Case study chapter 10 Example | Topics and Well Written Essays - 250 words

Chapter 10 - Case Study Example Johnston’s problem (Shaw et al., 2012). Indeed, the hospital’s management takes the greatest responsibility for Dr. Johnston’s problems since it failed to institute relevant measures that would ensure responsible administration of the narcotics given their nature. It is prudent that drugs are prone to be abused and thus the hospital ought to have implemented more stringent measures that would curb any irregularities with regard on how they are administered by tracking who administered them and to which particular patient to enhance accountability. In that light, Dr. Johnston would not have gotten the opportunity to make irregular administration of morphine to patients and thus making it hard to get the chance to utilize the drug at will (Shaw et al., 2012). The management will argue that it has placed the relevant measures in monitoring the use of narcotics by the physician in charge having to sign the sheet on the lockbox to facilitate accountability in the administration of those drugs. The escapades of Dr. Johnston are out of unethical work practices in the sense that he had to under dose patients or at times not administer the drug so as to use it for his personal needs. That is uncouth, and the physician ought to be punished in accordance with the hospital’s professional work ethics (Shaw et al., 2012). Sometimes back my elder sister was sick, and we had to take him to a local medical center to receive medication. The physician who was in charge of attending her gave her an overdose of the medication and the next day my sister was worse than we had brought her there. When we tried to inquire because the situation we were told the condition she was in was quite stubborn but would normalize with time. However, we decided to transfer her to a higher ranking Hospital to receive specialized care. It is at this hospital that we were informed the medication she was given was overdosed thus causing the reaction. My

In My Own Work Setting Essay Example for Free

In My Own Work Setting Essay In my own work setting we have health and safety policy, child protection/safe guarding, fire safety,first aid, security ,confidentiality. In the regards of health and safety in my work setting I report any issues to Rachel Hancocks(manager) or Paul Hancocks(deputy manager). All staff have there own responsibilities to health and safety in the workplace as well. A risk assessment is the determination of the value of a risk in any working environment and a recognised hazard. In my work setting the team leader of every session does a risk assessment on the working environment. Outcome 2 A safe a challenging environment is important because we as careers have to provide a positive and safe environment to allow the child to grow in a positive manner. Although children also need challenges inn there environment so that they can develop their own skills ,personality and also become independent this is depending on the medical needs of the child or young person. A hazard is something that can cause harm to anybody such as electricity and different chemicals. Whereas a risk is the rating that shows that somebody will get hurt by the hazard. Most risks are calculated in categories of low medium and high Potential hazards to health ,safety and security in my own working environment are:- Stairs Boiler Plug sockets Keyboard wire Doors All these are controlled by risk assessments and regular staff training What is the risk? Who might be harmed and how? What is being done to manage the risk? What else could be done to manage the risk? Who will do this? When will this be done? Date completed Access to the upstairs to extension Children falling down the stairs A safety gate has been placed at the bottom of the stairs that is secured by a chubb lock Staff t monitor childrens whereabouts.Escort children down the stairs All staff  ongoing Outcome 3 There are different non medical incidents and emergencies that may occur in my work settings such as, fires ,floods and electricity failure. The actions that I would take in response to a fire are make sure that all the staff and service users(those able to) know were all the fire exits are an how to get them making sure that everybody knows where the fire assembly point is. I would make sure that all staff and service users are accounted for I would do this my taking the signing in book for both staff and services users to the fire assembly point. The actions that I would take in the response to a security incident is make sure the service user was back inside the building inform management and the rest of the staff do an indecent report and a full risk assessment on the incident and service user. The actions I would take in response to an emergency incident are do as the emergency services tell me to do so make sure that the management are aware of the situations wait for the emergency services to arrive then do a full  incident report and record the accident if this was the case in the accident book. Outcome 4 The signs and symptoms which may indicate that a child or young person is unwell are :- High temperature/fever Vomiting Running nose Aching Lethargic Diarrhoea Headache Rashes The signs and symptoms which may indicate to a child or young person being injured are :- Crying Bruising Cuts Headaches Swelling to any area of the body Redness to the skin. The circumstances in which a child or young person may need urgent medical attention are:- Persistent vomiting Skin rashes Dehydration Severe open wounds Head injuries Burns Poisoning Choking Depressive responsiveness Unconscious Persistent pain In the event of a child or young person that required urgent medical attention I would inform the management team I would phone the emergency services or get another member of staff to do so whilst I was still with the child or young person. Inform the parent/career of the service user of the situation assist the emergency services of all the information that is needed of the service user to insure that they et the right treatment. After the event I would fill in an incident report as well as an accident form. Outcome 5 The reporting procedures for any accidents that happen in my working environment are the accident book gets filled in no matter how small or large the accident may be and passed to the management team. When any incidents occur no matter how large or small a full incident report needs to be completed in detail and passed on to the management team. Any emergencies that occur such as an injury medical assistance would be called the accident book would be filled in and also a full incident report would be written all of which the management team would receive straight after they have been filled out. If there was any illness eg. Sickness and diarrhoea the management would be informed and they would contact the parents or emergency contact if the parent wasn’t available and would ask for them to be collected as in my work setting there are many service uses have different immune systems. Outcome 6 The procedures for infection control in my own work settings are whilst assisting or changing a service user would be protective gloves and aprons but also washing hands correctly after the toilet visit. Waste is disposed of appropriately Outcome 7 in my setting we do not receive,administrate or store medication however this would be kept securely and would only be instruction of the parents.

Medical Heroin Use in Cancer Treatment: Ethical Appraisal

Medical Heroin Use in Cancer Treatment: Ethical Appraisal HEROIN USED IN CANCER TREATMENT- ETHICAL OR NOT Name: Engin LAP INTRODUCTION Our research in cancer treatment used heroin, morphine ethical assessment of the use of such agents will be carried on. The method used will be used as a qualitative method. Research investigating various literature, obtained via literature will be discussed. Cancer is one of todays most important health problems. Frequent and due to the high deadly is a public health problem (Eti, 2005). Of patients with cancer of the biggest fears that a deadly disease of cancer, the second biggest fears of the disease have been shown to cause severe pain. Cancer diagnosed patients, %20-35 disease middle period %30-50 of patients and advanced stage patients in the %60-100 lesion type and by substituting moderate or severe pain in the draw (Eti, 2005). Treatment and care of patients with health care professionals and health care institutions struggle for managers of ethics requires an array. When it comes to cancer, the situation is more delicate and complicated. The goals of medicine in the decision (to maintain health, to improve quality of life, to prevent untimely death, to relieve pain and suffering) are difficult to obtain (Uà §an, 2007). Every decision indirectly affect the patients quality of life and life expectancy due to the oncologist, treatment and care of cancer patients are expected to adhere to the highest ethical standards (Ersoy, 2009). Pain in cancer patients appears to be the most common symptoms and in the last stages of life are increasing in prevalence and severity. By adversely affecting quality of life and integrity for patients and their relatives than even death itself can be a source of great fear (Uzunoglu, 2011). Solving the pain or the pain was not addressed, inadequacy and pain sufferers have decrea sed the quality of life of people. Uncontrolled pain person physical activity, social relationships negatively affect psychological tension increases. The food habits of people with chronic pain, sleep patterns and social structure are adversely affected. The relationship between pain and psychological well-being is extremely complex and inversely proportional. Mood, perception of pain and pain-related experience can increase the intensity. Likewise, the presence of pain is the most important determinant of mood . Pain Management is a Patient Rights. The most important purpose of the rights of patients of health care to everyone, equally accessible and can be delivered in a continuous manner. When evaluated in terms of ethical pain; Do not leave people in pain that can be corrected is contrary to human rights has been concluded. Everyone deserves to be in pain pain relief. If this right stems from respect for human rights in the world. Health workers also an important responsibility is to provide adequate analgesia to pain sufferers. Cancer of the disease compared to people suffering from the disease are experiencing pain. In determining the source of pain intensity is the patient. Subjective complaints in which the objective evaluation of pain measurement scales which are usually between 0-10 verbal or numerical scale used. Pain assessment scale of five or more is important that both of the patients pain, as well as an indication of the quality of life is greatly distorted. 7 pain measurement scale 1-4 mild pain, moderate pain is 5-6, while 7-10 is classified as severe pain apioid are used for pain relief. To be effective in treating different types of pain, route of administration due to the diversity and reliable property constitutes the main treatment in cancer pain. During Cancer Treatment; The methods used for the treatment of severe pain in the second step involved with drugs or unavailability of adequate effective in cases where the pain is very severe opioid weak to strong opioids are used instead of the WHO analgesic ladder system should be made to step 3. Strong opioids are quick and slow-release preparations. Morphine, hydromorphone, bupren-fun, methadone, fentanyl, alfentanil, heron strong opioids are the most commonly used in Europe. These include oral, parenteral, buccal, transdermal, transmucosal and transnasal ways be given. Optimal pain control, analgesic doses given on a regular basis can be realized by (Ripamonti C., 2009 Messina J., 2008). Ä °nforming A pain relieving the pain of suffering related to how health services should be clear and easy to reach. Pain for the patients own case that the interference characteristics, risks, benefits the right to know exactly if there are alternatives. Physicians to withhold information would be more useful in patients with faith may not be familiar with the consent of the family. For example, many cancer patients disease in our country what it is, or what awaits them in dealing with the disease do not know. Patient status of chronic pain patients to pain and disability in order to eliminate planned painkillers to be used as analgesics angle (morphine, heroin) operation characteristics of the patient analgesic in terms of expected contribution about the transfer of information understandable language, foreign words that are not to be done with. Approval The prerequisite for any medical intervention after the patients informed consent for the procedure is planned. The surgery patients have the right to refuse or stop. In such a case the patient should be explained the consequences of the attempt madeà ¢Ã¢â€š ¬Ã¢â‚¬ ¹Ãƒ ¢Ã¢â€š ¬Ã¢â‚¬ ¹. Patients will not be reported to the contrary, a statement in an emergency or if the attempt is made in advance. If the attempt to get the approval of the patients legal representative can be made (Evren, 1997). Even if the patients legal representative should participate in the decision making process itself. The use of all components of the human body and is essential for maintaining the patient consent. However, diagnosis, treatment and care Heroin, Morphine drug use can be applied without the consent of the patient when needed (TellioÄÅ ¸lu, 2002). Addiction, Tolerance and Detoxification All serious side effects of pain medications and methods are available. When considered ethically adequate pain relief pain patients and physicians, the balance should be made available with minimal side effects, morphine used in cancer treatment, there are side effects of substances such as heroin. Addiction, tolerance and physical dependence on the substance of abuse was defined as. Tolerance, substance repeated, exposure, in the form of a reduction in the pharmacological response represents adaptation. Physiological dependence, uptake ceases or is reduced significantly, emerging situations that are marked with withdrawal symptoms. Withdrawal symptoms, substance starts as soon disappear from the body via metabolism, and excretion of the substance initially in the direction opposite of the effect of rebound effects (Evren, 1997). Detoxification is the first step to start treatment and stay out without real success is not the situation. The more difficult aspects of treatment, drug-taking behavior is protection again. The adaptability of the body, treated with any known drug and is not dependent on tolerance and withdrawal symptoms often occur should be noted that (Evren, 1997). Detoxification of patients addicted to heroin and other opioids, just stay away from long-term substa nce or opioid antagonist with maintenance helps to prepare rehabilitation. Because most patients relapse quickly because they are away from substances remain in the program, although supported by society and the private health care system, even though detoxification is usually unsuccessful. Heroin is used in medical terms (recreational drug) use of terms can be highly addictive (Evren, 1997). Again there is no detoxification. However, opioid withdrawal syndrome in medical terms used obtrusive, though, is not life threatening and long acting opioids, such as morphine, can be easily treated by reducing the dose gradually (Evren, 1997). Heroin/Morphine usability in Cancer Treatment Adequate pain management in cancer patients can not be provided without the dedication of the function. It is not possible to extend the design life in cancer patients. Then the latest objectives of should be to prolong life. These objectives and priority in making belà ¼ien both clinicians and patients also should play a role. As mentioned previously proposed methods for the treatment of pain serious side effects may be undesirable (CansÄ ±z, 2002). For example for cutting pain opioid tolerance can lead to the high dose. This tolerance is a state abbreviation patient survival but reduces the quality of life. briefly outlined and exemplified patient rights and physician to the patient of their duties properly fulfilled only physicians as health provision employees interests are not at the same time the government, hospitals, nurses, insurance companies, health care workers providing education to medical schools, nursing schools as institutions that are interested with. In diff erent countries in different stages of this hierarchical order is clogged (CansÄ ±z, 2002). For example in some countries for the treatment of pain and the morphine-like analgesics can be achieved due to various causes is still very difficult. At this point, after obtaining these drugs from the government until the pharmacist is responsible for everyone. Human rights and ethical principles that can be treated when viewed in the light of a serious crime is not limited to pain relief enough. Some of insensitivity on this issue when the system is insensitive clinicians are dragging. The problem is systemic and widespread legal size already out anyone who can not examine the moral dimensions of this problem (CansÄ ±z, 2002). METHOD In this research in cancer treatment used heroin, morphine ethical assessment of the use of such agents will be carried on. In the research literature will be scanned and analyzed. The method used will be used as a qualitative method. Research investigating various literature, obtained via literature will be discussed. DISCUSSION Cancer patients welfare should be provided, the patient must be protected from potential harm. Patients and their families should be provided for all of the support, the pain should be minimized. For this purpose, the most effective method is the effective treatment of pain and other symptoms. In the treatment of patients with cancer pain, inability to use ones free will, have the ability to be able to use various dilemmas arising out is considered (Ersoy, 2009). Sometimes patients refuse treatment. Patients rejected pain when they are required to investigate the cause of the clinician. We all know the pain which is caused by cancer drugs, radiotherapy and surgery as a treatment for these patients is generally insufficient and emergency assistance is needed analgesic (Ersoy, 2009). Despite the side effects of the recent target for cancer patient should be pain relief. Cancer patients welfare should be provided, the patient must be protected from potential harm. Patients and their fam ilies should be provided for all of the support, the pain should be minimized. For this purpose, the most effective method is the effective treatment of pain and other symptoms. CONCLUSION Cancer is one of today’s most important health problems. Frequent and killing is high, is a public health problem. The development of diagnostic possibilities and opportunities to benefit from health care organizations with the increase of cancer cases are diagnosed each year more. Patients undergoing cancer treatment is undergoing a painful process. Untreated pain; the patients physiological functions, mental functions such as thinking and communication, reduce quality of life by adversely affecting their social relations and psychological disorders can cause. Cancer related pain can be seen as a result of suicide attempts. So removal of pain during cancer treatment is very important. If the patients pain during cancer treatment doctors in terms of blocking requires ethical responsibility. Heroin is used for the prevention of pain, such as morphine can be thought as an ethical matter. An arduous process in which cancer pain and in the treatment of a legal requirement that pat ients rights, Approval, Information and ethically when we think of patients with this stage to accept the result of the treatment and pain relief methods, in terms of the methods used is ethical considered. REFERENCES AÄÅ ¸rÄ ± ve etik ahlakÄ ±, AÄÅ ¸rÄ ± ve analjezikler Arslan, D., TatlÄ ±, A. M., ÃÅ"yetà ¼rk, ÃÅ". (2013) Kansere BaÄÅ ¸lÄ ± AÄÅ ¸rÄ ± ve Tedavisi. CansÄ ±z, K. H., Ä °nangil, G., Kuyumcu, M., Yedekà §i, A. E., Ã…Å ¾en, H., Ãâ€"zkan, S., DaÄÅ ¸lÄ ±, G. (2012). Respiratory Depression Caused by Heroin Use.TAF Preventive Medicine Bulletin,11(2), 248-250. Çelik M. (2009) Kanser aÄÅ ¸rÄ ±sÄ ±nÄ ± giderici yà ¶ntemler Ersoy N. (2009). EtiÄÅ ¸e uygun kanser bakÄ ±m sistemi. Hacettepe T†ºp Dergisi ; 40:102-107 Eti, Z. (2005) Kanserde aÄÅ ¸rÄ ± tedavisi. Evren C.(1997) BAÄÅ ¾IMLILIK Ä °Ãƒâ€¡Ãƒâ€žÃ‚ °N ARAÃ…Å ¾TIRMA TEMELLÄ ° Ä °LAÇ TEDAVÄ °LERÄ °NÄ °N TANZÄ °MÄ ° KAYACAN, N., KARSLI, B., Anesteziyoloji, A. ÃÅ". T. F. Kanserde AÄÅ ¸rÄ ± Tedavisi. Kebudi, R. (2006). Terminal dà ¶nemde kanserli à §ocuk ve ailesine yaklaÃ…Å ¸Ãƒâ€žÃ‚ ±m.Tà ¼rk Onkoloji Dergisi,21(1), 37-41. nonfarmakolojik yà ¶ntemler.FÄ ±rat SaÄÅ ¸lÄ ±k Hizmetleri Dergisi,2(4), 124-133. Keskinbora, K., Keskinbora, K. AÄÅ ¸rÄ ± ve TÄ ±bbi Etik.Clinic Medicine, 1306-2123. Ripamonti C, Bandieri E.(2009) Pain therapy. Crit Rev Oncol Hematol 70(2):145- 59.. TellioÄÅ ¸lu, T., TellioÄÅ ¸lu, Z. (2012). TÄ ±bbi esrar psikiyatrik bozukluklarÄ ±n tedavisinde kullanÄ ±labilir mi?.Klinik Psikofarmakoloji Bulteni,22(1). Uà §an, Ãâ€"., Ovayolu, N. (2007). Kanser aÄÅ ¸rÄ ±sÄ ±nÄ ±n kontrolà ¼nde kullanÄ ±lan yà ¶ntemler UzunoÄÅ ¸lu S. (2011). Kanser HastalarÄ ±nda AÄÅ ¸rÄ ±ya YaklaÃ…Å ¸Ãƒâ€žÃ‚ ±m, 24: 14-20

The Whiskey Rebellion Essay -- American History

The end of the American Revolution wasn’t the end of political turmoil in the United States. In the years after the Revolution, political parties formed and disbanded, rebellions started, and even celebrations became increasingly political. Each political faction had a different idea of what the Revolution meant and what the future of the country looked like. The conflicting views of American politics began to manifest in holiday celebrations, governmental affairs, and even rebellions. The Whiskey Rebellion was created from many issues, not just the excise tax on whiskey. Farmers in western Pennsylvania blocked roads to prevent tax collectors from reaching them and to show their disdain for the taxes placed on the farmers that they couldn’t pay. Western Pennsylvanians felt democracy was being undermined by the state and nationals governments. They also believed the government favored the wealthy. Revolutionary veterans were angered over the payment of war debt IOUS. Most IOUs had been bought by the upper class, which had to power to demand they be paid in full, while they had paid the original owners of the IOUs a fraction of its value. The government obliged them by creating the Funding Act of 1790 to raise money to pay the war debt IOUs. To protest the unfairness of the government, a militia of about 9,000 troops gathered and began a peaceful march to Pittsburgh. Federalists were worried that what had happened to France (revolution and execution of their k ing) would happen to the United States if protest against the Funding Act and whiskey tax wasn’t put down. The protestors didn’t see themselves as insurgents like the Federalists did. They believed they were defenders of liberty. No force was needed by the government though. O... ...Carolina Press, 1997), 129; Lecture notes, November 17, 2011; Waldstreicher, Perpetual Fetes, 129; Eric Nellis, The Long Road to Change: America’s Revolution, 1750-1820 (Ontario: Broadview Press, 2007), 221; Lance Banning, Liberty and Order: The First American Party Struggle, (Indianapolis: Liberty Fund, 2004), 225. Waldstreicher, Perpetual Fetes, 144-147; Bouton, Taming Democracy, 246; Waldstreicher, Perpetual Fetes, 113; Bouton, Taming Democracy, 244-52. Waldstreicher, Perpetual Fetes, 38; Waldstreicher, Perpetual Fetes, 71; Waldstreicher, Perpetual Fetes, 118-23; Lecture notes, November 29, 2011; Waldstreicher, Perpetual Fetes, 92-93; Waldstreicher, Perpetual Fetes, 205. Waldstreicher, Perpetual Fetes, 297. Waldstreicher, Perpetual Fetes, 83-84; Waldstreicher, Perpetual Fetes, 166-68; Waldstreicher, Perpetual Fetes, 232-34; Bouton, Taming Democracy, 250.

Differentiating Between Market Structures Essay

Coca-Cola is one of the world’s top selling soft drink companies. Coca-Cola has continuously progressed since it began 1886. A pharmacist in Atlanta named Dr. John S. Pemberton created a unique soft drink flavor that could be sold at soda fountains. The credit for the name and trade mark goes to Frank M. Robinson. Frank was Dr. Pemberton’s partner and bookkeeper. Today Coca-Cola is the manufacturer of over 500 brands of products sold in over 200 countries worldwide. The Coca-Cola Company operates in an oligopoly. An oligopoly is a market structure in which there are only a few firms and firms explicitly take from other firms’ likely response into account; there are often significant barriers to entry that prevent smaller firms from making an impact(Colander, 2013). There are several different reasons why Coca-Cola is an oligopoly. Only two firms dominate the majority of the market share, Coca-Cola and Pepsi. There are other smaller firms in the market, but their market share in the industry is very small when compared to these two major firms. Small companies do not have the financial capital to start a brand on a massive scale. For, small companies, the barriers to entering the industry are too high. The high operating cost of production in the soft drink industry prevents companies from entering the soft drink market. Comparisons Oligopoly has previously been defined as a market structure in which there are only a few firms and firms explicitly take from other firms’ likely response into account; there are often significant barriers to entry that prevent smaller firms from making an impact(Colander, 2013). A few firms mean the number of firms has to be significantly low, as in this case two Coca- Cola and Pepsi, for there to be acknowledgment that each firm aware that its future prospects depend on both its policies and the policies of its rival. Firms in oligopoly can use either high-price strategy or low-price strategy to maximize their profit. An industry is defined as a group of firms where the firm’s products are close substitutes for one another that have a high and positive cross elasticity of demand (WEI, 2012). Coca-Cola and Pepsi are in an oligopoly market. Both companies sell the same product, giving them power over pricing, both companies will take into consideration each otherâ€⠄¢s actions are changing the prices of their  products. Prices of their goods usually change according to the kinked demand curve. The kinked demand curve theory is an economic theory about oligopoly and monopolistic competition. If other firms ignored price increases and price decreases brought about lowering of prices by competitors, the firm will have a demand curve with the kink at the present market price of P*. Firms believe that a kinked demand curve is brought about from basic strategic considerations. Usually, low pricing strategy is used by both firms simultaneously to increase market profits. As the summer holidays approach, the firms will use harsh competition practices to buildup sales, and in turn increase profit. Game theory is applied to be a market share. A game theory is a pricing policy, and it helps a firm to enhance profit (WEI, 2012). The barriers are high to enter this market. Coca-Cola and Pepsi have signed a cartel contract. The two firms will become a cartel to avoid other firm from entering this market because it will decrease their economic profit. Cartel is a small number of firms acting together to limit cost, raise price, and increase profit. Neither Coca-Cola nor Pepsi exit from this market, another firm will become a monopoly. The soft drink price will become higher (WEI, 2012). Monopolistic competition is present when the market has multiple sellers marketing differentiated products. Retail trade can be used as an example. Oligopoly represents a steady market form where a few sellers dominate in the market and each firm has a certain amount of share of the market. Both firms are aware of their dependence on each other. Competitive Strategies Coca-Cola and Pepsi take part in non-price product differentiation. Product differentiation is the process of distinguishing a service or product from other products, to make it more appealing to a targeted market. On a rare occasion, will you see Pepsi try to challenge Coca-Cola in pricing. These two companies use creative advertisement instead. Another competitive strategy that, can be used by Coca-Cola is to produce their product globally. Coca-Cola will need to obtain contracts with restaurant chains to be their sole distributor of soft drinks. By partnering with major food chains, it guarantees that consumers on have the choice of purchasing their product. If you only have one choice, it is almost a guarantee your product will be purchased. Product packaging, which is also another form of product  differentiation. Coca-Cola cans and bottles are constantly changing to give consumers a new sense of worth. If Coca-Cola did not keep its packaging updated, Pepsi would gain market share from consumers who have become bored Coca-Cola customers. Recommendations Loyalty programs can be used to gain customer loyalty. Coca-Cola can offer discounts and free products to customers who buy large quantities of their product. Loyalty programs would provide an encouragement for customers to stay loyal to the Coca-Cola brand. Product line expansion, by expanding their product line Coca-Cola will be able to reach a wide variety of customers. With the growth of the global economy, Coca-Cola will need to target the tastes of certain customers. An example would be; people’s soft drink choices are different in Asia than they are in Africa. There will have to do an enormous amount of research and testing to find the right products for these markets. Although the investment will be costly, it will prove to be valuable in the long run. Summary Coca-Cola is in an oligopoly market for obvious reasons. Coca-Cola and Pepsi dominate the soft drink market. There are significant barriers to entry that prevent smaller firms from making an impact on the market. Because of their dominance, the two companies can compete in area like marketing and product expansion to maximize profit. Success is driven by product differentiation through product packaging and advertising. By putting into place loyalty programs and expanding the product line, Coca-Cola will continue to be the top selling soft drink company. Reference Lin, H. (2012). Coca-Cola vs. Pepsi: The Economics behind Coke’s Dominance. Retrieved from http://economicstudents.com/2012/10/coca-cola-vs-pepsi-the-economics-behind-cokes-dominance/ Wei, G. C. (2012). Oligopoly-Coca-Cola & Pepsi. Retrieved from http://economicsdicussion.blogspot.com/2012/11/oligopoly-coca-cola-pepsi.html Octotutor. (2014). The Market Structure of the Coca-Cola Company. Retrieved from http://octotutor.com/the-market-structure-of-the-coca-cola-company/

The Official Language of the United States

Do you know what the official language of the United States is? If you answered English, guess again. But don’t feel bad, the vast majority of people would answer that English is the official language of the United States of America. English is the de facto language since, at this point, it is the most widely spoken language in the nation. But Spanish is catching up millions Hispanics speaking their native language at home, at work, and on their daily lives. This brings another point: Why is the U. S. an English-speaking country (or so you think), catering not only to the Spanish language, but to many others that you don’t even know about? Because the U. S. as a nation has never declared an official language. Many people have tried it with no success. In 1780, John Adams proposed to the Continental Congress that English should be declared the official language of the United States. His proposal was deemed â€Å"undemocratic and a threat to individual liberty. † This type of debate has been going on for years, with people on both sides of the fence. And yet, the issue isn't any closer to a resolution than it was 200 years ago. This doesn’t mean that the individual states have not declared an official language because many already have. Twenty-seven states, to be exact, have officially declared English as their language. U. S. English . gov Let’s not forget that since 1776 we have been—and continue to be—a multilingual nation. Back then, it wasn’t uncommon to hear up to 20 different languages spoken in daily life. Today, those numbers are more staggering. According to U. S. English Inc. an advocacy group that supports declaring English as our official language, 322 languages are spoken in the country, with 24 of those spoken in every state and the District of Columbia. California has the most languages, with 207, while Wyoming has the fewest with 56. So why won’t Congress declare an official language? Because we are a nation of immigrants and these numbers prove it. Because declaring an official language would abridge the rights of individuals with limited English proficiency, individuals who are paying taxes and who are entitled to the same rights as those who speak English. To protect those rights, there is something called Title VI of the Civil Rights Act of 1964. Although twenty seven states have declared English as their official language, in order to receive federal financial assistance those states still have to comply with Title VI, which requires that vital materials be available in the language of everyone receiving benefits subsidized by the Federal Government. Title VI of the Civil Rights Act of 1964 and the 2000 Executive Order No. 3166 require that public entities receiving federal funds must have all vital documents available in every language that their clients speak; every language, not just Spanish. Why? Because the U. S. has never declared an official language and as such, the Title VI of the Civil Rights Act of 1964 still applies. Basically, Title VI was best described by President John F. Kennedy in 1963: â€Å"Simple justice requires that public funds, to which all taxpayers of all races [colors, and national origins] contribute, not be spent in any fashion which encourages, entrenches, subsidizes or results in racial [color or national origin] discrimination. †

The Theme of Servitude in The Tempest

The Theme of Servitude in The Tempest William Shakespeare’s play â€Å"The Tempest† provides an in-depth description of the extent to which humans have subjected their fellow humans to injustices.Advertising We will write a custom assessment sample on The Theme of Servitude in â€Å"The Tempest† specifically for you for only $16.05 $11/page Learn More One of the most well described forms of injustice is slavery. Throughout the play, the theme of servitude is shown by the inability of various characters to obtain personal freedom. However, Acts III and IV move the theme of servitude into deeper and more complex levels, describing various forms of servitude. In Act III, scene 1, different forms of servitude are evident. First, the reader is able to recognize that Ferdinand is committed to serve Prospero, a fact that he does not like. To make his duties to Prospero look pleasant, he assumes that he is working for Miranda, the woman he loves. In Ferdinand, the reader can perceiv e different forms of servitude. For instance, the love he has for different women clear indicates service to humanity. Although he feels that his love for Miranda is real, he sees the love he has for other beautiful women as a form of slavery. For instance, in this act he is quoted saying, â€Å"Full many women/ I have had best regards, and many times, the harmony of their tongues has taken me into bondage† In addition, Ferdinand is used to show the theme of ‘service to duty’. For instance, his loyalty to Prospero is for a reason- he wants to win Miranda’s heart. Although he does not like his status, Prospero agrees that Ferdinand has â€Å"loyalty† and endures the â€Å"wooden slavery† (carrying heavy logs). In the conversation between Prospero and Ferdinand, it becomes clear that Prospero sees Ferdinand as a loyal servant rather than a slave. In this case, it is clear that the reference to Caliban is used to show the different forms of serv itude. For instance, Caliban is a total slave, whose entire life revolves around his services to Prospero. On the other hand, Ferdinand’s service to Prospero is not forced but dedicated to win Miranda. The fact that Ferdinand humbles himself, both literally and physically, when he talks about his dedication to Miranda, is a clear indication of another form of servitude. He has mentally been enslaved by his love for the girl. On the other hand, Miranda speaks of a similar form of servitude, but in her own accord.Advertising Looking for assessment on british literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More For instance, she says that her father’s precepts are somewhat a form of bondage to her, but she disregards them. In fact, it is clear that Prospero’s presence in the scene is used to show his control Miranda. In Act III scene II, the theme of servitude is elaborated further, but in the form of  "service to man†. For instance, Caliban has become a servant to Stephano, who refers him as â€Å"servant monster†. In addition, Stephano, who is now â€Å"the lord of the Island†, controls Trinculo. He threatens to kill him if he disobeys. Secondly, the Scene also reveals that a sorcerer in the island has held the invisible Ariel hostage. He is not able to leave the island, thus becoming the sorcerer’s slave. In Act IV, it is clear that Prospero has been enslaved by his commitment to protect Miranda. In fact, he protects her virginity. He believes that it is his duty to ensure that she gets the right man at the right time, and is protected from lust displayed by love-hungry men. In conclusion, the theme of servitude is portrayed in a deeper and more complex level. There is evidence of slavery versus duty. While such characters as Caliban are actual slaves, others like Ferdinand and Prospero are held hostage by their dedication for such issues as love and duty for Miranda respectively.

Informative Essay Sample on Jimi Hendrix

Informative Essay Sample on Jimi Hendrix James Marshal Hendrix was born in Seattle, Washington on November the 27th, 1942. Jimi had a style of guitar playing all of his own. He was renown for his rough style of playing. In this essay there will be comparisons made between Jimi and these other famous guitar players that were all around his era: Eric Clapton, Mark Knopfler, John Lennon, Jimmy Page, Jose Feliciano and Carlos Santana. Jimi Hendrix was so different to other players. All these artists have/had varied styles of playing. Eric Patrick Clapton was born on March 30, 1945. He is an excellent musician. Eric plays blues/rock music. When he writes his music it is usually about things that has occurred in his life. One of his famous songs is Tears in Heaven. This was a tribute to his son that died from falling out of the fifty-third story of a block of apartments at the age of four. Eric’s playing was very clean and tight, compared to Jimis style, which is rougher. Each song Jimi wrote would have a main riff but each time he played it he would add different little riffs. Jimi played more rock and roll. Eric played more softer and smoother music. Jimi Hendrix and Mark Knopfler are defiantly two of the best guitarists of all time. Mark was born on the 12th of August 1949 in Scotland. He has been with many bands but since the 70’s his main band has always been Dire Straits. Mark mostly plays rock and roll with his band but he is also well known as a solo artist. He is writes a lot of his bands songs, most of the songs are a sorts of clean rock and roll, a very different style to Jimi’s songs. Mark did not have a drug addiction unlike Jimi Hendrix and Eric Clapton. Born on October the 9th, 1940 was legend, John Lennon. He is most famous for being one of the guitarists out of the band The Beatles. Sadly, John died on the 8th of December 1980. He was shot in the back, on his front doorstep of his apartment by a fan. The Beatles played a very wide range of music, but when the Beatles broke up John went solo. Ballads seemed to be what he enjoyed playing most. Jimi Hendrix tended to play more rock and roll then John. Jimi’s music was more orientated around guitar playing then Johns, because John Lennon seemed to concentrate more on the lyrics then anything else. John wasn’t as well known for the skills of his guitar playing but more for his singing and overall music. Englishman Jimmy Page was born on the 9th of January 1944. He played in several rock bands but the band he has been mostly connected with is Led Zeppelin. While Jimmy has been in this band he has been performing mostly rock and roll, but before he joined Led Zeppelin he found out he was also great at playing acoustic guitar. Jimmy Page and Jimi Hendrix were both fairly similar, but there were differences with their view on life. Page seemed to have a rough sketch of where his music was taking him and maybe you could say he was a bit more organised then Hendrix. Hendrix way of living life was more relaxed and calm. The two as people were comparatively different but the two as guitar players were somewhat similar; Hendrix, seems to play more music that is at sometimes full on, whereas Page’s style as a soloist was mostly smooth and clean, but at times he liked to play rock and roll. Jose Feliciano was a Spanish man, born at Lares, Puerto Rico. He was born on the 10th of September 1945. He has been blind since birth, but he does not let this disability hold him back. Although he started off playing pop and rock material, he changed his tune and turned to more mainstream Latin music. Jose moved to New York, (like Hendrix did) and by 1962 had gained a lot of fame and respect. Feliciano has played with a few bands but has never really been committed to any one particular group. Hendrix and Jose are like chalk and cheese; they are completely different from each other, totally different style of playing and very different personalities. Mexican, Carlos Santa was born on the 24th of July 1947. Carlos at first was solely dedicated to playing jazz and funk, but as his fame grew he spread his talent further. He has played with many other well-known artists such as: Matchbox 20 singer Rob Thomas and Macy Gray. In 1967 he formed a band called Santana. The original line up consisted of a keyboard player, vocalist, drums, percussionists, rhythm guitar and lead guitar. As you can see it is a fairly large band. The band’s Jimi Hendrix played with usually just had the basic drum kit, bass guitar, vocalist and guitar but Carlos likes bigger bands with lots of percussion and a solid beat. Carlos is relatively similar to Hendrix in that they both love to have lots of guitar solos in their songs but Carlos just seemed to have the edge on Hendrix, not because of what they played but because of how they executed their music. Their personalities where to some extent comparable but Carlos was much more controlled and organised then Hendrix ever was. In conclusion, Jimi Hendrix was a very different musician to any other in his time and since. He was very laid back and unaware of the outside world. His music was so different compared to Mark Knopfler, John Lennon, Jimmy Page, Jose Feliciano and Carlos Santana because they wrote lyrics about things that happened in their life and world affairs, whereas Jimi wrote about the seedier side of life. Perhaps if Hendrix had of lived to the age of the other guitarists I have stated here, he might have changed his style of writing lyrics as his life changed and he matured. You can order a custom essay, term paper, research paper, thesis or dissertation on Jimi Hendrix at our professional custom essay writing service which provides students with high-quality custom written papers on any topics.

Cruise Industry Research Paper Example | Topics and Well Written Essays - 2000 words

Cruise Industry - Research Paper Example The global economy is passing through the recession with high levels of unemployment as well as fluctuating oil prices. Though the traditional market for the cruise industry i.e. North America is making an economic recovery, however, conditions in Europe are relatively discouraging due to sovereign debt issues as well as low economic growth. Thus the strategy of developing long-term sustainability of the industry may face setbacks as it may fail to find lucrative and profitable alternative destinations.An overall international political environment is relatively volatile too with potential threats of terrorism as well as pirates. There has been an increased activity of pirates especially in Somalia region with the possibility that such activities may be started in other areas too. Since both the cruise liners i.e. CCL and RCL also operate in non-US areas also, therefore, the fluctuations in the foreign currency values can also adversely affect the revenue of both the cruise liners.Th ere have been concerns over the environmental protection and the potential role of cruisers in disturbing the ecosystem of the sea. It is also because of this reason that the overall regulatory environment for cruise liners may become tough. It is also because of this link between environment and cruise industry that it has been attracting negative publicity. Various environmentalist groups are advocating against the industry due to the potential damage that could be done to the environment.

State Taxation Essay Example | Topics and Well Written Essays - 1250 words

State Taxation - Essay Example Over this, many counties and municipalities levy their own taxes and that has been found to be as high as 9.9%. Maryland has different slabs of personal Income Tax rates. For top of the bracket income (over $500,000) applicable tax rate is 5.5%. For the income below $150,000 per year, income tax rate is 5.0% and for the income in between $150,000 and $500,000 the income tax rate is 5.25%. State does not charge property tax but counties of Maryland do charge property tax and the rate varies between 1.357$ and $ 5.67 per $100 of assessment. Most of the counties charge close to $2.1 per $100 property valuation (Maryland Taxes, 2012). Pennsylvania levies a 6% state sales tax on goods and services providing exemption to the prescription drugs, clothing, residential heating fuels, textbooks and food items. Local counties such as Philadelphia and Allegheny charge additional 1% of the tax making it total 7%. The state of Pennsylvania does not charge taxes on personal property or real estate; however, local municipalities do charge those taxes only on real estate, land or building. The tax is not charged on other kinds of properties such as cars or inventories (Powell, Albrecht). A minimum sales tax charged in Florida is 6 percent. Besides, state permits each county to charge its own local tax that is applicable over and above state sales tax. Counties in Florida have been found to charge taxes between 6 and 7.5 percents. Florida is costliest among all states on the property tax; however, homestead exemptions up to $50,000 can be availed by Florida residents. Homestead exemptions are available to homeowners who stay in the home as primary residence. Florida does not impose gift tax, inheritance tax or intangible personal property tax on the residents. It is worth noting that while buying home in South Florida, closing cost is also a kind of expense that needs to be considered.

Big Issues Research Paper Example | Topics and Well Written Essays - 250 words

Big Issues - Research Paper Example conditions surrounding their medical situation will involve the kind of medical attention required, and the capability of the caregiver to administer the requirements. Does the primary medical professional have the right to decide? William Coch believes so. Firstly, if an elderly has no relative, he should be in a nursing home. However, when there are relatives involved, a lengthier and more complex decision-making process takes place. Based on Coch’s experience, most of his patients look to him for the final decision. He positions it as â€Å"doctor’s orders.† If such is the paradigm, it takes away the emotions involved from the point-of-view of abandonment vs. capability to care. It objectifies the decision, and makes it a part of the elderly patient management (Frontline, 2006). Does the immediate relative have the right to decide? If the presence of a relative is available, then by all means should be consulted. However, the primary medical professional still gets involved with the conversation, if at a minimum to provide a professional prognosis of the elderly’s medical condition, and if requested, can provide a professional medical opinion as an advocate (Frontline, 2006). In conclusion, the best decision will be made by the three players: the sensible elderly, the primary health provider and the primary caregiver relative. It should be a decision based on consensus, where all parties will agree to an objective – the level of quality for end-of-life. US Bureau of Census (2010). Persons 65 Years Old and Over--Living Arrangements and Disability Status: 2007. Retrieved on May 2, 2010 from

Operation Iraqi Freedom Research Paper Example | Topics and Well Written Essays - 1250 words

Operation Iraqi Freedom - Research Paper Example Iraq had no link to terrorism, no weapons of mass destruction (WMD), and no legal rationale to attack. Despite this, Bush decided to invade the Republic of Iraq for causes deemed objectionable to the majority of other countries so he frequently relied on and utilized false information to rationalize it. He lied. This discussion will examine how the truth was a casualty early and often during the lead up to the war and outlines some of the consequences brought about by these far-reaching and deadly deceptions. Bush voiced his disagreement to the concept of ‘nation building’ during the 2000 presidential election debates but as president waged an undeclared war against a sovereign country that had neither attacked first nor threatened to. Immediately following and as a reactionary reply to the terrorist attacks on September 11, 2001, Bush stated the county’s intention to begin a ‘War on Terrorism’ which he portrayed as a protracted battle against those t hat would use terrorist actions in addition to the countries that enabled them. The eventual culmination of the selective legal reasoning and rhetoric concerning the ‘War on Terror’ was Bush’s order of the military to invade both Afghanistan and Iraq, an illegal action on many fronts. Bush had constantly claimed that these actions were legal. First, he argued, due to language existing within the UN Security Council Resolution 1441 regarding Iraq and secondly, the invasions were an act of self-defense which is permitted by international law. Conversely, according to Richard Perle, advisor to U.S. Defense Secretary Donald Rumsfeld and official of the U.S. Defense Policy Board, â€Å"international law ... would have required us to leave Saddam Hussein alone.† (Burkeman & Borger, 2003). However, this option would have been â€Å"morally unacceptable† according to the Bush administration. The United Nations Charter, Article 51, Chapter Seven stipulates à ¢â‚¬Å"nothing shall impair the inherent right of individual or collective self defense if an armed attack occurs against a member of the United Nations† (United Nations Charter, 1945). Article 51 allows a country the justification to â€Å"deter an act, or acts of imminent or ongoing violence† but only as a transitory solution until the UN Security Council takes the appropriate actions to ensure the protection of the affected region. By precise interpretation of this Article, the rights of self-defense a country can exercise does not comprise the right to retaliate after an attack has ceased. The U.S. defended its invasion and occupation of Iraq to the countries of the world by announce, if not substantiating, that it was a undertaking to remove WMD which endangered not only the U.S. but all other countries as well. Secretary of State Colin Powell as well as other administration officials, predominantly with the U.S. Department of State, enthusiastically endeavored to s tate their justification for aggressive military actions and make this plan as acceptable to as many other nations as they could. Paul Wolfowitz, Deputy Secretary of Defense at that time, is quoted in a Vanity Fair magazine interview dated May 28, 2003 as saying â€Å"For bureaucratic reasons, we settled on one issue, weapons of mass destruction† (Shovelan, 2003). Before to the invasion, Hans Blix, the man in charge of the UN weapons inspection team in Iraq, said unequivocally and very publicly

Analysis of jungle book Essay Example | Topics and Well Written Essays - 1250 words

Analysis of jungle book - Essay Example These stories all contain strong moral lessons, and can also be viewed as allegories of real life, not simply the animal life that they can be read as at one level. In the story the White Seal, Kipling uses a seal to portray the conflict within our own lives, and also gives us a look into what we humans are doing to nature. Just like all his other stories, Kipling opens the White Seal Tale with a song, the Seal’s lullaby. This song, which goes as follows â€Å"Oh! hush thee, my baby, the night is behind us, And black are the waters that sparkled so green. The moon, oer the combers, looks downward to find us At rest in the hollows that rustle between. Where billow meets billow, then soft be thy pillow, Ah, weary wee flipperling, curl at thy ease! The storm shall not wake thee, nor shark overtake thee, Asleep in the arms of the slow-swinging seas!† helps set the tone for the whole selection, and also keeps with the Kipling tradition of the rest of the Jungle Book. This opening poem helps set the character for the white seal that is later introduce into the story. By including words such as â€Å"flipperling†, â€Å"rustle†, and â€Å"billow†, Kipling is able to use this poem to set the feel and mood of the rest of the piece. These tone words help set up the feelings of tranquility and peace, however it is this exact feeling that is set up here that is later disturbed. Kipling then uses the start of the story as an allegory against human beings and their many odd behaviors. He describes how the seals all flock to get the best piece of land, and spend many an months simply sitting there and fighting over the best piece of land. Looking into this, one can see the â€Å"high esteem† Kipling held for humans who fought over land, and acted just as stupidly as all of the seals did. It is also important to note that Kipling chose only

King Philip II of Spain Essay Example | Topics and Well Written Essays - 1500 words

King Philip II of Spain - Essay Example Unlike his father Philip II was not interested in war and avoided wars and paid less attention to enhancing his own greatness than to deter that of others. King Philip II usually followed the opinion of others. King Philip II considered that Spaniards superior to the nation. He believed that he lived among the Spaniards and he should consult them and they should direct his policies. He considered the Spaniards above all the others that he ruled, that is, the Flemish, the Italians and the Germans. He would give them positions only in the military, in the hope that he could prevent his enemies from using them. Born in 1527 Phillip II became the king of Spain in 1556, he died in 1598. He governed Spain in her Golden Age. However during his rule Spain went through an economic crunch. Spain's bankruptcy continued for a decade from 1588 to 1598. Inclusive of the disaster of the Spanish Armada. Philip II had a good taste for music and art and considered him self a traditional Spanish man. He also loved collecting master pieces and his collection was at his palace outside Madrid which was called Escorial. Philip II was an educated man but however he was weak at languages but good at Politics and History. He also collected art works and rare books. He was a very religious man and his rooms at his palace were Spartan which contained very less furniture. Philip II was married four times to Maria Manuela of Portugal, Mary Tudor of England, Elizabeth of Valois and Anne of Austria respectively. Philip had a major problem of not trusting his own judgments and also relied on the advice of others. He al so mistrusted the advice of his advisors. Due to this any issues took a very long time to be decided upon. It is believed he had a persistent lack of self confidence. "Your majesty spends so long considering your undertakings that when the moment to perform them comes the occasion has passed and the money has been spent"(Maran, 1954, p. 17). Long term policies could be cultured to achieve long term results as a result of him taking time to make important decisions. He wanted to 'Castilise' Spain which resulted in the most important government positions going to Castilians. Philip strongly believed that the right of the kings was divine and believed that kings were appointed by god and he as a king was also appointed by god so he could never makes any mistakes as god could not make mistakes. King Philip II settled down in the Netherlands during the early years of his reign. In 1559 he returned to the peninsula and never left the peninsula again. King Philip II was a native Spanish speaker and he decided to rule from Spain rather than travel around to his different states. Though, King Philip II was sometimes described as a monarch, he faced many constitutional limitations on his power. Spain was considered a coalition of many separate territories. It wasn't a single monarchy with one legal system. Precedence was usually taken over King Philip's authority by the local assemblies. The word of the local Lords was considered more effective than the King's own word. He also struggled with the issue of the Morisco population in Spain, who were forced to convert to Christianity by his ancestors. When the Morico Revolt broke out in 1568 in response to the attempts to restrain Moorish customs, King Philip ordered the distribution of Moricos onto other states after their

Operation Iraqi Freedom Research Paper Example | Topics and Well Written Essays - 1250 words

Operation Iraqi Freedom - Research Paper Example Iraq had no link to terrorism, no weapons of mass destruction (WMD), and no legal rationale to attack. Despite this, Bush decided to invade the Republic of Iraq for causes deemed objectionable to the majority of other countries so he frequently relied on and utilized false information to rationalize it. He lied. This discussion will examine how the truth was a casualty early and often during the lead up to the war and outlines some of the consequences brought about by these far-reaching and deadly deceptions. Bush voiced his disagreement to the concept of ‘nation building’ during the 2000 presidential election debates but as president waged an undeclared war against a sovereign country that had neither attacked first nor threatened to. Immediately following and as a reactionary reply to the terrorist attacks on September 11, 2001, Bush stated the county’s intention to begin a ‘War on Terrorism’ which he portrayed as a protracted battle against those t hat would use terrorist actions in addition to the countries that enabled them. The eventual culmination of the selective legal reasoning and rhetoric concerning the ‘War on Terror’ was Bush’s order of the military to invade both Afghanistan and Iraq, an illegal action on many fronts. Bush had constantly claimed that these actions were legal. First, he argued, due to language existing within the UN Security Council Resolution 1441 regarding Iraq and secondly, the invasions were an act of self-defense which is permitted by international law. Conversely, according to Richard Perle, advisor to U.S. Defense Secretary Donald Rumsfeld and official of the U.S. Defense Policy Board, â€Å"international law ... would have required us to leave Saddam Hussein alone.† (Burkeman & Borger, 2003). However, this option would have been â€Å"morally unacceptable† according to the Bush administration. The United Nations Charter, Article 51, Chapter Seven stipulates à ¢â‚¬Å"nothing shall impair the inherent right of individual or collective self defense if an armed attack occurs against a member of the United Nations† (United Nations Charter, 1945). Article 51 allows a country the justification to â€Å"deter an act, or acts of imminent or ongoing violence† but only as a transitory solution until the UN Security Council takes the appropriate actions to ensure the protection of the affected region. By precise interpretation of this Article, the rights of self-defense a country can exercise does not comprise the right to retaliate after an attack has ceased. The U.S. defended its invasion and occupation of Iraq to the countries of the world by announce, if not substantiating, that it was a undertaking to remove WMD which endangered not only the U.S. but all other countries as well. Secretary of State Colin Powell as well as other administration officials, predominantly with the U.S. Department of State, enthusiastically endeavored to s tate their justification for aggressive military actions and make this plan as acceptable to as many other nations as they could. Paul Wolfowitz, Deputy Secretary of Defense at that time, is quoted in a Vanity Fair magazine interview dated May 28, 2003 as saying â€Å"For bureaucratic reasons, we settled on one issue, weapons of mass destruction† (Shovelan, 2003). Before to the invasion, Hans Blix, the man in charge of the UN weapons inspection team in Iraq, said unequivocally and very publicly

King Philip II of Spain Essay Example | Topics and Well Written Essays - 1500 words

King Philip II of Spain - Essay Example Unlike his father Philip II was not interested in war and avoided wars and paid less attention to enhancing his own greatness than to deter that of others. King Philip II usually followed the opinion of others. King Philip II considered that Spaniards superior to the nation. He believed that he lived among the Spaniards and he should consult them and they should direct his policies. He considered the Spaniards above all the others that he ruled, that is, the Flemish, the Italians and the Germans. He would give them positions only in the military, in the hope that he could prevent his enemies from using them. Born in 1527 Phillip II became the king of Spain in 1556, he died in 1598. He governed Spain in her Golden Age. However during his rule Spain went through an economic crunch. Spain's bankruptcy continued for a decade from 1588 to 1598. Inclusive of the disaster of the Spanish Armada. Philip II had a good taste for music and art and considered him self a traditional Spanish man. He also loved collecting master pieces and his collection was at his palace outside Madrid which was called Escorial. Philip II was an educated man but however he was weak at languages but good at Politics and History. He also collected art works and rare books. He was a very religious man and his rooms at his palace were Spartan which contained very less furniture. Philip II was married four times to Maria Manuela of Portugal, Mary Tudor of England, Elizabeth of Valois and Anne of Austria respectively. Philip had a major problem of not trusting his own judgments and also relied on the advice of others. He al so mistrusted the advice of his advisors. Due to this any issues took a very long time to be decided upon. It is believed he had a persistent lack of self confidence. "Your majesty spends so long considering your undertakings that when the moment to perform them comes the occasion has passed and the money has been spent"(Maran, 1954, p. 17). Long term policies could be cultured to achieve long term results as a result of him taking time to make important decisions. He wanted to 'Castilise' Spain which resulted in the most important government positions going to Castilians. Philip strongly believed that the right of the kings was divine and believed that kings were appointed by god and he as a king was also appointed by god so he could never makes any mistakes as god could not make mistakes. King Philip II settled down in the Netherlands during the early years of his reign. In 1559 he returned to the peninsula and never left the peninsula again. King Philip II was a native Spanish speaker and he decided to rule from Spain rather than travel around to his different states. Though, King Philip II was sometimes described as a monarch, he faced many constitutional limitations on his power. Spain was considered a coalition of many separate territories. It wasn't a single monarchy with one legal system. Precedence was usually taken over King Philip's authority by the local assemblies. The word of the local Lords was considered more effective than the King's own word. He also struggled with the issue of the Morisco population in Spain, who were forced to convert to Christianity by his ancestors. When the Morico Revolt broke out in 1568 in response to the attempts to restrain Moorish customs, King Philip ordered the distribution of Moricos onto other states after their

Communication Paper Essay Example for Free

Communication Paper Essay I would like to take this time in welcoming you to this presentation on communication marketing in health care. We will first be identifying different and most common communication used by consumers and health care providers, such as e-mail, a web-based forum, and/or electronic medical records just to name a few. We will also be discussing the benefits to the patients, an aspect relating to the values and importance of maintaining patient confidentiality when using these types of communication, some reasons that these types of communications are an effective way of communicating between consumers and their providers, how these types of communications may differ from others, and lastly, how might media and social networking change communication in health care today and years to come. Now, join with me as we discuss the different types and most common communication used by consumers and their health care providers. Many communication channels are used in healthcare, each with different properties. These channels may be synchronous or asynchronous, mobile or fixed, secure or no secure. Because of this, participants must decide which channel best suits the issue about which they need to communicate. Synchronous channels such as telephones and face-†to-†face meetings allow both parties to communicate at the same time, enabling information to flow freely in real time. Synchronous channels are ideal when discussing time-†sensitive issues and exchanging dense information. It is not always convenient, however, for a patient and physician to schedule time to communicate using synchronous channels because they can lead to delayed care, telephone tag, and frustration—when these channels fail to connect, some healthcare issues remain unaddressed. Yet, generally only pagers and synchronous communications are available for patient-†physician  communication. Asynchronous channels such as email, fax, and blogs enable each party to communicate when it is convenient. These channels may be used safely for issues that are no urgent or time-†sensitive. Because time is not a factor when using asynchronous channels, both patient and clinician can be more reflective in their messaging. Asynchronous channels, however, should not be used for medical emergencies or time-†sensitive issues. Another characteristic of communication channels is whether they are fixed (connected to a wire) or mobile. Thanks to advances in technology, many communication channels that were once fixed are now wireless, such as telephones and text messaging. Presenting new technologies is challenging when dealing with an industry entrenched in using the same telephone, fax, and pager systems for decades. Many problems in healthcare stem from the industry clinging to these outdated methods of communication, without understanding the benefits brought about by newer solutions. For example, electronic pagers, which have been abandoned by most industries, are still the core device for hospital communications. While physicians extensively use a mobile core phone outside the hospital, these phones are often banned from being used inside, despite evidence that in most areas of the hospital this technology is safe. Email is often discouraged for clinical communication for security reasons, and more advanced technologies such as instant messaging, videoconferencing, group teleconferencing, or web-†based collaboration are almost unheard of in clinical care—despite evidence that proves the effectiveness and safety of these technologies in healthcare. While physicians have found newer tools such as email useful, they are typically used only in limited situations and not commonly employed to communicate with patients. The reasons for physicians’ reluctance to use e-†communication with patients include concerns about malpractice litigation, fears of being barraged with emails, and the absence of a model that reimburses them for consulting with patients electronically. Communication in healthcare fails for many reasons: necessary personnel cannot be identified or located; they may not be available or may not respond in a timely manner; or the communication channel of choice may not be well suited to the task at hand— for example, e-†communication such as  email should not be used for time-†sensitive issues such as a patient having a heart attack, or in situations that require a dense exchange of information. Pagers, for instance, are more appropriate for time-†sensitive issues, while telephones, in-†person or videoconferencing meetings, or web-†based collaboration tools are more efficient options for exchanging dense information, such as detailed c ase reports. Because case reports require much discussion among physicians, using email only slows down the discussion process. With the ability to reduce costs, telemedicine has been shown to be such an effective medical practice in several instances that its growth and application in the health care industry have raised greatly. One of the reasons for patient satisfaction with telemedicine is a reduction in waiting time, travel time, and the time involved in arranging appointments. The absence of all these issues can facilitate health communication by eliminating many of the burdens involving in standard health care. There also some challenges to the patient privacy with web-based communication just as in a facility. Because multiple individuals in telemedicine communication, exposure of confidential records to all parties concerned becomes a threat to the privacy of the patient. Additionally, even through medical doctors accept the obligation of maintaining their patients’ privacy rights, the other assisting parties involved in the telemedicine communication may not be held to the same standards (Turner, 2003). As a result of this risk to patients’ privacy rights, telemedicine has struggled to gain acceptance for the legal and medical communities (Sanders Bashshur, 1995). However, again, as time progresses and this issue tackled by the medical and legal communities alike, solutions should be found to eliminate privacy risks to patients. Furthermore, these solutions should generate increased acceptance of telemedicine practices by all parties concerned and, likewise, should alleviate the fear and frequency of breached to patient privacy laws. In conclusion to the communication marketing in health care, we were able to identify the different types of communication such as e-mails, web-based and  medical records. We were able to point out some benefits and different aspects for the patients values and the importance in maintaining the patients confidentiality and the risks of safety in these types of communications. We were also able to understand the reasons as to how these types of communications are effective between the consumers and their providers and how they differ from other forms of communications as well. Thank you for your time and efforts in taking the time to better understand the communication through telemedicine present and future. References: http://www.uapd.com/wp-content/uploads/Telemedicine-Its-Effects-on-Health-Communication.pdf http://www.cisco.com/web/about/ac79/docs/wp/Communication_Healthcare_WP_0724FINAL.pdf

A risk management strategy

A risk management strategy Introduction This report details a risk management strategy for a given organization based on Australian Standards AS4360. Risk Management Strategy details: 1 2. Rationale for managing risks and risk management objectives All companies face risk. The main rationale for managing risk is to reduce the likelihood of project failure, be it financial, schedule or performance based. A formal risk management strategy provides a structured way to highlight threats to a project success. The strategy provides advice to the project team and management to benefit the organization as a whole by assisting in the decision and planning process, identifying opportunities or threats and gaining value from changing situations. The strategy takes a proactive approach to management and allocates resources more efficiently. Reduction of loss can be reduced and stakeholder trust is improved (Australian Standards, 2004). A balance between being able to take action on opportunities versus protecting the company against loss must be decided upon. Risk management should be part of company culture so that everyone in the company has a role to play and is aware of risk management. In the early days insurance was how organizations managed risk but now it is an essential part of all management teams. According to Sadgrove (2005), there are two types of business risk, non entrepreneurial risk and entrepreneurial risk. Non entrepreneurial is for example company fraud, theft or fire. Entrepreneurial risk is for example the opening of a new shop or produces a new product. It is in the best interests for the company directors to manage risk as it applies to all manage decisions. Risk is a pre-condition for innovation, a key ingredient of a successful company (Sadgrove, 2005). Risk management objectives are to reduce company cost, disruption and unhappiness (Sadgrove, 2005). It rates which activities are worth investigating for risk and which activities do not present current risk. By identifying risks earlier, managers can better plan for their possible occurrence in the future. Further objectives and benefits to the company include improved planning, greater resource efficiency, more timely scheduling, prevention reduced costs, improved company reputation, less surprises, enhanced communication between managers and staff, reassurance of stakeholders, higher quality products and more flexible and robust contingency plans (Carol and Elizabeth, 2005). As indicated in AS4360 when formulating objective for a risk management process, they must take into account the internal and external environmental factors (Australian Standards, 2004). Risk management is growing in importance these days for a number of factors. These include tougher legislation, more expensive insurance, customers less likely to accept product failure, higher standards for public image and changing management attitudes to a more global outlook. 3. Risk strategy issues According to Sadgrove (2005), issues covered by a risk strategy may be based on operation, strategic, compliance and financial issues. Operational issues include risks associated with employees, suppliers or natural events such as rain. Strategic issues include other markets, the economy and legal issues. Compliance issues may be accounting standards, tax requirements or government legislation. Financial issues include cost issues, interest rates and profitability concerns. The areas covered by the risk strategy will be influenced by the requirements of the company and its objectives. The products and / or services it supplies and the processes and practices used by the company will also affect the type of risk strategy employed. 4. Acceptable risk tolerance. According to Fischoff, Lichtenstein, Slovic, Derby and Keeney (1981), acceptable risk describes the likelihood of an event that has two factors. Firstly, the chance of occurrence is small. Secondly, the consequence is small. s are so slight, or whose benefits (perceived or real) are so great, that individuals or groups in society are willing to take or be subjected to the risk that the event might occur. The stakeholders and managers often determine acceptable risk factors. It is based on their perception on what they believe constitutes firstly a risk and secondly whether or not it is an acceptable one. An acceptable risk determination can vary and depends on factors such as differences in values, different requirements, project assumptions, concerns, concepts as they relate to the project being considered. According to AS4360, (Australian Standards, 2004), a team approach is very effective in determining and identifying risks more effectively. Risks are compared against a set of criteria from which priorities are set. The decision is then made to either treat the risks if they are deemed unacceptable or to continue to monitor and review the risks if they are currently viewed as acceptable. The risk criteria which is used to determine whether a risk a acceptable or not is based on financial, operational, humanitarian, legal, technical, social, environmental, or other criteria. The risk is evaluated and decisions are made about which risks need attention. The company or organization must make a decision on how much risk it is willing to accept as part of normal business practice. This level can then be set as the benchmark and gives the company a tolerance level to work with. This tolerance may depend on the maturity of the risk management plan, experience of management, data available f or consideration and other important factors. Some firms want to accept new ventures with higher risks while other companies want to maintain a steady course. Often young companies with less to lose will take larger risks where as older individuals may not wish to risk as much (Sadgrove, 2005). The acceptable risk tolerance depends on the reward. As the risk increases so to must the reward in order to make it worthwhile. 5. Risk infrastructure, management, identification, assessment and treatment. A company, which has a risk management strategy in place, needs an appropriate policy plan and an adequate support system in place to ensure the strategy is implemented correctly (Australian Standards, 2004). According to AS4360, in assessing the risks once they have been identified, there are three general types of analysis. These are qualitative analysis, Semi-quantitative analysis and Quantitative analysis. Qualitative analysis may be used as an initial tool to identify preliminary risks which are to be analyzed in more detail later. It should be combined with factual information when it is able to be sourced. Semi-quantitative analysis must be used with care since the data chosen to support the qualitative words may be misleading that can lead to inappropriate outcomes. Quantitative analysis depends on the accuracy of the numerical values and they may be expressed in terms of the criteria initially set by the risk identification. According to an article by the Project Management Institute (Project Management Institute, 2008), if you dont identify risk areas and have a response plan then possible tough times may be ahead. By beginning with a brainstorming session, and including a wide cross-section of stakeholders from many levels throughout the company, possible problems on the way to success may be identified. Ms. Reed, a vice president of an American project management firm notes that when running such meetings criticism should be left at the door, otherwise it may turn into an unorganized discussion. 6. Risk management responsibilities. Risk identification, assessment and treatment. System review, documentation and maintenance. Responsibilities for the risk management process should be detailed in the risk management plan and this plan should also detail how the plan shall be conducted throughout the organization. Treatment plans may either be separate from the risk management plan or included with it. An example of an organization which follows the AS4360 guidelines is the State Records Department of the New South Wales Government in Australia (NSW Government State Records. 2009). With their plan, senior management are allocated the responsibility of ensuring that the risk analysis, identification and assessment procedure are implemented regularly. They are also responsible for managing the budget allocated for the risk management strategy and ensuring that it is implemented to protect the records and systems of the State Records Department. The review of their systems is continuous as is stated in the AS4360 guidelines. According to the AS4360 guidelines (Australian Standards, 2004), few risks remain static. Continual review is essential to ensure that the risk management strategy remains relevant. The Risk Assessment will be continuously monitored and updated throughout the life of a given project, with monthly assessments included in the status report and open to amendment by the Project Manager. The company senior directors and executives are responsible for managing risk in their organization. All employees are responsible for the risk management within their given areas of managerial responsibility. The risk management plan can be broken down into specific sections based on different functions and areas within the project. Each area should have a separate plan, consist with the main company risk management plan, that details risks most relevant for their particular team and sub project requirements and concerns. The project manager for each team is responsible for the management of each risk management plan and ensuring his or her team is under the watch of the localized plan. This manager must also however ensure that the risks of the organizational risk management plan are also kept in mind. The senior staff of an organization must also be committed to the risk management strategy of all these senior managers (Australian Standards, 2004). Documentation to record details of risks must be generated to record priorities and highlight changes in risk priorities. Reports should record treatments and if incidents occur the lessons learned should be recorded. The entire risk management plan system progress should also be documented as a whole. 7. Risk management documentation requirements. A common tool used in the documentation of risk management system is the risk matrix. The risk matrix is a table used in risk analysis in which rows show the risks and columns show their likelihood or probability of occurrence and their impact. For each important business function or area, a risk matrix can be created. Often numerical values from one, meaning no impact, to five, meaning maximum impact, can be assigned for each function. This simple approach to documenting risk can provide a useful set of raw data from which appropriate plans can be devised. Many larger organizations also use this simple approach (National Computing Centre, 2009). 8. Risk management system budgets and its determination. Such a risk management strategy has a cost associated with it and this cost must be balanced against the cost of the potential loss if it were to occur (Microsoft Press, 2009). Through the application of risk management methodologies, a company can manage risk levels so that it does not reach a determined unacceptable level. The budget size for a risk management system will of course depend on the size of the company, its complexity and the responsibilities of the manager in charge of the risk management program (Sadrove, 2005, p55). A good policy is to make the risk management services free to departments and only charge the departments when they make a loss. By charging them when mistakes are made the managers are more likely to seek help and pay more close attention to the risk management strategy. This is better than just waiting for an issue to occur. Too much investment in risk management will burden the company and make it uncompetitive. Underinvestment in risk management will make it more vulnerable and likely to receive expensive incident costs. The optimal position is somewhere in the middle (Sadgrove, 2005, p14). Mochal (2006), shows that a risk management system budget can be established by basing it on the Expected Monetary Value (EVM) index. For each risk there are two parameters assigned. Firstly, the probability that the risk will occur and secondly the impact to the project if the risk occurs. If this is completed for all the risks the potential impact to the project can be calculated. Hence the risk management system budget should reflect the impact of the risk and the likelihood that it will happen. According to AS4360, if the budget for the risk management system is restricted, there should be a clear priority order for the risk treatments. 9. Risk management policy approval and its source. Senior management should review and endorse the risk management policy for an organization. The source of the policy should come from all higher end managers concerned as well as all concerned stakeholders. Dialogue with key internal and external stakeholders should be undertaken as to avoid a one way flow of information. Stakeholders often have different views on what should be ranked as high-risk priorities due to factors such as differences in values, requirements concepts and concerns about the project concerned (Australian Standards, 2004). References Alexander, C., Sheedy, E. 2005. The Professional Risk Managers Handbook: A Comprehensive Guide to Current Theory and Best Practices. PRMIA Publications. Fischoff, B.; Lichtenstein, S.; Slovic, P.; Derby, S. L.; and Keeney, R. L. 1981. Acceptable Risk. Cambridge. UK, Cambridge University Press. Microsoft Press. 2009. Why Manage Risks Formally? Retrieved on 5th October, 2009 from http://msdn.microsoft.com/en-us/library/cc500373.aspx Mochal, T. (2006). Create a risk contingency budget using Expected Monetary Value (EMV). Retrieved on 5th October, 2009 from http://articles.techrepublic.com.com/5100-10878_11-6069576.html National Computing Centre. 2009. A matrix approach to risk assessment. Retrieved on 5th October 2009 from http://www.nccmembership.co.uk/pooled/articles/BF_WEBART/view.asp?Q=BF_WEBART_113283 NSW Government State Records. 2009. Risk Assessment. Retrieved on 5th October, 2009 from http://www.records.nsw.gov.au/recordkeeping/government-recordkeeping-manual/guidance/guidelines/guideline-5/guideline-5-part-3 Project Management Institute. 2009. Risk Identification Uncover project troubles before they blow up. Retrieved on 5th October 2009 from http://www.pmi.org/Pages/Risk_Identification.aspx Sadgrove, K. (2005). The complete guide to business risk management. England, Gower Publishing Limited. Standards Australia. 2004. Australian/New Zealand Standard AS 4360 2004. Australia, Standards Australia International Limited.

The 1954 CIA Coup in Guatemala :: CIA Guatemalan Government Economy Essays

The 1954 CIA Coup in Guatemala The 1954 coup that deposed the democratically elected government of Guatemala has long been acknowledged to have been the result of CIA covert action. Recently declassified documents have shown a new, and more sinister light, on the CIA's involvement in an action that gave birth to some of the most brutally dictatorial regimes in modern history. No one at this point will dispute the original involvement, but there are still those who maintain that this is all water over the dam of history and that the US has not had direct responsibility for the actions of a Guatemalan government since the 1954 coup. (Evans-Pritchard) I intend to outline the background of the political circumstances that lead to the coup. This will include Guatemala, the US and the world scene at the time, when anti-communism contended with communism as state ideologies. I will contend that the coup was all but inevitable in the prevailing political climate of 1954. But that still doesn't make it right. We have been finding out for nearly half a century how wrong it was. Opinions have always varied with the positions of their adherents, but I believe there is one thing that can no longer be disputed: the CIA catalyzed a turn for the worse, even to the inhuman, for many Latin American governments by its actions in managing the Guatemalan coup. They provided the essential weapon for the modern national security state, the knowledge of how to organize an efficient apparatus of state repression and terror. ‘The wink and the nod’ that was all somehow acceptable to your primary sponsor caused many a dictator to adopt these methods to take and maintain power. Only recently have internal CIA documents become available, allowing researchers to begin to look inside the CIA itself. Partial as these releases are, they supply valuable insight into the machinations of this secretive organization. These documents outline the beginning of the Terror; let's hope we are seeing the end of it. The early 1950s was a time of tension and uncertainty in the world. The Cold War replaced ‘hot’ war. Humankind had gone from the terror of actual war to the terror of the potential of nuclear war. The situation was aggravated by the ongoing conflict in Korea which pitted the forces of the ‘Free World’ against the specter of international Communism. Anticommunist hysteria gripped the US political scene, mirroring many of the excesses of the Stalinist enemy that it was in struggle with in the international arena.

Heavy Metal Poisoning :: essays research papers fc

Heavy Metal Poisoning Heavy metal poisoning is the toxic accumulation of heavy metals in the soft tissues of the body. Heavy metals are chemical elements that have a specific gravity at least five times that of water. The heavy metals most often implicated in human poisoning are lead, mercury, arsenic, and cadmium. Some heavy metals, such as zinc, copper, chromium, iron, and manganese, are required by the body in small amounts, but these same elements can be toxic in larger quantities. Heavy metals may enter the body in food, water, or air, or by absorption through the skin. Once in the body, they compete with and displace essential minerals such as zinc, copper, magnesium, and calcium, and interfere with organ system functions. People may come into contact with heavy metals in industrial work, pharmaceutical manufacturing, and agriculture. Its even possible that children can be poisoned as a result of playing in contaminated soil.   Ã‚  Ã‚  Ã‚  Ã‚  Heavy metal poisoning may be detected using blood and urine tests, hair and tissue analysis, or x rays. In childhood, blood lead levels above 80  µg/dL generally indicate lead poisoning, however, significantly lower levels (>30  µg/dL) can cause mental retardation and other cognitive and behavioral problems in affected children. The Centers for Disease Control and Prevention considers a blood lead level of 10  µg/dL or higher in children a cause for concern. In adults, symptoms of lead poisoning are usually seen when blood lead levels exceed 80  µg/dL for a number of weeks. Another important factor is that blood levels containing mercury should not exceed 3.6  µg/dL, while urine levels should not exceed 15  µg/dL. Symptoms of mercury poisoning may be seen when mercury levels exceed 20  µg/dL in blood and 60  µg/dL in urine. An interesting way to test for the amount of mercury in someones system, is to test hair a follicle, and record the levels of mercury in order to gauge the severity of chronic mercury exposure. Furthermore, arsenic is rapidly cleared from the blood. Blood arsenic levels may not be very useful in diagnosis. Arsenic in the urine (measured in a 24-hour collection following 48 hours without eating seafood) may exceed 50  µg/dL in people with arsenic poisoning. If acute arsenic poisoning is suspected, an x ray may reveal ingested arsenic in the abdomen. It is visible because the arsenic appears solid on an x-ray. Arsenic may also be detected in the hair and nails for months following exposure.

Bullying and Relevant Instructor Guidance Essay

Prior to completing this discussion, please read Chapter 5 in the textbook, review the information from Chapter One about Bronfenbrenner’s Ecological theory, read the Shetgiri et.al (2012) article, and review any relevant Instructor Guidance. Utilize Bronfenbrenner’s ecological theory to address the topic of motivations for and influences on bullying. †¢Identify and describe how a child’s environment might pre-dispose him or her to bully others. Use each of the five systems in Bronfenbrenner’s theory. Bioecolgical theory lies on the side of nature/nurture continuum that favors environmental influences over maturational development Mossler, R.A. (2011). Microsystem- Has a daily, direct impact on the child, contexts like school, peers, neighborhood, and religious affiliation make up the setting in which the child lives Mossler, R.A. (2011). Mesosystem- represents the interaction of the various components of the microsystem, like parental involvement in school and a child’s friends Mossler, R.A. (2011). Ecosystem – includes community and socioeconomic variable that have more indirect impact on the child. For example, there are circumstances when parents have to (or choose to) work more hours or where there are fewer resources for childcare and supervision. These conditions may change a child’s life Mossler, R.A. (2011). Macro system- represents the cultural contest, such as lases, traditions, and customs. For instance, some governmental and cultural institutions have programs that support health, education, and welfare of children; in others, simple being a girl will restrict access. Chrono system- shows the social and historical context within which the other systems operate, and how the four systems change over time Mossler, R.A. (2011). †¢How might parents be an influencing factor on whether or not a child is prone to bullying? Depends upon parenting style there are for different type that I read about in chapter five in chart 5.2 Parenting types. Authoritarian, Permissive, Authoritive, and Neglectful. The lack of parental control can lead to a greater risk delinquency. Without parental emotional rewards to guide a child’s behavior, the child will seek external reward which can be bullying. They tend to seek respects form peers. I only say this because I was child once was I remember kids being bullied by other  kids and it was not fun at all. I often wonder myself was something going on in that child’s home and they took out on the next kid just to make themselves feel good at the time. I can’t say I was bullied but I did fill like I was under attack and that was because certain boy like me in reality so he had make his self-look good in front of his friend but come to find out in his ou r high school years that he really like see I was what you call ugly duckling most girls were more developed and going through adolescent stage early and I was still in my natural state meaning I was not being grown before my time. †¢Find and report (with proper citation) one current statistic on the factors influencing school bullying behaviors. Bullying is the most common form of violence in our society; between 15% and 30 % of students are bullies or victims. A recent report from the American Medical Association on a study of over 15,0000 6th- 10 th graders estimates that approximately 3.7 million youth engage in, and more than 3.2 million are victims of, moderate or serious bullying each year http://www.nasponline.org. †¢Does this statistic seem to follow the same trend supported by Bronfenbrenner’s theory? If not, explain how it challenges the theory. Yes because it has become a widespread problem in school in our communities kids being threatened teased harassed and it has even went to cyber bullying and also have led to suicide just last year in my daughter school and around this area there were at three suicide during the her freshmen year in high school last year because of kid making comments on Facebook or twitter social media is the worst it is anti-social behavior that is learned through influences in the environment, home , school, peer group, even the media. Brfendebrenner’s theory confirms all the above. †¢Reflect on friendships in childhood and adolescence and address the positive and negative influences they can have on bullying behaviors. I can’t say that I was bullied but I did fill like I was under attack. That was only because a certain boy like me in reality so he had make his self-look good in front of his friend but come to find out in his our high school years that he really like see I was what you call ugly duckling most girls were more developed and going through adolescent stage early and I was still in my natural state meaning I was not being grown before my time. †¢Utilize problem-solving techniques in exploring developmental issues, grounded in child development, in order to provide one unique solution to  reduce or stop bullying. I would get the parents involved I am parent and if my daughter come home and tell me some is picking on her I want go straight to the source that means parents and all I would like to sit down and have meeting all the parts that are involved some we can get things resolved because after all a child behavior and how they act starts form home. Having positive environment and early intervention would good to more teacher training as well. . http://www.cdc.gov/ViolencePrevention/youthviolence/index.html http://www.nasponline.org/resources/factsheets/bullying_fs.aspx Mossler, R.A. (2011). Child and adolescent development. San Diego, CA: Bridgepoint Education, Inc

Regulatory Agency Paper Essay

The industry in healthcare requires that its foundation in leadership is to follow procedures, rules, and regulations, which will help an organization, succeed in their leadership role in healthcare. This paper will identify important aspects of governmental or other agency such as Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) that governs the health care industry or a particular segment of the industry. In addition, this paper will also identify the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) role, the impact it has on healthcare, the examples how they carry out their duties in regards to healthcare, the regulatory authority does JCAHO have in relation to health care, and what is their process for accreditation, certification, and authorization. Moreover, The Joint Commission was known as the Joint Commission on the Accreditation of Healthcare Organization. According to Feigenbaum (2013), â€Å"the Joint Commission, issues one of the most prestigious accreditations in the health care industry. This nonprofit organization sets high standards for hospital, skilled nursing home health and health-care staffing company operations and performs regular reviews, checks and audits to ensure accredited organizations comply† (ehow, 2013, para. 1). As a result, the Center for Medicare and Medicaid Services (CMS) has come to trust the judgment of the Joint Commission because of their reputation they have on certifying many medical facilities as â€Å"Medicare compliant† (ehow, 2013, para. 3). More than 15, 000 health care programs and organization throughout the United States are evaluated by The Joint Commission, which is not-for-profit organization that works independently since 1951 to maintain top of the line standards that promote on how to improve the safety and quality of care that many health care organization provides. Agency’s Structure The structure of The Joint Commission is â€Å"governed by a 29-member Board of Commissioners that includes physicians, administrators, nurses, employers, a labor representative, health plan leaders, quality experts, ethicists, a consumer advocate and educators. The Board of Commissioners brings to The Joint Commission diverse experience in health care, business and public policy. The Joint Commission’s corporate members are the American College of Physicians, the American College of Surgeons, the American Dental Association, the American Hospital Association, and the American Medical Association† (The Joint Commission, 2013). In addition, The Joint Commission have approximately 1,000 surveyors that are employed to survey health care facilities throughout the United States. â€Å"It central office office in Oakbrook Terrace, Illinois, and at a satellite office in Washington, D.C. The Washington office is The Joint Commission’s primary interface with government agencies and with Congress, seeking and maintaining partnerships with the government that will improve the quality of health care for all Americans, and working with Congress on legislation involving the quality and safety of health care† (The Joint Commission, 2013). Organization’s Effect on Health Care The effect that The Joint Commission has on health care is that each hospital or health care facility that need to meet the The Joint Commission standards. For example, â€Å"patient rights, patient treatment, and infection control are standards that need to meet the expectation of the Joint Commission. The standards focus not simply on an organization’s ability to provide safe, high quality care, but on its actual performance as well† (The Joint Commission, 2013). Values that are set for performance expectations of activities that concerns and affect the safety of patients as well as the quality of care they receive. Otherwise if hospitals do not meet The Joint Commission standards they will not get accredited and that can have an effect in Medicaid/Medicare payments in that health care facility. However, if the organization provide high standard in patient care and they perform them well then the patient will have good experience in the outcome of patient care. Moreover, The Joint Commission creates standards in collaboration with experts in healthcare, measurement experts, providers, consumers and purchasers. Example of the Agency Carrying Out Its Duties Examples that The Joint Commission has when carry out their duties is that they provide assessment of the health care facility or organization that are in compliance with the standards and how they perform. As a result, The Joint Commission will assess the organization compliance with values and their fundamental of performance. â€Å"The Joint Commission assess the organization’s compliance with standards based on: Patient and staff interviews about actual practice, Performance improvement data/trends, verbal information provided to the Joint Commission by key organizational leaders, and , On-site observations by Joint Commission surveyors† (The Joint Commission, 2013). Regulatory Authority Relation to Health Care The regulatory authority that The Joint Commission has in relation to health care is that they maintain a list of agencies throughout the state that will identify accreditation/certification throughout the United States health care facilities. For example, The Joint Commission will monitor legislative and regulatory activities in the state. â€Å"The Joint Commission’s various accreditation/certification programs are recognized and relied on by many states in the states’ quality oversight activities. Recognition and reliance refers to the acceptance of, requirement for, or other reference to the use of Joint Commission accreditation, in whole or in part, by one or more governmental agencies in exercising regulatory authority† (The Joint Commission, 2013). For example, in Texas the Routine inspections of the â€Å"The Department of State Health Services (department) may conduct an inspection of each hospital prior to the issuance or renewal of a hospital license. (1) A hospital is not subject to routine inspections subsequent to the issuance of the initial license while the hospital maintains: (A) certification under Title XVIII of the Social Security Act, 42 United States Code (USC),  §Ã‚ § 1395 et seq; or (B) accreditation by a Centers for Medicare and Medicaid Services-approved organization† (The Joint Commission, 2013). Process for Accreditation, Certification, and Authorization The Joint Commission process for accreditation, certification and authorization is â€Å"to earn and maintain accreditation, a hospital must undergo an on-site survey by a Joint Commission survey team. Joint Commission surveys are unannounced and occur 18 to 39 months after the previous unannounced survey. The objective of the survey is not only to evaluate the hospital, but to provide education and guidance that will help staff continue to improve the hospital’s performance. The survey process evaluates actual care processes by tracing patients through the care, treatment and services they received. It also analyzes key operational systems that directly impact the quality and safety of patient care† (The Joint Commission, 2013). In addition, the surveying team can include a health care professionals such as a nurse, physician, hospital administrator who has senior management level experience, and life safety code specialist. â€Å"The Joint Commission has a group of more than 400 surveyors, reviewers and life safety code specialists who are trained and certified, and receive continuing education on advances in quality-related performance evaluation† (The Joint Commission, The Surveyor Process, 2008, para. 5). The Accreditation process is a continuous; data-motivated that focuses on the overall systems operation which is crucial to the quality and safety of patient care. The following are important aspect of the process which includes: Periodic Performance Review (PPR) an annual review where the health care facility will evaluate their compliance with relevant standards and widen an action plan that can help them identify areas where they are not compliance. The tracer methodology is another process used â€Å"On-site evaluation of standards compliance in relation to the care experience of patients using a â€Å"tracer† methodology. Tracer activities permit assessment of operational systems and processes in relation to the actual experiences of selected patients who are under the care of the organization. This activity actively engages all direct caregivers in the accreditation process† (The Joint Commission, 2008). The Priority Focus Process (PFP) is a survey that looks at quality of care of patients and their safety. The Joint Commission will do unannounced survey to apply the credibility of how they do the accreditation process so the surveyors can look at the performance of the organization under a normal day for the health care facility. If the health care facility being surveyed passes the audits then the hospital can get accredited for another three years and this authority comes from The Joint Commission who has high standards on patient safety and quality of care. Conclusion The leadership foundation of a health care industry identifies a governmental or other agency, such as JCAHO, that governs the health care industry or a particular segment of the industry in order to provide patient safety and quality of care through their structure, their effect on health care, their duties, their regulatory authority in relation to health care, and their process for accreditation, certification and authorization. References Feigenbaum, E (2013). Ehow. Jcaho Reciprocal Credentialing Regulations. Retrieved on October 13, 2013 from http://www.ehow.com/info_8761966_jcaho-reciprocal-credentialing-regulations.html The Joint Commision (2008). Facts about The Joint Commission. Retrieved on October 13, 2013 from http://www.jointcommission.org/facts_about_the_joint_commission/ The Joint Commission (2013). Inspiring health care excellence. Retrieved on October 13, 2013 from http://www.jointcommission.org/facts_about_the_joint_commission/ The Joint Commission. Code of Conduct. Retrieved on October 13, 2013 from http://www.jointcommission.org/assets/1/18/TJC_Code_of_Conduct_09.pdf