Saturday, August 31, 2019

Workplace

Workplace ShiftsSherry BestGrantham University March 20, 2018 The workforce is contingent with the teamwork of personnel and state. The workforce remain the main concern of employers everywhere. All areas of employment are touched by economics and its affected by births, plus the quality of training each person receives. 100 years ago, jobs were manufacturing in nature, what I mean is that individuals worked in factories or on an assembly lines. These types of positions weren't very challenging because it's a situation that was repetitious as the worker repeat steps. Subsequently new technology happens to be more demanding, very aggressive and creative. Women are employed within position that once was considered â€Å"only men were productive in. Work shifts are divided into three shifts for several organizations. They're basically eight hours a shift and the employee usually work forty hours a week. Over the years the workforce has added four generation of workers. This has caused a distinctive effect on the workforce causing them to face the age differences. The HR knows the older generation of the past consequently will sway the future of various organizations. They know that achieving their goal depends on how workers. Also, the facts show that countless people are not retiring but are carrying on working well past the age of 65. HR specialists find that they're having to formulate additional resolutions to link the demands relating to the workforce with the aging workers. Which requires HR specialists to understand and be able to execute ways to create jobs and to fill them with acceptable workers. Meanwhile workers and jobs are always transforming so organizations realize that they have diversity and the skill to maintain a balanced workforce being competent to accomplish their goals for the future of the organization. Also, companies have moved to global level with improved technology and communication. Besides more women employees entered the workforce which was not the state 100 years ago where women lives tended to be centered around their families. During WWI changed who the workforce would use once the men were either volunteering or being drafted to serve in the military which resulted in there was no one to fill the positions. So businesses hired the women to work in the men's place. After showing the factories that the women were capable to carry out the duties that the men could do, but they were paid less for the same job. Since then women have demanded rights for equal pay and equal treatment. Because the workforce have become more diverse with gender, age, and culture it has caused organizations to change how they attain workers and maintain their numbers. The older workers are still present in the workforce is making HR to consider alternative ways for hiring, training, and what type of benefits plans to offer as enticements.Today HR managers needs to spend considerable time and money in training in new technology and keep them updated. The future US workforce groups in 2025 would be mostly aged population over 60 years. The workforce I filled with many kinds of technology such as computers, internet, smart phones and many mobile devices that has opened communication where everything seems to move at the speed of light. Therefore, HR will need to be on their toes to meet every task in the future. ReferencesAnderson, B. E. (2000). Journal of Economic Perspectives. Worker Protection Policies in the New, 207-214.DeCenzo, D. A. (2016). Fundamentals of Human Resource Management. Danvers, MA: John Wiley ; Sons.Effortless HR. (2018). Retrieved from The Past, Present and Future Workforce: https://www.effortlesshr.com/blog/present-future-workforce-generations/Huczynski, A. ;. (2010). Organizational behaviour. London: Financial Times Prentice Hall.Khan, A. H. (2012). Impact of job satisfaction on employee performance: An empirical study of autonomous Medical Institutions of Pakistan. African Journal of Business Management, 2697.Micheal Bailey. (2018). Retrieved from Demographic shifts and the HR challenges of the future: https://www.michaelbaileyassociates.com/news/hr/demographic-shifts-and-the-hr-challenges-of-the-futureWomen in the Workplace. (n.d.). Retrieved from http://articles.timesofindia.indiatimes.com/2010-09-15/edit-page/28241044_1_indian-women-chinese-women-chinese-counterpart

Friday, August 30, 2019

“One Art” by Elizabeth Bishop Essay

Can one ever practice losing enough to master it? Is it possible to become a master at losing such as an artist can become a master painter, writer, or sculptor? The speaker in the poem â€Å"One Art† presents this question and provides an answer. The poem is an illustration of a common human affliction–grief and regret caused by the loss of another human. Through the use of value progression and the interweaving of denotative and connotative meaning, the speaker shows that no matter how much a person tries to prepare for the loss of one he or she loves, grief and regret are inevitable. By comparing the phrase â€Å"the art of losing isn’t hard to master† with the frequently used word â€Å"disaster,† the meaning begins to take shape. This phrase is used four times in this nineteen-line poem (lines 1, 6, 12, 18). Considered closely with the word â€Å"disaster,† also used four times, one sees the speaker is making a point of rhyming the words master and disaster to emphasize the denotative point that many losses are not disasters–they can be accepted without grief or regret (3, 9, 15, 19). Yet the phrase â€Å"the art of losing†¦Ã¢â‚¬  throws a connotative meaning into the mix by indicating that losing, an uncontrollable event, can be a learned skill. Taken together, the phrase coupled with the word â€Å"disaster† provides foreshadowing to the paradox of trying to prepare to lose a person. The Oxford English Dictionary can shed light onto this interweaving of denotative and connotative meaning. Art 1. Skill in doing anything as the result of knowledge and practice. Human skill as an agent, human workmanship. Opposed to nature. 2. An industrial pursuit or employment of a skilled nature; a craft†¦ Losing 1. The action of LOSE. Perdition, destruction; the being lost or †¦ to be in process of being lost. 2. The fact of losing (something specified or contextually implied). The being deprived of, or the failure to †¦ Denotatively the phrase â€Å"the art of losing† means that a person has acquired skill in being deprived of something or someone. This is directly opposed to nature; in other words, it is not natural for humans to have the skills of losing. The poem illustrates this process of acquisition of skill through value progression in the second though fifth stanzas of the poem. The speaker describes instances of losing beginning with the insignificant and working toward the significant. He or she maintains that by â€Å"practic[ing] losing farther, losing faster† the art of losing will be mastered, therefore it will not bring disaster. Yet, in the last stanza the connotative meaning becomes clear. The final stanza is the only one to have four lines instead of three, which places particular significance upon its message. The final sentence is the key to the connotative meaning of the poem â€Å"It’s evident the art of losing’s not too hard to master though it may look like (Write it!) like disaster† (line 17b-19). Due to the speaker’s need to tell him or herself to â€Å"Write it!,† the connotative meaning of the poem shows that the speaker has been trying to convince him or herself without success that a master loser will avoid the disaster of grief and regret associated with the loss of a loved one. By combining the denotative and connotative meanings, the universal meaning of the poem becomes clear–it is impossible to acquire skills, no matter how much you practice, that will prevent the natural result of grief and regret when someone is lost. In the value progression of loss shown in stanzas one through five, the speaker is trying to convince him or herself that developing the necessary  skills can protect one against major grief and/or regret. It is in the last stanza that the desperateness of the speaker to convince him or herself that it is possible to accomplish this becomes clear. This is where the paradox begins. The speaker is still unconvinced that it is not a disaster to lose a person regardless of the preparation other previous losses may have provided. Stanza one sets the stage of the value progression of loss. It is here that the speaker states what he or she wants to prove. â€Å"The art of losing isn’t hard to master; so many things seem filled with the intent to be lost that their loss is no disaster† (line 1-3). This is the thesis statement of the poem, but instead of proving it true the speaker ends up proving it false. The key idea is that if something intends to be lost then their loss will not cause regret once a person has become a master of losing. The last stanza, particularly the last sentence of the poem, shows the paradox between the thesis and the connotative meaning–humans cannot prepare for the loss of a person. â€Å"–Even losing you (the joking voice, a gesture I love) I shan’t have lied. It’s evident the art to losing’s not to hard to master though it may look like (Write it!) like disaster† (lines 16-19). The old idiom â€Å"if it walks like a duck, talks like a duck, and looks like a duck; it must be a duck† aptly applies to the last sentence here. If it walks like a disaster, talks like a disaster, and looks like a disaster; it must be a disaster. The speaker even has to force him or herself to write the word disaster as evidenced by the parenthetical phrase â€Å"(Write it!)† which indicates that the speaker wants to believe that â€Å"even losing you† isn’t hard to master, yet he or she cannot quite convince him or herself that it is true. In actuality, the loss of a loved person is a disaster because the very act of love requires an attachment that when severed will inescapably cause pain. The OED has this denotative meaning for love: That disposition or state of feeling with regard to a person which (arising from recognition of attractive qualities, from instincts of natural relationship, or from sympathy) manifests itself in solicitude for the welfare of the object, and usually also in delight in his or her presence and desire for his or her approval; warm affection, attachment. Connotatively love carries the concept that its removal will not be positive, for anytime a person whom one is solicitous of is removed from one’s life; his or her absence will leave a negative affect, in other words, pain will result. The poem â€Å"One Art† effectively uses connotative meaning, denotative meaning and value progression to present a paradox of human nature–the desire to find a way to avoid the pain of losing a loved person. This is a universal truth that crosses cultural and temporal boundaries for all of human kind. This essay adheres to the formalism approach to critical analysis by focusing solely upon the text to derive meaning. It analysis the poem’s use of value progression, meaning of words and phrases both connotatively and denotatively. It shows how the thesis is made into a paradox by the last stanza, which in the end provides the ultimate meaning of the poem. The formalist approach has its strength in that it takes a text at face value forcing the analyzer to think for him or herself without commentary from others. But formalism disregards the author’s mindset at the time of writing as well as the effects it may have emotionally upon the readers. In my opinion, this is a major drawback particularly in regards to the poem â€Å"One Art† by Elizabeth Bishop. This poem seems to come from the heart–the soul–of the author. It would have been interesting and meaningful to know what she may have been dealing with at the time she wrote it. But regardless of Bishop’s mindset, the readers’ reaction has a major impact upon the meaning of the poem. Several friends of mine read this poem. The impact upon all of them was, to say the least, profound. Anyone who reads it has either experience a long-term loss of a person such as long-term illness resulting in death or can empathize with the concept. I think that formalism, by removing the emotional element of the reader, greatly diminishes the power of the poem.

Thursday, August 29, 2019

On the Morality of Non-Legal Political Tactics

Morality arises from virtue. It makes the determination of good or bad weighed before proper conduct, logic and experience. Yet what is logical and proper? Can we equate moral with legal? If not, how do we create an intersection of the two such that obedience to the law is also a moral act? The overlap between morality and law may be an ideal. A code of conduct becomes the framework of morality which is rooted in cultural norm and tradition, religion, ideology, philosophy and individual conscience. Laws as embodiment of political beliefs and values are ideally made when morals become a major basis. Yet, in the same way that no one is perfect, society is also an imperfect system and most of the time morals and laws do not meet in the same direction. The policy-makers are mostly humans with vested interests neglecting majority needs and demands. The shaping of laws ergo is a difficult task for the citizens in order to create a law-abiding and morally-upright population. If not, moralists who pursue their perceived moral code of conduct might afford to disobey societal rules to satisfy morality or the law-abiders might dissatisfy the latter. However, the sources of morality at some point would contend each other vis a vis proper judgment. When this happens, every issue must represent a relative field of concern and must base the measure of morality on which aspect is dominant. In this paper I would like to present how activities of activists and political interest groups have transgressed legalities however may find justification on moral grounds. The example chosen are the environmentalists’ illegal pursuits against companies that degrade the ecology. In a political sense; sabotage, rallies, arson and eco-terrorism which are done for the achievement of their political interests are considered political tactics. These are the measures adopted by organizations to create an impression of sustained efforts and operations to make the government act according to their wishes. These political tactics are made outside of state means and are labeled anti-government. Using the framework of the existence of social movements, these strategies are expressed only when sympathizers lost trust in their lobbying capacities and find better attention in the non-state parameters. Yet advocates are confident on the righteousness of their position and actions. Here is an illustration of where the conviction is coming from. Let us concentrate on Eco-terrorism. This simply has been defined as terrorism that is conducted for the sake of environmental causes. Violence is employed but is directed against property of the target offenders. The damage that eco-terrorism has caused amounted to $42.8 million for decades which in 2003 increased to 200 million dollars in property damage. Environmentalists have argued that the government have misinterpreted the acts of the so-called eco-terrorists and must refer to the acts of persons, companies and governments that are involved in ecologically irresponsible activities like deforestation, construction of infrastructures in agricultural suburbs, destroying habitat of animals and various life-forms.[1] This has served the justifying principle for eco-terrorism; the sustainability of environment is more important than profit of companies and no amount of consumerism could be utilized as reason for the business expansions and material development. The relative avoidance of killings and deaths resulting from activism is attributed to the value that any culture, religion and ideology places over life and the right to life. The environmentalists have been serious about relating environmental degradation to an indirect act of taking away the lives of people due to anticipated outcomes of mishandling of the ecology and imbalance in the ecosystem. Nature has its way of getting back at modernization and industrialization; global warming, flash floods, extinction, etc. Philosophically speaking, the morality of eco-terrorism also begs ethical consideration. Rights are given importance where morality is present. Human rights have included the right to life, a healthy habitat, and a safe and clean society. In a political sense, â€Å"power† is an element that is not confined to the government and may be given to civil society and interest groups. Authority hence may be questioned and rendered illegitimate where the general public sees selfish interests dominate the society’s politics. The other sources of proper conduct such as norm or tradition, religion and individual conscience may be subjective yet there are some arguments that favor the activists; again following the cost-benefit analysis of eco-terrorism. The costs may be high now, but it is highest where the environmental destruction is not hindered. Following Aristotle’s idea of the dependence of morality on law as it appeared on the Nicomachean Ethics- law is essential should we want to nurture our moral virtues. This is so because the law can yield to the enhancement of the intellectual virtues and improve our lives in general. However the context with which Aristotle speaks of consists of a society where citizens have relegated authority to political leaders who are most capable and just. Justice is achieved where the benefits of the majority is promoted. It is an unlucky occasion for the present time to be marred with inequalities implicating morality to a downfall. In which case, morality can not base itself on laws as the latter have contained contradictions to the former. Put it in another way, laws have given intrinsic worth to values other than those that are held by philosophy, ideology, norm or religion; instead to individualistic benefits. What transpires in laws are political culture, market-oriented beliefs and modernized attitudes and behavior; none of which is ready to face the non-profit, organized and strong sentiments of environmental activists. [1] Cited from http://en.wikipedia.org/wiki/Eco-terrorism   

Wednesday, August 28, 2019

Discuss the risks associated with the flow of water below dams and Essay

Discuss the risks associated with the flow of water below dams and define the critical hydraulic gradient - Essay Example When the downward force on such soil particles equals the upward force, the soil particles are at zero stress. This allows a free movement of dam subsurface soil particles which serves to enhance already existing seepage. The afore mentioned seepage leads in turn to the creation of channels that catalyze dam sub surface flows in a process known better as piping (Rogers, 2010). A number of different environmental failures have occurred on account of flows below dams that eventually lead to compromised embankments and a sudden discharge of water after dam failure. The sudden release of water from such dam failures tends to devastate the ecosystems downstream of the failed dam. A relevant concept in such failures is the critical hydraulic gradient () that allows a calculation of when piping failures are most likely. In itself, the critical hydraulic gradient depends on the composition of the dam sub surface soil, the available head at the dam’s bottom wall and the void ratio of the soil mass. The critical hydraulic gradient is seen as the hydraulic gradient that occurs when the vertical stress becomes zero (Vijayendra, 2012). Mathematically, the critical hydraulic gradient can be expressed as shown below (Vijayendra, 2012): As mentioned earlier, any loopholes in the calculation for the critical hydraulic gradient can mean the difference between dam failure and safe dam operation. There have been instances where dams have failed with only little warning due to the development of piping failures in the dam’s sub surface soil. It is worth mentioning here that such dam failures are often rapid and provide little warning before hand of impending doom. One such case in point is the Baldwin Hills Reservoir failure where the embankment failed only after 9 years of service. There were essentially no major warnings before the failure

Tuesday, August 27, 2019

International Law Essay Example | Topics and Well Written Essays - 4000 words

International Law - Essay Example Treaty law essentially entails the same binding nature as custom, and is only distinguished from custom because it is more formal than the former.2 However, treaties are generally written law and as such is a more certain source of international law.3 Although some international law scholar refer to treaties and customary international law interchangeably, there is a clear distinction since customary international law is bereft of written law and treaties are identified with written instruments. For example, Article 2(a) of the Vienna Convention on the Law of Treaties 1974 proves that: ‘treaty’ means an international agreement concluded between States in written form and governed by international law, whether embodied in a single instrument or in two or more related instruments and whatever its particular designation.4 In this regard there are two types of treaties under international law that represent important sources of international law. The first kind of treaties i s law-making treaties that establish rules that are universally and generally applicable. The second kind of treaties at international law are â€Å"treaty-contracts† which are concluded between two or more states and cover specific issues relative to the contracting states.5 Law-making treaties are direct sources of international law, while contract-treaties merely outline treaty obligations between the contracting states and thus circumvent the need to identify and apply customary international law, unless the treaty requires the application of customary international law.6 Since the mid-19th century there has been an unprecedented proliferation of law-making treaties which have come to be known as â€Å"international legislation†.7 The proliferation of international law-making treaties was responses to the inefficiency of international customary law in meeting the immediate needs of the international community for the regulation of mutual interests. The immediate ne eds of the international community arose out of developments at the economic and industrial levels which were increasingly tightening the interconnectedness of states. Thus relationships between states became more complicated and diverse.8 Law-making treaties can be viable alternatives to customary laws because as history informs, law-making treaties typically serve to main functions. First they may articulate crystalized rules of international law, thus making customary law more visible and essentially codifying customary law into an identifiable source of law. Secondly, law-making treaties may identify new issues and formulate new rules of international law designed to respond to new issues or to change current practices by states.9 For instance, UN Law of the Sea Treaty 1982 establishes new rules relative to jurisdictional parameters applicable to the seas.10 The UN Law of the Sea Treaty 1982 also codifies some customary rules of international law. However, the 1982 Treaty also p rovides new provision such as the creation of the International Sealed Authority for controlling the distribution of marine resources. Moreover, transit passages were established for replacing the concept of innocent passage via coastal states’ territories. Thus states ratifying the 1982 Treaty would necessarily be bound by new international laws relative to the distribution of marine life and transit passages.11 Thus law-making treati

One full page response paper for each article__total up to 11 articles Assignment

One full page response paper for each article__total up to 11 articles - Assignment Example This speech is interesting an uplifting. There is, of course, a beautiful literary discussion occurring but, also, the interpretation that he may be instilling in others in formidable. Today we live in a world where reality television and the cyber lives we lead on social media are making us more critical of others, not more empathetic. We need to continue to feel for others and educate ourselves so that we can contribute to positive endeavors and productive changes when needed. The only way we can achieve that is to not allow ourselves to become deluded that we are the centers of our own little universe (Wallace 1-2). This is speech is well-written and conveys its messages beautifully. It was a pleasure to read. The American English language is an incredibly difficult language to learn especially if you are from somewhere far away and the land and its language are completely foreign to you. We hear people with accents or broken English everyday who sometimes mispronounce the words or convey the verbiage poorly. Some people would criticize their lack of skill and fluency, while others might give them credit for making the effort. Amy Tan’s article, â€Å"MotherTongue,† is a fascinating look from the perspective of a child raised by someone who speaks broken English with thick Asian overtones. She explains that while most people would find her mother’s use of the English language clumsy and simplistic, to her daughter it was perfectly beautiful and made perfect sense, because that is her mother and she understands her just fine (Tan76-80). There is also a wonderful and empowering aspect to this article. It is when she discusses throughout the world how Asians are pressured and stereotyped into doing mathematics and accounting, seldom the humanities, and never English studies However, she defied the stereotypes around her

Monday, August 26, 2019

It Was Five Past Midnight at Bhopal Essay Example | Topics and Well Written Essays - 1500 words

It Was Five Past Midnight at Bhopal - Essay Example For those who wish to see how a disaster can evolve from seeds of carelessness, poverty and callousness, Five Past Midnight is a fascinating glimpse into a particular and dreadful case with immensely tragic consequences for an entire region. LaPierre and Moro (2002) note how the plant was a â€Å"hydra-headed† monster: It had a unit for alpha napthol, a unit for phosgene, a unit for methyl isocyanate, etc. â€Å"[C]ontrol rooms, works and hangers† over 120 acres with infrastructure. LaPierre and Moro make clear that the plants seemed superficially safe, but the whole concept was exploitative: People like â€Å"the Argentinian† resisted the size and the way it would keep on snaring out, taking over areas and controlling the population. But it came out of poverty. The people who had the best jobs were those climbing up high on the date trees, seeking out the nectar of the fruits, risking life and limb. The Bhopal factory, as horrible as it was and how terrible its catastrophe would be, was the best that could happen to the region, a boon. LaPierre and Moro make it immensely clear that Bhopal was not really an isolated incident: It emerged out of poverty, desperation and pain. LaPierre and Moro further connect Bhopal to other problems in the region. TED's Case Study of Bhopal does the same. â€Å" However, industrial accidents such as Bhopal are not just an Indian or even a Third World problem but are industrial disasters waiting to happen , whether they are in the form of "mini-Bhopals", smaller industrial accidents that occur with disturbing frequency in chemical plants in both developed and developing countries, and "slow-motion Bhopals", unseen chronic poisoning from industrial pollution that causes irreversible pain, suffering, and death... These are the key issues we face in a world where toxins are used and developed without fully knowing the harm that can come from their use or abuse† (1997). Bhopal was in fact connected to one of the most wide-eyed dreams in world history: The Green Revolution (LaPierre and Moro, 2002; TED, 1997). â€Å"The Bhopal facility was part of India's Green Revolution aimed to increase the productivity of crops. Considered an essential factor in the effort to achieve self-sufficiency in agricultural production, pesticide production use increased dramatically during the late 1960's and early 1970's. The decision to manufacture the pesticides in India, as opposed to relying on imports was based on India's goal of preserving foreign exchange and its policy of industrialization† (TED, 1997). This further connects Bhopal to a long history, which in the spirit of LaPierre and Moro we shall analyze. Khilnani (1999) reviews the history of a united India. India was not a historically unified entity: Through Marathas, Muslim invasions, Ashokas, Rajputs and other dynasties and groups, it was a massive area that was never unified in one region until the British. The artificiality of th is unified India was exposed most tragically, both to Nehru and Gandhi, in the Pakistan secession and the Hindu-Muslim conflicts of the post-independence period. Much like Germany, Prussia, Hungary and Austria, or Italy, the idea of the nation of India came about consciously by a program of unity. After the British were driven out, an â€Å"Indianness† was almost manufactured by both Gandhi and Nehru. This â€Å"Indianness† in the view of Nehru in particular, but certainly Gandhi as well, was to be a leader of the world, non-aligned between the extremes of Communism on the one end and capitalism on the other. They led the Third World movement and tried to navigate a compromise between Leninism and free markets. The Green Revolution was part of this: An attempt to catch India up again, bringing it

Sunday, August 25, 2019

Decision-making process in nursing base on scenario. Initial Essay

Decision-making process in nursing base on scenario. Initial presentation of patient and diagnostic fase - Essay Example 2005). When making choices, nurses are obliged to take due care and ensure they discharge their duties in accordance with their professional training and expertise. This experience may have been acquired from work practice or from training (Royal College of Nursing, 2006, p.17). To attain a high degree of joint understanding between the patients, relatives and practitioners, the medical practitioners should establish Ð ° training program to ensure that all the stakeholders are made aware of the prevailing circumstances and the possible consequences of the action taken by the health care practitioners. The healthcare providers must exercise their professional ethics to ensure they act in good faith and in the interests of the patients (Royal College of Nursing, 2006, p.22). The nurses should first assess the problem and then seek for solutions to the emerging issues during the assessment process. The alternative chosen should promise the best outcome and should be as effective as pos sible. The medical practitioner decisions are however influenced by their expertise, the available medical facilities, and the level of acceptance of the consequences of the outcome of the decision taken, as well as willingness of the patient and the relatives to acknowledge those consequences. The nurses have a duty to assess the situation at hand and make decisions concerning the treatment that can be given to the patient. In this case, the patient who is an elderly woman and has a wound on her left limb undergoes many challenges which affect her life in many ways such as inability to move from one place to another (Royal College of Nursing, 2006, p.35). She cannot work for her daily bread since she is unable to move around. She also undergoes a lot of stress because she cannot interact with other people in the society (Jones, 2005). The first thing the nurse has to consider when examining the patient is the family background because this could give them a clue as to what may have caused the wound. Some of the problems are inherited genetically. In case the problem has ever affected one or more of the family members, the medical practitioner can get an avenue for making a conclusion regarding the patient’s condition. Also, patients’ background is likely to point out a situation in the patient’s life which may have contributed to the problem (Lewenson, and Truglio-Londrigan, 2008, p.143). These could include previous surgery wounds which may have resulted in complications for various reasons such as bone fracture during surgery or inflammations sustained during the operation process. The patient has been in this condition for a period of four weeks. Before the practitioners can make a decision regarding the patient’s condition, they should first get information from the patient because this will assist them in making the choice (Royal College of Nursing, 2006, p.26). According to the past records, this patient had similar problem t hree years before its recurrence, and the condition was cured by compression bandaging. The nurses can use this information to interpret the condition which may be affecting the patient. For example the venous ulcers could be treated though compression bandage unlike other types of ulcers such as those caused by depression of diabetes. The health care providers should also carry out physical assessment of the patient. They should examine the skin and the wound

Saturday, August 24, 2019

A bio that captures the readers attention Essay Example | Topics and Well Written Essays - 250 words

A bio that captures the readers attention - Essay Example By delivering an approachable plan, Gabriel Trigo assists the clients clarify the path of their goals for financial freedom. Gabriel Trigo’s motto is â€Å"Sound financial and investment advice begets a brighter future full of financial freedom†. Trigo pursues the motto, and he is dedicated to assisting the clients achieve the financial freedom by offering high-quality advice, as well as, integrated wealth management solutions that enhance and simplify the quality of the lives of the clients. It is tremendously fulfilling to assist the clients to devise excellent decisions for their goals and circumstances. Gabriel Trigo knows he is successful when clients return with positive feedback highlighting how the investment advice has become a positive influence in their lives. He has a fiduciary duty to individual clients, and he needs to help them to the best of his ability to get them to where they want to go. The clients’ success is Gabriel’s happiness. Seek Gabriel’s advice and you will never be

Friday, August 23, 2019

Stanley Miller Paper Coursework Example | Topics and Well Written Essays - 500 words

Stanley Miller Paper - Coursework Example This is because a concentrated solution would respond better than a dilute solution with diffuse molecules. IX. Paper chromatography is a method of separation and identification of compounds. It utilizes the principle of capillarity and also solubility (to facilitate separation). Colour is often used to allow the identification of compounds. The properties include; molecular weight, structure, shape of the molecule, and the polarity of the molecule. XII. He was able to tell the presence of the amino acids by the ninhydrin indicator. For their individual discrimination, he used comparison of spot size and colour to known templates of characterized amino acids. XIII. Miller knew the total yield was in the milligram range by informed inference. Knowing that the system was closed, the total mass of reagents remained the same (gases included). By weighing the remaining fractions in the flask, and subtracting impurities by silica, he may have obtained a rough idea of the amount. That is; total mass of reagents (minus apparatus) = Amino acids mass + remaining reagents(minus impurities). It though may not be entirely accurate, as the amino acids existed in aqueous state, thus requiring the factoring in of water of dissolution. XV. His experiments did test his hypothesis. Though not accurate in the reproduction of the original setting of primitive earth, they showed that indeed it was possible that the primitive atmosphere contained the right inorganic molecules, the right conditions and the right amount of energy to produce organic molecules. XVI. A good experiment to do next would be one on synthesis of nucleotides. If amino acids could be produced, then similarly, nucleotides might also have been produced, sparking the beginning of biological

Thursday, August 22, 2019

Resource File Essay Example for Free

Resource File Essay Select four songs, finger plays, word games or poems that you can use to promote phonological awareness. Describe the strategies to promote phonological awareness among children whose home language is other than English. Phonological awareness involves the detection and manipulation of sounds at three levels of sound structure: (1) syllables, (2) onsets and rimes, and (3) phonemes. 1. Speak English, and speak it often, associate words with objects as often as possible. For example, show the child a book and say, Book. Repeating words and phrases often will train the child to associate certain objects with certain words mentally; and more than that, it will enable the child to pick up on the phonemes of the language subconsciously. 2. Play word games to promote phonological awareness. With a toddler who has limited English skills, sound soup is a fun game to play. Bring out a big soup pot and tell the child, We are going to make k soup today! Then, begin to fill the pot with items that start with the k sound carrots, kale, clocks. The point of the game is to get the child to become very familiar with a particular sound and to recognize it as a sound that can occur at the beginning of a word. 3. Play sound recognition games that require more of a response on her part. One such game is the find it game. Say a sound r, for example and ask the child to find you an object in the room that begins with that sound. 4. Identify the number of words in a short sentence. For example, â€Å"Pat has a cat. How many words are in that sentence? † 5. Next focus on onsets and rimes. For example, â€Å"c† plus â€Å"at† equals â€Å"cat†; â€Å"cl† plus â€Å"own† equals â€Å"clown. † Beep! Choo! Zoom! Honk! We’ll be going on vacation in our car. (Pretend to drive a car. ) Beep-beep. (Pretend to honk horn. ) We’ll be going on vacation in our car. Beep-beep. We’ll be going on vacation. We’ll be going on vacation. We’ll be going on vacation in our car. Beep-beep. Train choo choo (Put arms by sides and pretend to chug. ) Plane zoom zoom (Make a plane with your hand and fly around. ) Bus honk, honk (Pretend to pull down on a horn. ) Oh, we’ll all have lots of fun when we go Beep beep, choo choo, zoom zoom, honk honk. . . Apples and Bananas I like to eat, eat, eat apples and bananas I like to eat, eat, eat apples and bananas Now change the vowel sound to A: I like to ate, ate, ate ay-ples and ba-nay-nays I like to ate, ate, ate ay-ples and ba-nay-nays Now change the vowel sound to E: I like to eat, eat, eat ee-ples and bee-nee-nees I like to eat, eat, eat ee-ples and bee-nee-nees Now change the vowel sound to I: I like to ite, ite, ite i-ples and bi-ni-nis I like to ite, ite, ite i-ples and bi-ni-nis Now change the vowel sound to O: like to ote, ote, ote oh-ples and bo-no-nos I like to ote, ote, ote oh-ples and bo-no-nos Miss Mary Mack Miss Mary Mack Mack Mack All dressed in black, black, black With silver buttons, buttons, buttons All down her back, back, back. She asked her mother, mother, mother For 50 cents, cents, cents To see the elephants, elephants, elephants Jump over the fence, fence, fence. They jumped so high, high, high They reached the sky, sky, sky And they didnt come back, back, back Til the 4th of July, ly, ly! Teddy Bear Teddy bear, teddy bear, Turn around. Teddy bear, teddy bear, Touch the ground. Teddy bear, teddy bear, Shine your shoes. Teddy bear, teddy bear, Skidoo. Teddy bear, teddy bear, Go upstairs. Teddy bear, teddy bear, Say your prayers. Teddy bear, teddy bear, Turn out the light. Teddy bear, teddy bear, Say good night.

Wednesday, August 21, 2019

Improve Concentration Essay Example for Free

Improve Concentration Essay It is mostly due to peer pressure. In such a situation, parents are often seen questioning the counsellors as what can be done to encourage their child to concentrate and also have good social skills at the same time. Well, here are a few answers. The key to having good concentration is being smart. The child should be smart enough to concentrate while having fun. This can be done in many ways. While in class, if he/she is finding it hard to concentrate, here are a few tips they can adopt in order to improve their concentration skills. . Sit in the front row. Sitting in the front row helps you steer away from distractions like speaking to your friends, whispering or even passing notes. The closer you sit to the teacher, the better you understand. 2. Participate in class. The people who concentrate, know that the key to good concentration is participation. Ask questions, start a discussion, debate with the teacher. It might sound to be geeky, but once you get the hang of it, its hard to get out. It is a lot of fun and you also learn extra. . Strategize your notes. Jotting down the points the teacher says is something which every child in class does. Dont be stereotypical. Dont make notes, instead make learning strategies. Its fun and at the same time itll make you stand out and you also will be entitled to think out of the box. 4. Turn off your phone. Having a phone is a major distraction. In class, make sure your phone is turned off. Dont cheat yourself by profiling it to vibrate or silent. Turn it off, be honest to yourself. Nothing will jar your concentration more than getting a text from your friend during a class. 5. Get some good breakfast. It can be really hard to concentrate when your stomach is growling away the hunger. Its hard to concentrate on what is being taught when youre raiding a buffet in your mind. Make sure you eat a healthy breakfast. But ensure that you dont fill your stomach to an extent where it will make you sleepy. 6. Have props while studying. Having a prop to play with while studying can make studying so much fun. For example : If you are studying about the earth, have a globe in your hand. Turn it around, see where the countries are located, play with the globe. This will make studying easier. 7. Use gadgets for studying. If you are bored of using the same old paper and books, use e-books. Buy an iPad or simply make notes on your laptop. 8. Have group study parties. Invite a bunch of friends over to your house and call it a study party. This not only sounds cool but is also beneficial. It will help you to study and will also improve your social status. But all you have to ensure is that you actually study with those friends and not just waste time in talking, dancing and playing around. 9. Exercise everyday. Yoga and meditation is the best way of improving ones concentration skills. Even 10 minutes of meditation will calm your mind and will help you concentrate with a clear mind. I have been practicing these tips for a long time. And it has helped me achieve a lot of things in my life. I suggest the readers to follow these guidelines and be successful in your life.

Tuesday, August 20, 2019

Overview of Domestic Violence in the UK

Overview of Domestic Violence in the UK Domestic violence is very real and common in the UK, and indeed internationally In the UK domestic violence accounts for a quarter of all crime, despite these figures it is recorded that only 5 per cent of recorded cases of domestic violence end in conviction, less than 20 per cent of rapes and sexual assaults are reported to the police, and less than 6 per cent of rapes result in conviction. Wells points out as a comparison, the number of women that are in prison, and the seemingly trivial reasons for there incarceration. There are now over 4,500 women in prison, an increase of 194 per cent in the last ten years. Most women are convicted of non-violent offences, such as shoplifting. One woman out of 12 judges in the House of Lords, 5 women out of 43 police Chief Constables, 18 women out of 42 Chief Officers of Probation, 7 women out of 42 Chief Crown Prosecutors, 31 women out of 138 Prison Governors. There was evidence of sexual harassment and discrimination experienced by women working in the system. Domestic violence is not discriminatory and occurs between people of all social classes, amongst all racial and religious groupings and in all age groups. Crime and other statistics can only provide us with a taster of the real picture. The nature and extent of the suffering which is endured by families behind closed doors is very much something that is kept private. Victims of domestic assaults often do not complain of violence, either through fear of being further assaulted, or because they are too embarrassed and ashamed to reveal their plight to professionals who might be able to assist them. Although the traditional perspective is that victims of domestic violence are predominately women, this is not always the case, men, children and the elderly are vulnerable to domestic violence too. This said there is an abundance of evidence to show that it is women and children who are the main victims. Children who themselves suffer violence at the hands of a parent are in the main protec ted by the state though child protection procedures. The remedies provided by the civil law are therefore generally used to obtain protection for an adult victim. As Subedi points out There are several causes of violence against women. These range from historical unequal power relations between men and women to cultural perceptions, womens sexuality, inaction on the part of the agents of the State to the traditional perception in law and practice that matters within the family and between a husband and wife are basically private matters in which outside or State involvement should be kept to a minimum. Unlike other forms of crime, the problem with domestic violence has been that even the law itself is not well- developed and the law that is there on this issue has not been enforced as vigorously as possible. It is from this premise that efforts have been made in the recent past both at national and international level to strengthen the law on traditional patterns of violence and to expand the scope of the law to cover new forms of violence. While the problem often encountered in this process at national level is the doctrine of privacy and the concept of the sanctity of the family, the dichotomy of the public/private sphere is the problem at international level. In the UK, domestic assaults are criminal offences and a man who attacks his wife can be prosecuted for his actions. He may be charged with one or more of various offences against the person included the offence of rape. The Protection From Harassment Act 1997 introduced strong measures to assist those who are victims of a course of conduct, which amounts to harassment and made such conduct a crime. However, victims of domestic violence and harassment may be reluctant to become involved in the prosecution process for a number of reasons. These include the realisation by the victim that the matter is no longer under her control once she has reported an attack to the police. It will be up to the police to decide whether and how they wish to investigate her complaint, and it will be the decision of the Crown Prosecution Service whether or not to go ahead and press charges. This loss of control acts as a disincentive to women to report incidents of violence, as they may well fear the consequences of their action if the police and Crown Prosecution Service fail, as they see it, to respond in an appropriate fashion. In the past the police have been unwilling to intervene in cases of domestic violence, and to prosecute offenders. This perception of the police as unwilling to come to the assistance of victims of domestic assaults is still evident today, even though domestic violence is taken much more seriously by the police than in the past, and even though police practices in many areas have changed radically in favour of the victim. Figures from British Crime Surveys suggest that domestic violence forms the largest single category of violent crime. In a survey carried out by Davis and Gretny revealed that of a total of 448 assaults, all of which were referred to the CPS, there were 243 (54 per cent) non-domestics and 205 (46 per cent) domestics. If the British Crime Survey finding that domestic violence comprises 20 per cent of all assaults can be believed, and if the Bristol police files that they surveyed can be taken to be representative of the current position, it would appear that domestic assault is significantly more likely to be prosecuted than is assault in other contexts. This is remarkable given the widely accepted picture of domestic violence as a crime both under-reported and under-recorded. In such situations a victim of domestic violence, may apply for an injunction under the Davis G Cretney A, (1996) Prosecuting Domestic Assault, Criminal Law Review Mar 162 174 or a non- molestation order under s42 of the Family Law Act 1996. The statutes have somewhat differing aims although both statutes do aim to prevent harassment and can be compared and this will be discussed. Only associated persons can apply under the FLA 1996; anybody can apply under the PHA 1997. There are wider remedies available under the FLA 1996, including the power to make occupation orders. Damages can be awarded only under the PHA 1997. This is an important point. Domestic violence/harassment knows no social boundaries and therefore an award of damages can be a salutory lesson. It can also be an important remedy for those who are scared to report, for fear of financial hardship. Such damages can, of course, if not promptly paid, be enforced in all the usual ways including execution, attachment of ear nings or a charging order on land if necessary followed by an order for sale. Presently, a power of arrest can be attached to FLA 1996 orders but not to PHA 1997 orders. However, although the power of arrest is retained for occupation orders it is to be abolished for non-molestation orders. A warrant of arrest can be issued under either statute. Breach of an injunction under s 3 of the PHA 1997 is an offence breach of a non-molestation order is made an offence by s 42A of the FLA 1996.(7) District judges have full jurisdiction under both statutes to make orders, issue warrants and deal with contempt of court proceedings for breach of orders. Applications under the FLA 1996 are family proceedings governed by the Family Proceedings Rules 1991 and must be issued in a family proceedings court, a divorce county court, family hearing centre, care centre or in the Principal Registry or Lambeth Shoreditch or Woolwich County Courts.Applications under the PHA 1997 are civil proceedings governed by CPR 1998 Part 65 and can be issued in the High Court (Queens Bench Division) or in the county court for the district in which either the claimant or the defendant re sides or carries on business. Exceptionally, concurrent proceedings under both statutes are appropriate. They should be consolidated and tried together. A person arrested and brought before the court pursuant to the FLA 1996 can be remanded in custody or on bail. There is no power to remand a person arrested and brought before the court pursuant to the PHA 1997. Punishment for contempt of court under either statute is subject to the maximum of 2 years imprisonment provided by the Contempt of Court Act 1981. The sentence must be proportionate to the seriousness of the contempt. Conviction for breach of an injunction under s 3 of the PHA 1997 or for breach of a non-molestation order under s 42A of the FLA 1996 both carry a maximum sentence of 6 months and/or a fine not exceeding the statutory maximum on summary conviction, and a maximum sentence of 5 years and/or fine on conviction on indictment. Both statutes provide that a person cannot be both punished for contempt of court and prosecuted in respect of the same incident. The PHA 1997 also creates offences (ss 2 and 4) not dependant on a civil injunction; the FLA 1996 does not. By s 1 of the PHA 1997, a person must not pursue a course of conduct which amounts to harassment of another and which he knows or ought to know amounts to harassment of another. By s 7(3) a course of conduct must involve conduct on at least two occasions and by s 7(4) conduct includes speech. Section 7(3A) was inserted by the Criminal Justice and Police Act 2001 and provides: A persons conduct on any occasion shall be taken, if aided, abetted, counselled or procured by another: (a) to be conduct on that occasion of the other (as well as conduct of the person whose conduct it is); and (b) to be conduct in relation to which the others knowledge and purpose, and what he ought to have known, are the same as they were in relation to what was contemplated or reasonably foreseeable at the time of the aiding, abetting, counselling or procuring. The phrase course of conduct has caused difficulty. In R v Hills held that assaults in April and October 1999 were not a course of conduct, particularly since the parties had been reconciled in the interim. In Lau v Director of Public Prosecutions quashed a conviction on the grounds that two incidents 4 months apart were not a course of conduct. The fewer the number of incidents and the wider the time lapse between them, the less likely that they give rise to a course of conduct. On appropriate facts, a charge of assault should be preferred. Indeed, many cases justify both a charge of assault and of harassment. The definition of harassment (and assault) is the same in civil and criminal proceedings, and thus arguments on whether or not there was a course of conduct can arise in both civil and criminal courts. In civil cases, where they may be doubt on whether there is a course of conduct then, as in crime, where appropriate, assault can also be alleged. In June 2003 the Home Office published a consultation paper setting out proposals to tackle domestic violence. The paper indicated the Governments strategy was based on three elements: to prevent domestic violence occurring or recurring; to increase support for victims; and to ensure improved legal protection and justice for domestic violence victims. This led to the enactment of the Domestic Violence, Crime and Victims Act 2004 which came into force in March 2005. DVCVA 2004 closely links the civil and criminal processes through new police powers, and through a new criminal offence of breach of a non-molestation order. It also creates a new offence of causing or permitting the death of a child or vulnerable person. It also requires the adoption of a code of practice and a victims fund, to be financed by surcharges on fines and some fixed penalties. It creates the power for the Criminal Injuries Compensation Authority to recover money from offenders, and makes a variety of other changes to criminal procedure, powers and sentencing. Non-molestation or occupation orders are key tools in providing protection for those who fall within the category of associated persons. Prior to the enactment of the DVCVA 2004 eligibility extended to those living together as man and wife (cohabitants), or former cohabitants, and those who live or have lived in the same household (except if they are employees, tenants or boarders, or a lodger). DVCVA 2004 extends the category of associated person to include cohabitants in a same-sex relationship living in an equivalent relationship to that of husband and wife. The power to attach a power of arrest to a non-molestation order is removed by this act. Instead, common assault becomes an arrestable offence under the Police and Criminal Evidence Act 1984 and breach of a non-molestation order becomes a criminal (arrestable) offence. If, for whatever reason, no prosecution is mounted, perhaps because of the wishes of the victim, that does not prevent an application to the civil court to commit for breach of the order. Nothing prevents the commencement of civil proceedings while criminal proceedings are pending, following arrest, though arguably a family court should await the determination of the criminal process. A new criminal offence is created under s42A will be punishable on conviction on indictment by a term of imprisonment not exceeding five years, or a fine, or both, and on summary conviction by a term of imprisonment not exceeding 12 months, or a fine not exceeding the statutory minimum, or both. The prosecution will need to prove the existence and terms of the order; the fact that the defendant was aware of the order; conduct that amounts to breach of that order, provided the breach is relevant only to sentence and not to guilt or innocence; and the lack of reasonable excuse. Minor changes are made to occupation orders under the DVCVA 2004 these require a court, in proceedings for an occupation order, to consider whether or not to make a non-molestation order. Other changes include changes to reflect cohabitation as opposed to marriage. Nothing in the new Act removes the right of the court to attach a power of arrest to an occupation order. This may cause some difficulties where a court makes both a non-molestation order and an occupation order, particularly if a court has attached a radius clause, for example not to come within a specified distance of the applicants home. Restraining orders under PHA 1997 form an integral part of the machinery for the protection of victims of domestic violence. DVCVA 2004, s 12, will extend the courts power to make a restraining order under s 5 of PHA 1997.Under s 5, when a court is sentencing or otherwise dealing with a person who is convicted of an offence under s 2 or s 4 of that Act, then as well as sentencing him or dealing with him in any other way, it may make a restraining order. The restraining order is particularly useful, as it provides for the continued safety of the victim but can only be made in cases where a conviction had been obtained for a s 2 or s 4 offence. As Wells points out: A vignette of current concerns suggests that much has changed in the last few decades. There is a ministerial group on domestic violence headed by Home Office minister, Baroness Scotland. The Solicitor General, a woman, has made tackling domestic violence a policy priority. She has talked to the President of Family Division, a woman. The Law Commission has recommended the abolition of the partial defence of provocation for reasons largely to do with its differential impact on male and female partner killers. The psychological trauma associated with rape and other forms of sexual harassment has been acknowledged, much attention has been given to improving police practices, and the offences themselves have been reconfigured around the concept of trust. It is difficult to believe that these changes would have come about without the influence of feminism in general and feminist legal commentators in particular. These changes also fit into a much wider pattern in which victims have moved very much centre stage along with the associated restorative justice movement. Internationally moves are being made to improve the situation for women. There have been international efforts to strengthen womens rights. This perception has contributed to the reluctance on the part of many countries to adopt either a protocol to CEDAW providing for individual petition or a protocol on violence against women with similar remedies for women. Moreover, the perception of States towards certain types of violence seems to be different in developed Western countries from that of certain developing countries. While widespread dissemination of pornographic material and use of women as sex objects by the media has been viewed as violence against women by women in certain developing countries, the same does not necessarily hold true in certain Western countries such as the Netherlands and the United States, which opposed the inclusion of this type of violence in the definition of violence in the draft UN declaration on violence against women. This type of activity cannot be violence for those women who voluntarily allow themselves to be used as sex objects by the media. But it may be seen as a psychological violence against women in general by those who disapprove of such treatment of women by the media. The protest campaigns organised recently by grass-root womens groups in India against the world beauty competition in Bangalore is an example of such differences of opinion. So is British law sufficient? Does it protect women adequately? There is generally are much greater awareness of domestic violence, and the criminality and culpability has increased some what over the last decade. Awareness has been heightened, although it can be argued that the piece meal legislation is unacceptable and there needs to be some joined up thinking insofar as this area of law is concerned. Whilst the new legislation is a move in that direction, it is a wasted opportunity as it is certainly desirable that the law on domestic violence should be consolidated.

Jeffrey Dahmer Essay -- essays research papers fc

Biography On: Jeffrey Dahmer Section I: Introduction: Jeffrey Dahmer was one of the most well known serial killers ever. Dahmer was no ordinary serial killer. He was a killer, necropheliac, and a cannibal. The purpose of this report is to learn more about this serial killer. Section II: Overview †¢ â€Å"Jeffrey Dahmer was born May 21, 1960, at Evangelical Hospital in Milwaukee, Wisconsin† (Blakey). †¢ â€Å"Jeffrey Dahmer was found beaten by fellow inmates on the morning of November 28, 1994, as was pronounced dead at 9:11 a.m.† (Blakey). †¢ Jeffrey Dahmer given life imprisonment on 15 counts of murder committed in Wisconsin and one committed in Ohio, for which he was tried separately. â€Å"He was sentenced to fifteen consecutive life terms for a total of 957 years in prison.† (Schwartz p. 44) Section III: Early Age Jeffrey Dahmer was a very shy and isolated at an early age. Dahmer had fantasies about killing men and having sex with their corpses. Despite these early tendencies during his childhood, Dahmer didn’t fulfill these fantasies until after he graduated from high school in June 1978 (Schwartz p 33). Dahmer picked up a hitchhiker by the name of Steven Hicks, and eventually Hicks became Dahmer’s first victim. Dahmer enrolled at Ohio State University, only to flunk out within one semester. Next, Dahmer joined the army at the end of 1978, but was discharged for alcoholism and went to live in Florida. After returning to Ohio, Dahmer was then arrested in October of 1981 for drunken and disorderly conduct, so his father sent him to live with his grandmother in West Allis, Wisconsin. Dahmer had a couple of sexual legal incidents, then kept cool for about four years. In 1987, Dahmer killed his second victim, Steven Toumi and went on a killing spree soon after (Schwartz). †¢ â€Å"Most of Dahmer’s victims were homosexual, African-American men. †¢ Dahmer was actively killing from June 1978 to July 22, 1991† (Pringle). Section III: Childhood Dahmer was born on May 21, 1960, to Lionel and Joyce Dahmer. There were problems during Joyce’s pregnancy with Jeffrey, but Jeffrey grew up as a normal, healthy child that showed no signs of mental problems. At age six, he suffered from a double hernia and needed... ...;How did he die? 4. When did he die? 5. Was there a purpose to his murders? Answers 1. Seventeen murders were accounted for. 2. The exact number of bodies is unknown. Dahmer did not eat entire bodies. 3. Jeffrey Dahmer was found dead, beaten by his inmates. 4. Jeffrey Dahmer died November 28, 1994. 5. The only reason that might be is his disgusting fantasies. Outline Section I: Introduction Section II: Overview Section III: Childhood Section IV: Dahmer’s Crimes Section V: Caught and Dead Section VI: Conclusion Section VII: 5 Questions+Answers Section VIII: Bibliography Bibliography Pringle , Kenneth. â€Å"Inside The Mind of Jeffrey Dahmer in G-Files. [Website] (New York:_APB News, 10, Aug: 2000, 1, June 2001. http://www.apbnews.com/media/gfiles/dahmer/dahmer0814.html?s=pb_dahmer Schwartz, Anne E. The Man Who Could Not Kill Enough. New York: Carol Publishing Group, 1992 Blakey, Arch F. "Jeffrey Dahmer". World Book Encyclopedia. World Book Inc.2000. Vol. 5, p 5. Jeffrey Dahmer Essay -- essays research papers fc Biography On: Jeffrey Dahmer Section I: Introduction: Jeffrey Dahmer was one of the most well known serial killers ever. Dahmer was no ordinary serial killer. He was a killer, necropheliac, and a cannibal. The purpose of this report is to learn more about this serial killer. Section II: Overview †¢ â€Å"Jeffrey Dahmer was born May 21, 1960, at Evangelical Hospital in Milwaukee, Wisconsin† (Blakey). †¢ â€Å"Jeffrey Dahmer was found beaten by fellow inmates on the morning of November 28, 1994, as was pronounced dead at 9:11 a.m.† (Blakey). †¢ Jeffrey Dahmer given life imprisonment on 15 counts of murder committed in Wisconsin and one committed in Ohio, for which he was tried separately. â€Å"He was sentenced to fifteen consecutive life terms for a total of 957 years in prison.† (Schwartz p. 44) Section III: Early Age Jeffrey Dahmer was a very shy and isolated at an early age. Dahmer had fantasies about killing men and having sex with their corpses. Despite these early tendencies during his childhood, Dahmer didn’t fulfill these fantasies until after he graduated from high school in June 1978 (Schwartz p 33). Dahmer picked up a hitchhiker by the name of Steven Hicks, and eventually Hicks became Dahmer’s first victim. Dahmer enrolled at Ohio State University, only to flunk out within one semester. Next, Dahmer joined the army at the end of 1978, but was discharged for alcoholism and went to live in Florida. After returning to Ohio, Dahmer was then arrested in October of 1981 for drunken and disorderly conduct, so his father sent him to live with his grandmother in West Allis, Wisconsin. Dahmer had a couple of sexual legal incidents, then kept cool for about four years. In 1987, Dahmer killed his second victim, Steven Toumi and went on a killing spree soon after (Schwartz). †¢ â€Å"Most of Dahmer’s victims were homosexual, African-American men. †¢ Dahmer was actively killing from June 1978 to July 22, 1991† (Pringle). Section III: Childhood Dahmer was born on May 21, 1960, to Lionel and Joyce Dahmer. There were problems during Joyce’s pregnancy with Jeffrey, but Jeffrey grew up as a normal, healthy child that showed no signs of mental problems. At age six, he suffered from a double hernia and needed... ...;How did he die? 4. When did he die? 5. Was there a purpose to his murders? Answers 1. Seventeen murders were accounted for. 2. The exact number of bodies is unknown. Dahmer did not eat entire bodies. 3. Jeffrey Dahmer was found dead, beaten by his inmates. 4. Jeffrey Dahmer died November 28, 1994. 5. The only reason that might be is his disgusting fantasies. Outline Section I: Introduction Section II: Overview Section III: Childhood Section IV: Dahmer’s Crimes Section V: Caught and Dead Section VI: Conclusion Section VII: 5 Questions+Answers Section VIII: Bibliography Bibliography Pringle , Kenneth. â€Å"Inside The Mind of Jeffrey Dahmer in G-Files. [Website] (New York:_APB News, 10, Aug: 2000, 1, June 2001. http://www.apbnews.com/media/gfiles/dahmer/dahmer0814.html?s=pb_dahmer Schwartz, Anne E. The Man Who Could Not Kill Enough. New York: Carol Publishing Group, 1992 Blakey, Arch F. "Jeffrey Dahmer". World Book Encyclopedia. World Book Inc.2000. Vol. 5, p 5.

Monday, August 19, 2019

Characterization in Oedipus the King and Homers Odyssey Essay

Characterization in Oedipus the King and Homer's Odyssey The characters in a novel or play are attributed certain characteristics by the author. The opinions one might form of a character are based on these; therefore, the characteristics suggested by an author are intrinsic to the reader having a complete and subjective understanding of a work.   Characteristics are often displayed through a character s actions, in what is said about them, and what they themselves say, which shall be the focus of this essay.   Both Oedipus, in Sophocles'   King Oedipus   and Odysseus, in The Odyssey of Homer, oftenare spoken of by others, but their own words are telling, as certain emotions and traits can be seen.   Traits of a character can often be masked or distorted by favorable or unfavorable descriptions by others, but their own speech, however calculated or controlled, often clearly shows character flaws and attributes that one might not come across otherwise.   Strict narration often polarizes a character, casting them as black or whit e, good or evil.   However, in most writings, and certainly in The Odyssey and King Oedipus, the speech of a characterallows us to see the various shades of grey, thus portraying the character more fairly.   One might see Oedipus and Odysseus as being in some ways quite similar, but their speech and the characteristics revealed therein is what sets them apart. Oedipus and Odysseus were both powerful men, each lording over their own small kingdoms.   It would seem they should share certain characteristics and one would not be incorrect to say they did.   Both showed themselves to be respectful of their duties toward their people.   Oedipus, when faced with the people s petition (specifically, the Priest, act... ...portray them as such, but their speech remains one of the strongest methods of characterization.   Through speech, the characters became multi-dimensional, and the evolution of the character was apparent, as was the case with the desperation and demise of Oedipus.   Certainly, the words of Oedipus and Odysseus shaped the image a reader might construct of either one, even if this image was not what Sophocles or Homer had intended.   Whatever this image may be, the speech of the principal characters of King Oedipus and The Odyssey proved both Oedipus and Odysseus tobe complete, multi-faceted characters, neither good or evil, black or white. Works Cited: Homer. The Odyssey. Trans. Robert Fitzgerald. New York: Vintage Books, 1962. Sophocles. â€Å"Oedipus the King.† The Bedford Introduction to Literature. Ed. Michael Meyer. 6th ed. Boston: Bedford/St. Martin’s, 2002.

Sunday, August 18, 2019

Video Game Addiction: Do we need a Video Gamers Anonymous? Essay

Video Game Addiction: Do we need a Video Gamers Anonymous? Super Mario Brothers, Sonic the Hedgehog, and Street Fighter are familiar names to nearly all of us. They are all best selling games of major video game consoles. Over 9.8 billion dollars were spent on video games in the United States during 2001 alone, and video game consoles are present in 36 million homes in the United States (1). With the increasing amount of time that people are spending on video games, one is left to wonder if it is possible to become addicted to video games. Do we need a Video Gamers Anonymous? Addiction has been defined as "A primary, chronic disease, characterized by impaired control over the use of a psychoactive substance and/or behavior. Clinically, the manifestations occur along biological, psychological, sociological and spiritual dimensions (2)." While there is currently no category for video game addiction in the Diagnostic and Statistical Manual of Mental Disorders (3), which is the manual utilized to diagnose psychological disorders, video game addicts are often described by clinicians in the field as displaying many symptoms characteristic of other addictions. These behaviors include failure to stop playing games, difficulties in work or school, telling lies to loved ones, decreased attention to personal hygiene, decreased attention to family and friends, and disturbances in the sleep cycle (4). Withdrawal symptoms can even include behaviors as severe as shaking (5). All addictions can be dangerous and harmful to the addicted person and others around him; however, video game addiction can be particularly detrimental to children. Video games are becoming increasingly popular with children of young ages, which in turn may raise... ...//www.selfhelpmagazine.com/articles/internet/cybaddict.html 4)When games stop being fun, http://msnbc.msn.com/news/737966.asp?0si=- 5)Video games: Cause for concern?, http://news.bbc.co.uk/1/hi/uk/1036088.stm 6)Video games: Research, ratings, and recommendations, Contains many references for empirical studies http://ericeece.org/pubs/digests/1998/cesar98.html 7)Video games addiction, http://www.theparentreport.com/resources/ages/preteen/kids_culture/130.html 8)Are video games really so bad?, http://www.time.com/time/asia/asia/magazine/1999/990510/video3.html 9)Questions Answered, http://www.missouri.edu/~kingjw/feb15q.html 10)Positron Emission Tomography , http://exn.ca/environment/ 11)The Biochemistry of Human Addiction, Discusses the role of dopamine in addiction http://www.er.doe.gov/feature_articles_2001/June/Decades/94.html

Saturday, August 17, 2019

Business Report Essay

Business opportunities in NSW are impacted by internal and external factors. Internal and external factors influence the business opportunities as they determine the success and failure of opportunities in the business environment. External influences are factors which mainly influence the environment outside the business and therefore they determine what the management staff inside the business must do to adjust with the changes in the external environment. External influences include factors such as; economic, financial, geographic, social, legal, political, institutional, technological, competitive situation and markets. Internal influences are factors affecting the business from within i. e. internally. Internal influences include factors such as; product, location, management, resource management and business culture. The following business report is commissioned to examine the influence of external and internal factors of business opportunities in NSW. The economic influence includes factors which relate to changes in the wider economy i. e. booms and recessions in the economy. The benefit of a growing economy allows opportunities for a business to increase profit, so businesses are able to experience rising living standards. ‘Booms’ and ‘upswings’ benefit business opportunities as they are periods where the economy is going through a positive phase where businesses have the opportunity to increase their positive total revenue. Consequently, this will lead to a rise in employment, consumer spending and wages. On the other hand, â€Å"Busts’ and ‘downswings’ are periods where businesses are impacted negatively. An example of a business which suffered from the negative factors of the economic cycle was Harvey Norman. Sydney Morning Herald (SMH) reported Harvey Norman experienced a ‘downswing’ period as profits decreased from $128. 95 million to $81. 9 million and total sales had a decline of 7. 3% due to lack of consumer spending. Financial influences involve ‘deregulation’ which is the removal of government regulations from the industry in hope of improving competition. The improvement of competition allows businesses the opportunity to improve efficiency and productivity of their employers and aim to achieve their required goal. Woolworths and Coles have recently removed regulations relating to supplier payments in order to lower costs and open up opportunities to expand their business and increase profit. Geographical influences such as location will determine the growth and development of a specific business. Geographical influences impact business opportunities as it provides challenges to increase profits, sales and expansion of business. An example of expansion of business is IKEA who have expanded their business to Melbourne, Australia because of economic growth in the Australian economy. Due to dramatic increase in consumer spending, IKEA’s profit increased rapidly and therefore they were able to purchase an 80, 000 metre square warehouse. Geographical influence impacts on business opportunities as it increases employment, sales and expansion of business as seen by the actions of IKEA. Social influences provide opportunities for businesses to change or develop to meet consumer demands. Social influences such as changes in consumer tastes and preferences significantly impacts on business productivity and opportunities. Failure for a business to satisfy consumer’s wants can be detrimental to a business and therefore can lead to a decrease in profits and sales or even cessation if they fail to meet consumer demands. An example of social influence on a business is the impact of the style of clothing of AussieBum. AussieBum manufactures and sells their products via the internet and are successful as their material and style of the underwear and beach clothing is famous among society. The business is successful as the material they produce is unique. Additionally, the location of the manufacturing is based in Australia further satisfying the taste and preferences on Australian consumers. Social influences for this business includes its consumers demanding Australian manufacturers to maintain uniqueness and reflect the Australian image; and consumers demanding products to be purchased over the internet. In this case, AussieBum successfully responds to social influences by having the correct production process of manufacturing their commodities and satisfying consumer demand and preferences. Legal influences impacts on business opportunities as it sets out regulations and laws that impacts business operations. Legal influences sets out guidelines that prevents businesses from discriminating or financial rorting. Additionally, legal influences such as laws and contracts can impact businesses as they are forced to buy from specific and this affects their total revenue. An example of legal influence on a business is the investigation of Coles. A recent article published by Sydney Morning Herald states that Coles is undergoing an investigation on discrimination between suppliers based on their private label brands. This breaches statutes which include anti – discrimination laws. Legal investigation is costly and affects consumer buying and spending at this business. Hence, it is crucial for businesses to abide by legislations to take advantage of the opportunities and maintain consumer satisfaction. Political influences impact businesses as government policies can lead to business uncertainty or business confidence. Political influences impact businesses as they implement policies which can change the structure of businesses. An example of political influences on a business is the impact the carbon tax has on BHP Billiton, a company in the mining industry. The carbon tax affects the company as BHP Billiton is now in charge of paying taxes which affect the company’s total revenue as there is an increase in costs. The carbon tax affects business opportunities in BHP Billiton as they are unable to hire new efficient and productive employees due to increase in their costs. Business opportunities in NSW can also be affected by taxation that can increase business costs and therefore restrict the businesses ability to expand or increase their profit or sales. Additionally, the exchange rate can affect the volume of import and exports from global markets hence impact of the price of products. Institutional influences refer to three bodies (Federal, State, and Local) which all have factors which impact business opportunities in NSW. The regulations of institutional influences are the safety and protection of employers in the business, the compulsory minimum wage, payment of taxes, approving new development and simple business codes of conduct and abiding by the legal business laws. These factors impact business opportunities as businesses must abide by these regulations in order to continue running and the breaching of the regulations can result in penalties which may affect the business financially. A recent investigation involving Coles breaching these regulations as they demanded additional payments from their suppliers led to a decrease in profits and loss of other suppliers. These factors affected Coles as their supply of specific products is decreasing yet they have such high demand but in result aren’t able to satisfy consumers wants. Business opportunities are impacted by the institutional influences as businesses are forced to run in a certain way as it can affect their financial status as well as their reputation if they fail to do so. Technology is improving at a rapid pace and allowing businesses to produce more efficiently. Technological influences impact vehicle manufacturing businesses such as Holden. Holden’s vehicles are produced rapidly because of innovative technology. The new Holden Barina features Apple’s Siri voice command providing more features and improving the product. Additionally, technological influence can impact businesses negatively. For example, technological advancements often replace employees and this decreases the opportunity of hiring new employment contributing to unemployment. Nonetheless, technological influences provide opportunities for businesses to produce products more efficiently and in turn increase their total revenue. Competition is advantageous to both consumers and businesses as it provides opportunities for improvement and demand for consumer satisfaction. A competitive situation often influences businesses to lower prices of its products to gain consumer satisfaction. For example, Woolworths and Coles promote lower prices to compete with one another. This provides consumers with wider range of choice and preferences. More so, they promote consumer points for purchasing goods and services at their store to remain competitive. Also, Jetstar has a policy which states they will provide a 10% discount on their service if their competitive airlines (i. e. Virgin Australia and Tiger Airways) offer a cheaper price for their service.In recent times financial/capital, labour and consumers have significantly changed. Financial/capital markets have seen international financial/capital flows become more flexible and easily accessible due to globalisation. Therefore, markets are more integrated. ASX is an example of these changes as the business has now made it more easily accessible for consumers to purchase and sell shares globally over the internet. Financial/capital markets influence business opportunities as businesses in NSW are linked globally are able to communicate and operate more efficiently. However, negative economic influence can impact on domestic markets in NSW which can impede on business operations.

Friday, August 16, 2019

Can Telemedicine Reduce Health Costs Health And Social Care Essay

Telemedicine utilizes assorted information and telecommunication engineerings to supply medical services remotely. Besides specific medical processs, nosologies and electronic records, it besides provides supervising systems between healthcare suppliers and patients to advance home-health direction, instruction, clinical position and wellness result followup ( National Association for Home Care And Hospice, 2008 ) . It is frequently seen as a possible scheme to cut down wellness disparities created by geographic or temporal barriers, homebound position, and cultural stigma. It can buoy up the job of disproportionality in the geographic allotments of healthcare resources and work forces, and increase the entree of health care system among the underserved communities and populations ( Cousineau, 2010b ) . It has besides shown an ability to better wellness communicating by exceeding the temporal boundaries and diminishing the waiting clip in the diagnostic procedure. The expeditious ent ree to telemedicine non merely saves clip but besides reduces cost by using the resources more expeditiously and extinguishing unneeded travelling clip for both doctors and patients, courier services, excess staffing, and excess infirmary stay ( Matusitz & A ; Breen, 2007 ) . Therefore it is really likely to be an alternate and economical option to relieve the load of the limited wellness work force and resources in our health care bringing systems. The Healthy People 2010 includes ends of eliminate wellness disparities among sections of different populations ( U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion, 2005 ) . Surveies have shown that rural countries experience more wellness disparities such as both morbidity, mortality, and with insurance coverage ( Agency for Healthcare Research and Quality, 2009 ) . Age is besides an of import factor that contributes to healthcare barriers such as homebound position and transit affairs. The aged have systematically accounted for about 50 % of all health care expenditures in the United States ( Cousineau, 2010a ) . As the demand for the wellness attention additions, there will be fewer health care workers for attention bringing. If the current tendencies continue, the spread between supply and demand of rural doctor and nurses will be even larger than in urban countries ( Cousineau, 2010b ) . Given the continued growing of chronic unwellne ss in our society and the detonation of new health-related engineerings, surgical techniques and drugs ( Cousineau, 2010c ) , inquiries of how, or if telemedicine can cut down costs or better entree must be address in order to see it as a feasible solution for the drawn-out health care bringing in the United State.IssuesIn malice of the progresss of medical engineering and wellness information sciences that have improved the ability for telemedicine to supply entree to a spectrum of attention, insurance companies and funders continue to eschew the issue of reimbursement for telemedicine services. Indeed, though there has been great promise of telemedicine development really small advancement has really been achieved. The primary challenges continue to be limited reimbursement, licensure, and patient privateness ( Matusitz & A ; Breen, 2007 ) . Since Senate Bill 1665 enacted the â€Å" Telemedicine Delivery Act of 1996 † which imposed legion demand regulating the bringing of h ealth care via telemedicine, several related policies such as HR3030 and HR3200 have besides been introduced to Congress to supply low-cost telemedicine services with ordinances. However, they are all still pending and have been unable to continue. Since there is no direct opposition disputing telemedicine-related policies, this paper will concentrate on discoursing the regulative barriers and legislative actions forestalling them from come oning. With respect to the limited research grounds and expertness in telemedicine, this paper will besides analyse the recent Congressional proposal HR 1601 by sing the quality and wellness results of telemedicine system. Last, it will discourse the impact of Healthcare Reform on telemedicine and my recommendation for future waies.Regulative Barriers and Legislative ActionsLicensurePresently each province regulates its ain pattern of medical specialty. This is a jurisdictional right that is recognized by the Supreme Court. For this ground, most healthcare professionals are licensed on a state-by-state footing. Telemedicine hence is besides geographically regulated by single provinces. Many legal issues originate when a â€Å" pattern † is done via a telecommunication nexus across different province lines. Each province they cross into can enforce a demand on the supplier to keep a full medical licence before seeing their out-of-state patients via telemedicine engineerings. It is hard and dearly-won for healthcare practicians to keep and keeping multiple licences, particularly those in the rural countries where the healthcare demand is non stable ( Cousineau, 2010b ) . For this ground, many merely choose to restrict their pattern to a individual province. In 1996, the Federation of State Medical BoardsA developed theoretical account statute law which allows a province to supply and administrate a limited telemedicine licence. This limited licence permits wellness practicians to pattern in different provinces via telemedicine engineerings, but non physically. Conversely, the American Medical Association decided to follow a policy that requires a full and unrestricted licence in order for a doctor to pattern telemedicine across province lines ( Nickelson, 1998 ) . Beyond licensure issues, while interstate telemedicine patterns could better entree to our current health care systems, it besides raises inquiries about malpractice and struggle of jurisprudence. Presently each province develops its ain malpractice insurance evaluation and most malpractice insurance does non use in instances outside of the province. On the other manus the suppliers of each province are besides concerned about how to exercise legal power over such malpractice claim against other suppliers from out of province who may non be capable to the legal power of the administrative regulative organic structures. Although a national licensure theoretical account for telemedicine seems like a logical solution, it is improbable to get the better of the political and constitutional issues in one measure. A regional geographic attack affecting province medical insurance companies to clear up coverage bounds and develop new policies might be more executable. For illustration, based on telemedicine activities from the Governor ‘s Associations and Councils in the yesteryear, Cwiek et Al found that the Southern Governors ‘ Association and the Western Governors ‘ Association demonstrated a important degree of leading in the country of telemedicine. They have proven to better entree to healthcare and medical specializers and cut down medical costs by traveling information alternatively of people ( Cwiek, Rafiq, Qamar, Tobey, & A ; Merrell, 2007 ) .ReimbursementIn 1997, both the House and the Senate passed HR2015 – Balanced Budget Act. It enabled partial Medicare reimbursement f or Telemedicine services. However, professional audience was the lone service allowed by the measure and the payment had to be shared among assorted parties with really rigorous ordinances. In 2000, Congress passed appropriations measure HR 5661, the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act, which significantly revised Medicare ordinances for reimbursement for Telemedicine services ( The American Telemedicine Association, 2010 ) . The Healthcare Financing Administration extended Medicare coverage to medical visits, audiences, mental wellness services, and pharmacologic monitoring of patients populating in the rural country. Further, it extended payment rates to suppliers which were similar to that paid without the usage of telemedicine. Medicare besides pays a installation fee for per telemedicine session. However, obstructions remain because the reimbursement is normally allowed for directed physical communicating merely, such as face-to-face audiences. Besides, the opposition of reimbursement from the private insurance companies continues with non-feasible ordinances ( Matusitz & A ; Breen, 2007 ) .Limited research grounds on Telemedicine and HR1601HR1601 was introduced to the Congress by Jefferson in 2007 and it was referred to Committee for consideration of telemedicine service facilitation ( Thomas Library of Congress, 2007 ) . The end of this measure is to bespeak grants to put up telemedicine services in a spectrum of assorted healthcare systems including nursing place and public clinics. Rather than proposing the solution or overall support mechanism in the long term the purpose of this measure is to bespeak support for telemedicine pilot undertakings and bring forth research grounds. HR1601 would guarantee that the Office for the Advancement of Telemedicine in the Health Resources and Services Administration ( HRSA ) would supervise and organize pilot surveies with related federal bureaus of medical underserved populations in both urban and rural country, with the assistance of grants. HRSA would do recommendation harmonizing to their rating of whether these undertakings consequences in addition of entree and quality of attention, publicity of patient independency, lessening wellness disparities, and betterment of cost effectivity ( Prinz, Cramer, & A ; Englund, 2008 ) .QualityThe quality of telemedicine services has the most direct impact on the likeliness of go throughing policies of support. In order to present the optimum telemedicine service the quality of the telemedicine system needs to be reliable, user friendly and cosmopolitan in order to incorporate into assorted computerized system. Standardized counsel should be implemented so the telemedicine system can efficaciously and accurately pass on with bing computerized system in the infirmary and place wellness bureaus. The challenge lays in the complexness of telemedicine engineering, including hardware and package mutual exclusiveness, syste m integrating complexness, and communicating troubles due to low velocity digital lines ( Prinz, et al. , 2008 ) . Information could be lost while meeting communicating troubles and equipment failures which would earnestly impact the dependability of telemedicine service suppliers, particularly private place wellness bureaus in the rural country.Health resultUse of Telemedicine engineering ( such as picture cameras and supervising devices ) in the Home Care puting additions entree to healthcare bringing by leting direct communicating between patients and wellness practicians beyond geographic and temporal boundaries. There is increasing grounds demoing that that telemedicine is associated with the positive result of self-management and conformity in chronic unwellness such as cardiovascular diseases and diabetes ( Artinian, 2007 ; Chumbler, et al. , 2005 ) . On the other manus, some argue that this grounds is non quantifiable because of the use of assorted telemedicine engineerings in different disease countries. The deficiency of thorough clinical tests might be the ground that holds back reimbursement organisation and promotion of telemedicine uses ( Prinz, et al. , 2008 ) . Some grounds even shows that using telemedicine services contributes no difference in patients ‘ wellness result but a greater cost comparison to other healthcare bringing methods ( Bowles & A ; Baugh, 2007 ) , therefore corrupting the necessity to reimburse a more dearly-won healthcare bringing method.The Impact of American Recovery and Reinvestment Act & A ; Patient Protection and Affordable Care ActBased on the belief that wellness information engineering and electronic medical records are indispensable for the transmutation of telemedicine health care bringing, the federal authorities utilized the commissariats of the American Recovery and Reinvestment Act of 2009 ( ARRA ) to authorise about $ 38 billion in funding for wellness information engineering substructure over the foll owing 6 old ages. The inside informations about how this support will be utilized are written in the Health Information Technology for Economic and Clinical Health ( HITECH ) subdivision in the ARRA. The largest part of this support is targeted at incentive payments by Medicare and Medicaid to eligible suppliers for the execution of wellness information engineerings. Specifically, in order to be qualified for these inducements the health care suppliers must follow a certification for the electronic medical record system and exhibit the practical usage ( Cline, 2010 ) . In March 2009 President Obama signed HR 3590, the Patient Protection and Affordable Care Act ( PPACA ) into jurisprudence. ThisA important wellness attention reform jurisprudence allows advanced payment and service bringing theoretical account to better entree, quality of health care, and cut down plan cost to persons, written specifically in Section 3021 ( Government Relations Staff, 2010 ) . A New Center for Medicare and Medicaid Innovation will back up primary attention practicians on flying telemedicine application in chronic attention direction. It will implement telemedicine plan in infirmaries, accountable attention organisations, and independency at place for distant patient monitoring. This jurisprudence encourages wellness information engineering and electronic medical records acceptance to ease attention coordination. It besides allows each province to utilize the new Medicaid â€Å" Health Home † plan to progress chronic attention.RecommendationsOverall, I believe that the Telemedicine can increase entree and cut down cost in the long tally with the support of American Recovery and Reinvestment Act & A ; Patient Protection and Affordable Care Act. There is no uncertainty that the Telemedicine is capable of transforming our health care bringing system in both positive and negative waies, nevertheless, I believe that the pros outweigh the cons. It is notable that most of the up to day of the month pilot research surveies mentioned supra have made positive impacts on the entree of healthcare bringing. Inadequate and unequal coverage for telemedicine service earnestly delayed the execution of cost-saving and quality-improvement solutions, and constrained the entree and picks in assorted forte services in rural countries. Current expanded Medicare coverage for Telemedicine is in procedure of work outing this issue, but specifically I think Congress should besides widen Medicare coverage to medical services using â€Å" store-and-forward † t elemedicine ( for illustration direction and showing for diabetic related retinopathy ) , and to suppliers whose services are otherwise covered for Medicare. I besides recommend a more aggressive plan for pull offing the demands and costs of chronic patients who are presently homebound or are potentially at hazard to be administered into a infirmary or nursing place. Thousands of veteran patients are profiting from place wellness telemedicine plan to organize their attention. The US Veteran Affairs have found that their patients follow the usage of these devices easy and are really satisfied with their attention coordination service ( US Department of Veterans Affairs, 2009 ) . Therefore, Congress should advance Home Telemedicine and include it in the reimbursement component to cover the costs of related devices and engineering. Most provinces ‘ Medicaid already covered some telemedicine services. It can be optimize by back uping primary attention doctors to suit telemedicine services, maximise the usage of picture and telecommunication to cut down patients ‘ travelling, and increase â€Å" store-and-forward † engineering uses such as sharing medical images for diagnosing. The current rural wellness plan should prolong the operation of high-velocity cyberspace entree and wireless connexion within all eligible wellness installations to accomplish efficiency and cost-effectiveness. Congress should besides set up a licensing board to promote interstate medical licensure cooperation by geographic zone. Finally, I believe that with effectual execution, wellness practicians and patients can get the better of the challenges limited the development and success of telemedicine.