Christus Santa Rosa Hospital Westover Hills - 1435 Words

Christus Santa Rosa Hospital – Westover Hills Christus Santa Rosa Hospital Westover Hills is a 150 bed, 315,000 sqft , full service hospital located in the Westover Hills area of San Antonio, Texas. The facility was completed in 2009 and is the newest hospital in the Christus system (â€Å"Christus Santa Rosa Health System,† n.d.). Detail about the health system: Christus Santa Rosa Health System was founded in 1869 by a group of nuns that went by name â€Å"Sisters of Charity of the Incarnate World.† The sisters made the pilgrimage to San Antonio in 1869 to aid in treating of patients during a large cholera outbreak. When the sisters reached San Antonio, they found a city of nearly 12,000 citizens with no public hospital. The sisters decided that†¦show more content†¦Reasons for Choosing Facility: I chose this facility because it’s close to where I live and part of a large, we respected, faith based health system serving South Central Texas. I wanted to explore its competitive strategy and see how it compared to others competing for the same patient pool. Porter’s Competitive Strategy: This facility is clearly using Differentiation to separate itself from its competition. It does this through its name, its marketing techniques, and by its mission, vision and values. All of these center on the fact that the facility is a Catholic based/ faith centered organization. The system also claims to be a leader in the innovation and delivery of care through the use of the latest technology to treat patients. How Information System’s Assist: The facility states that it offers their physicians and patients access to the â€Å"latest high-tech imaging services, digital medical technology and specialized equipment.† This equipment includes the use of digital radiology imaging, digital echocardiograms and digital cardiac catheterization. The facility also uses an Electronic Medical Record system, which they claim enhances patient safety and maximizes physician connectivity. Having this equipment helps the facility differentiate itself from its

Uber International Business Case Study - 1471 Words

Introduction Uber is an international mobile application (‘app’) available on operating systems such as iOS and Android. It uses several technology developments such as geographical tracking and payments processed through their mobile app as opposed to cash in hand payments like traditional taxi cabs. These developments match Uber drivers with customers either individually or using ride-sharing depending on their needs. This is a report that will be based on the research and findings of the case study on Uber UK and it will analyse the connections and suitability of the human resource management techniques used within the business and how they can affect the success of the business as a whole. The report will cover a number of key†¦show more content†¦Uber seems to be following the first model displayed as â€Å"separated†. This model is displaying the lack of a relationship between the organisational strategy and the human resource strategy. Although thi s model is described as out of date, countless court cases against Uber have displayed this being their human resource strategy. There was a recent case in 2016 where two Uber drivers representing a group of drivers within the company working in London fought in court that they were employed by Uber, as opposed to working for themselves (Osborne, 2016). Uber’s business model canvas (see Appendices 2) covers the basic points of Uber’s strategies used within their business including the â€Å"key partners† mentioning the drivers with their cars and the â€Å"value proposition† aimed at the drivers as well as the customers. However, this case that Uber drivers in London took up against Uber contradicts the business strategy regarding them as key partners, when in fact, drivers are claiming mistreatment by not providing the national living wage or holiday pay. Another case relevant to displaying the disregard in human resource management is the case against Uber driver Jahir Hussain (Murphy-Bates, 2017). Hussain was convicted of sexually assaulting three women in the back of his Uber car after they fell asleep, groping two women and then raping one. Referring back to the business model (Appendices 2), twoShow MoreRelatedUber s Bag Of Dirty Tricks : An Ethical Consideration1582 Words   |  7 PagesDirty Tricks: An Ethical Consideration â€Æ' Introduction/Overview: UBER is a recent startup tech company providing a service equivalent to regular taxi with better rates and faster service. The case illustrates that UBER has been using some less than direct approaches to stealing the effectiveness of the competition and limiting their overall profitability. The greater question that is born out of an understanding of this particular case is whether or not it is ok to take short rides from a competingRead MoreHow Sustainable Development Urban Areas Is Wicked Problems For Modern Share Economy Businesses Such As Uber And Dropbox1070 Words   |  5 PagesThis essay will analyse and examine how sustainable development in urban areas generates wicked problems for modern share economy businesses such as Uber and Airbnb. A wicked problem is defined as a social or cultural problem that is difficult or impossible to overcome. Some of these problems are encountered by businesses, Uber and Airbnb which are effected by complex economic, legal, political and so cial factors. The share economy is known as a socio-economic ecosystem built around the sharing ofRead MoreAnalysis Of A Recent Service Experience Essay961 Words   |  4 Pagesvery awful experience with Uber service which makes me realize the difficulty of perfect service. I tried to call an Uber car, two month ago, to the Miami international airport. It took about 30 minutes before the driver finally showed up and she claimed that my apartment was very hard to locate. Meanwhile, I was aware that she barely speaks English. She told me she just came from Cuba one month ago and only speaks Spanish but I merely speak. According to recent study found that there are 66.37%Read MoreReview Of Lyft Me Up Entering A New Market 1249 Words   |  5 Pagesuses pink moustache as a logo in front of their service car. Finance Every business has their own capital funding. The main strategy is to offer a friendly, safe and affordable transportation. They raised a fund through the investment by the investors such as; Initial Public Offering (IPO) investment and Andreessen Horowitz and Alibaba. It has plan to use these funds for market growing in local as well as international markets. Marketing Lyft is an online based ride-sharing network that connectsRead MoreReliance Jio Case Study Solution1738 Words   |  7 Pages The case is about how Reliance Jio Infocomm Limited (Jio) rose to become one of the leading telecom networks in India. Jio has captured a large market chunk and achieved numbers that took the competition over a decade to achieve. It is India’s only network which is solely 4G and its USP is the free services that it offers. The company adopted a predatory pricing strategy to enter the Indian telecom market and offered free voice, data, and message services in the name of its â€Å"Welcome Offer† fromRead MorePublic Policy Impact On An American Corporation3071 Words   |  13 Pagesexplain the benefits affected people have due to this law and the ADA improves their way of living. In the following, I am going to give a short overview of the Californian corporation Uber and explain how the company is affected by the ADA. Regarding to this, I will conclude the pressures that the act puts on Uber and what kind of potential costs result from the compulsion. The Americans with Disabilities Act (ADA) was passed by Congress in 1990. This decree is one of the nation’s first civil rightsRead MoreGood Or Bad For The World2035 Words   |  9 Pagesworldwide melting pot for a very long time. Today, this process has been expedited through the effects of globalization. Globalization is a process of integration between different people, businesses, nations, governments, etc primarily driven by international trade, investments, and information technology. Products, ideas, culture, and many other aspects are now freely available to most of the world population. Proponents of globalization argue that it is a blessing to the world and a product of worldwideRead MoreComparative Critique Of Comparative Capitalism1214 Words   |  5 PagesCASE STUDY #4: COMPARATIVE CAPITALISM Case Study #4: Comparative Capitalism Florence F. Messi St Thomas University Miami Gardens, Florida Abstract The Merriam-Wester dictionary defines capitalism as an economic system characterized by private or corporate ownership of capital goods, by investments that are determined by private decision, and by prices, production, and the distribution of goods that are determined mainly by competition in a free market. (2015). However for an ideal capitalismRead MoreCurrent Marketing And Sales Efforts1345 Words   |  6 PagesCurrent Marketing and Sales Efforts The public passenger transportation market revenue growth is primarily achieved by winning new business contracts through a competitive procurement process. The clients in these procurements are public agencies, civic governments, and other public entities such as airports or universities who provide transportation services, and have elected to contract management of these services to a third party provider. The procurement process is very price sensitive withRead MoreFedex, An International Express Shipping Company1610 Words   |  7 PagesPage 1 Federal Express, or now known as FedEx, is an international express shipping company that ships anything from envelopes and small packages to large freight. It was the brain child of college student Fredrick Smith, when in 1965 at Yale a professor assigned the class to invent an industry. At that time the only option companies had was to utilized passenger routes to ship packages, which was not very efficient for time sensitive deliveries. Six years later after Smith left the military he

Airbus Case Study and Intervention Essay - 616 Words

Large Group Interventions at Airbus (p. 329-337) Directions: Please answer the following questions thoroughly and in complete sentences. 1) What is your analysis and evaluation of the design of this intervention? When analyzing interventions it is important to consider certain criteria. The intervention within Airbus was pertinent to the organizations needs. The ICT workforce had gone through several reorganizations, which left them feeling tired of change and ultimately unable to produce results needed by the company. Donnan utilized an intervention strategy that would result in high performance and results by aligning all parts of the organization’s design (Cummings Worley, 2015). The intervention, according to Cummings Worley,†¦show more content†¦The ICT intervention was aimed at helping the executives â€Å"engage a large, critical, and representative segment of the organization† (Cummings Worley, 2015, p.330). It differed from other methods in that this intervention really began with the executives becoming aligned in order to motivate change within the organization as a whole. 3) Do you believe that the interventions made a difference in this organization? Yes. If your analysis is positive, what do you think were the critical intervention features that led to success? The specific feature of this intervention that lead to success was the transformation of the executive team, their alignment and commitment to the transformation. Because all executives were on the same page, the change initiatives were easily transferrable to the organization’s members. This resulted in the commitment across the board to sustatin the changes implemented. 4) What do you think of the summit’s agenda and flow? I thought the agenda of the summit was appropriate. The purpose and outcomes were presented first so everyone could understand why the summit was happening. Each day consisted of collaborative activities, question feedback and personal communication. It all catered to the purpose of implementing the ICT vision as one mind and one voice. 5) Do you think the right activities were planned and executed given the objectives of the intervention? Yes. By incorporating the teams of employees from allShow MoreRelatedThe Boing and Mcdonnell Douglas Merger Case Study1280 Words   |  6 PagesCase Study: Boeing versus Airbus: Two Decades of Trade Disputes The Boeing-McDonnell Douglas Merger As the two largest producers in the commercial aircraft industry, Boeing and Airbus have been in a long rivalry for over two decades. Because of its huge research and development cost and a volatile market demand situation, the large commercial aircraft industry has only a few viable producers that can successfully operate in this industry. At the end of 1996, there were three competitors in theRead More5 forces of Porter Rolls Royce1629 Words   |  7 Pagesï » ¿ Rolls Royce on the 5 (+1) forces of Porter matrice: For this case I will use the company Rolls Royce. Not the one which build cars but the historic one which create motors for aviation, marine or energetic solution. First let’s have a presentation of this company: Rolls Royce was founded by two men in 1906 in England, Henry Royce and Charles Rolls. They were producing motors for planes. The important thing we have to know is their motors were used a lot during the two World War. ForRead MoreInternational Trade : The United States1461 Words   |  6 Pagestrade with borders. The United States implied the government intervention since the great depression through the financial sector rescue packages and this way followed by several countries, like Great Britain and other European. Although many countries are doing the free trade, it occurs when government did not intervene, but the government should intervene in international trade. However, several people said that government intervention in international investment and trade often results in protectingRead MoreThe Impact Of Government Intervention On International Trade Under Perfect Competition1835 Words   |  8 Pagesand oligopoly theory are going to be used to illustrate the application of government intervention to support domestic firms. Moreover, the impact of government intervention in international trade under perfect competition will be outline for a comparison with that of imperfect competition, and an insight of to what extent the game theory and oligopoly theory support a greater degree of government intervention in international trade will be shown. According to â€Å"The New Palgrave Dictionary of Economics†Read MoreAirbus vs Boeing7131 Words   |  29 PagesExecutive Summary Activities in the commercial aeroplane manufacturing industry have been outshined by the competition involving the European owned Airbus and the USA owned Boeing. These two companies exist as a duopoly at the top end of the commercial aeroplane manufacturing industry that covers the development of airplanes with a capability of more than 200 persons. Other aeroplane manufacturers also exist but at the lower end of the industry, these smaller firms mainly develop low capacity airplanesRead MoreBoeing Startegic Analysis6997 Words   |  28 Pagescompany. Boeing has deep relations and strong agreements with US Government and Federal Aviation Administration (FAA), so the policies of the US government may be a major driving force in accepting new orders of aircrafts. Similarly, the political intervention may also affect the sales of the company, for example restrictions of selling specific equipments or airplanes to particular countries like Iran, Iraq, Afghanistan and Pakistan. But on t he other hand, the political policies may support the companyRead MoreCase Study: Airasia – Now Everyone Can Fly2533 Words   |  11 PagesINDIVIDUAL ASSIGNMENT (MANAGEMENT INFORMATION SYSTEM) ASSIGNMENT 1: CASE STUDY: AIRASIA – Now Everyone Can Fly Questions: * What is Air Asia Business Model? How does information system support this business model? 1.0) AirAsia business model AirAsia business model is low cost, low fare and no-frills air line. AirAsia Pan Asia plan targeted to million of Asians who wanted basic air transportation at cheap price AirAsia achieved low cost by following method: 1) Single class, no frillsRead MoreAirasia Case Study3534 Words   |  15 Pagesoptions | Choice of routes | Uses secondary airports. | Favors secondary airports with convenient access to majorpopulation centers and regional airports | - | Types of aircraft used | Airbus A320-200, Boeing 737-300, Airbus A330-300 | Boeing 737-800 | Airbus A319-100, Airbus A320-200, Airbus A330-200, Airbus A330-300, Boeing 747, Boeing 747-200, Boeing 747-200F, Boeing 747-400, Boeing 757, Boeing 757-200, Boeing 757-300, McDonnell Douglas DC-9, McDonnell Douglas DC-9-30, McDonnell Douglas DC-9-40Read MoreThe Role of Communication in Team Building and in the Creation of Positive Group Dynamics in a Project Environment, and the Implications of This Relationship for Project Performance3697 Words   |  15 Pagesproject environment, and the implications of this relationship for project performance’ BRC: ACADEMIC PAPER BRC: ACADEMIC PAPER Abstract: Communication is widely recognised in the literature as being important to modern management. In the case of the BRC project, communication was often an issue, and was relatively poor for the author’s project team. This paper analyses the role of communication in team building and group dynamics, in order to understand how communication can be improvedRead MorePerformance Analysis of Biman Bangladesh Airlines Limited9930 Words   |  40 PagesChapter One INTRODUCTION TO THE REPORT -1- 1.1 Origin of the Report: As a mandatory part of the BBA Program, all the students of the faculty of Business Studies, University of Dhaka have to undergo three months long internship program with an objective of gaining practical knowledge about current business world. After this internship program each and every students have to submit an internship report mentioning their activities during the internship program. I’ve started my internship at the Biman

The Adventures Of Huckleberry Finn By Mark Twain - 1000 Words

Samuel L. Clemens was born in a slave state and had never thought much about slavery as a child. His parents had both owned and sold slaves, so Clemens grew up seeing what was happening to people with differently, colored skin, compared to him . As he grew up ,becoming a man with his own ideas, Samuel L. Clemens knew that slavery was a wrong idea and after the civil war had covered the topic of racism and slavery in multiple books including The Adventures of Huckleberry Finn. This book was made to show that color is blinded by friendship as well as showing how the early United States treated different colored skinned people. The Adventure of Huckleberry Finn by Mark twain is a book that talks about how the ideas of racism and slavery can†¦show more content†¦While Huck was taken by his father he had to perform task for him throughout the day and if he did not he would be beaten . This had created the compassion for others well being in front of himself, without him knowing it. As his body was being beaten by his father, his subconscious was growing more powerful, compassionate and loving. Towards one of the scenes Huck and Jim were on their raft and a steamboat had rocked them off...â€Å"I sung out for Jim about a dozen times (Twain 123). This proves that huck was scared about Jim and his well being. Another reason that Jim and Huck’s had broken the idea of racism is that they had a friendship showing commensalism. Jim had very much needed Huck in order to cross the Mississippi in order to get into the free states. Huck though does not really need Jim but it’s good to have him for company and a companion. Huck does like being alone but multiple times he wishes he had his friend Tom Sawyer to accompany him on his fun adventures†¦Ã¢â‚¬ I did wish Tom sawyer was there: I knowed he would take interest in a kind of business and throw in fancy touches†(Twain 47).Huck also says when he finds Jim â€Å"I was ever so glad to see Ji m. I warn’t lonesome now†(Twain 57).THis is showing that while Huck was on the river that he was getting lonely and was glad to see Jim. Another way that Jim and Huck’s relationship had broken the idea of slavery through their

Bandon Group free essay sample

Bandon should first pursue an ERP solution as CRM solutions can be easily integrated within an ERP environment (Trak. In, 2010). Key findings in Bandon Groups IT infrastructure indicates redundancy and difficulty in supporting external clients and internal operations because of the depravation of integration between the companys systems and databases through the different departments of Bandon Group, Inc. Because of the differences of systems and information throughout each department in Bandon Group, Inc. it was difficult for the company to not only provide accurate information regarding customer billing and information to its own customers, but they could not keep accurate information such as revenue and expenses if each company had different information posted in the system, considering each department was under the same company. To alleviate redundancy and provide better support to customers in order to maintain a competitive advantage, integrating an ERP system would help Bandon provide web-accessed application for customers thats up to date. In addition, when customers inquire on information regarding their account or billing, they can quickly receive accurate information in a timely matter over the web or over the telephone or in person at Bandon. The feasibility of ERP systems is very promising for Bandon Group as it will greatly help the company surpass its goals of remaining competitive through its re-engineering of their integration processes. Through the use of electronic methods including electronic invoicing, web access, database implementation, and e-business services, the likelihood of ERP implementation is very possible with Bandon (Sumner, 2005). When it comes to acquiring ERP and CRM solutions, the company should pursue ERP first as its the foundation for integrating the companys systems into one integrated system and from there, the company can implement CRM into their IT infrastructure consisting of ERP applications if they decide on acquiring CRM. Once the company has fully acquired the integration of ERP systems, then Bandon can acquire CRM solutions to the company as Bandon should also pursue a CRM solution for their ERP systems. The use of a CRM solution would be beneficial for Bandon as the CRM software can be used for promoting products to their customers, maintaining customer information in a database based on customer purchasing forecasts, and the use of e-selling for customers. The promotion of products to customers is a great tool through CRM as the CRM software forecasts customers needs and buying habits and therefore would send information on products to their customers that may catch their interest based on forecasts. The use of e-selling through Bandon Group would also be beneficial to the company as allows their customers to not only purchase products/services online through Bandon, but allows them to customize the product to meet each customers need and preference (Sumner, 2005). Determine ERP design issues: There are various types of ERP and CRM packages that could be acquired by Bandon Group, Inc. , such as Microsoft Great Plains, J. D. Edwards, SAP, and many others. Based on Bandons goals and IT needs, the ERP/CRM package that would best meet the companys needs is the SAP package approach. SAP packages can range from HR, Finance, IT, Sales, Marketing, Production support, and much more areas from an enterprise setting (SAP, n. d. ). From the ERP standpoint on SAP packages, the company could use the integrated software to not only integrate all the databases into one database, but to close the gap on the lack of communication and information sharing within each department. The SAP/ERP package can contain software for Human resources including accounting/payroll software or IT software such as ticketing systems where customers can place service calls to have tech support correct a technical issue remotely or physically. In addition to integration of the companys information, providing e-business related services such as the use of online bill pay/inquires, using electronic media to contact existing customers, and election web-based information services for customers will help Bandon improve business operations and its customer support if the company uses SAP for its ERP package (SAP, n. d. ). In reference to SAP under a CRM package for Bandon Group, the CRM package that could be used to meet the companys needs is the SAP 360 Customer package. The SAP 360 Customer package is a CRM-based package that would enable Bandon Group to gain a competitive advantage by allowing them to engage with their customers anywhere at any given time; whether its online, in person, or even on a mobile device such as a phone, laptop, or tablet. Not only would the company be able to keep track of all its customers, but it gives them the opportunity to provide the ultimate customer service as they would immediately be available for the customers to answer any questions or inquiries on customer account issues. The software would allow Bandon to make real-time predictions and forecasts on customers purchasing history and allow marketing of their products and services to the customer based on their history and use of various product/services. For example, a customer may have a long history of purchasing cyan ink/toner versus other colors for their printer supported by Bandon Group. The company can use the software to advertise and market cyan ink/toner at a certain price to the customer and gives the company a higher chance of obtaining a sale due to the software making a forecast based on customer data.

Use Of Title In Cry, The Beloved Country Essay Example For Students

Use Of Title In Cry, The Beloved Country Essay Cry, the Beloved Country, by Alan Paton, takes place in1946 near the small rural town of Ixopo in the smaller village of Ndotsheni. The main character is Stephen Kumalo, a native priest who sets out on a mission to find his family. He receives a letter from a fellow priest, Msimangu, telling him his younger sister is ill. Kumalo decides he must go to Johannesburg to help his sister. He also hopes to find his only son and see if his brother is well because they too have gone away to Johannesburg. He arrives and with his new friend, Msimangu, searches for his sister and his son. He finds his sister and decides to take her and her son with him to Ndotsheni. He then speaks to his brother who has changed and forgotten his family. His brother helps get them started on their mission to find his son, Absalom. He eventually finds his son, but finds him in prison. Absalom murdered the only son of James Jarvis, a white man. A trial is held and Absalom is sentenced to death. Kumalo returns to hi s village and has suffered great pain but is welcomed. Through the tragedy he has made a connection with James Jarvis despite the fact his son murdered his. Jarvis is understanding and the two begin to rebuild the Ndotsheni community. In Cry, the Beloved Country, by Alan Paton, one of the major themes is white destruction of South African’s native tribes. In the novel, whites come to South Africa in search of gold and use natives as their source of labor. They break apart the tribe and offer nothing to replace the broken homes. The title of the novel supports the pain that the white man’s destruction of the tribe is causing to the beloved country of Africa. The title of the novel tells of the pain the natives of South Africa experience. They cry on behalf of their country that they are watching go to waste. From the very beginning of the novel, the reader reads of a beautiful and rich valley. Then Paton goes on to describe the valley where the main character, Kumalo, l ives. It is barren and â€Å"cannot hold the rain.† It is a valley of â€Å"old men and old women† that is deteriorating because the young people are not there to help take care of it (33-34). They all leave and go to the mines and the big cities, for the white man has convinced them this is where they belong. The natives move to the cities to look for opportunities, but are only suppressed by the white man. The whites keep the natives stupid and do not want them to have more money or become smarter. They push the natives down for they fear â€Å" a better-paid labour will also read more, think more, ask more, and will not be content to be forever voiceless and inferior† (110). The whites feel threatened by the possibility of equality with the natives. Therefore they deny them money, education and power so there will be no chance of equality. The natives mostly cry because the whites split their tribes apart and their traditions are dying. The first time the title appears in the novel it reads: Cry for the broken tribe, for the law and the custom that is gone. Aye, and cry aloud for the man who is dead , for these women and children bereaved. Cry, the beloved country, these things are not yet at an end. The sun pours down on the earth, on the lovely land that man cannot enjoy. He knows only the fear of his heart. (104-105)The natives are realizing they have lost many of the things that they hold dear. The white man is breaking their tribes and customs but there is nothing offered to replace it. There are few links between the white man and the black man and when one of them is broken, it is a great loss. The man who was killed was a link and a defender of the natives’ rights. He was murdered and this has caused the whites to fear and suppress the natives further. The natives have fear in their hearts because they s ee their families falling apart and fear it will only continue. The natives see the things around them falling apart and can do little to prevent it from continuing. .ue2a0eb35347da48c986c9887bf38dd11 , .ue2a0eb35347da48c986c9887bf38dd11 .postImageUrl , .ue2a0eb35347da48c986c9887bf38dd11 .centered-text-area { min-height: 80px; position: relative; } .ue2a0eb35347da48c986c9887bf38dd11 , .ue2a0eb35347da48c986c9887bf38dd11:hover , .ue2a0eb35347da48c986c9887bf38dd11:visited , .ue2a0eb35347da48c986c9887bf38dd11:active { border:0!important; } .ue2a0eb35347da48c986c9887bf38dd11 .clearfix:after { content: ""; display: table; clear: both; } .ue2a0eb35347da48c986c9887bf38dd11 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ue2a0eb35347da48c986c9887bf38dd11:active , .ue2a0eb35347da48c986c9887bf38dd11:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ue2a0eb35347da48c986c9887bf38dd11 .centered-text-area { width: 100%; position: relative ; } .ue2a0eb35347da48c986c9887bf38dd11 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ue2a0eb35347da48c986c9887bf38dd11 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ue2a0eb35347da48c986c9887bf38dd11 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ue2a0eb35347da48c986c9887bf38dd11:hover .ctaButton { background-color: #34495E!important; } .ue2a0eb35347da48c986c9887bf38dd11 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ue2a0eb35347da48c986c9887bf38dd11 .ue2a0eb35347da48c986c9887bf38dd11-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ue2a0eb35347da48c986c9887bf38dd11:after { content: ""; display: block; clear: both; } READ: Project Analysis Of New Wembley Stadium Construction EssayThe people of South Africa are beginning to realize that not only is the tribe deteriorating, but also the people in general are beginning to deteriorate. The white man fears the crimes the natives are committing, but in fact, they are the ones responsible. When the white man takes away the tribal system, he is taking away the moral system of the natives. The reason the natives turn to crime is because their â€Å"simple system of order and tradition and convention has been destroyed† by the white man (179). Whites rob natives of their traditional moral system and replace it with nothing. This leaves the nati ves with no foundation for their morals and leads them towards a dishonest life. A priest in the novel says, â€Å"The tragedy is not that things are broken. The tragedy is that they are not mended again†¦It suited the white man to break the tribe, but it has not suited him to build something in the place of what is broken† (56). The white man fears the natives will become smart and powerful and overcome the superiority of the white race. However, because the white man exploits the natives for their personal gain instead of helping them, not just a tribal system declines, but a â€Å"whole people deteriorates† (179). The natives turn to crime because their moral system has been destroyed and there is no where else to turn. Therefore, the whites simply blame the natives for their problems instead of looking for a solution to help them all. Another thing the people of South Africa cry for is fear. They cannot enjoy the land when there is fear living inside all of them. They mostly fear the growing lawlessness of the country, yet they do not understand how to restore the law. Not all the white men are ignorant to the problems of the country and one of them says, â€Å"We shall always have native crime to fear until the native people of this country have worthy purposes to inspire them and worthy goals to work for† (107). However, the white man fears the industrious native almost as much as he fears the idle one. Because the white man can not make up his mind, nothing is done and the quality of life of the native is what is suffering. The native families are split up so they can work in the mines for the white man and their purposes in life are clouded. They have no worthy purposes because the white man will not allow them any. The natives of South Africa are crying for their beloved country. They see it is in trouble and they cry out to help it. They continue working and praying for the dawn of a new Africa. They hope for a dawn of â€Å"emancipation, from the fear of bondage and the bondage of fear† (312). This novel should be included in a list of works of high literary merit because of the impact it had on its readers. Paton wrote this book for enjoyment but also to prove a point. Through his novel, he told the story of South African natives that were in need of help. He has moving characters that give the reader a sense of compassion toward the natives. The events that unfold were important during the time that the novel was written, but will always apply to issues that unfold in our world today. BibliographyPaton, Alan. Cry, the Beloved CountrySocial Issues

Strategic Information System Reckon Accounting Software

Question: Describe about the Strategic Information System for Reckon Accounting Software. Answer: Introduction The literature review depicts the values and usefulness of accounting software namely as Reckon, in medium to large commercial organizations. The Accounting software package is an instant of computer programs that enables business organizations to manage their financial transactions (reckon.com 2016). The scope of improvement and development for this software is also very high than any other packages. The literature review will critically analyze the history of software accountings. In order to reduce the rate of human errors, disruption and data related mistakes adaptation and development of accounting software is enhancing at a large scale in Australia and all over the world. The review will demonstrate the ways in which large and medium enterprises are utilizing the accounting software. Apart from this, the current market size and tough competitions facing by Reckon will also be mentioned. History of accounting software In previous days, the financial departments of medium and large organizations were commonly used traditional accounting system to manage their accounts (Bahador and Haider 2014). In order to generate automatic payroll management system computerized accounting system was implemented in medium and large organizations. This system was first generated by Arthur Anderson Consultancy well-known as Accenture (Miller, Smith and Smith 2013). Reckon software accounting company gives cloud based accounting software to medium sized organizations. The company was introduced in the year of 1987 and the first accounting software version was implemented in 2003 namely as Quicken. Initially, the accounting system was maintained by the employees belonging to the financial departments of different organizations (Stefanou and Athanasaki 2012). However, official usage of accounting software was implemented in the year of 1990 (Lim and Perrin 2014). The implementation of software accounting system becomes necessary while it was found that the traditional fie handing system has become obsolete. Development and adaptation of accounting software While, accounting software has become geographically specified that time, by developing cloud based software enhanced the global level of financial operations. According to the enhancing demand of accounting software the market is improving globally (Van der Stede 2015). Not only this but also business specified accounting software Reckon is appreciated by all of its users. Though, initially all the features were not supportive but gradually, with increasing budget for research and development of accounting software the system was developed accordingly. Over last three decades, the team of Reckon is providing accounting software solution to the enterprises of Australia and New Zealand as well (Bahador and Haider 2014). In order to change the behavior Reckon launched cloud based software in 2013. It is a computerized spreadsheet that is easy to manage and handle by almost all the employees of the financial and audit department. During research and development it is found HubSpot and inbound marketing methodologies collectively helped the small organizations to achieve rapid rate of commercial growth. It also provided effective and efficient opportunity to the enterprises to develop the functionality with digital simplicity. Pandey (2014) stated that, many tools were used to convert impractical software solutions to a practical one but they are still not as efficient as reckon is. According to Curtis and Averis (2014) Reckon is one of the very new and advanced online software accounting package. Moreover, this is a long time distributor of desktop software. Different modules such as payment, transaction are also added to this software and due to presence of cheap programs this is mostly preferred. The framework and design and is easily adoptable and it is the only cloud based accounting program operates different financial data in Australia and New Zealand (Stefanou and Athanasaki 2012). It has several opera tional options such as automatic banking, unlimited invoice or feedback regardless of geographical boundary and payment transaction. Analysis of the current market size of Reckon From the market analysis it has been discovered that, Reckon accounting software package works very efficiently and simply and better than other accounting software. The features include free and automatic updates. It also reduces the overall cost of IT infrastructure (reckon.com 2016). The users need not to pay extra to use this software and it has a facility of twenty four hour service. It also has toll free support for all its consumers. All required safety and privacy technologies are associated to this software. From a survey it has been found that Reckon has turned to its revenue from $18 Million to $57 Million in six months only. The growth is strictly focused on the volume and it is continuously offering global expansion with international reach. Miller, Smith and Smith (2013) opined that, EBITDA is constantly monitoring Reckon and the existing business has moves from $4.00 Million to $6.45 Million within 3 years. Particularly, in case of online products the revenue reached 68 Million (Alamin et al. 2015). The subscription based revenue has reached 16% to $36.3 Million. As the revenue is growing at a large rate the number of consumer is also attaching accordingly. Small and medium enterprises are strategically developing the utilization of accounting software packages generating by Reckon (Ji and Lu 2014). The strategic momentum is enhancing and the software development package has proved it stable upcoming future. Identification of the leaders in the market who gives competitive advantages In order to choose the best suited accounting software for an organization many factors come under consideration. At first the supplier website and the pricing features are analyzed. All over the world over 1.0 million consumers are spontaneously using the Reckon accounting software packages to handle their financial management system. Each and every supplier offers different opportunity to different banking enterprises. Stefanou and Athanasaki (2012) stated that, based on the price distribution add on functionalities are different for different software packages. The competitors to Reckon are as follows: Features Reckon Xero Quickbooks MYOB Basic with different add on Starter Essential Essential Monthly Cost $20 $25 $25 $35 User permission Multiple users Multiple users Multiple users Multiple users Cloud based yes yes yes yes Feedback yes yes yes yes Expensive yes yes yes yes Payroll management system yes yes yes yes Time sheet solution yes yes yes yes Mobile access Possible Possible Possible Possible Table 1: Competitors to Reckon (Source: McManus 2013, pp-145) Identification of current gaps and challenges encountered by different users During analysis many issues are encountered relevant to accounting software packages. Though the technology associates different challenges but still for small businesses this is one of the best options. The challenges relevant to this are as follows: Cost: Most of the business accounting software is reasonable and affordable by banking enterprises. It also needs basic or standard for digital systems such as the RAM, speed of the processor, memory management and hard drive (Miller, Smith and Smith 2013). Therefore, if any single feature is found to be attacked then, the entire process will be in vain. Time management: Time management is another factor that comes under consideration while implementing accounting software packages (Dunbar, Laing and Wynder 2016). Sometimes, the processing took more than expected times if inappropriate application and timely management is neglected by the users. Difficulties: Some of the accounting software is designed for non accountant purposes. If any of an organization elected one of that software then, handling of those will be threat to the users (Miller, Smith and Smith 2013). Improper setup of accounting and incorrect implementation might create major issues. Maintenance: The maintenance of this software took 60% of total efficiency. If any innovations took place within the software then, maintenance charge will increase accordingly. If the users do not spend the required time and money for the up gradation, then, it can create major issue (reckon.com 2016). Suggestions and recommendations Many issues are associated to the accounting software packages and those are needed to be resolved by introducing some digital features to it. These are as follows: Cost and simplicity: Reckon is not costly but while any kind of cloud based innovation is needed to be added to it the cost increases sharply. Sometimes, the cloud services and other subscription planning lock the entire financial system. Switching between the systems also become difficult and the complexity increases. Thus, simplicity is required so that all the employees form the financial department can handle it. Backup: The backup property is not manageable thus, this feature should be added to Reckon accounting software package. Inventory management: The software must be capable of inventory management so that monitoring becomes easier. Integration: The payroll management should be well integrated so that employees can check for the past and present payment details whenever required. Conclusion From the overall discussion it can be concluded that, Reckon has now become one of the most widely used accounting software package for small enterprises. The traditional method of financial management and the advanced utilization is mentioned in this literature review. The development and adaptation of accounting software is mentioned in this literature review. In addition to this, how different SMEs are adopting Reckon accounting software is mentioned in this literature review. The current market size of Reckon accounting software package and different challenges that are facing by the enterprises are mentioned in this literature review. References Alamin, A., Yeoh, W., Warren, M. and Salzman, S., 2015, January. An empirical study of factors influencing accounting information systems adoption. InProceedings of the Twenty-Third European Conference on Information Systems. ECIS. Bahador, K. and Haider, A., 2014.Skillset to Assimilate Information Technologies in Accounting SMEs(Doctoral dissertation, IGI Global). Curtis, V. and Averis, L., 2014.Bookkeeping For Dummies-Australia/NZ. John Wiley Sons. Dunbar, K., Laing, G. and Wynder, M., 2016. A Content Analysis of Accounting Job Advertisements: Skill Requirements for Graduates.The E-Journal of Business Education Scholarship of Teaching,10(1), p.58. Ji, X.D. and Lu, W., 2014. The value relevance and reliability of intangible assets: Evidence from Australia before and after adopting IFRS.Asian Review of Accounting,22(3), pp.182-216. Lim, N. and Perrin, B., 2014. Standard Business Reporting in Australia: Past, Present, and Future.Australasian Journal of Information Systems,18(3). McManus, L., 2013. Customer accounting and marketing performance measures in the hotel industry: Evidence from Australia.International Journal of Hospitality Management,33, pp.140-152. Miller, F.L., Smith, K.T. and Smith, L.M., 2013. Development of and student reactions to an international accounting GIS case problem.International Journal of Teaching and Case Studies,4(3), pp.195-217. Pandey, U., 2014. Context based document classification and analysis. reckon.com, (2016). [online] Available at: https://www.reckon.com/au/ [Accessed 19 Sep. 2016]. Stefanou, C.J. and Athanasaki, M.T., 2012, June. Management Accounting Practices in ERP Environments: A Research Agenda. InProceedings of the 9th International Conference on Enterprise Systems, Accounting and Logistics. Stefanou, C.J. and Athanasaki, M.T., 2012, June. Management Accounting Practices in ERP Environments: A Research Agenda. InProceedings of the 9th International Conference on Enterprise Systems, Accounting and Logistics. Van der Stede, W.A., 2015. Management accounting: Where from, where now, where to?.Journal of Management Accounting Research,27(1), pp.171-176.

Newspaper of Romeo and Juliet Essay Sample free essay sample

Once once more the feud between the Capulet and Montague households has disturbed the peace and quiet in Verona. This clip we have lost more than merely peace we have lost lives. We still don’t know which party is excessively be blamed but we do hold a narrative. Harmonizing to witnesses the two groups of staff from each household erupted in battle on Thursday forenoon. Benvolio. Romeo’s cousin. managed to quiet down the battle until Juliet’s cousin. Tybalt. arrived at the scene and thanks to a base on balls a byer we know what happened. Soon citizens became fall ining in with the bash and picking sides. Soon after the caputs of the two families’ began to stare upon this bash but by god’s grace our just prince of Verona stopped the battle. The following dark there was a party hosted by the Capulet household. Where Juliet was caught snoging an unknown invitee in a mask we believe this was Romeo as he was an uninvited invitee. We will write a custom essay sample on Newspaper of Romeo and Juliet Essay Sample or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The lone individual who seemed to think it was Romeo was Juliet’s cousin Tybalt. Later that dark Romeo returned to the Capulet place to talk to Juliet. We know this information thanks to Juliet’s nurse. Romeo spoke his love to Juliet in the traditional manner of sonnets. Romeo and Juliet’s love for each other was uncontainable they knew they mustn’t tell their parents because they would non O.K. . We spoke to the male parents of the two siblings and they both explained how â€Å"we would be outraged and ferocious. They both know our households have neer seen oculus to oculus. † As the yearss of love and secrets went by Romeo asked Fria Lawrence if he would get married them in secret finally the two lovers were married. Later that twenty-four hours Romeo. Benvolio and Murcutio were inquiring the streets of Verona when Tybalt arrived in the distance. Tybalts fury and hatred for the Montague household and for Romeo personally could non be contained. Harmonizing to Benvolio Tybalt began dissing and teasing Romeo this shortly erupted into Tybalt disputing Romeo to a affaire dhonneur. However Romeo could non anticipate because he married Juliet which means they are cousins in jurisprudence. Romeo refuses.

General Theory Of Alcoholism Essays - Psychiatric Diagnosis

General Theory Of Alcoholism There are many theories of alcoholism, and some approaches explain and treat certain alcoholics better than others. One of the common themes throughout the readings is that addicts display a range of personal and situational problems. There is no typical addicted personality or emotional problem (Allen, 1996). Because of these facts, it comes as no surprise that there are also no typical assessment or treatment for these individuals. For instance, a medical/disease model of alcoholism may be more useful to some alcoholics than others. The point is that instead of rigidly applying one model, a counselors goal is to use the models that are most effective to the particular alcoholic in question. A primary thesis is that the way we construe alcoholism highly determines the way we diagnose, treat, and feel about alcoholism. Therefore, it is important for us to clearly and consciously know our own personal views (theories, beliefs, assumptions, expectations) toward drinking and addiction. I believe that each one of us hold theories about alcoholism which may be more or less helpful and/or harmful. For example, if we view an alcoholic only as one who is on skid row, frequently drunk, out of control, and blatantly disruptive and embarrassing, then our theory of alcoholism must be modified for successful assessment and treatment. Although such a view does include some alcoholics, it excludes most of them and therefore precludes helping them. Instead of one alcoholism, I have come to believe that there are many alcoholisms. And as reflected in the referenced readings, instead of one theory, there are many theories and treatments. This is rather frightening to the new MSW! How will I know? Through the years, I have pieced together a general theory of alcoholism. First, alcoholics are more or less obsessed with the thoughts of drinking (manifested in idle thinking, dreams, fantasies, intrusive thoughts, and concrete plans). Alcoholics look forward to drinking, think about and give reasons for not drinking, justify their drinking, lie about and hide their drinking, or think about the comfort of drinking. Simply put: A lot of thought is given to drinking. Furthermore, the promise of drinking in the near future helps alcoholics to relax in the present, and conversely the thought of not being able to drink for an indefinite time evokes anxiety and subtle sadness. Non-alcoholics simple do not think this way. Alcoholics feel compelled to use alcohol as a means of effecting changes in mood, thinking, or over-all well-being. They feel a desire that drives them to use alcohol to achieve contentment, to affect a buzz, to reduce tension, to numb feeling, to forget, to relax, to reward, and to feel better. And, their pleasant feelings reinforce the compulsion to use again. Why are some people compelled to drink alcoholically, while others are not? No one knows for sure. There are many ways to explain alcoholism. Some approaches accent organic/genetic/biochemical factors, others emphasize non-organic/psychogenic/environmental factors, and others try to integrate both nature and nurture. Depending on the person, there can be many reasons (and combinations thereof) to feel compelled to drink such as genetics, biochemistry, habit, stress mismanagement, expectations, environmental pressure, cultural and societal sanctions, etc. One drink can compel some alcoholics to drink until they pass out or get sick. For them, one drink is too many. Other alcoholics feel compelled to drink daily while managing to function without blatant disruption. Others feel compelled to drink only on weekends, during holidays, or at festive occasions. Others seldom drink, but when they do, they drink alcoholically. Many alcoholics feel that they are entitled to drink and that life without alcohol is somehow not right, incomplete, or difficult. Although many alcoholics can abstain, they miss it. Their efforts to abstain, which include intense willpower (white knuckle approach), making great sacrifices, irritability, constant complaints, or dry drunks give evidence of their compulsion. Another of alcoholisms powerful dynamics, which reinforces its obsessive ness and compulsiveness, is the relative certainty and immediacy of its rewards. Unlike the risk and uncertainty of interpersonal fulfillment, alcoholics can safely count on the effects of drinking. Drinking seldom lets them down; it usually gives them what they ask for. Alcoholic effects are easy to come by and occur quickly. There is

Life of a Confederate Soldier essays

Life of a Confederate Soldier essays Did you hear that John, the South made their own government earlier this week. Said Steve King, my younger brother, on our way back home from a swim with some of our slave friends. Yeah, and Jefferson Davis was chosen to be president. I replied, but Im not to sure seceding from the union was to good of an idea. I dont see anything good coming from the South seceding, even if it is constitutional. Im glad we seceded from the union. When the Yankees look at the south all they see is wasted land. They want to get rid of our way of life, which is the backbone of the United States, so that they can industrialize the South and make more money for themselves. Hes right, but I hope it doesnt come to war. The North would be much better prepared, and to many innocent people would die. But chances are it will, and this guy Lincoln wants it to. He said he wants unity for strength, I doubt that, he is no different than the rest of those abolitionist northerners. When we returned home, my life was changed forever. My mom, crying uncontrollably, took my brother and me in her arms, and told us the horrible news. A group of abolitionist, who were trying to start a slave revolt, killed my dad. He was only trying to stop them from taking innocent peoples lives, and despite his courageous efforts his innocent life was taken in a blink of an eye. The next few months were the two of the hardest months of my life. Then it happened, the Confederates attacked Fort Sumter, and the Civil War began. As soon as we could my brother and I told our mom we were going to join the confederates cause in the Civil War. I didnt want it to come to war but, I told my mom and brother, after Dad was killed I have been waiting for an excuse for revenge. My brother felt the same way, and thats why we were surprised when Mom would not let us...

Writing to Attract a Certain Readership

Writing to Attract a Certain Readership The process of writing is more than just knowing how to put words together – its also about knowing how to put words together effectively. Proper grammar, while necessary to achieve a certain level of professionalism and validity to your writing, will only get you so far as a writer. There are also nuances like tone, aesthetic distance, connotation, and style that are necessary considerations if you wish to achieve a particular purpose with your words.ToneTone is the writers attitude toward his or her readers and toward the subject matter, and works the same way in writing as it does in meeting someone for the first time and establishing a connection or rapport with them. Have you ever met someone for the first time and immediately liked that person because of their attitude? Or maybe conversely, you met them and immediately disliked them because their attitude?As humans, we subconsciously pick up on signals others give us through their body language, word choice, articulation , and approach to a topic. Language is a mathematical process in its basic rules of syntax and grammar, but beyond those, it turns into a pure art form that can be manipulated in multiple ways to communicate. Although its more difficult to pick up on a writers tone than it is to pick up on a speakers tone (because we dont hear the inflection and volume of the writers voice), tone is still present, and it is still a subconscious indicator for the audience.This is why it is so important as a writer to consider the tone that comes across in your writing. Measuring that tone against your intent is a crucial step in creating effective writing that will capture your intended audiences attention and achieve the goal you have for your content. If you are selling something, a positive, expert tone is best; if you are writing to persuade your readership to vote for a particular candidate, using the majority of the content to criticize that candidates opponent too often comes across as juvenil e and unprofessional.Aesthetic distanceA writers aesthetic distance is their emotional involvement in their work. As with tone, often it is easier to determine emotional involvement when you can hear the words and inflection; however, it is still present in the written word. In the same sense that a speech can be boring and monotone, showing little to no emotional involvement on behalf of the speaker, written content can take on the same sound, even if that sound is only in the readers head while reading your words.Take the following examples:Product A was released last year and has grown in popularity. Customers have given rave reviews and the online buzz is continuing to spread. Try it today and see what everyone is talking about.I admit – I was skeptical at first. Despite the glowing online reviews of Product A, I didnt expect the exceptional quality, amazing features, and ease of use that I encountered when I tried it for myself. Now, I know it is a product that I not onl y cant live without – its one that I cant wait to share with my friends and family.Now ask yourself which one shows more emotional involvement on behalf of the writer. Its obviously example 2, and beyond showing more emotional involvement, it is also the more interesting paragraph to read. In marketing, this is the type of paragraph that will get and hold a readers attention because it is personal, it is emotionally involved, and the aesthetic distance (or lack thereof) of the author creates a better rapport with the intended audience.ConnotationWe all know that a words connotation is important, especially when it comes to communicating with a wide audience. Just as an author would want to avoid bias and stereotyping in his or her writing, its also equally as important to pay attention to the connotation that words might have to all audiences reading the content. Is there a word that would have a negative connotation to a certain readership? If so, its best to replace that wo rd with something less combative or risky in order to avoid alienating your readership.In the same sense, if you are narrowing your writing to a very specific audience, the connotation of a word can have a big role in this process. This is where buzzwords and jargon are likewise helpful – if you know the words that will get a certain audiences attention, use those words and know the connotation of them before you do. Usually this requires research, but a Google search will generally give you all of the information you need to know about a words connotation and denotation among various audiences.StyleStyle in literary terminology refers to the way a writer expresses a particular thought or idea. It is the concept of how word choice, while crucial, is only one part of the puzzle; a writer should also consider the most effective way to communicate that idea. Should it be through humor? Candor? Persuasion? Again, knowing your audience and knowing which style would be most attract ive to them is important if you want to communicate your message in the most effective way possible.Knowing your audience is everything. Spend the time researching on the front end to do this, and modify your tone, aesthetic distance, connotation, and style to make it happen.

Map of World Hotspots

Map of World Hotspots Most of the worlds  volcanism  occurs on plate boundaries. Hotspot is the name for a center of volcanism that is exceptional. Map of World Hotspots Click the image for the full-size version. Image courtesy Gillian Foulger According to the original theory of hotspots, from 1971, hotspots represent mantle plumes- blobs of rising hot material from the base of the mantle- and make up a fixed framework independent of plate tectonics. Since that time, neither supposition has been confirmed, and the theory has been greatly adjusted. But the concept is simple and appealing, and the majority of specialists are still working inside the hotspot framework. Textbooks still teach it. The minority of specialists seeks to explain hotspots in terms of what I might call advanced plate tectonics: plate fracturing, counterflow in the mantle, melt-producing patches and edge effects. This map shows the hotspots listed in an influential 2003 paper by Vincent Courtillot and colleagues, which ranked them according to a set of five widely accepted criteria. The three sizes of symbols show whether the hotspots had high, medium or low scores against those criteria. Courtillot proposed that the three ranks correspond to an origin at the base of the mantle, the base of the transition zone at 660 kilometers depth, and the base of the lithosphere. There is no consensus on whether that view is valid, but this map is handy for showing the names and locations of the most commonly mentioned hotspots. Some hotspots  have obvious names, like Hawaii, Iceland and Yellowstone, but most are named for obscure ocean islands (Bouvet, Balleny, Ascension), or seafloor features that in turn got their names from famous research ships (Meteor, Vema, Discovery). This map should help you keep up during a talk aimed at specialists.

Web page wording Essay Example | Topics and Well Written Essays - 750 words

Web page wording - Essay Example g wide-ranging creation services including web design, graphics design creation and implementation of printing , covering wide aspects of advertising, corporate image, branding, and marketing development. With this goal in mind, we’ve produced many aesthetic-appealed designs. Yet, we’ll never compromise on quality and the commitment that we offer to our clients to provide the desired outcome. Thus, we keep moving toward growth and beyond, delivering the simplest yet most fruitful solutions to your marketing communication needs. Additionally, with our assistance, your  website will also potentially rank higher as compared to your competitors bringing in more sales and leads to you! This website comprises of a collection of web pages that are manually connected. Minimal scripting and HTML coding are used for this site. The hypertext or HTML files are then stored on a server, as per the clients requirements. If any changes are made later, the hypertext files are required to be changed, saved and uploaded again to your server. Brochure type website is effective when its only purpose is to act as a display platform for your products or services. This kind of website is idyllic for small organizations, beginners and businesses that have a less diversity of products and services. So if you dont need regular updates for your website, this is the best option for you! Just because your website is static, it doesnt have to be dull and lifeless. We have one of the most creative design team that can deliver stunning websites which catches the attention and keep your visitors clicking on your links. For us every website is a blank new canvas and our designing team with their creativity makes it vibrant and spectacular. CMS stands for Content Management System and Drupal is the best open source application to develop CMS. It is used by some of the biggest sites like The Economist and The White House. If you are in need of Content Management and are looking for Drupal

Cause and Effect on Gasoline Prices Essay Example | Topics and Well Written Essays - 750 words

Cause and Effect on Gasoline Prices - Essay Example   The price of crude oil and how its effect is felt at the pumps is an issue of interest in as far as the price of gasoline gases is concerned. Gasoline is produced from crude oil through distillation process whereby crude oil is heated and fumes captured are converted to various products including gasoline. Thus the cost of extracting crude oil as well as the cost of processing it to produce gasoline will definitely affect the price of its products. For instance, the price of crude constitutes up to half or more of the price of gasoline gallon as suggested by Gupta and Demirbas (73). The rise in the price of crude oil has been driven by the increasing demand for oil globally and the political instability in most of the oil-producing countries according to Gallun (723). Therefore these factors end up directly affecting the price of gasoline. The depreciation of the US dollar when compared to other currencies of other countries contributes to the changes of gasoline gas price. This can be attributed to the fact that when the US dollar changes its value, there is a shift in the demand and costs of countries with different currencies. For instance the dollars depreciation against the Euro by half, the Countries using the Euro pay half more in dollars thus increases the demand. If the Us dollar depreciates, investors in return have to shift their capital there is the rise in price of crude oil gases hence affecting price of Gasoline gas according to Obadia (23). The world wide demand and supply for crude oil affects the price of gasoline gases in different ways. This is because demand and supply of crude oil is influenced by the organization of Petroleum Exporting countries it sets price of oil products produced by its members. This organization also holds the biggest percentage of oil supply in the world and thus it dictates the terms of supply of oil products as suggested by Boyes and Melvin (11). In terms of demand, during the summer there tends be to a lot of gasoline gas demand hence if demand exceeds supply the prices bare likely to rise. It is therefore true that imbalance in supply and demand leads to fluctuation in the price of gasoline gases according to International Monetary Fund (56). For instance if there is fast rise in demand or quick fall in supply due factors such as refinery there may occur a rapid depletion for gasoline gases. The future of oil manufacturing and the contracts made on the future date and price for selling oil in a way affect the price of gasoline gases. On one hand with increasing technology, the future may experience increased demand for gasoline gas compared to the source of this gas and thus prices may end up increasing. On the other hand the increasing alternatives of sources of energy replacing the use of gasoline in future are likely to lead to a decrease in price of the gasoline gases. The future increase in retail gas stations which will still share the market with the existing ones will lead to l ower prices in order to attract customers. Some contracts have been established to decide on the future date and price for selling oil products. For instance a Collar contract is a mini-max strategy assuring producers of oil either a minimum or maximum range of prices for the sale of oil in the future as suggested by Gallup and Frank (221).  Ã‚  

Caterpillars Resilience for Strategic Change Management Process Essay

Caterpillars Resilience for Strategic Change Management Process - Essay Example 1) These above mentioned lines are not only mere scholarly jargon or illusion used by some well known academic scholars but the lines are truly reflecting the core essence of change management. In such context, Zajac, Kraatz & Bresser (2000) pointed out that the question is not about whether an organization is able to change or not rather the focus should be whether the mentioned organization is able to successfully implement the change management mechanism in competitive environment or not. Palaniswamy and Sushil (2003) argued that going for change for organizations is always directed by external factors because no organizations would want to change the existing system equilibrium without any bankable reason. Well, the argument has point because historical analysis of data shows that without the presence of certain reasons or the objective of achieving certain benefits, none of the organizations have invested its financial and non-financial resources to achieve change management (Za jac, Kraatz & Bresser, 2000). ... Caterpillar Inc- Business Dimension Caterpillar Inc or Cat is an American corporation which is global leader in manufacturing, construction and mining equipment, diesel-electric locomotive, industrial gas turbines and diesel and natural gas engines. The company was established in 1925 and at present, headquarter of the company is located in Peoria, Illinois, United States (Caterpillar, 2013a). The engineering giant offers wide range of products ranging from construction and mining equipment (the yellow equipment of the company has become symbolic icon for both industrial and retail consumers), customized industrial gas turbines which can lift heavy loads, natural gas engines which can work in low carbon emission state, remanufacturing services, end to end logistic services and even financial services (Gillett, Fink & Bevington, 2010). As of 2012, Caterpillar Inc has earned revenue of more than US $65 billion from its global business operation while the company has reported asset wort h around US$89 billion (Caterpillar, 2013a). As of 2008, the company has established presence in every continent while total employee base of the company exceeds 0.1 million (Gillett, Fink & Bevington, 2010). Now, the fact is that Caterpillar Inc never targeted retail customers or sell items to end users because from the starting days, the engineering targeted construction and mining companies or the dealers who sell construction equipment to both industrial and retail customers. In such business ideology, Caterpillar Inc has established global dealer distribution network crossing 185 partnerships across countries in Europe, South America, Africa, North

Progressive Movement Essay Example | Topics and Well Written Essays - 1000 words

Progressive Movement - Essay Example A loosely defined movement was formed from the progressive reformers. Progressives were individuals or groups of people who were concerned about the state of society, impacts arising from urbanization and industrialization, poverty, social issues and political corruption (Foner, 2014, p.678). Progressives as businessmen were ambitious to include the laborers and workers for their rights in decision making and economic improvement. Women were part of progressive movement who sought their right of protection of their children from exploitation. Journalists as progressives had exposed the major ills of urban as well as industrial lives with expectations to encourage reforms. Social scientists also took part in progressive era with their beliefs of solving the social problems through the academic research. Middle class individuals were more fearful about the rise of big businesses that could threat their social as well as economic status. Progressivism was defined through currents and tr ends of counterculture, challenges to authorities, cultural liberation and sexual revolution. Other currents and trends include the steps towards the equal rights, civil rights and establishing the women’s organizations.Socialists advocated that economy’s state control and laborers’ voices must be accorded in their decision making. Many civil and political organizations recognized that inequality could threat the democracy, so they considered that political struggle was essential to defend the interests of workers.

Media and war on Terror Essay Example | Topics and Well Written Essays - 250 words

Media and war on Terror - Essay Example The government on the other hand used the media to counter the information and claims distributed by terrorists. Through the media, governments also wages a war of winning the hearts and minds of the people by letting the public know how terrorist organizations are causing havoc in our society. In so doing, they erode public sympathy from the terrorist potential supported. Having said this, media inadvertently becomes an instrument of the tugging parties on the war on terror. Media and terrorism will always have a symbiotic relationship because media will feed on the news created by terrorists. The â€Å"juicy† news that terrorists will provide increases the news agency’s rating while terrorist organization gained media exposure to win public sympathy and support. This kind of set-up inadvertently forms a symbiotic relationship whereby each entity thrives on the existence of the other. Media benefits in either way. When terrorists organization issues a threat, media increases its ratings by sensationalizing it and when government counters to continue our way of life so as to deprive the terrorist of their victory, the media again has something â€Å"juicy† to report to increase its

Native Americans in the United States Essay Example for Free

Native Americans in the United States Essay Based on the ethnic groups (Table 1: Appendix), several beneficial values that helped to shape the United States lifestyle can be described (Holland, 2006). In particular, the brief summaries have given the clear picture of Multiculturalism in the United States in relation to the origin. The United States, for that matter, is captured as a multicultural society that is open to all people with different backgrounds. From an early time, several groups started moving into the region due to various reasons, which allowed for the development of a culturally diverse society. Hence, the United States substantially benefited from the cultural diversity as improved workforce was available for the various work scenarios. Despite the obvious benefits of multiculturalism in the society, some negative forms such as racism, stereotypes, prejudice, and discrimination flourished over several years (Holland, 2006). In the recent past, for example, several ethnic groups such as the African American, Hispanic, and Indian Americans have continually suffered racism, discrimination, and being depicted in certain stereotypes. Firstly, segregation between the Whites and Blacks was a key characteristic of the population before the rise of the civil rights during the 1950s and over (Holland, 2006). Workplaces, schools, commuter busses, and residential areas were segregated between the two groups until in 1954 when segregation in schools was banned. As a result, people started integrating on a multicultural perspective, which led to the realization of better performances and solutions for the workplaces. Besides the significant leap ahead, other factors such as prejudice and stereotyping still exist at the current date. For instance, the African American and Hispanic groups have been stereotyped in the villainous characters such as gangsters, robbers and the like for several decades (Holland, 2006). Such beliefs have existed for several years and are even a common occurrence in media the same way. Hand in hand, prejudice has also resulted from the occurrences. Therefore, prejudice and stereotypes are a normal situation in the culturally diverse environment of the United States. However, the multicultural nature of the country’s population resulted in some positive factors such as creation of a multicultural workforce that can meet the requirements of the target population in an effective manner (Kenyon, 2005). In connection to that, all the ethnic groups in the American landscape are subject to some positive, as well as, negative aspects of the cultural diversity. As a result, prejudice, stereotypes, racism, and discrimination that were once extremely high have considerably low effects on the modern and socially active populations. In conclusion, the United States still leads with regards to the benefits of cultural diversity among its people. Table 1: Multicultural Matrix and Analysis Worksheet. Part I: Matrix What is the group’s history in the United States? What is the group’s population in the United States? What are some attitudes and customs people of this group may practice? What is something you admire about this group’s people, lifestyle, or society? 1. The African American Several African American people are linked to a history of slavery since their ancestors were brought in the United States as slaves. This happened first during the 1600s-1700s, and where they assisted English colonialists to get American independence. Later, prominent leaders such as Martin Luther King, Jr. helped to change discrimination against Blacks. As a result, a breakthrough into the rampant segregation between the whites and blacks reduced. The African American has an approximate population of about 37 million forming about 13 percent of the total population of the United States. The African Americans are characterized by the practice of several cultural activities depicted in their music, art, and lifestyle. As such, they form a significant part of the USA as their culture substantially influenced the American culture. I appreciate the African American lifestyle and their music such as Hip-hop and reggae music. Additionally, I love their celebrations such as the Black history celebrations in which they remember their historic past. 2. The Hispanic and Latino American The Spanish became among the first settlers, before Europeans, to settle in some areas of America such as Florida and California. Several people of this group speak the English language only and have adopted the European-American Culture. On average, the Latino and Hispanic population in the United States is approximately 16 percent of the whole population. This accounts to almost 50 million people. The Hispanics are depicted as religious people who believe in helping one another. Families may be nuclear or extended, and the father is the final decision maker in the family setting, while the mother is the home care taker. However, all family members are expected to assist in the effective functioning of the setting. I love Hispanic music and their musicians such as Ricky Martin and Jenifer Lopez. Additionally, their Mexican foods are an excellent appetizer that I always cannot ignore. 3. The Indian American The Indian American officially became legal citizen in the United States in 1946. The Indians immigrated into the United States via other countries such as Jamaica, South Africa, and United Kingdom among other countries. The Indian population in America is reasonably low at approximately 0. 89 percent of the whole population. As such, this reflects to about 2. 5 million people. The Indian Americans have a strict cultural background and adhere to strict rule on religion, culture, and food among several other practices. Their religions are diverse and may include Hinduism, Islamism, Christianity, and Buddhism. I value the cultural practices of Indians especially those practicing Hinduism as they have fascinating ideas. One example is the caste system, where once in a low or high case system; one is destined to remain right there. 4. The American Asian Asians of the Chinese background came into the United States due to mainly conflicts from their countries. One situation was the Vietnam War, which led to massive migration of the affected into the USA. In the 1970s and 1980s, therefore, was time for the largest Asian migration into the United States. The Americans Asian account for about 5 percent of the United States’ population. As a result of cultural diversity, the American Asians are exposed to several challenges. I admire the Chinese way of life that comprises of fun in the form of art and craft. Additionally, I find pleasure watching some of their movies and appreciate the Yoga. 5. The Native Americans The Native Americans were the original settlers of the United States of America. Relevant sources indicate that they enabled undetectable communication during the World War II using their native language. As pertains to name, the Native Americans are recognized as the first settlers of the United States. However, they account for a small population percentage of about 1 percent. The Native Americans culture show dissimilar practices in all other nations. In particular, those living on reservations show dissimilar cultures from the ones not living on reservations; however, some similarities may exist in their heritage and traditions. The Native Americans fascinate me with their incredible lifestyle such as them living in tepees and their spiritualism. 6. The Bahamian American The Bahamian American migrated into the United States from the Caribbean during the late 19th century in search for job offers in the agricultural sector. The Bahamian American has an extremely low population of about 40,000 people. Hence, it accounts for approximately 0. 01 percent of the whole population. Bahamian Americans preserved their cultural heritage; hence, have a distinguished way of living and culture. The Bahamian way of living and cultural heritage provides an excellent measure of modern living from historical setting. Their cultural practices are engaging. Part II: Analysis Basing on the above listed ethnic groups, several beneficial values that helped to shape the United States lifestyle can be described. In particular, the brief summaries have given the clear picture of Multiculturalism in the United States in relation to the origin. The United States, for that matter, is captured as a multicultural society that is open to all people with different backgrounds. From an early time, several groups started moving into the region due to various reasons, which allowed for the development of a culturally diverse society. Hence, the United States substantially benefited from the cultural diversity as improved workforce was available for the various work scenarios. Despite the obvious benefits of multiculturalism in the society, some negative forms such as racism, stereotypes, prejudice, and discrimination flourished over several years. In the recent past, for example, several ethnic groups such as the African American, Hispanic, and Indian Americans have continually suffered racism, discrimination, and being depicted in certain stereotypes. Firstly, segregation between the Whites and Blacks was a key characteristic of the population before the rise of the civil rights during the 1950s and over. Workplaces, schools, commuter busses, and residential areas were segregated between the two groups until in 1954 when segregation in schools was banned. As a result, people started integrating on a multicultural perspective, which led to the realization of better performances and solutions for the workplaces. Besides the significant leap ahead, other factors such as prejudice and stereotyping still exist at the current date. For instance, the African American and Hispanic groups have been stereotyped in the villainous characters such as gangsters, robbers and the like for several decades. Such beliefs have existed for several years and are even a common occurrence in media the same way. Hand in hand, prejudice has also resulted from the occurrences. Therefore, prejudice and stereotypes are a normal situation in the culturally diverse environment of the United States. However, the multicultural nature of the country’s population resulted in some positive factors such as creation of a multicultural workforce that can meet the requirements of the target population in an effective manner. In connection to that, all the ethnic groups in the American landscape are subject to some positive, as well as, negative aspects of the cultural diversity. As a result, prejudice, stereotypes, racism, and discrimination that were once extremely high have considerably low effects on the modern and socially active populations. In conclusion, the United States still leads with regards to the benefits of cultural diversity among its people. Part III: Sources Holland, C. (2006). Ethnic and Religious Diversity in Central America: An Historical Perspective. Retrieved November 12, 2011 from the Prolades Website: http://www. prolades. com/Ethnic_Religious_Diversity_CAM-Holland. pdf Kenyon, A. (2005). The Importance of Diversity in the Workplace. Retrieved November 11, 2011 from the Leading Today Website: http://www. leading today. org/Onmag/2005%20Archives/may05/ak-may05. html Reference List Holland, C. (2006). Ethnic and Religious Diversity in Central America: An Historical Perspective Retrieved November 12, 2011 from the Prolades Website: http://www. prolades. com/Ethnic_Religious_Diversity_CAM-Holland. pdf Kenyon, A. (2005). The Importance of Diversity in the Workplace Retrieved November 11, 2011 from the Leading Today Website: http://www. leading today. org/Onmag/2005%20Archives/may05/ak-may05. html

Importance Of Needs Assessment In Nursing Practice Nursing Essay

Importance Of Needs Assessment In Nursing Practice Nursing Essay Confidentiality and anonymity must be maintained at all times to protect the identity of the service user, carers, families, healthcare settings and other professionals involved. Any breach of confidentiality will result in an automatic fail. This essay will discuss the importance of needs assessment in nursing practice. In relation to case study 2 about a 68 years old Afro Caribbean retired bus driver male called Carl, who has being married for 45 years with 5 grown up children and 8 grand children. He smokes 20 a day and enjoys nightcap before sleep. His latest vital signs observation are respiratory 20 rpm, blood pressure 168/105, pulse 92bpm, Spo2 95% and BMI 32kg/m2 and he is on statin, betablocker, aspirin, frusemide medication. Currently his wife has notice Carl seems to have forgetfulness, he couldnt remember his way home from the super market and keep losing items. He is getting frustrated and taking it on his wife and grand children, especially when he cannot read them a story. This essay will discuss the importance of needs assessment in nursing practice. It will identify a service users needs base on a scenario and the appropriate assessment tools required for his care. And from the tools identified, one will be prioritised and apply on his condition. Finally the essay will summarise the experience of using the assessment tool and how it will help in future learning. Patients assessment is the collection of data about an individuals health state that identifies and defines patient problems in order for solutions to be planned and implemented in line with their preferences (Roper el at 2000 p 124). Therefore, a clear idea about health is important because this determines which assessment data should be collected. The world Health Organisation (WHO) (2001) defines health as a state of complete physical, mental and social well being and not merely the absence of disease or infirmity. Whiles this is a broad definition, it implies that the nursing approach to health care is holistic in nature and therefore health assessments should reflect that philosophy with it focus on the whole person and their context. Nurses are obliged to take in to consideration patients physical, emotional, spiritual, social and intellectual needs when making an assessment (Department of Health 2004). ` Therefore, when nurses are conducting health assessment on a person it may requires acknowledgement of techniques of collecting and analysing subjective data which is what the person says about them selfs during history taking. And objectives data which is what nurses observe by inspecting, percussion, palpating, and auscultation during physical examination (Department of Health 2003). Potter and Berry (2005) argue that if inaccurate, incomplete or inappropriate data is recorded then the overall care of the patient may be affected, including wrong diagnosis and even wrong treatment. NMC (2002), code of professional conduct, urged all nurses to work in a professional manner and abide by the policies set out by the trust they work in. it suggest that the recording or documentation of information is essential and any deviation could lead to potential consequences for the individual if their standards are not met. The purpose of health assessment is to make judgement or diagnosis because all health treatments and decisions are based on the data gathered during assessment; it is paramount that the assessment is factual and complete, providing the foundation for clinical decision making (RCN, 2007). This gathered information provides a comprehensive description of the patient. It focuses on the patients needs at that moment in time and possible needs that may need to be addressed in the future (NMC, 2007). Its a fair and accurate account of the individual and their life. Overall assessment is a way of delving deeper into a patients illness and preventing more problems from arising. In relation to case study 2 about a 68 years old Afro Caribbean retired bus driver male called Carl, who has being married for 45 years with 5 grown up children and 8 grand children. He smokes 20 a day and enjoys nightcap before sleep. His latest vital signs observation are respiratory 20 rpm, blood pressure 168/105, pulse 92bpm, Spo2 95% and BMI 32kg/m2 and he is on statin, betablocker, aspirin, frusemide medication. Currently his wife has notice Carl seems to have forgetfulness, he couldnt remember his way home from the super market and keep losing items. He is getting frustrated and taking it on his wife and grand children, especially when he cannot read them a story. Newson (2001) suggests that, for a process to commence a model of assessment is utilised and this model needs to be holistic in all aspects of patients needs. Therefore proper attention needs to be paid to the biological, psychological and social situations of the patient. It is important that the health assessment includes a thorough examination of the patients activities of daily living (Department of Health, 2002) .The twelve activities of daily living (ADL) are communication, safe environment, breathing, eating and drinking, elimination, washing and dressing, temperature, death and dying, mobility, working and playing, sexuality and sleep (Roper, Logan and Tierney model 1985). Although, the Roper Logan Tierney model has being criticized for the use of activities of living as a simple checklist and emphasis only on the physical aspect of patient care( Reed and Robins 1991). This contrasts with Newton (1991) who suggests that the description of the Roper Logan Tierney model (1985) have been varied over the years and describe the model as a system model. Also Pearson (1983) describes it as a systems/development-based model incorporating certain concepts of Dorothy Orems model and the conceptual framework of Hendersons model (Henderson, 1969). It is important to remember that all ADLs about our individual life activities are interlink and when one or more activities is affected due to illness then most of the activities can become compromised. (REF) After a thorough nursing assessment, the ADLs that are appropriate to meet Carls needs are communication breathing, eating and drinking, elimination, safe environment, mobility, working and playing. Communication is essential for building nurse patient relationship (Robinson, 2002). For Carl due to his state of forgetfulness, memory loos, out of character behaviour and frustration especially when he cannot read for his grand children, he may need referral to see opticians for eye check, and the MMSE tool can be use to assess his state of dementia. Breathing is the first sign every health professional look for during patient assessment. Being able to breathe normally ensures that we can attempt other activities without any difficulties for example running. For Carl his breathing can be affected by smoking for 20 pack years as well as his higher BMI can cause shortness of breath. Referral to the NHS stop smoking service or radiographs for chest x-ray to check for infection will be essential. Also regular vital signs check up and the use of the peak flow meter for checking oxygen level in the lungs or nebuliser will help. Ensuring adequate hydration and nutrition is essential if health is to be maintained and in Carls case he has a higher BMI and he is in a state of confusion. There is a difference between dying from nutrition and dying with nutrition. And in Carls case he is dying with nutrition as being over nourished with higher cholesterol level. Fanning H, (2003) suggests that Dehydration as well as UTI can contribute to his state of confusion. Both the (MUST) tool and the (MMSE) tool for assessment of possible dementia can be used (NICE 2012). Referrals can be made by nurses for Carl to see the dietician and also physiotherapist for physical exercise regime and dipstick for UTI. Elimination is very important, and in Carls situation review of his medications will be important since some may cause constipation or frequent urination e.g. furosemide. Higher BMI as a result of being Obese as well as chronic chest problems and constipation can cause urinary incontinent (Kamm, MA1998). Also In male, disease of the prostate may lead to the obstruction of the flow of urine (Abrams el at 2002). The Bristol stool chart can be use to assess constipation, the dipstick tool can also be used to check for infection or UTIs and the fluid balance chart can be use to assess for dehydration by checking input over output. Mobility can be a problem since Carl has a history of forgetfulness and the need to urinate frequently. Fear of not being able to find his way home, been incontinence in public and even fear of falling in a new environment may but him off from mobilising. Human assistance will be needed as well as the assessment of risk of fall. Carl may need assessment on Working and playing since he is retired, have memory impairment and get upset when he cannot read for his grand children. Socialisation seems impossible for him now due to his condition. Referral to psychologists for self worth exercise and also going to day centres to meet other people will help. According to the RCN (2004), nurses will always need an assessment tool to guide their daily nursing practice in terms of their professional accountability and responsibility. For any tool to be effective it must be integrated into daily activity as a standalone initiative it is unlikely to have a significant impact. In Carls condition the as human beings the capacity to sustain life is dependent on our ability to address biological needs including breathing, maintaining blood flow to all our major organs, eating and drinking, elimination waste, protecting ourselfes from injury or disease, exerciseing and resting. All these activities can be monitored through nursing observations of patient in our care, enabling us to decide whether any intervention is necessary to help them maintain their vital functions. In order to make accurate observations we need to learn the correct techniques and how to use relevant equipment. To appreciate the significance of the observations, we need a good understanding of relevant anatomy and physiology, and how to distinguish normal from abnormal functioning. We then have to decide whether our observation require further action, which might include double checking results, increasing the frequency of observations, reporting changes to the clinical managers, Universal Screening Tool (MUST) will be appropriate for his health. The reason being that, been over weight or having a higher BMIcontribute to a whole range of health problems such as heart conditions, high blood pressure, type 2 diabetes, stroke, sleep apnoea, cancer, gallstone, weak pelvic muscles and osteoarthritis (Department of Health, 2004). Heart disease for instance, is one of the most widespread main health risks of being overweight. Being overweight increases the probability of heart malfunction and blood circulation problems and may result in congestive heart failure (Miller el at 2006). He continued that, losing weight in this situation may not only avoid the above-mentioned ailments but as well assist normalize blood pressure, cholesterol levels and triglyceride and diminish inflammation in the body. According to Elia, (2003) MUST is a screening tool that has been devised for application to all adult patients across all health care settings. Malnutrition adversely affects physical and psychological function (Elisa, 2000; Stratton et al. 2003b) and impairs patients recovery from disease and injury, thereby increasing morbidity and mortality. BMI (body mass index) is an easy, inexpensive method of predicting the percentage of your body weight that is due to fat mass. BMI is found by dividing your weight (in lbs.) by your height squared (in inches) and then multiplying by 703. In adults, a BMI below 18.5 is considered underweight, 18.6 to 24.9 is considered healthy, 25.0 to 29.9 is considered overweight and above 30.0 is considered obese. Respiratory function has been studied extensively in relation to BMI. For those with lung diseases, including emphysema, chronic bronchitis, asthma, and interstitial and vascular lung diseases, respiratory function is moderately to severely compromised. This compromise can be exacerbated by being overweight or having a BMI over 25.0. However, even in those with normal airway function, high BMI can impair respiratory function. Obesity and Chronic Obstructive Pulmonary Diseases (COPD) Chronic Obstructive Pulmonary Diseases include emphysema, chronic bronchitis and asthma. COPD causes a decrease in elastic recoil of the lungs so that excess air becomes trapped in the chest. This stretches the muscles involved in respiration and compromises their function. The respiratory muscles must then work harder even at rest, increasing oxygen demand on an already taxed respiratory system. At a certain point during physical activity, COPD patients reach a level when increased effort does not further increase the amount of air that they can expire. Having a high BMI means having more weight for your muscles to support during mobility. Thus, if you have COPD, the level at which increased effort no longer provides an increase in expiration comes much faster since you are working harder to support your own weight. In addition, having a high BMI means having more weight on the chest for the respiratory muscles to work against. Sponsored Links Lose 2 Stone in 4 Weeks?Mom reveals the shocking truth  About the UKs hottest dietwww.constant-fitness.com/diet Underweight and COPD Although a high BMI can further impair respiration in those with COPD, once COPD progresses to a severe level, weight loss becomes problematic. Because of lower oxygen levels in the blood, blood becomes shunted from the abdomen into the heart and lungs. This causes malnutrition because the gut is not getting enough blood flow to properly digest foods. Additionally, severe impairment of the lungs causes the respiratory muscles to work so much harder that metabolism greatly increases, even at rest. Typically, severe COPD patients who are underweight have a worse prognosis than those who are overweight because they are essentially starving. High BMI in Healthy Individuals According to a 2005 study by Jones et. al., high BMI can severely impact respiratory function even in non-diseased individuals. The study found that both Functional Residual Capacitythe volume of air in your lungs after passive exhalationand Expiratory Reserve Volumethe volume of air you can expire after passively exhalingdecreased exponentially as BMI increased. Subjects who were morbidly obese were actually breathing close to their Residual Volumesthe amount of air in your lungs after forced exhalation. Another 2005 study by Medarov et. al. Supports Jones findings and also found that Total Lung Capacitythe maximum amount of air you can inhaledecreased with increasing BMI. According to the American College of Sports Medicine, being overweight has mechanical effects on respiration, due to increased weight on the chest wall and diaphragm. Being overweight also causes an increase in energy use at the same workload compared to a leaner person, so the respiratory muscles fatigue at lower intensities in heavier people. These effects may contribute to the decreases in Functional Residual Capacity, Expiratory Reserve Volume and Total Lung Capacity. Lung Diseases Caused by Obesity There are two types of lung disease for which obesity is a primary cause. The first is Obesity Hypoventilation Syndrome, also known as Pickwickian Syndrome. Obesity Hypoventilation Syndrome involves chronic hypoxemiatoo little oxygen in the bloodand hypercapniatoo much carbon dioxide in the blood. The second lung disease obesity can cause is Obstructive Sleep Apnea. This disease involves periodic airway collapse and increased airway resistance during sleep. As both of these diseases progress, pulmonary hypertension may occur and eventually cause cor pulmonalefailure of the right side of the heart. Domino Effect Because high BMI decreases lung function in both diseased and healthy individuals, an unfortunate domino effect often occurs. Since being overweight makes it harder to breathe, those with respiratory problems may become less physically active. Decreased physical activity causes your muscles, including your respiratory muscles, to weaken and break down, which in turn makes breathing even more difficult. A downward spiral begins, in which inactivity begets further respiratory problems and respiratory problems beget more inactivity Read more:  http://www.livestrong.com/article/84685-bmi-respiratory-function/#ixzz2I54s1yvb The Health Risks of Overweight and Obesity Dr Jeremy Sims  MB BS MSc MRCGP FRIPH FRSH PGDipHI DipNH MRNT Obesity isnt just a cosmetic problem; its very much a health problem as well. You may be reading this today because you are, or have been, very unhappy about your physical appearance. However, losing weight isnt just about looking good, it is about feeling good; its about being healthy and living a productive and comfortable life. Above all, it is about avoiding the terrible health consequences of carrying around excessive weight. The growing evidence shows that if you are overweight you are more likely to develop health problems, such as heart disease, stroke,  diabetes, certain types ofcancer, gout (joint pain caused by excess uric acid), and gallbladder disease. Being overweight can also cause problems such as sleep apnoea (interrupted breathing during sleep) and osteoarthritis (wearing away of the joints); and the more overweight you are, the more likely you are to have these health problems. In comparison, healthy and steady Weight Loss can help improve the harmful effects of being overweight. The latest studies show that by losing as little as 10 to 20 pounds you can dramatically improve your overall health status, whilst significantly diminishing your risk of disease. The Risks To Your Health Heart Disease and Stroke Heart disease and stroke are the leading causes of death and disability for both men and women in the Western World. Overweight people are more likely to have high blood pressure, a major risk factor for heart disease and stroke, than people who are not overweight. Very high blood levels of  cholesterol  and triglycerides (blood fats) can also lead to heart disease and often are linked to obesity. Being overweight also contributes to angina (chest pain caused by decreased oxygen to the heart) and sudden death from heart disease or stroke without any signs or symptoms. The good news is that losing a small amount of weight can reduce your chances of developing heart disease or a stroke. See dietitian, Juliette Kellows  Healthy Heart Diet  feature. Reducing your weight by 10 percent can decrease your risk of developing heart disease by improving how your heart works, reducing your blood pressure, and reducing the levels of blood cholesterol and triglycerides. Diabetes Noninsulin-dependent diabetes mellitus (type 2 diabetes) is the most common type of diabetes in the Western World. Type 2 diabetes reduces your bodys ability to control blood sugar. It is a major cause of early death, heart disease, kidney disease, stroke, and blindness. Statistically, overweight people are twice as likely to develop type 2 diabetes as people who are not overweight. You can reduce your risk of developing this type of diabetes by both losing weight and by increasing your physical activity. Furthermore, if you have type 2 diabetes, losing weight and becoming more physically active can help control your blood sugar levels. If you use medicine to control your blood sugar, Weight Loss and physical activity may make it possible for your family doctor to decrease the amount of medication you need Mohammed, MA (2009) Improving accuracy and efficiency of early warning scores in acute care. British Journal of Nursing. 18(1) 18-24 This article is a report on an experimental study to compare the effectiveness of hand held early warning computer system with the traditional pen and paper method Article 2. Johnstone C, Rattray J and Myers L (2007) Physiological risk factors, early warning systems. British Association of Critical Care Nursing. 12(5) 220-231 This article is a general article that provides background information on the topic of why early warning systems can improve patient care Article 3. Hughes LL (2009) Implementing a patient assessment framework in acute care Nursing Standard 24(3) 35-39 This article describes a service improvement initiative to improve patient assessment using an early warning score system over a4 month period at a Hospital in Birmingham Artcicle 6 Wheatley I (2006) The nurses practice of taking level 1 patient observations. Intensive Critical Care Nurse 22(2) 115-21 This was a survey conducted to discover the nurses practices of taking clinical observations in acute settings. It uses an observation data collecting tool (words 470) Read more:  http://www.ukessays.com/essays/nursing/examining-use-of-early-warning-scores-in-assessment-nursing-essay.php#ixzz2I5R87ePn Read more:  http://www.ukessays.com/essays/nursing/examining-use-of-early-warning-scores-in-assessment-nursing-essay.php#ixzz2I5QcaLAr Weight-control Information Network.  Do You Know The Health Risks Of Being Overweight?. Nov. 2004. U.S. Dept. of Health and Human Services. 23 Oct 2006 Diabetes Statistics.  Total Prevalence of Diabetes Pre-diabetes. 2005. American Diabetes Association. 23 Oct 2006 The Nutrition Source.  Healthy Weight. 2006. Harvard School of Public Health. 25 Oct 2006 Obesity causes many of the most common diseases in the world. Being overweight can cause insulin resistance, which leads to Type II Diabetes. A diet high in fat and lack of exercise causes cardiovascular disease and congestive heart failure. Excess weight can cause sleep apnea and respiratory illnesses. Many top scientists believe the increase of average weight directly corresponds to the increase of cancer cases, including kidney, breast, colon and prostate cancers. Read more:  Effects of Being Overweight | eHow.com  http://www.ehow.com/about_4596213_effects-being-overweight.html#ixzz2I57jKX6t Advances in the recording of vital signs make it possible for nurses to monitor patients continuously, be it their heart function, arterial blood pressure, central venous pressure or oxygen saturations. The recordings generated by this equipment must be interpreted according to the patient and in conjunction with other observations. The concern is that nurses may become too reliant on using technology to carry out assessment. Burman et al (2002) describe how staff who are used to equipment can feel insecure assessing patients without this equipment to validate their findings. Within the competencies are skills such as venepuncture, cannulation, arterial blood gases (obtaining and analysing), and recording and obtaining ECGs. Docherty (2003) identifies the recording and interpretation of the 12-lead ECG as being pivotal in the assessment and management of patients who are experiencing chest pain. This is further supported by Harvey (2004) who discusses the assessment and management of patients suffering from angina. However, it is further complemented by accurate physical assessment of the patient. Basic is a term that is frequently used to describe blood pressure, pulse, respiratory rate and temperature. However, I would argue that this undervalues these observations. Breakell (2004) identifies respiratory rate as one of the most important signs and yet one of the most frequently omitted clinical observations. Carberry (2002) also found this to be a problem in clinical practice. The objective of observation is to monitor patients progress, thus ensuring the prompt detection of adverse events or delays in recovery (Stevenson, 2004). Respiratory rate is pivotal to assessment. Many scoring systems incorporate respiratory rate, such as: APACHE Acute Physiology and Chronic Health Evaluation Score; SIRS Systemic Inflammatory Response Score; Assessment tools Neiderhauser and Arnold (2004) identify the importance of assessing the health risk status of patients, and the indications for intervention. A wide variety of assessment tools are in use to facilitate assessment and ensure the reliability of the process. For example the EWAS/MEWS tool can be use to check vital signs and avoid patients deterioration. EWAS is use for the assessment of unwell hospital patients, using 5 simple physiological parameters, mental response, pulse rate, systolic blood pressure, respiratory rate and temperature. It scoring system can be calculated at the patients bedside, using a simple and inexpensive equipment to measure any parameters. Of all the parameters respiratory rate is said to be the most sensitive indicatory of a patients physiological well being. Breakell (2004) identifies respiratory rate as one of the most important signs and yet one of the most frequently omitted clinical observations. Carberry (2002) also found this to be a problem in clinical practice. This is logical because respiratory rate reflects not only respiratory function as in hypoxia or hypercapnia, but cardiovascular statusas in pulmonary oedema, and metabolic imbalance such as that seen in diabetic ketoacidosis (DKA)( REF). Department of Health (1999b) Making a Difference: Strengthening the Contribution of Nurses, Midwives and Health Visitors. DH, London the health problems that stem from being overweight go way beyond the ones we usually hear about, like diabetes and heart disease. Being overweight can also affect a persons joints, breathing, sleep, mood, and energy levels. So being overweight can impact a persons entire quality of life. Dangers of being Overweight Some of the dangers of being overweight include developing: High Blood Pressure:  When you have excess body fat, your body retains sodium. When your body retains sodium, blood volume increases and blood pressure rises. High blood pressure causes your heart to work harder, which is dangerous for the heart. Diabetes:  Obesity is the leading cause of type 2 diabetes. Excess fat makes your body resistant to insulin. When your body is resistant to insulin, your cells cant get the energy they need. Stroke Abnormal blood fats:  A diet high in saturated fats increases the level of LDL (bad) cholesterol. Osteoarthritis:  Excess weight adds pressure to joints and wears away at the cartilage that protects them. Sleep apnea:  The more overweight a person is, the greater more severe the sleep apnea will be. Cancer:  Men and women who are overweight have a higher risk of developing many different kinds of cancer. Gallstones:  Gallstones are more common in people who are overweight. The connection between gallstones and weight is unclear. Weak Pelvic Muscles Physical Discomfort: As fat accumulates, it crowds the space occupied by yourorgans. People who are overweight may have difficulty breathing, walking or sitting. Heart disease is 1 of the most widespread main health risks of being overweight. Being overweight to a great extent increases the probability of heart malfunction and blood circulation problems and may result in congestive heart failure, heart attack, angina (chest pains), abrupt cardiac arrest or unequal heartbeat. Weight loss in this situation may not only avoid the above-mentioned ailments but as well assist normalize blood pressure, cholesterol levels and triglyceride and diminish inflammation in the body. Cancer is one of the foremost causes of death in the United States, and is frequently a result from fat cells that affect cell growth and multiply beyond capacity. Colon, esophagus, and the kidney are the most affected regions of the body. Being obese has also contributed to uterine as well as postmenopausal breast cancer in females. Sleep apnea, Osteoarthritis plus other Health Difficulties In sleep apnea the sufferer experiences short lapses of breaths during nighttime. This in turn makes the person tired right through the day, making it hard for him to concentrate on work. In some cases, heart failure has also been noted in patients suffering from this ailment. The lapse of breath happens due to the increased size of the cells of the neck, obstructing the windpipe at certain intervals. Dropping weight may decrease the size of the neck and diminish the pressure on the windpipe and make breathing easy. Osteoarthritis is another health risk of being overweight. In this particular ailment, the joint bone and the tissue that protects joints (cartilage), wear away. The joint bone of numerous parts of the body like the hip, knees, plus lower back are the main targets of Osteoarthritis. Being overweight places a lot of heaviness on the joints, which might lead to this condition in the long run. Dropping  weight  will let down the  body fat  and lessen the aches and pains. Excess fat accumulates in the liver cells and causes the organ to inflate, leading to injuries. This results in Fatty Liver diseases. This disease can lead to severe liver injury, built-up of scar tissue that blocks the proper blood flow to the liver (cirrhosis), and complete liver breakdown. It is relatively similar to alcoholic liver damage but does not inevitably mean that it cannot affect those who do not consume alcohol. Taking communication for instance, it is essential for building nurse patient relationship (Robinson 2002). It is important, for example for nurses to know during assessment whether a patient can hear, understands the language in which a question is being asked or can answer by speaking or sing language. And if they cannot hear, do they wear hearing aids, if so in which ear. Language barrier can be a major problem during assessment, but interpreters, family and friends can contribute and help. However, very often accurate information will not be given, preventing full assessment of patients needs. The use of braill and flashy lights is also important during assessment for patients who are blind or deaf. Newton (1991) suggests that descriptions of the Roper, Logan and Tierney model (1985) have been varied over the years. The model has been described as a system model (Aggleton Chalmers, 1987), as a model that incorporates multiple theories (Thibodeau, 1983) and as an activities of living model based on human needs (McFarlane, 1980). Farmer (1986) has described it as having a functional approach. Pearson (1983) describes it as a systems/development-based model incorporating certain concepts of Dorothy Orems model and the conceptual framework of Hendersons model (Henderson, 1969). It seems fair to suggest that the Roper, Logan and Tierney model has had criticism over time. Indeed, the model has been criticized for the use of the activities of living as a simple checklist (Reed Robbins 1991), the emphasis on solely the physical aspects of patient care (Minshull et al 1986, Walsh 1989), and the simplicity of the model (Walsh 1991). Bellman (1996) suggests that the first two problems indicate an inappropriate introduction and implementation of the model in practice. We have done nursing assessment and for Carl the ADLs that are a