Pre assessment gaps and application for final Assessment. Final Assessment done by NABH Assessors from Quality Council of India. †¢ Fulfilled the Final assessment gaps and accredited by NABH board, Quality Council of India. www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 18 CoH CoH Journey of Quality Improvement (Cont)†¦ 5 Years Back CoH Today Lack of standards of standards NABH Standards for Health Centers Standards for Health Centers No Gap analysis report in standard format. Health & Family Welfare, Govt of Gujarat Journey of Quality Improvement (Cont)†¦ 5 Years Back 19 CoH Hygienic, Clean & Green Hospital environment with infection control audit.Recruitment of staff as per workload through RKS and take specialist service outsource. Lack of trained health care staff for emergency (resuscitation) services, patient care service & Healthcare management. No concept of internal audits (medical audit, clinical audit & death audit etc). Dr. J. L. Meena Written policies & procedures available. Poor sanitation, cleanliness & infection control practices. Staff shortage so very poor specialist service. www. gujhealth. gov. in Statutory requirements fulfilled Absence of written policies & procedures. Outcomes†¦.. Gaps identified and addressed. Lack of Statutory requirements (e. . Licenses, Acts, Rules & Certificates). Staff trained in Basic Life Support, Advanced Cardiac Lif Ad Life Support, PG QM & AHO, NABH / NABL Assessors & Kaizen. Staff trained as internal auditors, audits conducted to find out non conformances, corrective & preventive measures taken to rectify it Dr. J. L. Meena www. gujhealth. gov. in Journey of Quality Improvement (Cont)†¦ Today 5 Years Back All required practices in place No Blood storage, CSSD, no separate OT for Eye & Gynec. , Patients attendant launch facilities. Gynec Patients attendant launch facilities Blood s torage, CSSD, separate OT for Eye & Gynec,Patients attendant launch facilities are available Patients attendant launch facilities are available. Damaged and poor condition of building & Staff Quarters. Repairing & renovation done gynecology No Calibration system of Instruments for Quality check. Calibration system of Instruments for Quality check are available. CoH Shortage of equipments and proper ambulances (transport vehicle) . Sufficient equipments and ambulances with regular monitoring by a responsible person. Lack of accountability & planning. Policy and processes for care of the patients in place Non Implementation of Different Codes in the facilities. Poor signage system.Well developed signage and displays for patient information. Absence of Patient & Employees’ satisfaction. Established. No measurable parameter for patient safety. Measurable parameters for patient safety are available. No realization of problems and weaknesses. A clear understanding of what is lackin g and what needs to be done. No monitoring or reporting of adverse events, needle stick injury, Sentinel events etc. These are being reported and are monitored. Practically non-existent security arrangement Availability of well trained security guards Absence of quality standards. Quality standards e. g. medical audit, management f medication, care of patients etc practiced No participation in EQAS/ inter laboratory Participation in EQAS / inter laboratory comparison comparisons and achieving good scores in it. Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Journey of Quality Improvement (Cont)†¦ 21 5 Years Back BLACK for BOMB THREAT, PINK for CHILD ABDUCTION www. gujhealth. gov. in Today Poor publicity of available services in the villages and in the community. Name of the Facility 3rd Party evaluation & monitoring system by PRI members. All the service which are provide by the healthcare centre are display in the community and emergency ontact number also display. D r. J. L. Meena Health & Family Welfare, Govt of Gujarat A Success Story Quality Improvement Programme:- Gujarat Team work is available, role and responsibility of all staff is cleanly mention. No Evaluation and monitoring system by PRI members (3rd party evaluation). (3 RED for FIRE, YELLOW for EXTERNAL CALAMITIES, BLUE for CARDIAC ARREST, CoH No team work, only Individual approach rather then team . Unidentified role and responsibility of staffs. Total Facility Under NABH /NABL Total Facility Under NABH /NABL which catering Tribal population Total Accredited facilities CoH 23 11 2 Medical college Hospitals 2 0 0 Medical college, Blood banks 0 6 2 5 2 No display of the Right and responsibly of the patients and employees in the facilities. www. gujhealth. gov. in Dr. J. L. Meena 4 2 1 2 1 2 0 0 0 1 1 0 0 Primary Health Centers (PHCs) 29 14 12 6 Community Health Centers (CHCs) Proper display of Right and responsibly of the patients and employees in the facilities. 2 2 Paraplegia Hospi tal, Ahmedabad Progress of the referred patient also monitoring by th the health centre on regular basis. ( Bi directional referral service). 6 Mental Hospitals Dental Hospitals No responsibility of referred patients . Medical college, LaboratoriesProper monitoring of Up time, down time & utilization of the instrument & equipment. 26 11 1 1 NABL Food & Drug Laboratories Total Health & Family Welfare, Govt of Gujarat 23 22 Total Accredited facilities which catering tribal population District Hospitals No monitoring of Up time & down time of the instruments. 20 Today Inadequate infrastructure for handling biomedical waste and infection control safety practices www. gujhealth. gov. in Health & Family Welfare, Govt of Gujarat www. gujhealth. gov. in 2 1 103 45 Dr. J. L. Meena 2 1 28 13 Health & Family Welfare, Govt of Gujarat 24 India’s 1st & 2nd NABH Accredited PHC CoHCoH from Tribal Area from Tribal Area www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of G ujarat Benefits to Patients 25 CoH Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Quality Improvement Programme High Quality of Care cont High Quality of Care cont†¦ www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 29 Time Morning: 9. 00 to 13. 00 Evening: 16. 00 to 18. 00 ,, ,, ,, 24 hours ,, ,, ,, ,, 9. 00 to 14. 00 Tuesday & Friday 9. 00 to 16. 00 Daily ( Except holidays) Morning: 9AM to 1 PM Evening: 4 to 6 PM Dr. J. L. Meena Health & Family Welfare, Govt of GujaratProvided baby kits to new born for prevent Infection & hypothermia www. gujhealth. gov. in CoH Day Certificates of age, fitness and sickness Lab services Homeopathic treatment treatment Indoor services Delivery Emergency services Vehicle for referral Medico legal services MAMTA Clinic ( Immunization, medical check-up, treatment IEC Family planning services for treatment, IEC & Family planning services for expectant mothers, children & adolescent) 11 NSV, Abdominal tubecto my , MTP & Hydrocele operation 12 All National Programme www. gujhealth. gov. in 26 Daily ( Except holidays) ,, ,, ,, Daily ,, ,, ,, ,, Monday OPD Services 2 3 4 5 6 8 9 10 27 CoH Availability of Services at PHC level 1 CoH Health & Family Welfare, Govt of Gujarat www. gujhealth. gov. in Sr Name of service ?Availability of Health services with High quality of care. ?Dedicated and sincere medical staff ?Access to a quality focused organization ?Rights respected and protected ?Patient Satisfaction evaluated ?Involvement in care process ?Patient safety ?Pain management ?Safe transport ?Continuity of care www. gujhealth. gov. in India’s 1st NABH Accredited CHC Welcoming infrastructure†¦Ã¢â‚¬ ¦ infrastructure†¦Ã¢â‚¬ ¦ Dr. J. L. Meena 28 CoH Health & Family Welfare, Govt of Gujarat 30 Quality Improvement ProgrammeHigh Quality of Care cont High Quality of Care cont†¦ www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Quality Improvement P rogramme High Quality of Care cont High Quality of Care cont†¦ www. gujhealth. gov. in CoH CoH CoH Health & Family Welfare, Govt of Gujarat Quality Improvement Programme Management of Medicine Management of Medicine†¦ 31 33 CoH Quality Improvement Programme High Quality of Care cont High Quality of Care cont†¦ www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 35 Health & Family Welfare, Govt of Gujarat Quality Improvement ProgrammeQualitative Laboratory services Qualitative Laboratory services†¦ www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Safety of patients & employees†¦ of patients employees www. gujhealth. gov. in 32 CoH Change the Scenario†¦Ã¢â‚¬ ¦. Before www. gujhealth. gov. in CoH 34 CoH After Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 36 Change the Scenario†¦. Biomedical waste practice†¦ waste practice Before www. gujhealth. gov. in After Dr. J. L. Meena H ealth & Family Welfare, Govt of Gujarat Recreational & skill development www. gujhealth. gov. in CoH CoH Dr. J. L. Meena CoH Health & Family Welfare, Govt of GujaratOccupational Therapy Unit 37 39 CoH Change the Scenario†¦Ã¢â‚¬ ¦ Safe drinking water†¦Ã¢â‚¬ ¦ drinking water After Before www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Recreational & skill development www. gujhealth. gov. in Dr. J. L. Meena CoH CoH Health & Family Welfare, Govt of Gujarat Quality Improvement Programme Quality food services to patients attendants Quality food services to patients & attendants†¦ 38 40 CoH CHC Bardoli, which catering Tribal Population www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 41 www. gujhealth. gov. in Health & Family Welfare, Govt of Gujarat 2 India’s 1st NABH Accredited Mental Hospital Vadodara Hospital Vadodara CoH CoH NO. OF DELIVERY AT PHC CoH 44077 45000 41146 585 36867 40000 35000 600 3372 9 31359 582 586 513 500 30000 400 25000 20000 282 300 15000 200 10000 5000 86 1777 1719 1530 1414 1386 100 0 2008-09 2009-10 2010-11 No. of OPD per Year 2011-12 Dr. J. L. Meena www. gujhealth. gov. in 0 2012-13 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 IPD Number per Year Health & Family Welfare, Govt of Gujarat 43 PHC:- Salun, Dist:- Kheda www. gujhealth. gov. in CoH Adverse Donor Reaction CoH Health & Family Welfare, Govt of Gujarat 44 CoH Issue of Components CoH 9 59,481 50 45 40 40 35 30 25 20 15 10 5 0 60,000 39 54,067 50,000 42,033 32 40,000 25 20 30,000 23,849 20,000 13,820 10,000 0 2008-09 www. gujhealth. gov. in 2009-10 2010-11 2011-12 Blood Bank:- Civil Hospital Ahmedabad 2012-13 2008-09 Health & Family Welfare, Govt of Gujarat Specimen Analysis 100000 45 CoH CoH 98 2012-13 Health & Family Welfare, Govt of Gujarat 46 100 105 85 70 80 60000 2011-12 Critical value reporting CoH CoH 100 69010 59897 2010-11 Blood Bank:- Civil Hospital Ahmedabad 120 88660 78105 80000 www. gujhealth. gov. in 2009-10 60 40000 30522 40 20000 20 0 0 2008-09 2009-10 2010-11 2011-12 2012-13 2009 2010 011 2012 www. gujhealth. gov. in Biochemistry Lab:- Sir T Bhavnagar Health & Family Welfare, Govt of Gujarat 2008-09 2009-10 2010-11 2011-12 2012-13 2008 2009 2010 2011 2012 47 www. gujhealth. gov. in Biochemistry Lab:- Sir T Bhavnagar Health & Family Welfare, Govt of Gujarat 48 Benefits to Staff Surgical Site Infection (SSI) CoH CoH ?Professional staff development ?Provides education on laid down standards ?Provides leadership for quality improvement within medicine and nursing ?Increases satisfaction with continuous learning, good working environment, leadership and ownership 0. 59 0. 6 0. 5 0. 35 0. 4 0. 27 0. 3 0. 16 0. 0. 1 0 2009-10 www. gujhealth. gov. in 2010-11 2010 2011-12 2011 Dist Hospital:- Gandhinagar 2012-13 2012 Health & Family Welfare, Govt of Gujarat Professional staff development Managerial / Administrative training to MO / Head. www. gujhealth. gov. in CoH Health & Family Welfare, Govt of Gujarat Professional staff development Special clinical skill training on minor surgical procedure, obstetrics care, new born care, basic life support and local anesthesia block. www. gujhealth. gov. in 49 Programme implementation training to MO / Head. Dr. J. L. Meena Dr. J. L. Meena CoH CoH 51 CoH www. gujhealth. gov. in Dr. J. L. MeenaHealth & Family Welfare, Govt of Gujarat Professional staff development Induction training to staff at all levels. ll www. gujhealth. gov. in 50 CoH Job based skills training. based skills training. Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Quality Management & Internal Audit Training Audit Training 52 CoH Disaster Management Disaster Management Health & Family Welfare, Govt of Gujarat 53 www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 54 NABH ACCREDITATION AWARD FUNCTION BY GOVT. OF GUJARAT & QCI, NEW DELHI www. gujhealth. gov. in Dr. J. L. Meena CoH CoH Health & Fami ly Welfare, Govt of GujaratAward for India 1st NABH Accredited Mental Hospital :- Hospital for Mental health – Vadodara, Govt of Gujarat given by Shri Jaynarayan Vyas, Hon’ble Health Minister, Government of Gujarat 55 Award for NABH Accredited PHC :- Primary Health Center – Kandolpada, Navsari-Gujarat, Govt of Gujarat given by Shri Jaynarayan Vyas, Hon’ble Health Minister, Government of Gujarat Benefits to Hospital CoH ?Improves care care ?Brings in Corporate Governance ?Stimulates continuous improvement ?Demonstrates commitment to quality care commitment to quality care ?Raises community confidence ?Opportunity to benchmark with the bestAward for NABH Accredited PHC :- Primary Health Center – Tankal, Navsari-Gujarat, Govt of Gujarat given by Shri Jaynarayan Vyas, Hon’ble Health Minister, Government of Gujarat www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 60 Main entrance should be easily identifiable, welc oming, well lit and with mattress. CoH CoH PHC Mahuwas, Tribal area PHC www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 61 Quality Improvement Programme Welcoming infrastructure†¦Ã¢â‚¬ ¦ infrastructure†¦Ã¢â‚¬ ¦ CHC Bardoli, which catering Tribal Population www. gujhealth. gov. in Dr. J. L. MeenaHealth & Family Welfare, Govt of Gujarat Quality Improvement Programme District Hospital Godhara (Tribal area) Hospital Godhara (Tribal area) CHC Bardoli, which catering Tribal Population CoH HMH Ahmedabad presents an excellent example of effective functioning of Boards of Visitors and active involvement of NGO sector in patients Care, Capacity building & rehabilitation , and has the potential to become a good center of education and research in Mental Health Field Field. www. gujhealth. gov. in A – Grade Health & Family Welfare, Govt of Gujarat 62 CoH DH Godhara, which catering Tribal Population www. gujhealth. gov. inRemarks of representativ e of National Human Right Commission (NHRC) now†¦ CoH 65 Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Benefits to Community 64 CoH ?Quality revolution ?Disaster preparedness preparedness – Epidemics – Physical ?Access to comparative database www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat 66 All the Services provided by PHC Gadboriad are displayed in all the villages & roadside www. gujhealth. gov. in Dr. J. L. Meena CoH CoH Health & Family Welfare, Govt of Gujarat Mock drill and training for disaster management management 67 CoH Mock drill and training for disaster anagement management www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Quality Improvement Programme Involvement in National Programme Involvement in National Programme†¦ www. gujhealth. gov. in Dr. J. L. Meena 68 CoH PHC PHC Tankal, Kandolpada & Mahuwas, Navsari 69 CoH Health & Family Welfare, Govt of Gujarat Health & Fam ily Welfare, Govt of Gujarat Mock drill and training for disaster management management PHC Tankal, Kandolpada & Mahuwas, Navsari www. gujhealth. gov. in Dr. J. L. Meena CoH 71 www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat Quality Improvement ProgrammeInvolvement in National Programme Involvement in National Programme†¦ www. gujhealth. gov. in 70 CoH Health & Family Welfare, Govt of Gujarat 72 Quality Improvement Programme Malnutrition awareness Malnutrition awareness†¦ www. gujhealth. gov. in CoH CoH Health & Family Welfare, Govt of Gujarat PRI Monitoring & Evaluation of CHC 73 CoH Quality Improvement Programme AIDS awareness programme AIDS awareness programme†¦ www. gujhealth. gov. in Dr. J. L. Meena Health & Family Welfare, Govt of Gujarat National & International Team Visit Niziriya Team Visit CoH 74 CoH Visit by Rajasthan Govt. MLAs with Speaker WHO Team Visit www. gujhealth. gov. in

Job Design at Pepperdine University Essay

This case study primarily focuses on the dimensions of specific roles for Pepperdine University employees. The aspect of job analysis or job reviews is an overall exploration of specific responsibilities accountabilities and duties of specific jobs. This is quite a lengthy process that requires the gathering of background information and the creation of a job specifications and descriptions. This case study highlights the roles of several employees at the Graziadio School of Business and Management at the Pepperdine University. Job design There is no definite job design that can be clearly identified at the Graziadio School of Business and Management therefore most of the observations can only be inferred from obervation of employee duties and responsibilities(Cummings & Worley, 2009). Job design is supposed to determine the manner in which specific jobs are supposed to be carried out and how this ultimately affects the individuals worker as well as the overall work place. This includes aspects such as employee authority, processes of decision making, amount of respnsibility among other criteria. It was noticed in the case study that there were three jobs that would be categorized in the same job design group and these were the program administrator, the administrative assistant and the faculty director. The roles of employees in these positions have distinct job descriptions but from their duties it is clear that they are interdependent. Another issue that is dealt with in this case study is that of employee rewards. From the example in the test, the university clearly appreciated the diligence and loyalty of the Program Administrator and for this he was to be rewarded through the enrichment of his current position. The job enrichment was partly due to the personal character of the Program Administrator because he was able to exhibit diligence and patience for 15 years. Assesment of an  employee’s persoanality is therefore key when an organization is considering formulating a formal job design model. Skill appraisal In the case of the Program Administrator, it was evident that the specific duries were very varied in nature ranging from student recruitment and supervision to advisory roles. Other aspects in this analysis include the assesment of task identity, task significance as well as job autonomy (Cummings & Worley, 2009). Planning and implementation The planning of this study was quite thorough and widely encompassing. There was a great deal of assesment and also use of diagnostic models which were associated with individuals and groups. All the models that were used were carefully structured and diagnostic in nature. They included the issues to do with design components, inputs, and output of both individual and group job specifications. The reason was doing group diagnostic was deemed necessary is because the organizational make-up is considered as a primary input that needs to be properly examined. This brings out the functions of group dynamics. However, to bring out the individual aspect of the study, the plan included an individual job level assesment to offer infomation regarding issues like individual task significance, task autonomy, identity and all the feedback that can be achieved from all this collective data. Overall the planning of the case can be considered quite thorough. Reference Cummings, T, Worley Christopher. (2009). Organizational Development & Change. South-Western CENGAGE learning, 9th Edition

Week Assgn

Mixed Methods Lori Hudson Walden University Mixed methods research is combined with qualitative and quantitative research methods which consist Of the quality and emphasize measurement and variables (Dentin & Lincoln, 2003). In this paper, I will provide information about mixed methods and what type of designs, timing, and data collection that was used by Tortes. I will also discuss the theoretical lens that will be used in the study. Will also discuss the data analysis, which will deliver bendable information and the rationale as to why mixed methods were used in this particular article.Design Using the mixed methods research article by Tortes provided in the Learning Resources, briefly describe the type of design and the timing of the data collection. Theoretical Lens Briefly describe the theoretical lens that underlies the study. Be sure to support your points with scholarly support. Data Analysis Briefly describe the data analysis procedures used in the study. Be sure to support your points with scholarly support. Rationale for Mixed Methods Explain the rationale for using the mixed method design in this study.Be sure to support your points with scholarly support. Conclusion Your conclusion section should recap the major points you have made in your work. However, perhaps more importantly, you should interpret what you have written and what the bigger picture is. Remember your paper should be 2 – 3 pages not counting your title page and reference page. Please do not exceed three pages of content. Save your Application as a â€Å". Doc† or â€Å". RTF† file tit the filename APP+your first initial+last name.For example, Sally Ride's assignment filename would be â€Å"Appeasers†. Use the â€Å"Submit an Assignment† link, choose the Week 9: Application basket, and then add your Application as an attachment. References Always include references. Be sure every reference is in PAP format with a hanging indent. Also, every citatio n should have a reference and vice versa. Use the PAP manual, the Citation Guide or some source to verify your format. PAP is very specific about punctuation and how elements Of the reference are presented.

Skinner theory of education

The work on experimental psychology and advocated behaviorism, that explains behavior as a function of environmental histories of experiencing consequences. Skinner also wrote a number of controversial works in which he proposed the widespread use of psychological behavior modification techniques, primarily operant conditioning, in order to improve society and increase human happiness; and as a form of social engineering. These things are acknowledged by James E. Mazur (2006).Moreover, his experiment gain more attention because it can also be applied to human behavior in everyday life. Skinners reveal that there are many factors influence in human behavior like basic type of learning such as classical conditioning, and complex learned behaviors such as language. In factors mention, reward and punishment control and play a majority of human behavior that was explain in operant conditioning. This operant conditioning is mostly used in varied schools to determine responses of human beha vior. The succeeding discussions will elaborate B. F.Skinner’s theory of Psychological Behaviorism as Theory of Education in studying observable behaviors of a person relating them to previous stimuli that the teachers have encountered in classroom and encourage desired behavior and discouraged undesired behavior using the methods that have relevant to classroom application like:Contracts.Consequences/Reinforcements.Punishment.Behavior Modification Psychological Behaviorism BF Skinner believed that behaviorism subsistence of perception can be traced back to the earliest days of fallacy and unexplained and is useless (Gene Zimmer 1999).Task of Psychological Behaviorism According to Watson, J. (1913), the task of psychological behaviorism is to identify kinds of connection, recognize how environment events manage behavior, determine and clarify basic regularities or laws or functional relations which direct the structure of associations, and foresee how performance will change as the environment changes. It is indispensable that one should understand the methods attributing behavior of students in the classroom that teachers may encounter.ContractsBased on the research of Parent Coach Plan (2004), a contract is a written agreement between the student and a teacher that is directed toward changing the youngster’s behavior. Giving emphasis on desired behavior of a student and offering incentives to the student to increase the occurrence of the desired behavior. This will motivate the most stubborn child to behave positively in a proper manner. The term and conditions outlines, time and amount of limitation, reinforce to be administered are laid down on the contract design. Sample of contract Excerpted from Behavior Management Advice Site (2002):Results of Parent Coach Plan research explained that this contract will help the child dealing responsibility properly and gain trust from teachers and parents as well. It will also build child’s creati veness in doing tasks without being supervised and the child acts in accordance with the rules set by the teachers for them to respond positively. The positive response of the students will also depend on the reinforcement given by the teacher. Consequences/Reinforcements The contract designs between the students and the teacher has something to do with the reinforcement given by the teacher.In education, behaviorisms have effectively embraced the system of reward and punishments in their classrooms by rewarding positive behaviors and punishing negative ones. Reinforcement is the main factor in Skinner’s R-R theory. There are several kinds of reinforcements that can strengthen the students’ positive response. It could be praising the child in successfully accomplishing a task on time, a good grade for doing correct answer or a feeling of increased accomplishment or satisfaction or giving chocolate to a positive response shown.This method has been proven effective as te sted according to B. Skinner. People will behave and do good things because they know what it brings and expects to receive something good out of it. Like for example, if the students study hard, they have a better chance of garnering high scores or grades. Another, if they will obey their parents, they will receive rewards from their parents in terms may be by receiving higher allowance. This describes the Reinforcement theory of B. F Skinners. The reinforcement has three principles that typically occur after consequences.First is the â€Å"consequence which gives rewards increases a behavior, second, consequences which give punishment decrease a behavior and third, consequences which give neither rewards nor punishment extinguish a behavior† (Skinner, B. , 1953). Punishment Melissa Standridge acknowledged that â€Å"Punishment involves presenting a strong stimulus that decreases the frequency of a particular response. Punishment is effective in quickly eliminating undesira ble behaviors†. Skinner believed that the student’s learning in responding positive or negative will take a gradual development shaping a new behavior of a student.Skinner believed more on positive punishment, that if the students do something bad, something bad will also happen. This correlates the teacher’s punishment to the students who are not doing assignments or homework, thus penalized for more extra work (cleaning the classroom before going home) as punishment. On the other hand, a student receives punishment (negatively), if he insults his classmate he cannot take his recess. These are just simple punishments that can help change the behavior of the students.Behavior ModificationBehavioral modification is a therapy technique according to Skinner. Extinguish a negative behavior by taking away the reinforcer and change it with positive behavior by giving reinforcement (Skinner, B. F. , 1971). Behaviorist Melissa Standridge explained that behavior modificat ion offers educators a way to shape students’ behavior to promote better classroom performance. It needs a combination of methods that consists series of steps outlined by Standridge as excerpted below: Specify the outcome you desire for a child. Catch the child being right.Ask for a response when you know the student has the answer to help develop confidence. Identify and use positive reinforcement when the student responds correctly. Reinforcement continues until the child consistently exhibits the desire behavior. After the child consistently exhibits the behavior, begin reducing the amount of reinforcement. Finally evaluate and assess the success based on the continuance of the behavior with no reinforcement. (Standridge, M. , 2002) This theory can be an effective method to cause change in student’s behavior.Students enjoy having positive rewards and positive comments from teachers and other students. Accordingly, this desire for positive comments from teachers and other students is a powerful stimulus. Conclusion B. F. Skinner’s theory of education is a powerful tool that has been tested through several experiments which are likewise used by teachers who are even unaware of Skinner’s theory. The reward and punishment system has been publicly accepted not only applicable in schools for students but also in jobs or works where employees’ productivity is the main concerned of employers.Employers’ personnel management is geared towards the attainment of corporate vision and mission. The application of this theory helps a lot in shaping the students’ behavior which will then be useful in shaping the entirety of a person to attain the good future everyone is looking for.REFERENCESâ€Å" Behavior Management Package† Parent Coach Plan ,2004. 26 March 2007, from .â€Å"Behavior Contract† Dr. Mac’s Behavior Management Advice Site, 2002. 26 March 2007, from .â€Å"B. F. Skinner, behavioral psycho logy, behaviorism† Gene Zimmer 1999. 26 March 2007, from .Hopkins, B. L. (1968). Effects of candy and social reinforcement, instructions, and reinforcement schedule learning on the modification and maintenance of smiling. Journal of Applied Behavior Analysis, 1, 121-129.Mazur, James E. â€Å"Learning. † Microsoft Encarta 2006 [CD]. Redmond, WA: Microsoft Corporation, 2005.Skinner, B. F. (1953). Science and Human Behavior. New York: Macmillan. 26 March 2007, from .Skinner, B. F. (1971). Beyond Freedom and Dignity. New York: Knopf. Standridge, Melissa. Behaviorism. In M. Orey (Ed. ), Emerging perspectives on learning, teaching, and technology, 2002. 26 March 2007 , from . Watson, J. â€Å"Psychology as a Behaviorist Views IT,† Psychological Review, 20158-77

Independent Study on Culture's Influence on luxury consumption in Term Paper

Independent Study on Culture's Influence on luxury consumption in China and USA - Term Paper Example In order to accomplish that endeavor, the paper will examine the consumer’s characteristics in these two markets and make marketing recommendations. The paper will also give an example of some corporations and brands that have capitalized on these unique characteristics through their marketing strategies to capture the luxury market. The recent researches conducted on consumer behavior have shown a direct correlation between the people’s culture and consumer behavioral patterns (Henry 122). Each culture has its own values that it upholds. These values are the ones that affect the consumer’s attitudes towards certain products, which ultimately affect the consuming patterns and behaviors. The cultural identity affects the choice of products by affecting the perceptions and judgments of the consumer. Once these perceptions and judgments have been made consistent such that they are predictable, the consumer can said to have formed a consuming behavior. Multinational companies use these customers’ behaviors and preferences to design their marketing strategies so that they can optimize their sales and maximize their profitability (Hostede 32). As Russell and Valenzuela (87) aptly captures it, â€Å"Cross cultural value systems will influence consumer tipping behavior, product evaluations, value-a ttitude relations, persuasion effects, consumer innovativeness and behavioral intention models†. Figure 1 shows how culture influence consumer behaviors. However, culture has also been found to affect only the consumption of certain goods. There are, thus, some exempted cases whereby the culture of a certain place barely has a bearing on the consumer behaviors of a certain product. A good example is a global product, which blurs any existing cultural differences. A consumer of such a product is known as a global consumer who is not dependent on a culture to make consumption decisions in

Types of Crime Assignment Example | Topics and Well Written Essays - 500 words

Types of Crime - Assignment Example According to the Crime in the United States, 2011 report, for the fifth year in a row, the estimated number of violent crimes reported to law enforcement (1,203,564)  decreased by 4.5 percent in 2011 (Federal Bureau of Investigation, 2012). The trend therefore for violent crimes is on the decline. The second type of crime is the property crime which includes burglary, larceny-theft, motor vehicle theft and arson. The object of this type of crime is to take money or property but unlike violent crimes, in property crimes, there is no force or threat of force against the victims (Federal Bureau of Investigation, 2010). The estimated number of property crimes reported to law enforcement  (9,063,173)  decreased for the ninth year in a row (Federal Bureau of Investigation, 2012). Like violent crimes, the trend for property crimes is on the decline. Other types of crime are cybercrime, white-collar crime and crimes against society like terrorism or narcotic offences. Cybercrime is a criminal activity which is done with the use of computers and the internet (TechTerms.com, 2013). Cybercrime includes identity theft, phishing, account takeovers and fraud. In the US, 75 percent of cybercriminals were men and more than half resided in California, Florida, New York, Texas, the District of Columbia, or Washington state. Outside of the US, most perpetrators came from the United Kingdom, Nigeria, and Canada. Cybercrime victims who filed complaints with the joint FBI/National White Collar Crime Center’s Internet Crime Complaint Center (IC3) were from the U.S., male, between 40 and 59 years old, and residents of California, Florida, Texas, or New York while most international complainants were from Canada, the United Kingdom, Australia, or India (Federal Bureau of Investigation, 2011). With the increased usage of computers and the internet, cyber crimes are on the rise. According to the IC3 2011 Internet Crime Report, there was a 3.4 percent increase from 2010 figures in the complaints filed with the IC3 (Federal Bureau of Investigation, 2012).

The Principles of Delivering Remarkable Service in the Hospitality Essay

The Principles of Delivering Remarkable Service in the Hospitality Industry - Essay Example It is important to adopt positive attitude when dealing with customers because this is the key practice towards achieving remarkable service delivery in the hospitality industry. Therefore it can be argued that organizations in the hospitality industry need to embrace the culture of remarkable customer service delivery. Organizations need to empower itself to ensure that exceptional customer service delivery is made possible. Remarkable service delivery enhances the identification of customer needs and how to customize the service delivery approach. This will ensure that all members in the entire organization fully embrace and develop the culture of effective and efficient remarkable service delivery. To achieve this organization need to incorporate principles of remarkable service delivery in its operations, vision and the entire corporate culture. These principles basically provide guidelines and procedures on how organizations in hospitality industry can have remarkable service delivery (Kusluvan 2003). It notably helps teams and leaders in hospitality industry have an insight understanding on remarkable excellent customer service delivery. The principles of delivering remarkable service in the hospitality industry entail the following. There are various attributes in hospitality industry which significantly contribute to these organizations delivering remarkable service. These attributes compliment the remarkable service delivery skills which are very essential in the industry. These attributes ensure that the remarkable service delivery skills are focused on the satisfaction of customer needs. It establishes a core foundation in establishing strong relationship with the customers based on trust and loyalty. It is notable that all the attributes contributes collectively on the customer retention, loyalty and overall success in the hospitality industry (Kusluvan 2003). The

Effect of Progressive Muscle Relaxation Techniques on Chronic Pain in Dissertation - 1

Effect of Progressive Muscle Relaxation Techniques on Chronic Pain in Cancer Patients - Dissertation Example As the discussion declares studies relating to methods of pain relief in cancer patients using alternative methods of pain relief, other than pharmacological-based methods, are inconclusive on the effect of relaxation towards alleviating pain. In view of the fact that pharmacological methods use is prominent among cancer patients, these drugs exposes them to serious side effects such as loss of effectiveness with time or even inadequate pain relief among other side effects. NPPRIs are complementary pain management approaches and they include cutaneous stimulation such as massages, transcutaneous electrical stimulation and cognitive behavioral such as relaxation techniques. Muscle tension is minimized through relaxation techniques as they create powerful distractions. Cancer pain relief through relaxation techniques such as PMR is gaining ground among patients. PMR, as a relaxation technique, may break the cycle of pain, anxiety and reduce muscle tension. This review will examine evid ence of PMR where it is linked to relieving chronic pain in cancer patients. Data will be mined from systematic literature and analysed so as to identify the role, effectiveness and degree onto which PMR techniques can be used to relief pain in cancer patients. According to the research findings progressive muscle relaxation, a non pharmacological pain relief intervention (NPPRI) technique, involves the systematic tensing and relaxing of skeletal muscles of the body. PMR may involve a few muscles for patients in acute pain in a clinical environment.

Microbiology Bioremediation Essay Example | Topics and Well Written Essays - 750 words

Microbiology Bioremediation - Essay Example [1] There are a number of cost/efficiency advantages to bioremediation, which can be employed in areas that are inaccessible without excavation. [1] Like hydrocarbon spills or oil spills (specifically, petrol spills) or certain chlorinated solvents may contaminate groundwater, and introducing the appropriate electron acceptor or electron donor amendment, as appropriate, may significantly reduce contaminant concentrations after a lag time allowing for acclimation. [1] An oil spill is the unintentional release of a liquid petroleum hydrocarbon into the environment as a result of human activity. [2] After a spill, hydrocarbons are subjected to physicochemical processes such as evaporation or photochemical oxidation which produce changes in oil composition. But the most important process acting on the spilled oil is biodegradation. [3] There are several ways to clean-up an oil spill in the given scenario and in situ treatment. Microbial Biodegradation through Methanogenesis, using the glycolysis pathway is one way. Bioremediation and Biotransformation methods endeavor to harness the astonishing, naturally occurring, microbial catabolic diversity to degrade, transform or accumulate a huge range of compounds including hydrocarbons such as oil. [1] Bacteria are minute unicellular microorganism, the smallest one having all the necessary protoplasmic equipment for growth and self-multiplication at the expense of available food stuff (Smith,1980) such as hydrocarbon fuel. Every bacterium is covered with a cell membrane known as the plasma membrane which separates it from the cytoplasm of the bacterial cell. Composed of phospholipids and proteins, the plasma membrane is the site of important enzyme systems, including the respiratory enzyme systems or cytochrome enzymes (Smith,1980). In regulating the passage of food materials, like oil, and metabolic by-products between the interior of the cell (where metabolic activities are carried on) and the

Caregiver stress Research Paper Example | Topics and Well Written Essays - 2000 words

Caregiver stress - Research Paper Example The median age is 63 years and the mode is 76 years. The figure below shows the distribution of caregiver age in the sample. Patient Gender: Out of the valid sample of 348, 130 patients are male and 218 female. That is 37.4% of the sample is males and 62.6% females Caregiver Gender: Out of the valid sample of 348, 88 patients are male and 260 female. That is 25.3% of the sample is males and 74.7% females Ethnicity: White non-Hispanics are the largest group by ethnicity constituting 42.3% of the sample. Hispanic ethnicity is the second largest group constituting 32.5% of the sample and the rest are African Americans constituting the remaining 25.3% of the sample. Caregiver Education The average caregiver education is 13.1 years. The range is 20 years from a minimum 3 years to a maximum of 20 years of education. Household Income For the household income, the dataset was not complete and data labels were not set for all ordinal values. Of all the data points, only 170 had disappoints fo r which the ordinal values were described in the data set. For the available dataset details, the maximum frequency was observed for the 2000-2300 income group and greater than 2400 income group with a frequency of 31 data points each. Hypothesis test 1: Religious patients complain less about somatic illnesses In order to test this hypothesis, we can compare the means for total somatic illness complaints observed for the religious patients (any level of being religious – from somewhat religious to very religious) and for non-religious patents. The corresponding data in the sample would be the data for â€Å"Somatic Complaints Total† (SCT). Out of the sample of 349, 5 cases are excluded in the analysis. Two of these are excluded because there is no data available and the remaining three because the data for their religiousness is not rightly captured in the database. It is captured as 2.56, which is not related to any ordinal assignment of data. The following table summ arizes the mean SCT for different groups of patients based on their religiousness. We can see whether there is any difference in means of complaints by the different patients to ascertain whether religious people complain less or not. This can be done using 2 statistical tests: the two-sample t-test and the one way Anova test. Two-sample t-test where we group all the religious people as one and â€Å"not at all religious† people as the second group to see whether not at all religious people complain more. Also, we can now consider two groups of samples, one including people who are not at all religious and second of people who are religious, somewhat religious, or very religious. The table for means for these groups is as below. =2) is people who are religious. These notations are due to nature of data in the dataset. Now, we need to test whether the group of religious people complain less about somatic illness. Hypothesis testing by Two-sample t-test for independent variable s Let  µr denote the observed mean for religious group and  µn denote the mean for not at all religious group. So, our Null hypothesis:  µr =  µnr The sig. value, which is the p-value for the test is 0.578. This is too high compared to a 0.05 or 0.10 p-value which would have been for 95% confidence or 90% confidence level. So, we must reject the null hypothesis and accept the alternative hypothesis that religious people do NOT complain less abo

Othello Essay Example | Topics and Well Written Essays - 500 words - 5

Othello - Essay Example Othello totally believes in the concept of love with full commitment and nobility. He believes in the absolutes. lago subscribes to no particular thought and believes least in human beings. The book’s popularity can also be traced to its modern nature. At the core of intrigue is the very realisation that the play is matter of a private life affair than the other great tragedies. This impression is supported in a number of ways. Othello is a depiction of modern life as the drama depicts contemporary life. The characters appear very close to the readers than in Hamlet or Lear. Many people will realise that Othello employs a sense of beauty that is not available in most plays of the time. Of Shakespeare’s plays, Othello stands out in one important respect: beauty. The play employs much steady rhythm, peculiar phrase and a sense of serious imagination which blend together to create a lucid and clear feeling in the mind of the reader. Indeed, this beauty is only evidenced in two other plays i.e. Romeo and Juliet and Antony and Cleopatra. However, Othello has another form of beauty. Except for the brief trivial section of the clown, everything is much attached to the central issue and nothing requires any solid justification. At best, the drama has a dense of intellectual beauty which fulfils the aspiration for order and harmony between the different parts and the whole. At the same time, the book glows with much moral beauty. We see the figure of Desdemona in a love situation which is not affected even in the worst of events. A sense of incompleteness in the play gives way to innumerable cases of men at odds with one another. Several ‘parts’ exist in the play which create the wholeness albeit with some incompleteness. lago appears universal, because he represents many things at a single instance. His style and temper make him become the villain of the melodrama. He

Fast Food and Free

Fast Food and Free Time Essay MIt is common for university students to have a semester break in between each semester in a year. It usually lasts for about 3 to 4 months. Consequently, students will feel bored during the semester break because they have nothing to do. In my opinion, university students nowadays do spend their free time wisely because they will find some job to fulfil their semester break before starting their studies, doing a short semester and making small business to earn money for their expenses. Firstly, university students nowadays do spend their free time wisely because during semester break, they will find a job to fulfil their semester break before resuming their studies. Usually, their popular choice would be part time job in fast food outlets such as KFC, McDonald’s and Pizza Hut. By working, they learn the hardships of earning money and at the same time they are doing something beneficial. Besides, they can also use their salary to pay the fees for their next semester and thus they can reduce their parents’ burden. Secondly, university students nowadays do spend their free time wisely because some of students doing short semester for spend their free time in semester break especially for those repeaters, they can finish the repeat subject earlier and have no burden to take the subject again for the next semester. Beside that, repeater students will not taking a long time to finishing their studies and grading earlier. Lastly, university students nowadays do spend their free time wisely because most of them do a small business when semester break. For example they open a stall burger. They can help their family finance and also can pay for their expenses. Moreover they also can get more experience on how to make a business. At the same time, they also can spend some money for their personal saving. So, university students nowadays do spend their free time wisely.