Econ

In order the units are: 1. Analyzing and measuring the size of the economy. 2. Explaining, measuring and analyzing how prices and inflation are determined in the long-run. 3. Explaining the determination and measurement of unemployment in the long-run. 4. Analyzing and interpreting the role of financial markets (including exchange rates) in the economy. 5. Analyzing the business cycle and recommending appropriate fiscal and monetary policy. Course Description: This course will consist of on-line lectures and hands-on activities. All of the work to be handed in will take lace through Papilla.You will need to complete the readings and you need to complete them before lecture. Studies show that reading before lecture improves exam performance, on average, by 22%. This is a free lunch: you have to do the reading sometime, so by doing it earlier rather than later you will boost your grade without any extra work! Textbook: Principles of Economics for GUCCI, by N. Gregory Manama. Coinage Le arning. The Economics department has negotiated a custom bundle of the textbook, along with an Papilla, subscription for $87. 50. The Papilla obstruction includes access to the digital edition of the textbook.This is the least costly option. You should purchase a copy ahead of time, or have the bookstore ship the textbook to you (be sure to allow plenty of shipping time). Alternatively, you can purchase a stand alone access to Papilla (which includes the e-book version of the textbook) for $134 for one quarter of access and $149 for two quarters of access. The course web page will provide detailed instructions on how to access the course Papilla site. You need to have access to Papilla by the start of the course. If you don't purchase a copy from the bookstore you will have to purchase the more expensive stand alone access to Papilla.Communication in an Online Class Almost all communication will take place through the forums on the class website. There is a forum set up for general questions. You will also be assigned a TA. Questions that are not appropriate for the general forum should be directed first to the TA. If it is a question that can only be answered by the professor, then the TA will forward your message along. Office hours are by appointment. There are many dents enrolled in this course, so it may take 1-2 business days to receive a reply. The class is located at http://summer. Learn. Gucci. Du.The GAP is a set of voluntary multiple choice questions (90 in total each week with a Sunday at 1 1 :45 p. M. Deadline) that you can work through in Papilla to earn up to 450 points that are added to your total points used to compute your letter grade. There is no penalty for not participating: every question that you answer correctly will earn you an additional point. The GAP questions are open-book. Therefore, with the GAP oh can insure yourself against a lower than expected grade on the midterm and final exam by completing additional work.The GAP is a gre at opportunity to earn the letter grade that you hope to achieve! Example of GAP: To see how the GAP might work for you consider the following hypothetical scenario. A student received 630 Assignment points (90%), 400 Midterm points (80%), 700 Final points (70%) and 280 Participation points (93%). Without doing any of the GAP work, this student would receive a total score of 2010 (80%) which would translate to a letter grade of B. Now suppose that this student correctly answered 50 GAP questions each week in Papilla.Then the GAP would increase the total score by 250 points, bringing the total to 2260 or a letter grade of A-. The GAP program allows you to put in as much work as you want, through studying hard for the exams or working through the GAP assignments, to earn the grade you deserve. Page 2 of 5 A Remark on Academic Honesty: It is the university policy that academic dishonesty is unacceptable and will not be tolerated at the University of California, Irvine. Here is hat I ex pect: ; All exams are closed note/closed book exams. With the exception of assignments, you may not receive or elicit assistance from another person or student. ; I define cheating as using the aid of notes, books, other students, or any programs in a calculator. Code of Conduct All participants in the course are bound by the University of California Code of Conduct, found at http://www. Cop. Du/chophouse/accorder/subspecies/ass/ chuck. HTML. Students with Disabilities: If you need support or assistance because of a disability, you may be eligible for accommodations or services through the Disability Services Center at US Irvine.For more information, contact this office at (949) 824-7494 (voice), (949) 824-6272 (TTY), at www. Disability. Gucci. Du or stop by the center at Building 313 on the US Irvine map. A Remark about Electronic Communications: This course has a number of â€Å"social media† outlets to increase interaction. I may choose to not answer some of your questions . Some questions may require you to see me in person. Since all communication in this course will be written it is important to be aware of the advantages and disadvantages of on-line communication.The advantages are that you have more opportunity for careful and thoughtful expression. The disadvantages are that it misses more subtle communication cues such as body language and tone. Please be aware that there is always the possibility of miscommunication and compose your comments in a positive, supportive and constructive manner. Course Schedule (tentative): Date 7/28 Issue Introduction to Class Course Orientation Become familiar with the course website and Papilla. Measuring and analyzing the size of the economy (caps. 23- 25) 2 8/04 3 8/11 Econ Two main vulnerabilities of the diamond industry: price of diamond linked to supply and value diamond linked to belief that they are rare and therefore special, and thus suitable token of sentiment. Dabbers exercised monopoly power by effectively controlling production and distribution of diamonds, thus controlling supply and ability to control pricing. When the market started to shift as other sources of diamonds were discovered, Dabbers still held an advantaged position as they had sole control of the distributors, which gave them the power and Influence to broker a deal with these emerging suppliers.This combined with a large and successful marketing campaign Increased sentimental value and perception of scarcity, which Increased consumer's willingness to pay the prices, set by the cartel. The perception of scarcity ultimately made demand Inelastic, and allowed for Dabbers to set an optimal linear price. While price discrimination is often seen as the best way to increase consumer surplus and minimize dead weight loss, in Dabbers case, as is the case with many luxury goods, its high price signals its value to the consumer, and the consumer can then signal their status to others when the wear he product.The difficulty of diamond mining lent itself to a spirit of cooperation out of necessity. It is not an undertaking that could be done successfully on a small scale, and it was impossible to know for certain which land claim was â€Å"lucky' and would produce a good output. This, in addition to problematic mining conditions over time, lead to the cooperative partnerships between the miners. This laid the groundwork for the formation of the Dabbers cartel. The idea of collusion between the suppliers to form a monopoly was perceived as a rare opportunity to exercise market control over apply and price.A better resolution for the dispute with the Israeli dealers might have been to attempt to address the issue influencing their actions (worries about financial sec urity during an economic depression) by offering support O. E. Stock options) rather than pointed threats, they could have avoided the damage done to the diamond market, as well as relations with other members of the cartel. While the actions they took did showcase the cartels authority, and signal to those In the cartel that defection would not be tolerated, It also exposed the fallibility of the cartel, and ultimately signaled the beginning of the end the diamond monopoly.The Soviets had the leverage to take down the cartel In Its entirety, as they provided the largest supply of the highest quality diamonds, and had the means to produce and distribute at a competitive price. When the cold war ended and the state no longer held sole control of the Soviet diamond industry, as well as a Canada monopoly had passed for the cartel. No longer able to control the market, Dabbers reorganized itself into an efficient and highly competitive vertically integrated model.

Medical Assistant Procedure Manual

Medical Assistant Procedure Manual Project Pamela Estep ENGL205-1203A- Technical Writing and Speaking Phase 5IP Abstract This procedure manual was designed to help the medical assistant if they would have a question or happen to need reassuring about a procedure. It is also to be used as a training tool for new staff and current staff. This manual will list both administrative and clinical duties that are to be performed by the medical assistant. This manual will also be updated as new duties come about or old duties are taken out.This will be your bible for your job here, and you are to follow this manual to keep down any confusion that can come with your job. But if you would still need a clarification on something that is not list in this manual please feel free to contact myself, and I will answer your question and then this question is a common one we will install it to the manual. As all ways we want you to have a pleasant time here with us so feel free to make any suggestion o f ways to improve your job. Master Table of Contents Project Outline (phase 1)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 3Procedure Manual Proposal (phase 1)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 5 Procedure Manual Outline (phase 1)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6 Procedure Manual Brochure (phase 2)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 7-8 Procedure Manual Checklist (phase 3)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 9 Procedure Manual (phase 3)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 10-29 Procedure Manual Quick Reference Guide (phase 4)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Procedure Manual Training Session (PowerPoint) (phase 5)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Signature page †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.Reference page †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦.. Memo Pamela Estep ENGL205-1203A-03 Phase 1 DB2 Professor: Anderson July 15, 2012 Doctor Markesberry, As part of my most resent assessment you ask me to see why there was so much confusion between the medical assistants. You said you had some patients asking why when a different medical assistant takes care of them they do not do the same things as their regular medical assistant. After watching each of the medical assistant for one week and asking each of them different question about how they perform their job, they each gave me a different answer.After hearing this and what I seen I feel we are in need of a procedure manual. This manual will not let them know what is expected of them but how it is to be performed in this office. With this manual in return all of the medical assistant should perform the same no matter which doctor they are working for. This should also cut down on the confusion with the patients and put then at ease when the medical assistant they are used to taking care of them cannot be there that day. Not only will it comfort the patient it will also cut down on chance of mistakes being made that ould hurt a patient or cost some a life. With this proposal I feel it would be a great benefit for the medical assistant we have now and any new ones in the future. It would give a clear cut of their job definition and job expectation. That would also reduce our liability for mistakes by someone not know what to do or how to do it. The procedure manual I am speaking about would be one that would cover both administrative and clinical duties. I would break each of these down into two sections with subsection in each sections.There would be an index foe quick access and each would also have a signature page which each medical assistant would have to sign and that would be put in their personal folders. Once again let me state based on what I have seen and been told by each of the medical assistants I feel this is the only way to give them cl ear cut instructions on what is expected of each of them and how it is to be done. Thank you, Pamela Estep Doctor Markesberry, As stated in my proposal, the following is a copy of the outline in which I plan to use. As this is tentative outline just let me know if you would like to add anything before anything is set in stone.I look forward to your input; I hope this is what you are wanting in way of the procedure manual you had in mine. With that said here is the basic outline of the manual. Medical Assistant Manual Outline I. Introduction What the manual is for and a brief overview of the manual. II. Administrative Duties 1. Scheduling and receiving patients. 2. Preparing and maintaining medical records. 3. Performing basic secretarial skills and medical transcription. 4. Handling telephone calls and writing correspondence. 5. Serving as a liaison between the physician and other individuals. 6. Managing practice finances.III. Clinical Duties 1. Asepsis and infection control. 2. Ta king patient histories and vitals. 3. Perform first aid and CPR. 4. Preparing patients for procedures. 5. Assisting the physician with examinations and treatments. 6. Collecting and processing specimens. 7. Performing selected diagnostic tests. 8. Preparing and administering medications as directed by the physician. As you can see I have included both administrative and clinical duties to be performed, there are many medical assistant out there that think you just take care of a patient but they will see it is much more than that.Once again feel free of any changes that you want made. A procedure Manual is a must for any job. It provides valuable information about your job and can answer the most common questions. It does not matter the size of your office a procedure manual is there when you need it to refresh your memory or answer your question. With this manual in place we all will be held accountable for our actions and we will perform as a better team that supports each other. The following is my check list for the Medical Assistant procedure manual. 1) To make sure there is a need for the procedure manual.I will include all the parts that are needed to perform the medical assistant job. I will include the safety risk, and include common legal issues and how to avoid them. 2) I will write a rough draft of this manual and let doctor Markesberry and let the front desk supervisor look it over for any change the need to be made before final draft. 3) I will then have a meeting with the medical assistants and front desk people to go over the manual. At which time I will answer any question about the manual or if there is anything that they would like to see in the manual. ) I will rewrite the manual after I receive the suggestion and answered the question. Once I have done this and send this for approval from upper management. 5) Once I have got the approval I will make a copy for everyone involved and some extra copies for new hires and for people who lose th eir there will be a master copy which will be kept in the supervisor office. I will then have meeting every two weeks for updates and to go over any problems that might arise. Medical Assistant Procedure Manual for Primary Care Office of Doctor Markesberry Table of ContentsIntroduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 Administrative duties Scheduling and receiving patients†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 4 Preparing and maintaining medical records†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦5 Perfor ming and Maintaining medical records†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6 Handling telephone calls and writing correspondence†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦7 Serving as a liaison between the physician and other individuals†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 8 Managing Practice finances†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 9 Clinical DutiesAsepsis and infection control†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦10 Taking patient histories and vitals sig ns†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 11 Performing first aid and CPR†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦12 Preparing patients for procedures†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 13 Assisting the physician with examinations and treatments†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 14 Collecting and processing specimens†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦15 Per forming selected diagnostic test†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 16 Preparing and administering medications as directed by the physician†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦17 CommonQ&A†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦18 Notes†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 19 Signature page†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 20 Administrative duties Scheduling and receiving patients Upon arrival to the office the patient will stop at the front desk, once there they will sing in and have a sit. After you call the patient up to the desk at that point you will ask the patient name, DOB, address and phone number. Once you have made sure this is the right patient, you will then ask to see their insurance card.When they give you the insurance card you need to verify that it is in effect, after that you collect their copay. Upon arrival this is the process: 1. Pt. sign 2. Call pt. to desk 3. Verify DOB, Address, Phone number 4. Confirm appointment. 5. Ask for insurance card, verify it. 6. Collect copay Scheduling appointment can be making an appointment for a doctor in our office to making an appointment for an outside doctor, test, or lab work. Whichever it is you need to make sure of the same information when rece iving a patient. With a couple of exception of the patient sign and collecting their copay.This is the way the process should go: 1. Check the availability date of the appointment. 2. Ask patient if this is a go date and time is right for the patient. 3. Appointment is out our office give them insurance information, DOB, name, and address of the patient. 4. For an outside appointment you will give them the name of the doctor ordering the appointment to be made. 5. Give the patient an appointment card or instruction on where to go the appointment. 6. Then fax all information to the appointment before the patient go’s so they can have a copy.When making the outside appointment always fax the order and patient information to the office the patient is going that way they have a backup copy beside you call and sitting up the appointment. Then put the information in the chart or on the computer so if there is confusion when the patient get there you have the information at hand. Pr eparing and maintaining medical records When you receive reports, physician notes from outside offices you need to put these in the patient charts. But before you can put them in the charts you need to let the physician know the reports or progress notes have come in.That way if some is abnormal the doctor can call the patient, once the doctor has sign the reports or notes you then need to place them in the charts. If they are still using paper charts you will need to pull the chart and go to the correct section and file the reports. But if you have electronic charts you will need to scan the chart then move the report to the right chart in the right place. Please use the following steps: 1. Sort all the reports and physician notes. 2. Place a received date stamp on them. 3. Then give to the doctor for review. 4. After receiving they back sort them by name and date. 5.Scan them in the charts. 6. After all reports and notes have be scanned in charts and filed shred the documents. 7. Check that all orders have been signed and all doctors’ notes have been signed. At the end of the day or at lunch you need to fill all charts that are done and pull the next patient charts do to come in. This needs to be done every day to keep within the HIPPA and Medicare standards. If the doctor tells you to call a patient and give them their results that is the only time you can do so. You cannot otherwise and never tell the front desk people to do this they are not trained to do this and it is unethical.Performing basic secretarial skills and medical transcription From time to time you may need to transcribe doctor’s dictations. If the patient would need and copy of the visit or if a former employee would need a reference. Then you would type this up and give it the patient. Sometimes the doctor will just tell you to right up something and he will sign it after you typed it. However it is done you must get the physician to sign it before it leaves the office. After it is signed place a copy in the chart or make a copy to have on file in case the patient would need another copy later.Handling telephone calls and writing correspondence When receiving a phone call from a patient you need to get the patient information so you can make sure that you have the right patient pulled up on your computer. Once you have done this then ask the patient how you may help them. After the patient tells you want they need right it down, never just try to keep it in your head. Before you can do whatever the patient called for you might get interrupted and forget what it was or who the patient was. This is very important if the patient that called is not one of your regular patients.If you are calling a patient to tell them of an appoint change or to give them lab or test results never leave the information on the answering machine or with any other person. When you call and you get an answering machine just leave your name and who you are trying to contact and a sk them to call you back and leave your number. This also applies to leaving message with someone other than the patient. When writing correspondence to the patient is direct and use word that they can understand. Do not add anything extra; include your name the physician name, phone number and your address.If sending a correspondence to another physician always be professional use approve word and medical terms. At the end of the correspondence type the physician name and have him sign it. As with anything that goes out of the office or comes in the office you need to chart it or it is not done. Before mailing out any correspondence proof read it. Serving as a liaison between the physician and other individuals From time to time you will act as a liaison between your patient and your doctor. Sometime after the patient has seen the doctor they will come out when they are leaving and ask you what did the doctor mean or what did he say.The patient does not always understand the doctor so you knowledge of medical terminology is a must. Because you have to translate the medical meaning to terms that the patient can understand. This is critical because if the patient does not understand what is being told to them they will not know how to take the medication or how to be compliant. But liaison between the patient and the doctor is not the only time you might have to do this. You might have to as a liaison when Drug representative, medical equipment representative or other doctors until the physician is available.This is a very important part of your job because you are the first person they see, you are setting the impression for the office, so always be professional. Managing practice finances This is a vital part of any office, if no money is coming in the office will have to close. With that said you will be responsible for balancing to payment with the number of patient and get the money ready for deposit. You will also have to collect any money due on medicati on that is picked up at the office if there is a charge.This also goes for any medical devise or equipment that is given to the patient that is a charge for. So for all money that is being deposit to the office account you need a deposit slip. You will fill out the date, amount of cash in bill and coins. Then you list all checks one at a time on a separate line; put the last name from the check and the amount of the check. Once this is done you add all the cash and the checks and write the total at the end, you put a copy in with the money that goes to the bank and you keep the other for your books.Clinical Duties Asepsis and infection control After each patient you are to clean and sterilize all instruments, you are to wipe down all the patient come into contact with in the room after each patient. You are to wear gloves when handling any body fluids or cleaning any open wound. You are to change the trash after any patient that has a procedure done or after any dressing changes. If giving a female examine you need to change the trash if speculums are put in the trash. All of this kind of trash is to be put in the biohazard trash bag not a regular one.When cleaning the room after patient you need to make sure to clean the bed, counter tops, chairs, and any other instrument. This way you do not spread infection. At the end of the day you need to check all your room to make sure they are clean and sterilized, and stock for the next day. If you have a patient coming in for an appointment who might have the flu you need to give that patient a mask when they arrive so while they are sitting in the waiting room they do not spread anything to the other patients. If the patient has the chicken pox bring them back as soon as they get to the office do not let them wait in the waiting room.After you see them clean and sterilize the room so you are not exposing another patient to the virus. If helping with a procedure wear a gown and gloves if necessary wear a facemask or shield. You were taught universal precaution make sure you use then not only for the patients but for you and your family. Taking patient histories and vital signs Taking patient history you need to be very through this can give you clues to what might be going on with your patient. It all so let you know will they are at risk of getting in the future. You need to ask about their parents, brothers and sisters, grandparents.You need to ask about child hood illness, past surgical history, any know drug allergy, any food allergy, any medication they are taking and they need to bring their bottles. This all plays a very important part in patient care. When taken vital signs you need to do the following: 1. B/P 2. Pulse 3. Respirations 4. Height 5. Weight 6. Temperature 7. Pulse ox. When you check you patients vital you must touch the patient so to can tell how their skin feels, if their pulse is regular if you never touch your patient you will miss thing that can hinder the patient tre atment. Performing first aid and CPRWhen performing first aid always wear gloves, clean stabilize and dress the wound. Never move the patient until the physician tells you to. Check for shock. Keep the patient warm and conformable. Give oxygen when needed; never remove any object with the doctor telling you too. When you are giving CPR you need to check if the patient is conscious, check respiration, and then check for a pulse if there is none provide CPR. Once you start CPR you cannot stop it until you are told to or the patient is breathing and has a pulse of their own. These things are a must to know you must keep all CPR certification valid.After you perform any these thing clean and sterilize everything that is reusable and through away everything else. Clean the room and put everything back in order. When calling in a patient after having to perform something like this reassure the next patient and go about you task at hand. Do not give the next patient any information about w hat has happened who the patient was or how there are doing. Preparing patient for procedures When you have a patient coming in for a procedure, try to keep the patient clam. Reassure the patient tell them what is going to happen and when it is going to happen.Answer any question they have, if you don’t know the answer tell them the doctor will be more than happy to answer their question. You will need to do vital signs on the patient at the beginning of the procedure and after. You might have to during if the procedure is going to be long or the patient is going to be put out. Once this has been done ask about known drug allergy you need to chart all of this. Then you get the entire instrument ready you get any dressing that might be needed, any local anesthesia ready. You help the patient get ready, by undressing or any preparation that need to be done before the procedure.Try to keep thing light between you and the patient this helps them relax. Once the procedure is done help them get dressed or help them get cleaned up. Give them all the instructions and anything that they might need until they come back to see you. Ask them if they need help getting home or going to their car. Assisting the physician with examination and treatments When helping the physician with the examination tells the patient so they do not get nervous. Tell them what you are doing. Assist the doctor any way possible with his examination be professional. If you are to hold down n a part of the body tell the patient what you are doing any why. Any thing you can do to easy the process helps the patient and the physician. Keep any exposed areas covered until the doctor is ready to examine that area. After the examination ask the patient if they need help getting dressed and if not step out the room until they are done. Once they are done go back and check on them and make sure they are alright. Ask them if they have any question for the doctor or for you. When the doctor is done and give you the discharge information go over it with the patient. Collecting and processing specimensWhen collecting specimens always wear gloves, tell the patient what kind of specimen you need. Tell the patient how you are going to collect the specimen. Clean the area before collecting the specimen. If it is a UA tell the patient how to do the specimen and how much you need and were to leave the specimen when they are done. If collecting blood makes sure you draw it in the right tube. Get everything you need before you go into the room were the patient is. Let the patient know what you are going to do and how you are going to do it. Get everything you need laid out and ready within hand distant.Clean the area and draw your specimen after you get what you need make sure the patient is fine and put a bandage on the site. Take the specimen in the lab area and spin any tubes that need to be spun and label them after you draw them. When you are done with all this you put them in a la b bag to go an outside department. Keep any specimen cold or frozen until it is time to send them out then put them in cold pack for the lab to pick up. Performing selected diagnostic tests When performing test such as EKG’s you need to let the patient know what you are going to do how you are going to do it and why you are doing this test.Help the patient get ready and have them lie back on the table, let all male patient that you might have to shave their chest if there is a lot of hair because the patches will not stick. After you help the patient onto the table and get ready place the patches on their chest, leg and arm. Connect the leads to the patient and connect the machine. Once you have this done tell the patient to hold still and preform the test. After you are done unhook the leads and remove the patches, help the patient off the table and help them get dresses.Then give the EKG report to the doctor so he can tell the patient what it said and how to treat them. As with any thing you use from patient to patient use need to clean all the leads. If the ask you to perform a pulse ox test you let the patient know what you need them to do and then you record the information and let the doctor know what the reading was. The physician will then tell the patient any and all results. Preparing and administering medications as directed by the physician When the physician tells you to give the patient medication write down the amount, dose, how to be given.If the medication is an injection, make sure you have the right size needle, right amount of medication and were it is the go such as arm or hip. After you get your medication ready go to the room and ask the patient if the doctor told them they were going to get an injection or medication. If they say yes ask them if they are allergic to any medication. Tell the patient were you are going to give the injection and let them know when you are done. Tell the patient to wait for about five minutes to make sure there is no reaction to the shot.If the medication is a pill or liquid ask the patient if the doctor told them they were going to get medication before they leave if they say yes then ask the patient if they have and allergy to the medication. After you give then the medication tell them to wait until they are told they can leave. Make sure you chart what the medication was, where you gave it, how you gave it, and why you gave it. Also chart if there was any reaction to the medication. Quick Reference Guide 1) Scheduling and receiving patient Check the patient in, update all patient information, verify insurance and collect copay. ) Preparing and maintaining medical records Sort all records by name and date, check that are sign and scan into chart. 3) Perform basic secretarial skill and medical transcription. Transcribe all notes, and put them in the chart after they were signing the doctor. 4) Handling telephone calls and writing correspondence. Write all telephone messages d own, list patient name, DOB, address and phone number on the message. When writing correspondences list the patient or doctor name to which it is going to and have the doctor sign the correspondence and place a copy in the chart. ) Serving as a liaison between the physician and other individuals. Talk to the patient or other individuals in a professional matter. Speak in a tone they can understand. Let the doctor know what you have said and to whom. 6) Managing practice finances. Total the money you receive, fill out deposit slip and deposit money. Clinical Duties 1) Asepsis and infection control. Always maintain asepsis field, clean all areas, and wear the proper PPI. 2) Taking patient histories and vitals. Ask the patient about their past history and family history. Check all vital signs and chart them. ) Performing first aid and CPR. Use serial dressings for all first aid dressing. Don’t remove any objects without doctor knowing. Use PPI. Check your ABC make sure they are absent before doing CPR. Don’t stop until the doctor tells you too. 4) Preparing patients for procedures. Check vitals, get all instruments needed, dressing, help patient undress if needed, and drape area exposed. 5) Assisting the physician with examinations and treatments. Keep the patient calm, help hold patient when needed assistant any way needed. 6) Collecting and processing specimens.Be papered; get all supply that is needed. Tell patient what you are doing and why, be calm and the patient will be calm. Process all specimens as needed to preserve them for transportation. 7) Performing selected diagnostic tests. Tell patient what you are going to do. Be quick performing test, give to physician and help patient get dressed if needed. 8) Preparing and administering medications as directed by the physician. Ask the patient if they knew about the medication, check the dose, the amount, route, and were. Ask if they have any allergy to the medication.Be quick and easy as possi ble. Tell patient to wait until they are told they can leave after medication is giving. Common Q&A 1) What if the patient states they have insurance but their spouse has the card what do you do? You would let the patient you need a copy of their insurance card and they can have someone bring it in for this appointment or they can pay the base rate of $25 and when they bring in there card we will credit the money back to them if it’s less than the base copay. 2) What if a teenage child comes in for an appointment and they did not bring their parents?You can’t not treat the patient, without written permission or the parent being there. 3) What if the patient would call in to request a refill on their pain medication? They cannot get a refill on pain medication without being seen by the doctor. 4) What if you think your patient is being abused? Talk to the doctor before he goes into the room and tell him what you think, if he agrees or if he does not agrees but you have seen this patient in the office before with the same kind of injuries you need to report this to you manager, and they will report it to the authorities. ) Can I go home and finish my charting tomorrow? No if you have not charted it is not done, plus you might forget what you done and what the patient name was. Notes Signature page I have been given a copy of the Medical Assistant procedure manual. I have received procedure manual training. References http://www. caahep. org http://smallbusiness. chron. com/write-standard-operations-procedures-manual Http://www. ehow. com/how-8124308-manage-medical-assistants Procedure Manual Training Session (power point)

Discretion in the Criminal Justice System

Making executive decisions in the criminal justice system is the underlying power of legal authority. Police, correctional officers, judges and so on hold the ability to make discretionary decisions based on the situation they are involved in. There are a variety of ways that authority use discretion but it may be different when involving different situations or even different people, i. e. , juveniles or adults. I strongly believe that the discretion used in today’s society is distributed in an appropriate manner.Shifting the amount of discretion within our justice system could be for better or worse, but why fix something that's not broken? Although most police officers use discretion, â€Å"Many police officers (and whole departments) prefer to focus on the justice aspects of police work: getting offenders off the streets, responding to emergencies, scoring big drug busts, and generally ‘catching the bad guys. ‘† (Fuller, J. R. Pg. 6. ) No matter how much discretion you give an officer, it's ultimately their choice to use it.Although it is common throughout the criminal justice system, some authoritative figures don’t use discretion in a way to guide punishments; they stay in accordance with established guidelines. In my opinion, depending on the severity of the crime discretion should or should not be used. For example, discretion should be used for a first time offender for speeding but should not be used for a first time offender of rape. â€Å"The police are typically the first contact that young victims and delinquents have with the juvenile justice system. As with adults, law enforcement serves as the gatekeeper to the justice system. † (Fuller, J.R. Pg 17. ) It is extremely important for a police officer to make the decision of introducing a juvenile to the justice system. The responsibility for authorities to use discretion is crucial for a juvenile's future. With adults, less discretion could be used because t hey have a greater sense of morals. In today's society I have personally seen adults expect leniency just because, for example, they have a police organization bumper sticker. Enforcing the law for adults who are habitual offenders is necessary to uphold order. One can only push society and the law so far; at some point you must face the consequences.As we talked about in class, the 3-strike rule is a fair method of deciding who should be held accountable. â€Å"Three major studies were commissioned to examine police practices in detail and to update the 1931 Wickersham commission report (National Commission on Law Observance and Enforcement, 1971). These include the report of the President’s Commission on Law Enforcement and Administration of Justice (1967) entitled The Challenge of Crime in a Free Society (1967), a report of the National Advisory Commission on Civil Disorders (1968), and a report of the National Advisory Commission on Criminal Justice Standards and Goals ( 1973).Each of these commissions was a major undertaking by a large number of scholars and practitioners who focused on solving some of the problems in both policing and the criminal justice system as a whole. The commission reports include multiple proposals to tighten the controls over police discretion, including the use and abuse of force. † (Alpert, Dunham. Pg. 11. ) Whether for good or bad; laws shape citizen's views of beliefs, actions and character.Unfortunately not all systems of morality and discretion are used properly. Discretion should be used in moderation and to preserve order in society, not used in excessive amounts to threaten the law's purpose. In summary, I feel discretion is a necessity. With our overcrowded jails, police and judges need to use their training, insight and experience to keep the public safe from individuals that have no regard for the law. Bibliography * Alpert, Geoffrey P. ; Dunham, Roger G†¦Understanding Police Use of Force: Officers, Suspects, and Reciprocity. West Nyack, NY, USA: Cambridge University Press, 2004. p 11. * Hagan, F. (2011). Ch 1. Essentials of Research Methods in Criminal Justice and Criminology (pp. 1-45). New York, New York: Prentice Hall, 3rd Edition. * Fuller, J. R. (2008). Juvenile Delinquency – Mainstream and Crosscurrents. New York, New York: Prentice Hall, 1st edition. * Owen, S. S. (2012). Foundations of criminal justice. Oxford: Oxford University Press.

Discuss Rome's Three Heirs (Please see the instruction) Essay

Discuss Rome's Three Heirs (Please see the instruction) - Essay Example irers of Roman culture and allowed the Roman language Latin to co-exist with the tribal languages, retaining the Roman system of Government and accommodating themselves to Roman culture. Rome was also the cultural context within Christianity was born and the invading tribes took to the new religion, especially through the influence of the Franks who helped to convert most of the barbarians to Roman Christianity. The European civilizations therefore brought about a relatively peaceful transition from Roman to Germanic rule, although there was an initial economic collapse due to the marauding barbarians. However, the final result was that the Roman language, the Catholic religion and Roman law and Government triumphed in the west European regions in the post-Roman era. Constantinople in the eastern part of the Roman Empire became the imperial capital of the Byzantine Empire. As opposed to the barbarians of the west, this empire was comprised of Hellenistic, Greek, Roman and Judaic elements. The origin of the empire was the rebuilding of Byzantium as Constantinople in 324, which was followed by the expansion of the empire into Asia Minor and the spread of the Islamic religion, up to 1204 when the Byzantine empire fell to the Ottoman Turks. The first phase of the Byzantine empire under emperor Justinian was the most remarkable in terms of political and cultural achievement. From a cultural perspective, Constantinople represented the crossroads of the Asian and European civilizations. From a legal perspective, Justinian ordered a collation and revision of Roman law. As a result, the law was codified to eliminate excessive legal decrees and introduce clear, enforceable laws. The corpus juris civilis or the body of civil law was produced, which contained the precepts of the law and also contained Justinian’s code of bringing subjects under the authority of a single sovereign, which latter also became the foundation of European law. The Government was centralized

Vertical and horizontal integration strategy Assignment

Vertical and horizontal integration strategy - Assignment Example t the end of this integration is the factory plant at River Rouge, Michigan where all these parts are assembled to become an automobile that will be later distributed in the market and sold. For a time, this strategy became very effective and contributed to Ford’s success. This strategy of vertical integration however eventually became obsolete as supply chain became complex and competition became stiffer. The introduction of new supply chain and inventory control such as Toyota’s Just-in-Time rendered vertical integration out of fashion. The recent recessions also exposed the vulnerability of vertical integration to economic and cyclical downturns. Thus, the strategy evolved to horizontal integration which is more appropriate for its global market. Horizontal integration as a strategy involves the acquisition of the production whose products are the same – either complementary or competitive (www.theeconomist.com, 2009). The classic example of this strategy is buying competitors who sell the same product. In the case of Ford this is the acquisition of Lincoln, Mercury, Mazda, Jaguar, Land rover, Volvo and Aston Martin which was sold as an option of the company’s

Statistics Canada, Lafour force surve of, Victoria, Bristish Essay

Statistics Canada, Lafour force surve of, Victoria, Bristish coloumbia, Canada - Essay Example Forestry, fishing, mining, quarying, oil and gas industry. In 2003 this industry was on the peak of the employment rates in B.C., before trade dispute between the Unites States and Canada took place. This trade dispute resulted in a drop in the price of lumber to the extremely low point and penalties imposing on shipment of Canadian lumber (Exports 2002). Some of the mills were closed and obviously had its impact on the employment in the B.C. Construction has shown employment growth tendency by 2005 and has achieved its lowest point in 2012 during the whole period from 2003-2013. Obviously, the growth in 2005 in this sector relates to doubling of housing starts in British Columbia, strength in building permits and investment in non-residential building (Labour Force Statistics 2004). Accommodation and food services sector has been a strong sector in the region during 2004-2005, however in 2005 there was observed continuous decline of the employment share in this sector. However, by 2006 this sector had one of the largest shares of the workforce even during its falling in 2006. Statistics Canada (2013). Table 282-0061 – Labour force survey estimates (LFS), employment by economic region and North American Industry Classification System (NAICS), annual (persons). Available at

Talking Bacteria Assignment Example | Topics and Well Written Essays - 250 words

Talking Bacteria - Assignment Example n exploit this ability of the bacteria to develop drugs against the toxin as they could understand, the formation of quorum is the right stage when the bacteria produce toxins. Quorum sensing initiates the release of toxins by bacteria for instance, V. cholerae. Every bacteria has its own autoinducer, to communicate with its own kind. This is a signalling process which aids in bacterial communication to aggregate, to form a quorum, to perform their function. 3. Basic scientific research that explores the answers to questions with no practical goal in mind. Some politicians and taxpayers are opposed to spending tax dollars on basic research because such research has no obvious practical application. How does the basic research leading to the discovery of quorum sensing in photobiotic marine bacteria help justify the expenditure of taxpayers’ money? Basic research is the basis of all the advanced research. Quorum sensing enabled one to understand that bacteria do communicate through signalling pathway either to release toxin or to perform some beneficiary role. This signalling resulted in aggregation of bacteria and they bioluminescence only when they are close to each other, indicating that they are going to perform some imperative role. This basis enabled researchers to understand the nature of microbes, production of antibiotic/ toxin and helped researcher to develop drug. Each bacteria has its own autoinducer molecule, for instance, Gram-negative bacteria such as Pseudomonas aeruginosa use different versions of AHL molecules (acylated homoserine lactones) to communicate while Staphylococcus aureus use peptides. These autoinducer molecules are signal molecules which help bacteria to aggregate or form quorum, as after forming quorum they produce toxins. 5. Many types of animals that live in the depths of the ocean – where there is no light from the sun – have light-emitting patches. Scientists have discovered that these patches contain glowing bacteria;

Sao Paulos Climate Case Study Example | Topics and Well Written Essays - 750 words

Sao Paulos Climate - Case Study Example This climate has remained relatively stable for decades; the last reported snow storm occurred in 1918 (Sau Paoulo Climate and Weather). Sao Paulo is the richest city in Brazil and the southern hemisphere, and it is also the most populated. It holds over 11,000,000 residents and is over 1500 square kilometers. The city is growing at such a fast and expansive rate that much of its infrastructure has had difficulty evolving and meeting the needs of the growth. Energy production has therefore been very, very chaotic. The state has been able to produce more electicity than the plants in both Argentina and Chile, but because of the constant increase in population, power outages are becoming a presence and a threat. An increase in the electrical supply of the city is needed. Furthermore, the existence of geothermal plants, as well as imports of natural gas and cogeneration are becoming more vital to the city's survival (Henkin). With these problems in mind, it is important to consider the question: To what extent do "ecological" materials satisfy the thermal necessities of a building in a city of Tropical climate as So Paulo With the current energy crisis abounding, it appears that necessities provided by energy, including air conditioning in climate control, are being threatened. However, considering the fact that this is a city in a tropical climate, one item that the city may wish to consider and invest in is that of solar power. Solar power could help to answer the energy crisis, and thus also assist with the thermal necessities in a city in a tropical climate. While the initial investment may be costly, the strategy would certainly pay for itself in the end, benefit the city overall, and help to solve the problems of energy existing today. Urban heat in the island areas itself has been a reported problem that could be put to use and gain significant energy features. For instance, many islanders report that the climate can be quite hot in February. Since this is an island affected by its location under the equator, heat can be extreme at the peak seasons. This means that buildings will be using more climate control features, such as air conditioning, to protect customers and themselves from inevitable health concerns, like heat stroke. Further energy shortages are always expected during these months because of this inevitable behavior. However, if the heat and sunlight can be harnessed and put into good effect, it could actually solve the energy efficiency problem, and thus the island could use one of its own energy resources to help with the climate during the hotter months. The sunlight exposure present at Sao Paulo also brings a few other items to light that one must need to consider. This concept is that of electromagnetic radiation, including UVA, UVG, and UVC. Most individuals know that some sun exposure, if it is slight, can be beneficial to one's health. In fact, a lack of sunlight can make individuals feel depressed. However, too much sun is also dangerous, and can cause detrimental effects to one's health, including sunburns, heatstroke, and skin cancer. These factors need to be considered for those living in the city. Works Cited Henkin, S. "Sao Paulo: Urbanization Run Amok." World and I, Vol. 14, August 1999. Sau Paulo

Discussion 12 nur 703 Assignment Example | Topics and Well Written Essays - 250 words

Discussion 12 nur 703 - Assignment Example Reduced activities and change in work location due to closure are other possible role conflicts. APRN might gain support for the evaluation by seeking advocacy roles of special interest groups and incorporating evidence based information on its evaluation for authenticity. The county government, the community whose members seek care services, nurse advocacy groups, human rights associations, the facility’s personnel, and civil rights activists are some of the stakeholders and their involvement will be through seeking and incorporating their opinions on significance of the facility and possibility of closure (Milstead, 2013). Five hundred dollars is a potential budget for the evaluation that will rely on local stakeholders for data. Communication and travelling allowances for members of the evaluation team will be the main expenses. A survey design, with interviews and focus group discussion as the data collection techniques and random sampling, will be the research methodology. Possible conflict of interest, need for anonymity, beneficence, and non-malfeasance are some of the potential ethical consideration (Schneider, Whitehead, LoBiondo-Wood, & Haber, 2012). A written report will be delivered to the county government that may publish it to the public at discretion. I have been faced with a similar advocacy issue regarding workers’ rights in a facility. The issue was about possible change in management theory and incorporating stakeholders, including the management, in evaluation led to positive outcome. The facility changed its management approach and empowered its

Blending of Two Cultures Essay Example | Topics and Well Written Essays - 1500 words

Blending of Two Cultures - Essay Example These inter ethnic marriages have grown in large scale in last for or five decades owing to increase in globalization and consequent interdependency. The inter cultural relationship brings about a lot of changes in the society. It may be either positive or negative. It may create discrimination in society, as is the case with black slavery, or it may induce formation of new cultures through interethnic marriages. It creates contact between two ethnic groups and there is corresponding cultural change in them to accommodate the new culture. There has been a drastic change in their art, architecture, music and many others. With current trends of globalization, these inter ethnic cultural studies and their impact on society is gaining importance. Nowadays not just two cultures interact, but its interaction of many different ethnic groups and their effect on individuals is of great importance. The example taken for study in this case is that of European- American Black Native or Black African cultural Blend. The very base of American culture rests on these intercultural marriages. America is made of people from different countries and cultures. They either mix with Native American Indians or mix among themselves to create new cultures. The European culture is by itself is made up of a series of overlapping cultures. Whether it is a question of West as opposed to East; Christianity as opposed to Islam; many have claimed to identify cultural fault lines across the continent. Much of the European philosophy and thinking has been influenced by Christendom. European philosophy is the most dominant strand of philosophy globally, and is central to philosophical enquiry in the Americas and much of the rest of the world. But in common there was always a mindset of cultural leadership existed among 19th century Europeans. Most of them considered other cultures inferior to them and even thought that they must teach others the basic culture (White Man's burden). This cultural leadership feel created a kind of resistivity for inter ethnic marriage especially marrying Black ethnic people. Most of the English men along with their American Descendants of the past century associated black with evil, sin and unclean and considered black men as those who live in jungle with primitive culture, have violent behavior and carryout cannibalistic life style. The indigenous peoples of the Americas are the pre-Columbian inhabitants of the Americas, their descendants, and many ethnic groups who identify with those peoples. These people once occupied the full of America. But with the arrival of Europeans and the diseases they brought along with them, their number as drastically came down. Still there was a great deal of mix up between these people and The Europeans. Also at the beginning of the 16th century, many Black slaves from Africa were brought to America and these people form a good share of American Population. The Core of the Case: At the beginning of colonization, the superior cultural feel of Europeans, greatly hurdled the interethnic

The best ideas Essay Example for Free

The best ideas Essay It is ingrained among most people that important discoveries and concepts are results of concerns about problems of huge complexity. Nevertheless, if we allow more reasoning about that, we are bound to find out that is not always the case since history has been showing us plethora of , say, cientific development triggered by investigation over facts often dismissed as trifles. In order to bolster the argument just stated, it will be useful to refer to the pioneer of Genetics, namely Mendel. Those who would doubt a reclusive monk could make any good science out of growing peas will be appalled by his outstanding achievements. Mendel, tending the pea trees as usual, realised that the collor of the pea beans, whether green or yellow, could be predicted under some controlled unaccuracy provided the parents trees were known. Moreover, after several experiments sedulously carried out, he came to the conclusion that the collor outcome in question was result of the crossing of the parents features following some determinative selection rules. Then gene concept was born and proved to be correct and useful through nowasdays. Apart from the preceding historic report, we can think of a number of other instances in which everyday facts conceal valuable information just waiting to be uncovered such as symmetry in a snowflake, shape of droplets, reflection upon a lake, waves ruffling around a bathtube, wings of a butterfly etc. Were we to look carefuly into them, we would come up with a lot of physical facts almost ubiquitious in nature whose consequences are more complexes than one can imagine. Therefore, it is seems to be clear that the best ideas quite often result of looking into passionately into simple thing surrounding us. Methaphorically speaking, nature tell us her secrets in the silence of commonplace things rather than in the hustle and bustle that builds up in our minds clustered in a noisy complexity.

Great Ormond street hospital Essay Example for Free

Great Ormond street hospital Essay This is because we all agreed that we would be keen to make money for this charity. This charity raises money for the hospital to provide exceptional care for young patients and to discover new treatments and cures for their illnesses. Before deciding this charity, we looked on their website (www. gosh. org) to see exactly where our contribution would go, and how it would benefit the charity. They state that donations help fund the most up-to-date medical equipment, refurbish the hospital, support the research of developing break-through treatments and provide accommodation and support for children and their families. In addition when looking up this information, we found Fundraising Guidelines that GOSH supplied for people running fundraising events. We read the guidelines and found them extremely helpful for running our first event. These guidelines can be found in Appendix -. Other events that were being contemplated are listed below: Formal Winter Ball   Halloween Fair   Car Boot Sale   A Cake Fair However, these ideas were not taken further as it was believe they would not be as successful as holding a Christmas Fair. This is because; a Formal Winter Ball subjects to only couples, and would find people being uncomfortable if they had no date, this means our amount of attendees would be smaller which would not bring as much profit. Our Christmas fair is open to all of the public, an event that you can go to with family, friends or partners. There is no limit to amount of people helping our chances of greater profit. After discussing a Halloween event, we concluded it would not be as successful because not everybody celebrates Halloween in great detail, and usually only celebrate with kids, also narrowing our attendees. Furthermore, we agreed that we would not be able to organise ourselves in enough time, whereas we had more time to prepare to hold the Christmas Fair because of seasonal timings. Also a, Cake Fair is too limited, and finding stallholders who would want to attend would be limited as there would be too much competition for them narrowing the chances of selling cakes. Finally we decided against a Car Boot Sale as not many of us were enthused by the idea, and felt a Christmas Fair would get people in a good mood before the celebrations begin. A copy of our research for these events and our Christmas Fair research can be found in Appendix 4. We chose the Christmas Fair to be our event as it can appeal to a large amount of people and therefore has a wider target demographic. By creating an event that appeals to a wide range of people will reduce the risk of not making a profit. This will help the success of an event, rather than a failed attempt. With more customers open to the event, means there is more potential for the event to be profitable. Also due to the Christmas season being celebrated by many, more people will be willing and interested to participate. The day will be full of excitement and entertainment for all members of the community to attend and enjoy them. It also seems relevant, as Christmas is an extremely popular annual holiday which dominates the end of November all the way through to December 25th. Being able to work in a team is essential in planning any event and also quite important to many businesses and therefore seems a skill that should be taken professionally. As the Christmas Fair was open to the public, it is even more important that the team work well together. Therefore it was the best event to stage in order to improve our skills. The event is also to raise money for Great Ormond Street Hospital, which suggests that more people are likely to attend and support our school to raise money for a great charity. The objectives that we created used SMART, in order to help the day become a success. SPECIFIC MEASURABLE ACHIEVABLE RELEVANT TIMES These are our objectives: 1. Have over 100 attendees and supply great customer service. The objective is to have over 100 attendees; this will allow us to see how well our advertising techniques were used. In addition it is imperative to have good customer service throughout the function. Without customer satisfaction, people are less likely to buy products or help to achieve our aim of producing an enjoyable festive event. Without customer satisfaction could also relate to a negative impression of our school, and making stallholders look bad too as they are associated with our event. This objective is more than achievable and sensible when creating an enjoyable day for families. The amount of profit and products being sold could also measure the rate of customer satisfaction. This is because, if people are not happy with the service they are getting less raffle tickets are likely to be sold, as well a the amount of people in the event. 2. Diverse Target Market The objective is to have leaflets given to different schools, and areas of Royston by 2nd November. By appealing to a wide target market means that the day has more chance of being successful and making a maximum profit. If the day only appealed to a limited audience, less profit is likely to be made. The wide target market also helps to achieve the aim of making a profit. This is very achievable and sensible in order to create a profitable day, as the amount of people that will enjoy the day is not limited. By creating a day for all ages means it is appealing to the maximum amount of people possible and therefore not leaving anyone out voluntarily. It is achievable by aiming stall, activities and prizes to a wide range of ages, and personalities. 3. A diverse amount of stalls Another objective of ours is to have 15 stalls by 15th September. By offering diverse stalls means it more likely that people will buy more products. It also helps produce a day for families by targeting all ages within the stalls taking part. Offering a wide variety of stalls also means that more money is likely to be made and therefore increases the chance of making a profit overall. If there were not a wide variety of stalls, less products will be sold as there will be a limited target audience. This could be measured through the range of ages, as well and products and prizes on the day. 2. Research   Primary Primary research is the technique of collecting data yourself. It is the process of collecting completely new and original information. These techniques include questionnaires, interviews, and surveys. The form of primary research used to collect information concerning the Christmas Fair was a questionnaire. This included relevant questions aimed at all ages in order to make the day as successful as possible and make it as easy as possible to reach the aim of the event. A questionnaire is not a very time consuming method of primary research and also means a lot of different information is found from a variety of different people. A questionnaire allows people to create questions that fit the audience, in this case, families and allows you to ask relevant specific questions to fit the purpose. A questionnaire also means fairly reliable answers are received. We asked a large variety of people that live in our surrounding area. A large variety of people including young children, teenagers, adults and elderly people were asked in order to get a wide variety of results and to ensure that our aim can be reach with this type of event. This is because, if the event is aimed at families, it is important to create an event that will appeal to all ages. Also, a total of 100 people were questioned, as it is easier to summarise and accurately measure. This means better results will be found. A copy of the questionnaire and the results can be found in Appendix 1 2. The results of the questionnaire show that we will benefit from including aspects such as having a raffle; refreshments and childrens stall such as painting as some of the activities and choices, in order to please the customers and meet the customer service objective created. The Santas Grotto and a chance to have a photo with Santa are also beneficial and would help raise more money for Great Ormond Street Hospital as well as meeting the requirement of younger children and parents. The majority of the responses was positive and therefore shows that a Christmas Fair would be extremely beneficial to stage. This means there is no reason to dispute over any other events as them Christmas Fair has a high chance of being successful due to all of the positive feedback. We also went to a surrounding areas annual Fate on the 19th June and asked stallholders if they would be interested in our Christmas Fair at the end of the year. We created a slip on Word Processor that they could fill out with their name, business name, number, e-mail address and nature of stall so that we would contact them in the near future. It also gave us an advantage to see what activities and layout that they had to use for our Christmas Fair. A copy of our information collected from Therfield Fate can be found in Appendix 4.   Secondary. Secondary research is information conducted and found by someone else used as part of your market research. This could be any information you see useful or need to find out information of your own, for example a school website with information of their Christmas craft fairs. There are a number of benefits and drawback to using secondary research. It is a very cheap method of collecting data as no effort or money has to be spent on creating, conducting or analysing of the results and source. As secondary research we looked at a variety of websites to find information about surrounding schools craft fairs such as dates and times.

Health and illness: Social and biological constructs

Health and illness: Social and biological constructs Define both health and illness as social and biological constructs. Examine the ways in which both constructs differ in your answer make reference to health patterns in two contrasting cultures The everyday absence of disease or illness is known as our health (Bilton et al 2002). Health is simply a biological description of our bodies, and if something is not right, then we deem ourselves ill (Bilton et al 2002). There is understood to be two views on health and illness, one being the biological and the other sociological. Biological views of our health looks at our bodies through the biomedical model of health, this is used by health professionals in the diagnoses and treatment of a disease (Bilton et al 2002). If a person is diagnosed with an illness, it can be treated by forms or medicines, therapies, such as physiotherapy, or by surgery (Bilton et al 2002). The biomedical model looks at our body in different ways and it is understood that the mind and the body can be treated differently; this is referred to as mind/body dualism. Plus the body is liked to a machine, meaning it can be repaired, the doctor being the engineer that repairs it (Nettleton 2006). Because of the ability to diagnose illnesses and recommend treatment, the health profession hold a high power status, along with the dominance of the health industry (Bilton et al 2002). Society has been entrenched with this power held by a health professional, we have become dependent on going to seek medical advice because of their experience on the understanding of being ill and letting them decide whether treatment is needed (Bilton et al 2002). Doctors comprehend that health and illness is not a shared by their patients, so education and expensive advertisements attempt to promote awareness and symptoms. The Biomedical model is criticised by socialist McKeown (1976) were he argued that improved hygiene, sanitation and nutrition have been important social improvements of health (McKeown 1976 in Parry 2010). Furthermore Illich (1975) argues that modern medicine is iatrogenic, meaning it creates rather than cures disease (Illich 1975 in Parry 2010). Marxist (1972) theories also argue that the p rominence of the medical model removes the attention away from social causes of disease (Marxist 1972 in Parry 2010, Adams et al 2002). In contrast to the biomedical model we also have the sociological model of health, it is understood that this considers the social origins and influences on disease (Bilton et al 2002). The social model of health considers the environment, social and behavioural factors into consideration. The social model has a long history, from influences such as urbanisation and industrialisation (Wainwright 2007). Likewise material deprivation plays a fundamental role in the cause of disease (Wainwright 2007). This is because the poor may be refused or not have the knowledge to access to goods and services for health. Providing clean water, good housing and an adequate food supply can contribute to a person being healthier (Wainwright 2007). It is claimed that if a person is working in a job that is strenuous then they are more likely to catch disease and become ill (Wainwright 2007). It is also understood that working class people have a higher mortality rate than those in the other classes (Wa inwright 2007, Parry 2010). This could be due to the working class living in industrialised areas or highly populated areas as the spread of disease is more common (Bilton et al 2002). Likewise work related accidents are more prone to people working in industrialised areas (Bilton et al 2002, Wainwright 2007). Health education can play a role in improving the health of people, if people can understand how leading unhealthy lifestyles can contribute to illness and disease then maybe this will turn them away from the unhealthy lifestyle (Bilton et al 2002, Parry 2010). Some forms of an unhealthy lifestyle could be smoking, eating fatty foods or lacking physical activity (Sanna 2006). The social model of health also suggests that disability is driven upon an impaired person as a result of the way society is organised (Oliver and Sapey 1999). Suggesting a person with an impairment has become unable to remain in the community due to the social and physical environment stopping them conti nuing to lead an independent life (Oliver and Sapey 1999). In comparison the culture in China have a different view on the health of the body. This is understood to be the body is in good health when it is in total harmony, this referring to the Yin and Yang (Wong 2008), factors such as the environment influence this imbalance (Wong 2008). To restore the balance, traditional remedial practises are used; an example of this is herbal tea (Wong 2008, Holtz 2008). The Chinese government have a laissez-flair policy for health care in rural areas, they also utilise a pay as you go type scheme for when a person visits a hospital or clinic (Holtz 2008, Wong 2008). People in urban areas can also have government health insurance which aims to provide more access to health care and better technologies (Holtz 2008). Currently the Chinese government have invested heavily on improving public health by modifying and enlarging disease prevention units, supply control centres and disaster relief in some of the countryà ¢Ã¢â€š ¬Ã¢â€ž ¢s major cities (Holtz 2 008). Mental health is one of Chinaà ¢Ã¢â€š ¬Ã¢â€ž ¢s major concerns; this is due to the rapid social and economic changes, financial losses, gambling, extramarital affairs, family violence, divorce and raises in substance abuse (Holtz 2008). Furthermore unemployment and the widening gap between the wealthy and the poor are having an effect on the Chinese populationà ¢Ã¢â€š ¬Ã¢â€ž ¢s mental health (Holtz 2008). Mexico has a range of packages available for its residents to enable them to access health care (Holtz 2008); this includes the social security institution which provides coverage for all medical care and prescriptions (Holtz 2008). Also the social security system, which covers workers, is made up of several agencies and is funded by employers, employees and the government (Holtz 2008). Relationship failures, imbalances with food, water, air and temperature add to the causes of illness in Mexico (Holtz 2008). Clean water has been a challenge for Mexico as this is needed to prevent illness and maintaining health (Holtz 2008). It is understood by some that illness is caused as a failure to relate to god (Holtz 2008) and due to the high costs in health care in Mexico; there are spiritual and physical healers that use traditional technics (Holtz 2008). The Curanderos, are believed to be chosen by god to heal people (Holtz 2008). Yerberos specialize in using herbs and spices for treatment (Holtz 2008). Sobadors use massage therapy to try and correct muscle imbalance (Holtz 2008). Parteras are midwife like, women only, who have been trained as a birth attendant by other family members or friends this is cheaper to pay for than a physician (Holtz 2008).

the yellow wallpaper -- essays research papers

How Passivity and Submissiveness lead to madness by Charlette Perkins Gilman and Henrik Ibsen â€Å"He told me all his opinions, so I had the same ones too; or if they were different I hid them, since he wouldn’t have cared for that† (Ibsen 109). As this quote suggests Charlotte Perkins Gilman, in â€Å"The Yellow Wall-Paper† and Henrik Ibsen, in A Doll House dramatize that, for woman, silent passivity and submissiveness can lead to madness.   Ã‚  Ã‚  Ã‚  Ã‚  The narrator of â€Å"The Yellow Wall-Paper† is driven to madness after she withdraws into herself. â€Å"I am alone† (Gilman 44), she tells us. Desperately trying to express her feelings to John, she says â€Å"I told him that I really was not gaining here and that I wish he would take me away†(Gilman 46), but â€Å"I stopped short; for he sat up straight and looked at me with such a stern reproachful look that I could not say another word.† Instead the narrator â€Å"keeps quiet.† She settles into quiet submission: I â€Å"am much more quiet than I was. John is so pleased† (Gilman 48). She is â€Å"afraid† to â€Å"irritate† John or â€Å"to make him uncomfortable† (Gilman42). She makes herself believe that as a â€Å"physician† he knows what’s best for her and, therefore, acts passively, letting John control her even though she gets â€Å"unreasonably angry with† him (Gilman40). Writing in her journal is the only thing that keeps her sane; yet John takes that away from her: â€Å"I must put this away-he hates to have me write† (Gilman 41). The narrator yearns to confess to John how she really feels, but she prefers to keep her feelings bottled up: â€Å"I think sometimes that if I were to write a little it would relieve the pressure of ideas and rest me† (Gilman 42). Instead, she is passive and hides her emotions. â€Å"I cry at nothing and cry most of the time. Of course I don’t when John is here, or anybody else,† only â€Å"when I am alone† (Gilman 44). She tells us that â€Å"John doesn’t know how much I really suffer† (Gilman 41). Even when the narrator tries to communicate with him, he immediately dismisses her: â€Å"I tried to have a real earnest reasonable talk with him,† but â€Å"John wouldn’t hear of it† (Gilman 40). Instead of speaking her mind and standing up for herself, she withdraws and does â€Å"not say another word†(Gilman 47). Convincing herself that John is always â€Å"right,† she obeys whatever â€Å"John says,† which only causes her condition to â€Å"worsen† despite the fact ... ...y Torvald: â€Å"He used to call me his doll-child, and he played with me the way I played with my dolls†¦I went from Papa’s hands into yours. You arranged everything to your own taste, and so I got the same taste as you-or I pretended to†¦ Now when I look back it seems I have lived here like a beggar-just from hand to mouth† (Ibsen 109). Rather than be â€Å"sheltered† (Ibsen 108) by him unlike Gilman’s character, Nora is able to speak up for herself and confront her past.   Ã‚  Ã‚  Ã‚  Ã‚  Both Nora and the narrator of â€Å"The Yellow Wall-Paper† suffer from their silent passivity and submissiveness. Nora Helmer, who nearly â€Å"lost [her] mind† (Ibsen ), is able to save herself by being assertive and speaking out, confronting Torvald, her past, and her need to educate herself in the ways of the world. Unfortunately Gilman’s character keeps her feelings inside, and, as a result withdraws into herself and becomes insane. The narrator asserts her disjunction from reality as she tells John: â€Å"I’ve got out at last†¦in spite of you and Jane...and you can’t put me back† (Gilman 53), sloughing off the person she once was, â€Å"Jane† to become the â€Å"woman† in the paper.   Ã‚  Ã‚  Ã‚  Ã‚  

Bill Gates :: essays research papers

Bill Gates   Ã‚  Ã‚  Ã‚  Ã‚  What does it take to be the richest man? It is obvious that you don’t need to be extremely attractive or even good looking at all. You only have to have a great idea, you have to be an obsessive workaholic, and you have to be willing to beat and crush all of your competitors. Also being a genius, and being in the right place at the right time may help too. Someone that has seemed to accomplish all of these is now the Chief Executive Officer of the Microsoft Corporation and goes by the name of Bill Gates. He currently worth more than 100 billion dollars and is the most wealthy man in the world. There are many people who admire and respect him, and then there are many that hate and despise him. Either way he has managed to develop and successfully operate one of the worlds largest software manufacturers, Microsoft. Microsoft is so successful, and has such control over the computer industry that the U.S. government is filing a lawsuit accusing claiming a monopo ly. How did Bill get himself into this and where he is now? Is it possible he has made too much money and has too much power? You can decide after reading this.   Ã‚  Ã‚  Ã‚  Ã‚  William Henry Gates III was born on October 28, 1955 in the Seattle suburbs of Washington. He grew up with his two sisters in a family of descent wealth, his father William Gates Jr. a Seattle attorney, and his mother Mary Gates, a school teacher, University of Washington regent and chairwomen of The United Way International. Gates attended public elementary school in Seattle before moving on to the private Lakeside school in North Seattle. There he began cutting classes to hang out at all hours at his schools computer center. He liked computers and learned so much that he began programming them at age 13. Throughout his early teens he and his friend Paul Allen were writing computer programs working on ways to start a business. At 16 they sold a computer-runned system to monitor highway traffic, and made around 20,000 dollars off it, but business ended when the customers found out the young entrepreneurs were still attending high school. After successfully graduat ing high school, Gates wasn’t quiet sure what to do next. He decided to attend Harvard with no specific career goal in mind. While going to Harvard he was your average smart college student with a special interest in the Popular Electronic magazine.

Virtual Reality :: essays research papers

Virtual Reality Today Virtual reality allows people to study artificial worlds through simulation and computer graphics. Computers have changed the way we perform flight training, scientific research and conduct business. Flight simulators have drastically reduced the time and money required to learn to fly large jets. One of the most interesting capabilities of virtual reality is the ability to practice certain medical practices. Computers are helping many doctors perform complicated operations very simply. Computers have changed the way we look at health problems. They have made incurable health problems very easy to solve in today's society.   Ã‚  Ã‚  Ã‚  Ã‚  We have only begun to realize the extreme wastefulness of burning expensive fuel in aircraft in order to learn something in an hour that could be taught in ten minutes in a simulator. Simulators have come a long way since 1929, when Ed Link first built what was soon to be known as the pilot maker, or more affectionately, the blue box. Students often find themselves sitting at the end of a runway waiting for takeoff clearance on a busy day, with the engine turning and burning expensive gas. This is not a very effective way for students to spend money. Most students do not have access to expensive flight simulators. Most have to travel hundreds of miles to take advantage of these amazing simulators. Flight simulators are much better than an airplane for the simple reason that in a simulator the learning environment is much safer. Students are able to avoid the overriding need to keep the airplane flying and out of harm's way. In a simulator a student is constantly busy, practicing what he is supposed to be learning, and once he's flown a given maneuver, he is able to go back and do it over again, without wasting time or fuel.   Ã‚  Ã‚  Ã‚  Ã‚  Years ago doctors used X-rays to see the insides of humans. X-ray's were most helpful in finding broken bones. These machines were an incredible break through years ago. Today X-ray machines are hardly ever used. Today we use computer-aided volumetric images of internal organs, often referred to as cross-sectional images of the body's interior.   Ã‚  Ã‚  Ã‚  Ã‚  In the past scars were often left behind after major surgeries. We have avoided leaving these nasty scars through fiber optics. If a patient needs surgery on an injured nee, the doctor would cut two small holes in the side of the patient's knee and glide the tiny light, camera, and operating tools inside. The doctor would be able to monitor what he was doing from a colored monitor screen.   Ã‚  Ã‚  Ã‚  Ã‚  Virtual reality also allows leeway for doctor's mistakes. With virtual reality a student is able to try several different operations more than once.

Human Genome Essay

Human cloning involves the creation of a copy of a human cell or tissue that is genetically identical. The major types of human cloning include reproductive cloning and therapeutic cloning (National Human Genome Research Institute, 2009). Therapeutic cloning involves the use of cells from an adult to be used in medicine while reproductive cloning involves making cloned human beings. Cloning has been done on both animals and plants. When done on plants it has been used to raise genetically modified crops. Gene therapy can occur in two forms somatic gene therapy and germline gene therapy. Somatic gene therapy involves removing cells from the patient and adding cloned genes to cells using a viral vector. The cells are amplified and those that have taken up the cloned gene are taken up. The transformed cells are then taken back into the patient (see figure 1). Some of the problems associated with this procedure include transgene integration and immune response killing the viral vector which may be marked as an intruder by the body’s immune system. The procedure has been used in many clinical trials, mainly for treating cancer. The Adeno associated virus is commonly used in this case as it does not cause an immune response, it has the ability to enter non-dividing cells and it integrates into a particular location in the genome of its host (National Human Genome Research Institute, 2009). Germline gene therapy is different from somatic therapy in that the newly introduced gene is incorporated into all of the cells in the animal’s body. This includes the germline that gives rise to gametes. The change that has occurred in the process is passed on to the next generation. To produce a transgenic animal, the embryo stem cells could be modified which is done by isolating stem cells and culturing them, adding DNA to cultured cells and selecting the transformed cells (National Human Genome Research Institute, 2009). Once selected, the transformed cells are injected into an early embryo and the embryo is implanted into the female. This produces mosaics in which some cells have different genotypes. Heterozygotes are mated to produce homozygous individuals which are in turn mated to produce a transgenic strain (National Human Genome Research Institute, 2009). A transgenic animal could also be produced by direct DNA injection where the transgene is injected directly into the male pronucleus before the male and female have fused (National Human Genome Research Institute, 2009). The injected DNA integrates into a chromosome and the injected zygote is then implanted into a foster mother (see figure 2). In the figure the baby mouse has the transgene in every cell in its body. Its expression depends on where the chromosome is integrated. Nowadays, however it is possible to have targeted gene insertion in some cases. Some of the medical applications of transgenic animals and plants include the production of model systems for the study of human disease for example where a certain gene product is lacking or where a certain gene has been over expressed or where there is a gene variant. An example of this the use of transplanted human stem cells by NIH scientists to improve the repair of bone injuries in rats (Guldberg, 2010). Standardization of such a treatment it offers a possible alternative to bone grafting operations. One of the successes of stem cell transplants has been seen in the successful attempts of new hematopoietic stem cell (HSC) in reversing sickle cell anemia in children (Rodgers et al, 2009). Other applications include the production of medically important proteins, the production of vaccines and production of tissues and organs for transplantation. Transgenic plants are also used to improve crops. In spite of these advantages, the issue of cloning still remains controversial.

Fine Art Essay

Art is the expression or application of human creative skill and imagination, typically in a visual form such as painting or sculpture, producing works to be appreciated primarily for their beauty or emotional power. Art was originally used to refer to a skill or mastery and was not differentiated from crafts or sciences (â€Å"Art,† 2013, para. 1). Around the 17th century, a shift in modern art began to develop into fine arts, where aesthetic considerations are paramount, are distinguished from acquired skills in general, and the decorative or applied arts (â€Å"Art,† 2013). Sketch aesthetics, also known as esquisses, are preparatory sketches or paintings to quickly capture the idea of a painting (Myers, N. , (2000-2013). The aesthetic of the sketch in the nineteenth-century France). This process was used frequently throughout the time of fine art. The Raft of Medusa by Gericault, and Mount Sainte-Victoria broke traditional fine arts when they combined it with applied arts, which is the application of design to objects of everyday use (â€Å"Applied Arts, 2013). The Raft of the Medusa is an oil painting of 1818–1819 by the French Romantic painter and Lithographer Theodore Gericault (1791–1824) (â€Å"Raft of Medusa,† 2013). Gericault undertook extensive research and produced many preparatory sketches. He interviewed two of the survivors, and constructed a detailed scale model of the raft. His efforts took him to morgues and hospitals where he could view, first-hand, the colour and texture of the flesh of the dying and dead (â€Å"Raft of Medusa,† 2013, para.2). This portrait depicts the essence of the gruesome fight that occurred at this naval appointment which was on widely controversial topic concerning the competence of the Ministry of Navy. Although The Raft of the Medusa retains elements of the traditions of history painting, in both its choice of subject matter and its dramatic presentation, it represents a break from the calm and order of the then-prevailing neoclassical school (â€Å"Raft of Medusa,† 2013, para. 3). Mount Sainte-Victoria is a series of oil paintings by the French artist Paul Cezanne (â€Å"Mont Sainte-Victoire,† 2013). This landscape is an iconic mountain in southern France that overlooks the Aix-en Provence. Cezanne often included a sketch of a railroad that ran alongside the mountain in his paintings. Cezanne praised the Mont Sainte-Victoire, which he viewed from the train while passing through the railway bridge at Arc River Valley and soon he began the series wherein he topicalized this mountain (â€Å"Mont Sainte-Victoire,† 2013, para. 2). Cezanne was skilled at analysis. He used geometry to describe nature, and used different colors to represent the depth of objects (â€Å"Mont Sainte-Victoire,† 2013). As I can concisely conclude that the Raft of Medusa by Gericault and Mount Sainte-Victoria, in both their choice of subject matter and their presentation, they represent a break from fine arts. These major breakthroughs lead to much criticism, but ultimately led to the rapid change of development in fine arts that influence today’s ideas. These paintings and painters will remain revolutionary topics for years to come. Works Cited: http://en.wikipedia.org/wiki/Fine_art

Personal Leadership Profile Essay

The following pages consist of information about Leadership; I will have to admit I knew nothing about leadership and the many perspectives and ideas about Leadership and how to be an effective leader. I selected a Leader to study who is known as an effective leader and has made a difference in the world. Our world would not be the same if he had not made those choices to change his world that he lived in. I knew very little about the man that is known for his â€Å"radiant smile† and desired to know more about what caused him to be known throughout the world. I had only heard that he spent years in prison and became the first Democratic President in his country. Throughout these pages you will read the analysis of my chosen Leader’s style of effective leadership through six perspectives: trait, behavioral, situational, and constitutive which includes two theories of transactional and transformational leadership, and global leadership. I have also included a comparison of my leadership style with this â€Å"Great Man† in each of the six perspectives. Before comparing myself, I thought, I could never stand in the same room with this man, and now I am comparing myself to him. To my amazement, there is a significant learning experience that one can gain in comparing yourself with someone great like this man. I found out who I am, who I want to become and what improvements need to be made to become an effective leader, no matter how big or small our leadership role is, in this world, in our sphere of influence, â€Å"We are all Leaders†. I have concluded this paper with a personal leadership profile and a plan of leadership development that I will continue until I have become an effective Leader and have made a difference in my world, in my sphere of influence, in a positive and significant way. Personal Leadership Profile The goal of my project is to examine the leadership qualities and practices of my selected leader and to also examine myself through a range of leadership perspectives. In the following pages I have examined six perspectives on leadership. I will conclude with a Personal Leadership Profile and a leadership development plan for myself. The name of my selected leader is Nelson Mandela. He was the first Democratic President in South Africa. Before going into my research, I knew very little about Nelson Mandela, I noticed when great leaders were talked about his name was always included. What I do know, is that he was a leader in Africa and he spent 27 years in prison. I have also read many of his quotes that give me the impression that he has changed Africa and the world. One of his quotes that I paraphrased into my own words and I can relate to is when he said: I always look at the positive side of things versus the negative; being positive is always looking up towards the sun, and to keep moving forward. There have been many trials when my faith in people was tested, but I did not despair or give up. When you give up you become defeated. (Mandela, N. 1995) I am also an optimistic person and look at the good in all things versus the bad. When you look at life through a positive lens you tend to live life in a positive way. In light of the definition of what effective leadership is, as I am learning what type of leader Nelson Mandela is, I see that he did help achieve the common goal. He influenced South Africa to continue to fight against injustice. Throughout his time in prison he was still leading, this was a process of leadership that he led inside prison walls for 27 years. I believe this was an immense part of what made him effective as a leader, because he never gave up the fight in what he believed in; freedom against segregation also known as apartheid, for his people. The influence that he exercised over his followers was a positive process of developing trusting relationships with not only his followers but also with his enemies. His relational process of leadership was transactional this type of social exchange uses followers in a more active role with the potential for influences going both ways. According to one of this week’s articles the transactional leadership model draws attention to the social exchange, or the â€Å"transaction† that happens between leader and follower. This type of leadership uses followers in a more active role with influences going both ways (Hollander, E. P. 1992). Nelson Mandela’s used his personal power which consisted of referent power and expert power. He was respected and admired and had much knowledge and skills in dealing with people. My thoughts on the ethical point of view of Nelson Mandela’s leadership style would be linked to my own ideas about what constitutes ethical behavior. This is complicated because there are a variety of accepted philosophies for making ethical decisions as (Ciulla, J. B. 2005) states: utilitarian, rights, justice, common good, and virtue. In the case of Nelson Mandela his ethical leadership would fall under justice and the rights of his people that were taken away through apartheid. The Traits Perspective As I studied this perspective, I learned that the term â€Å"natural born leader† is not just an expression but an absolute truth. As I researched Nelson Mandela and compared his traits to the Five Factor Model I believe some of these traits are placed in Leaders at birth or even at conception and others are learned. The Great Leaders that we study were born for the purpose of making a change to make the world a better place or just the opposite, to bring harm to humanity an example would be Adolf Hitler. As I researched Nelson Mandela and his upbringing in Africa I was amazed what I discovered about him and the culture he grew up in. Nelson Mandela was born into segregation, also known as apartheid. His culture helped shape him into the Great Leader he is today. He was born in a small village in South Africa in 1918, into the Xhosa-speaking Thembu people. To this day, he is often called by his clan name â€Å"Madiba. † In his clan he belonged to royalty and often listened in on the Leaders of his clan, this is where he learned by listening and watching (Mandela, N. 995). As I analyzed Mr. Mandela’s personal traits using the â€Å"Big Five† P. T. & L. , I see that he carries the qualities and strengths of the â€Å"Big Five†. I don’t understand why Neuroticism was in the Big Five because it shows that the score is Low for effectiveness. Nelson Mandela does not seem to carry any part of the definition of neuroticism which is a personality trait charac terized by instability, anxiety and aggression, he seemed as though he was fearless and was often looked upon at times of distress or fear. He was indeed fearful but he never showed his fear. He is Extraverted which helped him to become social, highly respected and loved by many throughout the world. He was a revolutionary full of wisdom, he was well educated in which he attained from his college education in law, this gave him the ability to open the first black law firm in South Africa. His educational background helped him to effectively lead people in the fight against apartheid through a legally formed African National Congress (ANC). He was also open to experiences; his 27 years in prison taught him patience, endurance and developed him into an effective leader. In the area of conscientiousness his choice to overthrow the government through violence was not a responsible choice, but was highly effective; his reasoning was to get the attention of the government as he was standing up for the rights of his people. He once said: When people are not given the right to live a life that is just, honest and fair, he has no choice but to break these laws that are unjust.