Commodity chain Essay Example | Topics and Well Written Essays - 500 words

Ware chain - Essay Example The high thickness polythene is continually reused, where different items that have experienced their convenience are broken and the materials remolded to make new things. The mug as it includes basic assembling procedure of softening plastics and afterward remolding the plastic to shape the mug. This more likely than not been made in a similar spot where the material was re-appropriated. This is additionally confirmed by Media Federal (2011) who clarifies that the organization makers enormous volumes of comparative item. It in this manner implies that the purifying and the trim were made at a similar plant; that is the Wei Mon industry co., Ltd. The plastic that is the primary crude material in the mug was doubtlessly sourced inside the nation for reusing or was either new plastic that was framed in the organization to make mugs. Taking into account that the industrial facility fabricates numerous comparable items as Media Federal (2011) clarifies, the plastic was in all probability new and had been shaped from crude materials. Plastics are made of polymers through a polymerization procedure. Most elements for polymerization are generally imported fro m a few nations China and the U.S being pioneers in making these polymer materials (Harper, 714). The fixings to make the mug were in all likelihood purchased from China and the organization completed the polymerization procedure to get the polymers that were later utilized in assembling the mugs. ' The item is delivered through infusion forming. The molds were doubtlessly planned in the Wei Mon Industry co. and afterward used to complete infusion shaping as the principle procedure that the organization is engaged with. The item along these lines included the utilization of effectively planned molds where liquid plastic was constrained through, and the mug framed from the molds. The laborers in the process more likely than not made low wages. The mug requires the utilization of molds that are as a rule robotized, the human info is diminished to control

The Psychology of Thinking and Communication The WritePass Journal

The Psychology of Thinking and Communication Proposals: The Psychology of Thinking and Communication ). These three activities help in establishing the frameworks for learning, and the five key aptitudes of perusing and composing (Lloyd, 1992). Sprightly Phonics instructional classes are far reaching and use education aptitudes that are based upon by Jolly Grammar that encourages the kids to improve sentence structure abilities (Jolly learning, 2012). On the off chance that Jolly Phonics is utilized as a preparation device in schools for improving perusing and composing abilities among kids, Jolly Grammar and Jolly Readers should be utilized too. The execution of these three projects will be  £50,000 every year despite the fact that this program and specialized device for perusing will be of considerable assistance to educators and understudies the same. Proof and Literature Review: The Jolly Phonics learning programs have been effectively executed with the coordinated effort of NGOs and noble cause, for example, Absolute Return for Kids. Evidential outcomes from these execution contextual investigations have indicated that the Jolly Phonics and engineered phonics programs have helped little youngsters in learning fundamental proficiency abilities of composing and perusing (Bowey, 2006). Kids figure out how to frame and utilize these letters rapidly and effectively (Lloyd, 1992). Alongside creating perusing abilities for the letter sets, with the guide of sounds, kids can improve their new composing aptitudes. The multisensory techniques utilized in Jolly Phonics help the kids to mix the sounds together with the goal that they can peruse and compose new words utilizing the hints of new letters (Jolly learning, 2012). With the hints of the new words, youngsters use division to recognize the relationship of words and sounds that encourages them to improve their spelling (Stuart, 1999). There are some precarious words that utilization sporadic spellings that help the youngsters to get familiar with these spellings and words independently. The apparatus draws on the discoveries from learning research as it is known since perusing and composing grow together and strengthen each other. It is additionally recommended that composing words the manner in which they sound, encourages youngsters to peruse quicker. In a report on manufactured phonics utilized in an East London School for kids, the BBC (2005) detailed that the strategy was progressive in showing the fundamental aptitudes of perusing and keeping in touch with youngsters utilizing sounds. There is proof that the program empowers parental inclusion and there are gainful impacts of parental acclaim and support as this assists with improving learning abilities. The Jolly Phonics program could assist understudies with developing thorough sentence structure, perusing, composing and spelling abilities (BBC, 2005). End: Considering the advantages of this program and the learning aptitudes that the instrument assists with accomplishing, the LEA would be prescribed to contribute for a long time before further reappraisal of the task results. The justification for a three-year venture could be drawn from the way that Jolly Phonics is best for the initial three years of learning. With a multi year venture from LEA, Jolly Phonics could turn into a fruitful specialized device for schools and the consequences of the usage of the program have been given by concentrates in schools of creating nations previously utilizing Jolly Phonics as a viable learning help. Reference index and Further Information Adams, M. J. (1990) Beginning to Read: Thinking and Learning about Print. Cambridge, Massachusetts: MIT Press. BBC NEWS (2005),â Trusting Phonics recovered Feb 26, 2013 from http://news.bbc.co.uk/2/hey/programs/newsnight/4584491.stm Bowey, Judith A. (2006). Requirement for precise engineered phonics instructing inside the early understanding educational program. Australian Psychologist, 41(2), 79-84 Johnston, Rhona S. Watson Joyce (1997). Carefree Phonics is examine based Systematic/Synthetic Phonics. Article. Education Learning Magazine, Autumn issue. Happy learning (2012) Teaching education with Jolly Phonics. Recovered February 26th 2013 from http://jollylearning.co.uk/review about-carefree phonics/ Lloyd, Sue, 1992. The Jolly Phonics Handbook. Happy Learning Ltd. Essex, United Kingdom Stuart, Moral (1999). Preparing for perusing: Early phoneme mindfulness and phonics educating improves perusing and spelling in downtown second language students. English Journal of Educational Psychology. The British Psychological Society, 69, 587â€605 References BBC NEWS (2005),â Trusting Phonics recovered Feb 26, 2013 from http://news.bbc.co.uk/2/greetings/programs/newsnight/4584491.stm Bowey, J.A. (2006). Requirement for orderly engineered phonics instructing inside the early understanding educational program. Australian Psychologist, 41(2), 79-84 Carefree learning (2012) Teaching education with Jolly Phonics. Recovered February 26th 2013 from http://jollylearning.co.uk/outline about-cheerful phonics/ Lloyd, S, (1992). The Jolly Phonics Handbook. Buoyant Learning Ltd. Essex, United Kingdom Stuart, M. (1999). Preparing for perusing: Early phoneme mindfulness and phonics instructing improves perusing and spelling in downtown second language students. English Journal of Educational Psychology. The British Psychological Society, 69, 587â€605

How Bad Relationships Affect Your Health

How Bad Relationships Affect Your Health Stress Management Relationship Stress Print How Bad Relationships Affect Your Health By Mark Stibich, PhD  Mark Stibich, PhD, FIDSA, is a behavior change expert with experience helping individuals make lasting lifestyle improvements. Learn about our editorial policy Mark Stibich, PhD Updated on February 13, 2020 Simon Potter / Cultura / Getty Images More in Stress Management Relationship Stress Effects on Health Management Techniques Situational Stress Job Stress Household Stress You may have heard, or assumed, that relationships are good for your health, longevity, and life expectancy. In general, thats  trueâ€"except when a relationship is bad. Anyone whos been through a tough divorce, dealt with difficult parents or children, or had a backstabbing friend knows that not all relationships are good for your health. If a person in our lives creates stress and problems, that has an impact on well-being too. What Research Tells Us Researchers measured relationship quality in a study of 9,000 men and women in the British Civil Service in a study published in 2007. The participants were surveyed about their relationships and the different negative aspects that exist in their close relationships. Participants were also closely monitored for health problems. Those who reported adverse close relationships had a 34% increase in the risk of developing heart problems, even after taking weight, social support, and other factors into consideration. That’s a pretty substantial increase. And more recent research, such as a University of Michigan study from 2016, supports this finding, noting that stress and [negative] relationship quality directly effect the cardiovascular system. In other studies, researchers have found: Social isolation is linked to inflammation and hypertension. A review of two decades of research, published in 2016, underlined the connection between being socially isolated and the risk of inflammation, comparing isolation to physical inactivity in adolescence. The same study reported that social isolation could be riskier than clinical factors, like diabetes, when it came to hypertension (high blood pressure).Prolonged conflict with other people was strongly associated with lower self-rated health and more health issues, according to a survey of more than 650 adults over two years. Any kind of stress,  whether its due to a lousy relationship with a lousy person or a demanding job, has a remarkable impact on the efficacy of the immune system. When a Bad Relationship Goes Unacknowledged Suppressing your feelings is unhealthy, especially when those feelings are anger or resentment. Some research suggests that couples tend to die younger when partners have different styles of coping with anger; the more severe the mismatch, the greater the risk of early death for both partners. In some relationships, one person might be very dissatisfied, while the other is completely unaware of an issue. Addressing this situation means conflict, but that conflict does not have to end a relationship. Effective conflict resolution can improve and repair a relationship. Unresolved conflict is bad, but a botched attempt at reaching a resolution is even worse. How you choose to resolve conflict will affect any relationship in which youre involved. If youre dealing with extreme conflict, couples counseling or individual therapy can be very helpful.. Resolve Conflicts to Reduce Relationship Stress How to Handle Bad Relationships Interacting with friends and family is good. Staving off loneliness increases your life expectancy and protects your brain, in addition to many other benefits. But spending time and energy on less desirable friends and family members can literally make you less healthy. Do your best to maximize time spent with the friends and family you enjoy being around, and minimize interactions with those who arent as pleasant and who bring negativity into your life. Unfortunately, some negative people cant always be avoided, particularly if they are family. In that case, use relaxation techniques to let go of the stress these encounters cause. Learn how to actively manage your interactions with difficult people  so they have less of an impact on your health and life.

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Throughout his career, Ernest Hemmingway’s writing style...

Throughout his career, Ernest Hemmingway’s writing style has brought many questions from critics all over the world. These questions mainly emerged due to his writing being different from anyone else during that time. Hemmingway’s writing was simple and direct unlike other fellow writers. This made it easier for people to comprehend and it made connections to his ideas straightforward. In works such as Old Man and the Sea and For whom the Bell Tolls, Ernest Hemmingway uses his style of writing to convey his purpose and ideas of literary elements, such as plot, mood, character, symbolism, and theme, which can be analyzed with New Critical Theory and Iceberg Theory. Before beginning his writing career, Hemingway spent his early days as a†¦show more content†¦This 127 page piece takes place in a small fishing village near Havana, Cuba and the waters of the Gulf Mexico. Most of it, however, takes place in the waters. The novel is about a Cuban fisherman, Santiago, who sets out to the waters for a journey. Little did he know that his journey would turn into a four 4 day struggle with a giant marlin. The novel starts off with readers finding out that Santiago has been on an eighty-four day streak of returning empty handed from the sea. It is further learned that his close young friend, Manolin, has been ordered by his parents to fish on a more successful boat. Santiago’s and Manolin’s relationship resembles a relationship of a mentor to a protà ©gà ©. Against his parents order, the boy still visits Santiago every night at his hut. Here the boy helps the old man with Syed Ali 3 several tasks such as grabbing food, tweaking equipment, and even talking about sports. On another note, Santiago is eager to end his unlucky streak. The next day, the old man decides that enough is enough and sets out to the sea seeking to end his notorious streak. After passing the shallow waters in his skiff he arrives in the Gulf Stream. Once the skiff settles down, the old man throws out a line into the waters. After some time something takes the bait. With his expertise, Santiago hooks the fish. However, instead of pulling the fish up, the giant fish decides to pull the entire skiff. Santiago decides that if he ties the

Rapid Rewards at Southwest Airlines Case Study Essay

Rapid Rewards at Southwest Airlines Case Study Southwest Airlines prided themselves on their commitment to customer service and equality by offering a streamlined business model with an emphasis on simplicity and efficiency that has remained the same for the most part since the airlines’ inception in 1967. At the time of the case study, Southwest had been profitable for the past 28 years, an achievement many airlines are incapable of boasting due to the volatility of the airline industry. One of the unique policies that Southwest employs is their ‘single-class service,’ where seats are not assigned, and those who check in first board the plane first and have their pick of available seating. In order to improve and maintain†¦show more content†¦In addition, if one flew over 50 round-trips or 100 single-way trips one could receive a Rapid Rewards Companion Pass, which allowed members to designate one person to travel with the Rewards Member free for one yea r. However, beyond the generous aforementioned offerings, Southwest refused to give anyone pre-boarding privileges or seating regardless of preferential status. In recent years, this had become a bone of contention among frequent fliers, who felt as though their continued patronage deserves some kind of pre-boarding or preferential seating privileges. Southwest’s current strategy involved customers being willing to sacrifice the amenities and privileges offered by the more premium and expensive airlines in order to receive a cheaper fare, quicker gate turn-around, fewer cancellations, and a higher safety record. If Southwest were to change their egalitarian policies and values and offer frequent fliers low-numbered boarding cards, it would help keep their current frequent flier customers in addition to potentially attracting new ones who were initially turned off by their lack of pre-boarding preferential treatment. 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Financial Analysis EBITDA Enterprise

Question: Discuss about the Financial Analysis for EBITDA Enterprise. Answer: To decide on the issue of investing in BHP Billitron in Australia, some homework is necessary analyzing the relevant investment ratios which are helpful to infer about the viability of investing in the company(Glakas, 2011). Price Ratios: Valuation P/E Current -13.7 P/E Ratio (with extraordinary items) -13.6 Price to Sales Ratio 2.34 Price to Book Ratio 1.36 Price to Cash Flow Ratio 6.8 Enterprise Value to EBITDA 9.89 Enterprise Value to Sales 3.65 Total Debt to Enterprise Value 0.34 The above table showed price ratios of BHP Billitron Ltd as on 30.06.2016. There are positive trend showed in price to sales ratio, book ratio, cash flow ratio, enterprise value to EBITDA, enterprise value to sales ratio and total debt to enterprise value which is significant for investing in the company share. The negative impact showed in price to earning ratio- both in current and with extraordinary items which is due to revenue loss in 2016 F Y. the analysis encourages the investment probability on the company(Marketwatch, 2016). Profitability Analysis: Profitability Gross Margin 17.88 Operating Margin 7.86 Pretax Margin -16.68 Net Margin -20.66 Return on Assets -5.45 Return on Equity -11.16 Return on Total Capital -7.11 Return on Invested Capital -7.4 The above analysis showed negative impact on the elements of pretax margin, net margin, return on assets, return on equity return on total capital and return on invested capital but had shown positive impact on gross and operating margin. The negativity of the analysis may discourage the investment criterion while the positivity also draws the investors with positive mind(Marketwatch, 2016). Capital Structure: Capital Structure Total Debt to Total Equity 67.09 Total Debt to Total Capital 40.15 Total Debt to Total Assets 30.62 Long-Term Debt to Equity 58.52 Long-Term Debt to Total Capital 35.02 The above analysis showed the financial health of the company in respect of Debt. All the elements namely total debt to total equity, total capital, total assets and long term debt to equity and total capital showed as positive and below 100% which means the company has covered its debt well by the capital and assets and thus it is secured as on date so far debts are concerned. This is good feedback for investors so far fresh investment is considered(Marketwatch, 2016). Liquidity Ratio: Liquidity Current Ratio 1.44 Quick Ratio 1.16 Cash Ratio 0.85 The above liquidity ratio showed positive impact on the fields of current ratio, quick ratio and cash ratio. The positivity of the liquidity ratio showed the good financial health of the company which is encouraging for the new investors(Marketwatch, 2016). Recommendation: With the above analysis, it can be inferred that the present ratios on price, profitability, liquidity and capital structure can encourage the new investors with their element wise positive impacts. The negative impact showed under different elements in the form P/E current and P/E ration with extraordinary items along with profitability ratios except gross and operating margin projects the imbalances of the company but it is temporary as the company is dealing in the most profitable business globally(Bhpbilliton, 2016). References: Bhpbilliton. (2016). Integrity Resilience Growth Annual Report . Retrieved October 18, 2016, from Bhpbilliton: https://www.bhpbilliton.com/~/media/bhp/documents/investors/annual-reports/2016/bhpbillitonannualreport2016.pdf?utm_source=Websiteutm_medium=Organicutm_term=ARDownloadutm_campaign=AR2016 Glakas, S. (2011, July 01). 15 Financial Ratios Every Investor Should Use. Retrieved October 18, 2016, from investinganswers: https://www.investinganswers.com/education/ratio-analysis/15-financial-ratios-every-investor-should-use-3011 Marketwatch. (2016). Bhp Billiton Ltd. Retrieved October 18, 2016, from Marketwatch: https://www.marketwatch.com/investing/stock/bhp/profile Marketwatch. (2016). Bhp Billiton Ltd. Retrieved October 18, 2016, from Marketwatch: https://www.marketwatch.com/investing/stock/bhp/profile Marketwatch. (2016). Bhp Billiton Ltd. Retrieved October 18, 2016, from Marketwatch: https://www.marketwatch.com/investing/stock/bhp/profile

A right to good healthcare Essay Example

A right to good healthcare Essay Introduction to Ethics and Social Responsibility This is the United States of America, land of the free. Good health care is a right, not a privilege. Healthcare (including public health) is special because it protects normal functioning, which in turn protects the range of opportunities open to individuals (Daniels N. 2001 pig. 2). Currently President Obama has been trying to change the way health care is approached in the United States. He is facing quite a bit of opposition in his ideas that the government should provide health care for all Americans. No matter what your stance is on President Beams healthcare plan, we all realize that it is better to have health insurance than not. With prescription-drug costs being so out of control, many people have to choose between food and their prescriptions. Which is Just not right, the fact is that health care is out of control. If healthcare was made more affordable it would actually end up costing taxpayers less in the long run because the expense of having to pay for uninsured patients medical expenses is so high. We will write a custom essay sample on A right to good healthcare specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on A right to good healthcare specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on A right to good healthcare specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The cost of going to a doctor is so high that many dont even other until it is often too late. Having experience a major health issue myself at the last minute, because I am not offered any type of healthcare insurance through my job. Many Americans Just cannot afford the cost of health insurance. In this paper I will address several issues on why healthcare is so important to Americans; such as the types of preventative care needed. Ways to prevent diseases, screenings and causes. The reasons many Americans Just do not have any type of healthcare coverage. Preventative Care The emphasis on preventative healthcare is all for good reasons. By maintaining f opportunities (or plans of life) reasonable people would choose in a given society (Daniel, N. 2001, pig. 2). Many people without access to healthcare only go to the Doctors after they have been ill or injured. We all know that regular exercise, a good nutritious diet, not smoking, and drinking to excess is the best course to minimize health problems and reduce the amount of money spent on health care. Along with life style selections we make the environment in which we live and work are critical to good preventative health practices. Prenatal Care is a preventative care practice. Women in developing countries are bleeding to death after giving birth, writhing in the convulsions of clamps, and collapsing from days of futile contractions, knowing that they have suffocated their babies to death (Maine, D Yamin,A, 1999, pig. 562). Getting good prenatal care is very important for the expectant mother and the unborn child. Many pregnant women in Georgia receive free prenatal care for their unborn child. This is great for the many women like myself that do not have healthcare insurance, and do not make enough money to actually pay out of pocket to have a baby. There are so many doctors appointments, screenings, and tests that need to be taken as a precaution before a mother gives birth. Moreover, according to the World Bank, although men and women between the ages of fifteen and forty-four lose approximately the same number of years of healthy life due to disease, there is no single cause of death and disability for men that comes close to the magnitude of maternal death and disability (Maine, D Hyman, A. 1999, pig. 564). Many women choose not to participate in having prenatal care, either from being in such denial, embarrassment, and even religious beliefs. This could be very dangerous to both mother and baby, many tests and screenings could have shown if the pregnancy needed to be aborted or if there is a complication such as the umbilical cord wrapped around the babys neck, or th e baby may be breached (the baby head is not down for delivery). Also tests can detect birth defects which are physical abnormalities that may be caused by inherited genes, genetic mutations, or environmental factors. Technology is so advanced now many expectant mothers are offered D and D visual of their precious baby. Even learning the sex of the unborn baby can be very exciting for new parents, but all which is very expensive to those that do not have medical coverage in place. Well care check-ups are so important staring with infants. Most infants have their first well-baby exam within the first few days to weeks after birth. Even when things are going well, frequent checkups during the first year are an important way to monitor the babys growth and development. Many parents have their children vaccinated according to their age. These vaccines are to help prevent many childhood diseases, not saying that the child still may not get sick, but it is a great prevention plan all parents should participate in. As parents it is very important that, they make sure their children stay on the vaccinated scheduled for their age. Many children must have all their immunization done before they can enter kindergarten. Other screenings are ear, eye, and dental checks. Many low-income or single parent homes, their children may be eligible for the Medicaid Program. This helps assists many single mothers with keeping up with their children well-care check-ups, vision and dental screenings. Well care check-ups go on into adult hood, many people that employers that do not offer any healthcare tend to slack up on doctor visits. But regular check-ups are still very important, certain age screenings are still needed. Early diagnosis for many diseases can be detected. Being without healthcare insurance, I was put into a life-threatening health scare in 2009, and it could have been prevented if I had been receiving regular check-ups, but like millions of Americans around the world, the cost are Just beyond high. Also, many Americans feel as though they are treated differently if they do not have any type of health coverage. Without co-pay at the time, one may be sent home without the proper screenings or sets run, and this is and can be very scary, and could be life-threatening. Long-term illnesses sometimes may not be able to be prevented, but detecting them early can save a person life. Cancers, Diabetes, HIVE/AIDS are a few long term diseases, even though some are not preventable, but when detected early your chances of either recovering or living comfortable with it may be easier. Many people feel like do not ask do not tell, or if it is not broke then do not fix it. These feelings can sometimes cause many people to be severely sick and suffer, or cause an unexpected death. This all could have been prevented with regular check-ups. Education is also an important factor; many people Just do not have the knowledge on the type of signs and symptoms on many illnesses. This is why having regular check-ups are so important. Disease Prevention Disease Prevention is a very important role in healthcare. Prevention comes with check-ups, screenings, and knowledge. There are so many diseases that cannot be prevented, but can be treated with antibiotics and other medicines. Several of those diseases are: Arthritis, Alchemists, and Cancers cannot be prevented, but they can be treated. There are two common types of Arthritis which are Osteoarthritis and Rheumatoid. There are commercials that have different types of medicines to help with the pain of Arthritis. Many people have seen the Celebrate commercial. Alchemists is a type of dementia that causes problems with memory, thinking and behavior. The most common symptom is difficulty remembering, and usually develops slowly and get worse over time, becoming severe enough to interfere with daily tasks. As Alchemists advance it leads to severe symptoms, including disorientation, mood and behavior changes. Alchemists has no current cure, but reattempts for symptoms are available and research continues. Cancer is characterized by an abnormal growth of cells. There are more than 100 types of cancer, including breast cancer, skin cancer, lung cancer, colon cancer, prostate cancer, and lymphoma. Cancer symptoms vary widely based on the type of cancer. Cancer currently has no cure, but treatment options include: includes chemotherapy, radiation, and surgery. With early and proper treatment these diseases can make living with them a lot easier. Later detection can result in emergency surgeries, long term pain, and even death. Diseases that can be prevented are Sexual Transmitted Diseases (Studs) and HIVE/AIDS. Studs are infectious diseases that spread from person to person through sexual contact. Studs can affect anyone who is having sex. Studs are common among teens, since they are at a higher risk, its important to learn what you can do to protect yourself, things simple as abstinence, and condoms. If untreated, some Studs can cause serious health AIDS). Early detection can cure some Studs, with medication such as antibiotics. As stated in (Bible, G. 2007, pig. 1086), amidst denial, stigma, and inaction, AIDS became he first major epidemic of present-day globalization. Of more than 40 million people estimated to be HIVE-infected worldwide, 95 percent live in middle- or low-income countries, causing life expectancy to drop dramatically in those countries worst hit (Bible, G. 2007, pig. 1086). In late 2003, with only about 400,000 people receiving treatment, the World Health Organization (WHO) and the Joint United Nations Program on HIVE/AIDS (UNAIDED) announced their goal of having 3 million HIVE-positive people on antimicrobial therapy by 2005 (Bible, G. 2007 pig. 1086). Early detection of HIVE/AIDS can allow someone to live comfortable with the disease while on their medication. Reasons many do not have Coverage Statistics show that people without health insurance do not get their health checked regularly and therefore are at a greater risk of having something that may have been prevented happen later on. Given the cost of even basic insurance, many people of modest means who do not qualify for Medicaid cannot reasonably afford insurance without subsidy (Mizzen, P. 2011, pig. 86). The high expense of going to a doctor visit is why most people without insurance do not go to the doctor and this is something hat should be changed as well. Costs of medical insurance as well as the cost of having health insurance all need to be made more affordable for Americans so they will take better care of themselves. Having health insurance is important because coverage helps people get timely medical care and improves their lives and health (Levy, H , M. 2004, pig. 110). Its sometimes about $500 or more to see a doctor, and then add lab tests, x-rays, etc. Many will see their family doctor if it is not a true emergency. There is a reason why they are called Emergency Rooms there are walk- n clinics everywhere. At your family Doctor get the same treatment at half the price. You also are not taking up space when someones life may be at stake, and truly need the emergency room. There are new triage system evaluates your symptoms and can even refuse to admit you to the ERE, referring you to your family doctor, where you should probably go in the first place. Many people will go to the ERE because they think they cant be refused, and think they can be seen at no cost to them. Verses going to their own doctor, they may have to pay a co-pay or office visit, and even have o take a prescription to their local pharmacy and have to buy their own meds. Since 1989, the federal Emergency Medical Treatment and Labor Act (METAL) have prohibited hospitals from refusing acute care to those who cannot afford to pay (Mizzen, P. 2011, pig. 83). Realistically, when hospitals live up to this requirement, it is difficult for them to confine the care they provide to the emergency room (Mizzen, P. 2011, pig. 83). Patients who are not kept on for further acute care outside the emergency room will likely Just show up again, incurring more emergency room care for which they are not insured. Self-employed individuals have limited choices when it comes to health insurance coverage. Many go without going to have regular check- ups and preventative care screenings. They can buy an individual plan, start a group policy or forgo coverage altogether. However, even having coverage wont guarantee financial security in the event of medical catastrophe. A business group insurance policy costs members less because the financial risk for the insurance company is better coverage, there are many ways for self-employed people to Join a group. Most people obtain health coverage through a health plan offered by their employer. However, many people have become unemployed either to termination, Job closures, and even being laid off. Currently state and federal law allows people who have recently become unemployed to continue their previous health coverage for some time. If one loses their group coverage for employment-related reasons, some may be able to continue your coverage for a limited time. Employees who stay at a Job, but lose coverage eligibility because of a reduction in the number of hours they work, are also usually able to elect to continue their coverage. The employer is no longer squired to contribute any amount toward premium costs, so you must pay the full price of coverage yourself. However, continuing a work-sponsored plan may still be more affordable than purchasing coverage individually Conclusion The central moral importance, for purposes of Justice, of preventing and treating disease and disability with effective healthcare services (construed broadly to include public health and environmental measures, as well as personal medical services) derives from the way in which protecting normal functioning contributes to protecting opportunity (Daniels, N. 2001, pig. 2).

truly great essays

truly great essays Truly great, helpful, sensible advise. Eat plenty of fish - fish oil helps prevent headaches. So does ginger, which reduces inflammation and pain. Eat lots of yogurt before pollen season. Also-eat honey from your area (local region) daily. Prevent build-up of fatty deposits on artery walls Use honey as a tranquilizer and sedative. Eating onions helps ease constriction of bronchial Salmon, tuna, mackerel and sardines actually prevent UPSET STOMACH? - BANANAS - GINGER!!!!! Bananas will settle an upset stomach. Ginger will cure BLADDER INFECTION? DRINK CRANBERRY JUICE!!!! High-acid cranberry juice controls harmful bacteria. Bone fractures and osteoporosis can be prevented by PRE-MENSTRUAL SYNDROME? EAT CORNFLAKES!!!! Women can ward off the effects of PMS with cornflakes, which help reduce depression, anxiety and fatigue. Oysters help improve your mental functioning by Clear up that stuffy head with garlic. A substance similar to that found in the cough syrups is found in hot red pepper. Use red (cayenne) pepper with caution-it can irritate your tummy. Wheat, bran and cabbage help maintain estrogen at LUNG CANCER? EAT DARK GREEN AND ORANGE AND VEGGIES!!! A good antidote is beta carotene, a form of Vitamin A found in dark green and orange vegetables. Cabbage contains chemicals that help heal both gastric Grate an apple with its skin, let it turn brown and Mono unsaturated fat in avocados lowers cholesterol. HIGH BLOOD PRESSURE? EAT CELERY AND OLIVE OIL!!! Olive oil has been shown to lower blood pressure. Celery contains a chemical that lowers pressure too. BLOOD SUGAR IMBALANCE? EAT BROCCOLI AND PEANUTS!!! The chromium in broccoli and peanuts helps regulate KIWI: Tiny but mighty. This is a good source of potassium, magnesium, Vitamin E content is twice that of an orange. ...

Invastigation report Case Study Example | Topics and Well Written Essays - 750 words - 4

Invastigation report - Case Study Example ound 2300hrs as he went about pushing the parts for investigation by Tina, who at the time is looking the other way and trying to get something from her purse, he stops the forklift right behind Tina. The parts land on her back, right on her heels. Tina has her Achilles dislocated and her arm broken and is taken to the hospital. There was an eyewitness in the background who so it all unfold, but couldn’t really guess if an accident could happen in that situation, because it hadn’t happened in a long time. His name is Bryan workman. When I got the report from the supervisor at the company, at around†¦., I schedule an interview with the three, Bryan Workman, David Cox, and Tina Robbins in that order. Their narrations are consistent and convincing. My interview with Tina at the hospital and apparently, the company hasn’t done much; her husband hasn’t been informed of what happened to Tina at the workplace. Nobody had gone there to check up on her since being taken for medical attention. This is utter complacency on the part of the company. This is so against the laws that govern the welfare of the workman as embedded in the constitution of the United States of America. Our diagnosis of the problem reveals gross misconduct and violation of the laws guarding the workman in America. Another show of complacency lies in the fact that a workplace accident that happens at 2300hrs is reported to the Occupational Safety & Health Administration (OSHA) at 0230hrs. An amount off $152000.00 has been reserved for Tina’s medical cover. This, according the doctor’s report, is way too less, with their estimation standing at $1.3M. She will keep away from job for at least 6 months as she goes under recurrent checkups. In the assessment of OSHA, and in line with OSHA workman compensation provisions, a person who has suffered injuries of the nature of Tina’s deserve a compensation of not less than $2.3M. So instead of the $152000.00 reserved, Tina’s case would cost

Other than brutal conquest, what impact did the Mongol empire have on Essay

Other than brutal conquest, what impact did the Mongol empire have on the known world and why - Essay Example ined and the strongest armies and with a highly organizational and strategic mind of a leader, the Mongolians were able to succeed in their brutal conquest for expansion and increase in territory. Apart from achieving victory in stretching the empire through invasion and conquest, the Mongols also achieved great success in other things. One of the greatest impacts that is still evident up to this day is its effect on the human as well as the political geography of Asia. Because of the emergence of the Mongol Empire, the great collection of several Semi-Turkic and Mongolic tribes were unified under the reign and rule of the founder of the Mongol Empire, Genghis Kan. Moreover, the existence of the states that came out from the dust of the collapse of the Mongol Empire owed their existence to the Mongols. The large size of the Mongol Empire due to its great expansion and conquest from Asia reaching all the way to Eastern Europe has brought about and encouraged wider distribution and trading of a mixture of different goods and other products, and along with it also helped spread out and share knowledge and understanding of various topics and subject matter in several fields of astronomy, science, mathematics and also in other fields such as art, theatre and others. The founder and first leader of the Mongol Empire and known as one of the world’s greatest conquerors throughout history, Genghis Khan, brought the kingdom to become known throughout the world. Through him, the empire saw success and rose to power. Although Khan himself was illiterate, he ordered and introduced a writing system, which still kept on and remained in modern Mongolia up until the twentieth century. Furthermore, Genghis Khan also brought in the thought and initiative of religious tolerance all over the empire. The fifth leader of the Mongol Empire and the grandson of Genghis Khan, Kublai Khan, continued to build on and develop the empire’s success. During his reign, he was also able to

Critical Reflection on current clinical knowledge and development

Critical Reflection on current clinical knowledge and development Within this assignment I will critically reflect on my clinical knowledge to date and consider my future development needs with a focus on my final management placement and future career as a registered nurse. I have chosen two areas which I feel are relevant to my future development needs namely Quality Assurance and Multidisciplinary/Agency team working and using the Gibbs model (fig. 1)as a framework will reflect upon my own learning experiences and achievements to date and write an annotated reflection highlighting my development needs from which I will formulate a Personal Development Plan. This undertaking demonstrates my commitment to the need for continuing professional development in order to enhance my knowledge, skills values and attitude needed for effective nursing practice (proficiency 4.1) and will address deficits in my knowledge and skills and identify any shortcomings within my own or others practice and help me cope with practice related issues experienced within m y previous placements. I have chosen Gibbs reflective model as a basis for reflection as I feel it is easily understood and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, conclusion and reflection upon the experience to consider a solution if the situation arose again (Brooker Nicol 2003). It has been advocated that reflective practices are a method of bridging the gap between nursing theory and practice, and as a tool to develop knowledge embedded in practice (Chong 2009). Furthermore in reflecting on the way we deliver care we can identify weaknesses, build on strengths and develop best practice (Myser et al 1995, Johns 1996). However, there are those who are sceptical of the practice and the idea of reflection in nursing is ambiguous and confused and not based on discipline related evidence based research (Gustafsson et al (2007). Some studies however, have shown a positive response from practitioners who have attributed refl ective practice to changes in their practice (Paget 2000, Cooke Matarasso (2005). In consideration of these views my approach to reflection as a means of recognizing strengths and weaknesses in my learning and practice to enable me to make positive changes to my future practice will be unbiased. Therefore my reflective account will include an open and honest description of what I have gained from the experience In conclusion, my main aim is to enhance my professional development by reflecting upon past education and clinical experience using the Nursing and Midwifery proficiencies as a benchmark. Furthermore by utilizing the reflective model I will not only identify my strengths and weaknesses but also recognize potential opportunities or threats which will enable me to prepare for my future development and alert me to any threats allowing me to overcome any difficulties I may encounter. Teekman (2000), states that throughout the literature it is well emphasized that reflective practice is an effective tool to reduce or eliminate the perceived theory-practice gap. I will therefore endeavour to utilize this exercise to transform my theoretical learning into evidence based practice. By doing this I can substantiate my claim to having knowledge of evidence based care to ensure safe practice (Proficiency 2.5) Gibbs Reflective Cycle Description What happened? Action plan If it arose again what would you do? Feelings What were you thinking and feeling? Conclusion What else could you have done? Evaluation What was good and bad about the experience? Analysis What sense ca n you make of the situation? Fig. 1 REFLECTIVE SELF-ASSESSMENT 1ST DRAFT Gibbs (1988) model begins with asking the question What happened? and asks What were you feeling. This allows me to give an account of the events that occurred, and in order to add significance to the narrative I will relay my feelings about the event directly after explanation about the incident. During the course of my placement whilst working in an acute psychiatric in-patient I was delegated some responsibility for particular patients by senior members of staff. In addition I was often allowed to facilitate both group and one-to-one sessions supervised by a trained member of staff. However, due to other demands within the ward environment staff were often unable to run the groups and one-to-one sessions with the patients could often be time limited. However, on one particular day I was approached by a patient for whose care I was given responsibility He appeared very agitated and complained that over the previous few days he had become frustrated by the lack of attention he was been receiving from nursing care staff the lack of information he was being given in respect of his care. He also complained that he had been informed that he would have regular access to therapeutic groups and this was not happening. This patient had show a keenness to participate fully in his care to facilitate a quick recovery and discharge from the ward I was aware that staff had been busy but felt uneasy at his distress and afraid to tell him that staff had been too busy therefore unable to run the groups. In addition I did not feel confident enough to explain his treatment plan. I was quite annoyed though that he had not been consulted or involved in this previously, therefore I consulted with his named nurse voicing my concerns and asked if she could alleviate his concerns. (NMC Proficiency 2.6) was achieved by my articulating my own emotional and psychological responses to situations with colleagues in a professional manner. By also being aware of my own limitations at the time I achieved (NMC proficiency 1.1). The nurse took him into a quiet room and in my presence explained the situation to him apologising for the apparent lack of attention he had received. She assured him that the therapeutic group would be commencing later that day and allowed him to vent his feelings and concerns about his care and anxieties about his illne ss. She reviewed his plan of care with him taking account of his wishes and desired outcomes. On listening to how she handled the session, I felt quite inadequate afterwards thinking I should have been able to deal with the situation as I was competent at formulating care plans. Following the session I decided to approach my mentor to ask to discuss the situation and we agreed that I would take the time to read through the Integrated Care Pathway of each patient under my care and become familiar with their use by suggested I attend and participate in multi-disciplinary meetings. By recognising this I was adhering to the code of professional conduct (NMC) 2008, to consult with a colleague when appropriate and work within the limits of my competence. Moreover, I achieved (NMC Proficiency 4.1) by demonstrating a commitment to the need for continuing professional development and personal supervision activities. In addition a multi-disciplinary meeting was arranged for the patient and his father and my mentor allowed me to co-ordinate this and provide feedback on his progress in order that I gain experience in multidisciplinary working. Prior to the meeting I scrutinized his ICP to familiarise myself with his situation and plan of care to enable me to identify his needs and achieved (NMC Proficiency 2.2) by providing relevant and current health information to the patient during the meeting. Rees et al, (2004) informs us that ICPs are tools which map out the pathway of clinical events and activities for all professionals involved in a specific patient group. The ICP helped clarify my roles and responsibilities as well as improve team working and communication. This enabled me to become more informed and also provide the patient with information on his plan of care which would be carried out throughout his journey from admission to discharge In attendance at the meeting were the Consultant Psychiatrist, Named Nurse, Pharmacist, Community Psychiatric Nurse, Occupational Therapist and myself. I provided feedback on the patients progress to the Consultant Psychiatrist and other team members, and highlighted the patients concerns about his treatment demonstrating (NMC proficiency 3.2)by working collaboratively with multi-disciplinary team members to enable the delivery of effective patient care, prior to the patient and his father attending. This provided the Consultant Psychiatrist with an overview of the patients mental health and progress to date. The patient and his father were then invited to attend the meeting the patient was given the opportunity to tell the Consultant Psychiatrist how he was feeling and discuss any issues he may have. He was also given the opportunity to talk about his prescribed medication and ask questions which were answered both by the doctor and pharmacist. The pharmacist also gave some advice a bout his present dose of prescribed medication making suggestions to the doctor about possible changes due to a complaint by the patient that he was experiencing stiffness in his legs. The patient was allowed to discuss his involvement in therapeutic groups he had attended and their benefits. The patients father was also given the opportunity to ask any questions and voice any concerns he may have. Discussion between me, the consultant and patient provided clearer picture of the situation I and felt more at ease having further clarified the process of his care would be while on the ward. I felt more confident and satisfied that the patient was now more at ease and satisfied with his present care and was able to meet (NMC proficiency 2.4) by updating the patients plan of care following the meeting. The next stage Evaluation Gibbs model making sense of the situation and asks What was good or bad. I was pleased to see a positive outcome which was due to inclusion of the patient in his plan of care and collaboration within the multidisciplinary team meeting which alleviate the patients concerns. I was not happy at my own lack of confidence to initially deal with the clients concerns and the fact that the patient had to complain before being fully involved in his care. Having this awareness of my own emotions and of weaknesses in my practice and consulting with the patients named nurse assures me that I am managing myself, my practice and that recognizing my own abilities and limitations (NMC Proficiency 1.1) and resolving this by taking action to improve in this area of practice. In conclusion, stage five of the Gibbs (1988) model, I feel the more experience I gain in the ward environment and more I learn about ICPs I can improve patients quality of care and collaborating with other members of the multidisciplinary team I will gain knowledge and confidence to enable me to take that step from being a student to becoming a confident registered nurse and deal complex situations such as described above. In the final stage of Gibbs reflective model the question is asked If the situation arose what would I do? I will continue to utilize reflective practice to improve on my knowledge and skills and develop my Personal Development Plan to highlight gaps in my knowledge. I will use my personal development plan within my final placement to address my weakness and build on my strengths whilst seeking opportunities for further development taking account of any threats. EVIDENCE BASED RATIONALE I have used the two main areas within my recent practice where I have identified both strengths and weaknesses. Although multidisciplinary working and the quality assurance tool Integrated Care Pathways are interlinked they will be discussed separately to maintain coherence and facilitate separate Personal Development Plans. I will therefore begin by discussing Integrated Care Pathways as a quality assurance measure, what I have learned to date, highlighting my development need, and why this is important to my practice. Integrated Care Pathways Evidence Based Rationale My experience of Integrated Care Pathways during my training has been limited, therefore I require to improve my knowledge and participation in undertaking and documenting a comprehensive, systematic and accurate nursing assessment of physical, psychological, social and spiritual needs of patients. It is necessary therefore require to further enhance my knowledge and the requirements of (NMC proficiency 2.3) as part of my development needs. ICPs have not been implemented within any of my placements in the community or long term ward settings. However, an Integrated Pathway for admission and discharge has been implemented within an acute ward setting where I was placed. This has been implemented to standardize practice across every psychiatric admission ward within Lanarkshire (Kent Chalmers 2006), and to facilitate better co-ordination of discharge planning and facilitate continuity of treatment in the community (NHS Lanarkshire 2007). The purpose of Integrated Care Pathways has bee n defined in different ways within the literature. Quality Standards Scotland (2007) highlights the quality assurance aspect indicating that ICP standards will support service improvements in relation to the process or care and outcomes for individuals. PLANNED ACTIVITY METHODS OF EVALUATION FOR PDP

An Ethical Theory Applied to Business Organizations Essay -- Business

The object of this essay is to establish whether there is an ethical theory that can be successfully applied to business organizations. In order to answer this question, it is necessary first to define the major ethical theories, which are utilitarianism, deontology and virtue ethics, before determining whether there are any other options. After that, the ethical needs, problems and limitations of work organizations will have to be examined so that the different theories can be evaluated in this context. It will also be important to draw a distinction between the terms â€Å"accurate† and â€Å"useful† as these actually result in two different questions the answer to which need not necessarily be the same. Another essential part of this discussion is the more general question why there should be ethics in work organizations in the first place, and to what extent ethical behavior is feasible in the business world. Hopefully this will provide a framework within which the answer to the essay question can be included. To begin with, the â€Å"traditional† approaches to solving moral problems will be defined, namely those of act-utilitarianism and deontology. These are traditional not because they have existed longer than virtue ethics, but because for a long time they have been the approaches most commonly used as a basis for trying to solve ethical problems. After looking at these two moral theories, the approach of virtue ethics regarding moral dilemmas will be investigated in order to compare differences and advantages as well as problems. Utilitarianism is a form of consequentialism developed by Jeremy Bentham and John Stuart Mill. It adopts the consequentialist view that it must be right to make the world a better place and therefore the right action is the one that produces the best consequences. Utilitarianism takes this one step further and defines the action that will produce the best consequences as the one that produces the most happiness. Act-utilitarianism holds that each case should be judged separately in terms of which possible action would maximise happiness; this means that there are no rules to follow, but the theory seems to provide a decision-procedure to act upon in that one acts upon a principle of justice. Intuitively this seems to be an appealing solution to ethical dilemmas. To maximise happiness makes utilitarianism a noble ideal. Furthermore... ...usiness Ethics, Vol.19, No.3, April II 1999 Cicero: Selected Works. Penguin Classics, Harmondsworth - England 1971 Donaldson, D. and Davis, E.: ‘Business Ethics? Yes, But What Can it Do for the Bottom Line?’ Management Decision, Vol 28, 6, 1990 Legge, K.: ‘Is HRM ethical? Can HRM be ethical?’ in Parker, M. (ed.): Ethics and Organisations. Sage Publications - London 1998 Madsen and Shafritz Essentials of Business Ethics. Penguin Books 1990 McDonald, G.: ‘Business Ethics: Practical Proposals for Organisations.’ in Journal of Business Ethics, Vol.19, No.2, April I 1999 McNamara, C.: ‘Complete Guide to Ethics Management: An Ethics Toolkit for Managers.’ The Management Assistance Program for Nonprofits 1999 (http://www.mapnp.org/library/ethics/ethxgde.htm) McNaughton, D.: Moral Vision. Blackwell - Oxford 1988 Norman, R.: The Moral Philosophers. Clarendon Press - Oxford 1983 Pearson, G.: Integrity in Organisations. McGraw-Hill Book Company - London 1995 Richards, R.: ‘Cicero and the ethics of honest business dealings.’ The Online Journal of Ethics 1997 Townley, P.: ‘Business Ethics: Commitment to Tough Decisions.’ Vital Speeches, pp. 208-211, 1992 (Jan)

Mental Health Parity Act of 1996 Essay

The law allowed an increased cost exemption, which stated that employers that can demonstrate a one percent or more rise in costs due to parity implementation will be allowed to exempt themselves from the law. The Mental Health Parity Act did not include rules for service charges, designations for the number of inpatient hospital days or outpatient visits that must be covered, coverage in connection with Medicare or Medicaid, restrictions on a health insurance plan’s ability to manage care, and coverage for treatment of substance abuse or chemical dependency. I do not think that the Mental Health Parity Act was successful, because there are many people still in this world who don’t have insurance have to pay more than what people with insurance do. Even some people with insurance have to pay a lot out of pocket for services. Even when it was still in act, it only took effect to people with major disabilities. This left most of the population having to pay for many of the services themselves.

Summary of My Leadership Style Essay - 1151 Words

Summary of my leadership style Reflective practice is the best way for educators to search for ever-improved ways to facilitate student learning. Reflective practice also incorporates the belief that much resistance to change is rooted in the unexamined assumptions that shape habit. To create change, then, we must examine current practice carefully and develop a conscious awareness of these basic assumptions (Karen, 1991, Oesterman Kottkamp, 1993; Schà ¶n).Thus you must use reflective practices to understand what kind of leader you will become. A platform can be defined as a declaration of the principles on which a person or a Group of persons stand by. It generally encompasses strongly held beliefs of an individual which†¦show more content†¦During my coursework I learned about the variety of leadership styles, I have been able to take something positive from each style. My personal preference is the â€Å"Charismatic leadership and Transformational† and the most likely choice for me to use when in a leadership role. An educational platform may include the aims of education, views of knowledge, and the social significance of student’s learning, the image of the learner, the image of the curriculum, and the image of the teacher, the preferred pedagogy, and the preferred school climate (Sergiovanni Starrat, 2001, pp. 78-79). Charismatic leadership can be understood in terms of its effects, such as group members’ trust in the actions and thoughts of the leader’s beliefs. One study described that the effects of charismatic leaders can be divided into three proportions: r eferent power, expert power, and job involvement. Charismatic leadership develops job satisfaction (Yuki, 2002). President Obama and Gandhi are two examples of Charismatic leaders. My favorite fictional Charismatic leader is James T Kirk. 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