Tuesday, December 31, 2019
Pablo Picasso and Georges Braque - Free Essay Example
Sample details Pages: 2 Words: 677 Downloads: 6 Date added: 2019/08/05 Category People Essay Level High school Tags: Pablo Picasso Essay Did you like this example? This Spanish expatriate was a great influencing painter, sculptor, printmaker, ceramicist and stage designer of the 20th century. He and Georges Braque worked together. The two of them were the co-creators of Cubism-a way of art. Donââ¬â¢t waste time! Our writers will create an original "Pablo Picasso and Georges Braque" essay for you Create order The deep influencer was born on October twenty-fifth of the year 1881 and died April eighth of 1973- living to 91 years old. Picasso was born in Malaga, Spain and was the first born to his family. His father was a artist and a professor at the school of fine arts. To add on to the jobs his father operated, he also worked as a curator for the museum in Malaga. His fathers interest in art grew on Picasso as he began to study under his father. As soon as he finished studying his fathers jobs, he went to the Academy of Arts for one year before moving to Paris. In 1901, he went to Paris because of the beautiful, idealistic and great views he found to exercise is new styles and experiment with many different forms of art. During these moments of fooling around, he underwent his great and world-wide known work of surrealism and cubic style-which he was the founder of. Based on these forms of art, he created multiple wonderful and largely known pieces of art that became a huge part of the industry. To this day, Picasso continues to show his influential pieces and techniques through his work. Pablo Picasso was mainly known because of his technical mastery, visionary creativity and profound empathy. All these qualities have proven that Pablo Picasso as the disquieting Spaniard with the sombrepiercing eyes as a revolutionary artist. Picasso was dearly devoted to his artwork. Close to 80 years of his life, Picasso was faithful to his pieces. These pieces, he believed would keep him alive- these pieces then led to the development of modern art in the 20th century. Picasso made around 147,800 pieces of art, and among all these pieces-big and small- his top works were Les Demoiselles dAvignon, Nude, Green Leav es and Bust and Asleep. To show the value of his impressions, the piece Nude, Green Leaves and Bust was sold for a price of $106.5 million dollars in 2010- the world record price for a artwork. Fidel Castro Fidel Castro, a Cuban dictator starting in 1958 and ending in 2008 was born near Biran, Cuba, in 1926. At the start, Castro, with his forces, started a crusade of guerrilla warfare which then caused the displacement of Fulgencio Batista, Cuban dictator at that time. Castro was all for the communist domestic policies and commenced military and economic relations with the Soviet Union that caused to tense relations with the United States. The great tightness between the U.S. and Cuba reached its peak in 1962 with the Cuban Missile Crisis. Although Castro seemed to do many bad things, he also made improvements to healthcare and education while he was the dictator of Cuba. Castro had heartlessly persecuted and imprisoned anyone who he thought was a threat to his morals, or a enemy to his spot. Thousands of protesters were killed in their country, or killed trying to flee Castros dictatorship. Castro was also at blame for instigating communist revolutions in countries all around the world. In 1991, the collapse of Communism in the Soviet union and its negative impact on Cubas economy led Castro to relax on the restrictions over time. Castro led his country to become the first ever communist state in the Western Hemisphere. Castro became a well known symbol of the communist revolution in Latin America. He controlled his countrys political, economic, and cultural views. He created a new constitution and became the president of the State Council- making sure he was the head of Cuba. Castro ended up resigning/giving his power away to his brother-Raul Castro because of his bad health. Castro did not fully give over all his power to his brother considering he had a lot of say in the politics in Cuba and other countries. Fidel Castro died in 2016 at the age of 90, leaving his country in the hands of his brother.
Monday, December 23, 2019
Helter Skelter - Manson vs. the Myth Essay - 1631 Words
Helter Skelter - Manson vs. the Myth [1] ââ¬Å"I walk your streets and am right out there with you,â⬠boasted serial killer Charles Manson almost twenty years after being sentenced to life in prison (Emmons 227). Most people would probably dismiss this statement as the delusional ranting of a madman, yet, were they to examine the attention of and, possibly, the influence on society that Manson has had and continues to have, they would be forced to admit that there is some truth to Mansonââ¬â¢s proclamation. [2] When Manson and his so-called Family members went on trial in 1969 for the gruesome Tate-LaBianca slayings, the media took instant notice of Mansonââ¬â¢s ââ¬Å"hypnoticâ⬠and ââ¬Å"charismatic personality. Rolling Stone magazine plasteredâ⬠¦show more contentâ⬠¦In fact, Manson continues to be viewed as a revolutionary martyr today and has reached cult-hero status. One example of cultish ââ¬Å"Mansonmaniaâ⬠is a T-shirt bearing a picture of his face behind bars, the slogan ââ¬Å"Charlie Donââ¬â¢t Surfâ⬠(a famous line in the film Apocalypse Now) scrawled across the back (Rosen F-01). In San Franciscoââ¬â¢s Haight-Ashbury district, where Manson first began compiling his Family, several stores sell baby clothing adorned with Mansonââ¬â¢s image (Rosen F-01). [5] The killer is not only remembered through kitschy paraphernalia, but also through music and art. Over the past couple of decades, several popular rock bands have recorded cover versions of Mansonââ¬â¢s songs. In 1989, alternative rock group The Lemonheads performed the Manson song ââ¬Å"Your Home Is Where Youââ¬â¢re Happyâ⬠(Rosen F-01). In 1993, heavy metal band Guns Nââ¬â¢ Roses recorded a cover of Mansonââ¬â¢s ââ¬Å"Look At Your Game, Girlâ⬠on their album The Spaghetti Incident (Rosen F-01). Known for their shocking music and bizarre behavior, Nine Inch Nails recorded songs for their album The Downward Spiral in the Los Angeles mansion in which Sharon Tate was brutally killed (Rosen F-01). One of those songs was entitled ââ¬Å"Piggy,â⬠a word that was scribbled in blood on the victimsââ¬â¢ walls. [6] The fixation with Manson has also been expressed through ââ¬Å"finerâ⬠forms of art. In 1992, composer John Moran presented ââ¬Å"The Manson Family: An Operaâ⬠starring
Sunday, December 15, 2019
Freaks and Geeks (Themes) Free Essays
Freaks and Geeks: Pilot Episode Evaluation Persuasive Paragraph There are many media elements that can depict the cliques that existed once in high school, as they are now distant stereotypes. The television show ââ¬Å"Freaks Geeksâ⬠has been enhanced by the usage of media elements, hence allowing the cliques to be easily seen by viewers. Firstly, the lighting is an element that truly differentiates the cliques that have been formed based on a stereotypical format. We will write a custom essay sample on Freaks and Geeks (Themes) or any similar topic only for you Order Now For example, the lighting used in the beginning of the show by the filmmaker really shows the differences of levels on the high school food chain. The filmmaker starts the show off by showing the typical jock and cheerleader relationships, the highest of the food chain, with bright lighting and open spaces (Appatow 1999). Then the lighting suddenly changes to underneath the benches in a dark and secluded, yet rebellious hang out place for the Freaks (Appatow 1999). Hence, allowing the viewers to see the automatic difference between the two stereotypical levels. Secondly, the next element that enhance the cliques formed in the show would have to be the musical involvement. Judd Appatow, the filmmaker, chooses songs that perfectly reflect the behaviour, personality, and likes of the different groups. The filmmaker chooses to play the individual; yet different songs in the beginning to allow the viewers to figure out that there are differences in each clique. In the beginning the Freaks are shown listening to songs like ââ¬Å"Running with the Devilâ⬠by Van Halen (Appatow 1999), and the Geeks being represented by the song ââ¬Å"Iââ¬â¢m Alrightâ⬠by Kenny Loggins (Appatow 1999). This helps the viewer attain a better understanding of the groups. Lastly, the use of showing conflict and suspense too, truly show the difference between the cliques. The filmmaker, Judd Appatow, switches scenes which show the split focuses of conflict. Showing the viewer that more than one conflict scenario appears in the show. Judd Appatow switches scenes from the geeky life of Lindsay Weirââ¬â¢s younger brother Sam, and the problems he faces with bullies and crushes (Appatow 1999). Then, switches to Lindsayââ¬â¢s constant battle with her old life and the new life she created for herself (Appatow 1999). This builds up the suspense by giving the viewers even more conflict to keep them on the edge of their chairs. By throwing more conflicts in the path of the two major characters, the viewers will remain interested, and the suspense of the decisions made by their characters keep the viewers wanting more. As a result, the uses of media elements not only enhance the overall appearance of the show, but also help the understanding of the viewer in depicting the ââ¬Ëcliquesââ¬â¢ of the school. Works Cited: ââ¬Å"Freaks and Geeksâ⬠. Dir. Judd Appatow. Perf. Linda Cardellini, John Francis Daley, James Franco, Samm Levine, Seth Rogen, Jason Segel, Becky Ann Baker, Joe Flaherty, Busy Philipps, Sarah Hagan. Paramount Pictures Corporation (PPC), 1999. DVD. How to cite Freaks and Geeks (Themes), Papers
Saturday, December 7, 2019
Business Of Tata Motors Samples for Students â⬠MyAssignmenthelp.com
Question: Discuss about the Report on Business Of Tata Motors. Answer: Analysis of the Tata Motors Tata Motors, earlier known as TELCO (Tata Engineering and Locomotive Company) is one of the Businesses that the Tata group is into. Tata motors has its headquarter at Mumbai India and it manufactures passenger cars, military vehicles, trucks, vans etc(Spokesperson 2016). Tata Motors as said in the introduction paragraph owns manufacturing plants in Argentina, South Africa, Spain and Great Britain. Tata Motors was the first Indian automobile company that achieved the capability of developing a competitive indigenous automobile. Tata Motors has ranked 226th place in the list of 500 top global fortune lists of biggest corporations of the world. In 1998 Tata Motors launched its first ever fully indigenous vehicle Tata Indica, which created a revolution in the Indian Automobile market(WikiPedia 2017). Till date Tata Motors has more than 10 passenger vehicles in its squad. The Tata group was founded by Jamestji Tata and it was Rattan Tata who took the Tata group to other heights of success by his dedication towards the Tata Group in just a period of less than 20 years he made Tata a well established and a well recognized organization at an international level(Shekar 2016). Tata Motors believes in equality and friendship among all the nations. The theory of liberalism suits and fits best to the development of the Tata Motors. The theory of liberalism states that international business organizations are the one that plays a key role in making the relationships better of different countries(Leonard 2016). The theory of liberalism states and believes that International business organization can develop cooperation among various states and they can solve any critical issues with non violent methods. Tata Motors believes in the same and works towards the welfare of the society. Host Country Analysis In this part of the report we are going to discuss about the various factors that are affecting the firms growth or success in the host country. U.K is no doubt is the best foreign direct investment destination for the Indians but there are other several factors that hinder the growth of business in UK. We will discuss the Political factors first. There is political instability in UK as there is an issue of Britain leaving the European Union(Hunt 2016). Most of the revenue of Tata Motors comes from Jaguar Land Rover British luxury car, and if Britain exits from the European Union then there will a huge pressure on the revenue of the Tata Motors(Wolf 2016). Most of the Economists have even said that the exit of Britain from European Union will result in the fall of the shares of Tata Motors to 12%. There will be huge crisis of workforce, and the economy will surely fell apart, in addition to this there will be fiscal deficit all over(Markey 2017). Another Major Factor that is affecting the Tata Motors in Britain is that, Recession is UK. In the year 2010 the economy of Great Britain was hit by a great depression that lead to the loss of millions of jobs in Europe. Since then UK has not recovered from that depression fully. Even now the UK government has put several restrictions on the Visa applicants; they make thousands of verifications and conditions if someone wants to visit Britain. This depression affected the Indian Businesses operating in UK(Coppala 2015). Inflation would be another adding factor in this discussion; UK has the highest rate of inflation amongst the top world economies. The issue of exit from European union has pushed the rates to rise, the standard of living of the peoples are falling as the rates are going so high that it is becoming almost impossible for people to buy their daily needs products(Inflation. EU 2017). Now if we talk about if it is actually profitable to operate or set up a Multinational firm in UK then economical the answer would be a no. The reason being the already set up businesses in UK earn profits but these profits never go to the home country, they remain in host country and the owner use this profit in increasing the business in UK only, this is done to show the UK government or general public a feeling of social welfare that is not at all good for the home country(Prajapati 2009). The porters diamond theory is best suited here; the theory shows that how a government can make competitive advantage for itself by the factors available to them. This theory was created by Michael Porter. The porter theory is largely based upon the four factors and these are firm strategy, structure and rivalry, supporting industries and factor and demand conditions(Smith 2014). Firm strategy, structure and rivalry refer to the competition between the firms that leads to the innovation and new ideas of creating products that are totally new for the market. Supporting industries means that rise or fall with the rise or fall in the main industries that also leads to innovation of new technology. Demand conditions refer to the customer base of the country or a nation, the more the is the customer base the more will be the chances of new inventions and creativity. According to the porter diamond theory factor condition is the most important determinant in this theory. Factor conditions refers to the creation of those factors that the nation can built itself such as world class technology, skilled labor, infrastructure etc. The Great Britain has created the world class technology; they have skilled labor and the most powerful infrastructure(Scoth 2010). Foreign Entry Strategies Foreign entry strategies mean the medium through which the company entered the host country, market to sell its products. There are several entry strategies such as joint ventures, franchise, mergers, licensing etc(TradeStart 2017). Tata Motors used joint ventures entry strategy to touch the European market. For an automobile firm it is very easy to enter an international market if the organization joins its hand with the host organization. As the automobile market has so many entry barriers that a single new entrant just cant even think about entering the market alone. Same was done by Tata Motors they slowly and steadily capture many companies by buying significant shares in many automobiles of Europe and when the Tata Motors entered Europe they bought the British luxurious car brand known as Jaguar Land Rover. UK was the most suitable market for Tata Motors. SUV concept of cars came into light and its demand increased many times in a small period, Tata Motors wanted to cover this market and for that it had 3 main countries in its list these countries are US and Russia was also considered by the Tata Motors for their business operations but US had high trade barriers it was not easy for Tata Motors to enter the US automobile market all alone, plus the requirements in the SUV concept was so high that Tata being new in that market was not able to produce such high tech cars. Whereas Russia had many other restrictions, that were coming in the way of Tata Motors. UK, US Russia when compared together showed huge differences. UK was selected as it was the best destination for the Tata Motors to set up their manufacturing plant. This was the best way for Tata Motors to enter the Britain market(Leecooper 2013). As there are many advantages of this way entry, likewise there are many disadvantages too. The disadvantages are that the already created public image of the host companies, joint ventures sometimes ends up in huge losses that occur because of disputes in the partners, conflicts in ideas and thoughts etc. These could be some of the major disadvantages for the foreign entry strategies of a company. MNC Its Impact The multinational corporations have to face a number of challenges before setting up their business operations in a host country. These challenges are sometimes so complex and hard to face that few organizations leaves the race of setting up the business in most prominent countries and they go for underdeveloped economies. The challenges that Tata Motors has faced while setting up their business are, as under(Tayab 2013): Political Risk: One of the biggest issues that is faced by the Tata Motors is the issue of political risk into their business in UK. The Exit of Britain from European Union has become so important for Tata Motors that, if Britain exits from the European Union then it will result in the fall of the shares of Tata Motors by almost 12%. This fall will result in huge revenue losses and it might increase by the period of time as the political instability in Britain doesnt seem to end in near future. Tata being the owner of Jaguar Land Rover a British Luxurious car brand wants to influence the international automobile market by its overseas operation but the political instability in Great Britain is not Co-operating with the Tata Motors, the most renowned economists of world has even said that the exit of Britain from the European union will put a severe pressure on Jaguar Land Rover and it might have to be closed(Rahman 2015). Currency Fluctuations: Another biggest challenge for a multinational company is that of the currency fluctuations. The multinational corporations must prepare a strategy that will deal with such fluctuations. Sometimes the companies are spending in US dollars and earning in a currency which is comparatively low, hence such differences may occur loss on the accounts of the organization. United Nation has put the environmental issues at front and they want every multinational organization to take it into their consideration. Every organization that is thinking of expanding their business on an international level must consider the rules and regulation regarding environmental issues of that country. A business organization must follow all the environmental rules and regulations of the host company this will not only save the environment but will help them to connect with more and more customers which will ultimately increase the profitability of the organization. Tata Motor is a key global player that totally understand the problem of environmental issues and this the area where they need to further work upon, however they are already working and they put forefront all the environmental issues and have a dedicated team that works on bettering the environment for the coming generation(Berg 2008). Conclusion At the end of this report a detailed and a concise conclusion is provided. Multinational corporations are no doubts the organizations that are capable of influencing large economies, however there are certain challenges that can easily affect the existence of the most renowned multinational corporation. These challenges are sometimes so complex and difficult that most of the so called Multinational Corporation winds up their business and go back to their country of origin. So in order to cope up with these challenges a multinational organization must have the resources that will provide them an unconditional support, in addition to this all the multinational corporations are required to do research and analysis on the country that they wish to operate their businesses in. This Analysis will not only give the organization a paper of stats but a true and an actual condition of the various factors of that country that might affect the working of the organization. All the Multinational o rganizations are bound to follow the guidelines setup by the United Nations in regard to the environmental issues. Tata being a giant business organization understands this fully and complies all its working with the guidelines set up by the United Nations, There is no doubt that a business organization whether large or small if is operating on an international level have to deal with various issues, same is in the case of Tata, However Tata Motor in UK is doing well in its operation and its expected revenue for this year is around 30,000 crores. Last year Jaguar Land Rover seen a tremendous growth, which has never been seen by BMW or AUDI. Hence Tata Motors is doing exceptionally well in International Market. Bibliography Berg, B 2008, 'Guidelines Set up By United Nations', UnitedNations Journals, vol 1, no. 7, p. 50. Coppala, F 2015, 'Reason Why UK is going in Recession', Forbes, vol 1, no. 1, p. 1. Florein Wettstein 2009, Multinational Corporations and There Cultures, 2nd edn, Global Printing Press, Germany. Hunt, A 2016, 'Brexit', UK Top News, vol 1, no. 1000, p. 5. Inflation. EU 2017, viewed 12 Septemeber 2017, https://www.inflation.eu/inflation-rates/great-britain/historic-inflation/cpi-inflation-great-britain.aspx. Kapoor, R 2017, 'TATA MOTORS', Wall Streets Journals, vol 5, no. 10, p. 33, viewed 1 Jan 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4712479/. Leecooper, M 2013, Selection of Market by TATA Motors, 5th edn, MB TV, London. Leonard, W 2016, 'The Great Theory of Liberalism'. Markey, A 2017, 'Global Affect of Britain Exit from EU', World Economies, vol 10, no. 2000, p. 35, viewed 2 july 2000, https://www.beerkens.info/files/globalisation.pdf. Prajapati, M 2009, '45 ways of Doing Business', United Europe Journals , vol 5, no. 13, p. 2. Rahman, A 2015, 'Challenges of MNC in International Market', London Times, vol 2, no. 50, viewed 15th March 2015, https://www.slideshare.net/osamarizvi/6-audit-techniques. Rodrik, D 2010, 'Globalization and Paradox', Business Weekly, vol 1, no. 500, pp. 59-107. Scoth, J 2010, Porter Diamond Theory, 2nd edn, Jolly Publishers, Massachusetts. Shekar, DM 2016, 'Achievements of TATA', in M Gupta (ed.), Business Studies, 4th edn, Kalyani Publishers, Delhi. Smith, AJ 2014, 'Competitve Review of Porter Diamond ', SmithJournals , vol 1, no. 1, p. 14. Spokesperson, TC 2016, 'Capabilities of TATA', Quorom, pp. 12-23. Tayab, MH 2013, 'Challenges faced by TATA Motors', in M Dutta (ed.), Commerce and Trade, 5th edn, Lucky Publishers, Delhi. TradeStart 2017, TradeStart.CA, viewed 5 July 2017, https://www.tradestart.ca/market-entry-strategies. WikiPedia 2017, viewed September 2017, https://en.wikipedia.org/wiki/Tata_Motors. Wolf, M 2016, 'Affect of Brexit on Tata', GoldIn Journals, vol 3, no. 120, p. 15.
Friday, November 29, 2019
Walt Disney free essay sample
Company want to venture into the global markets with its theme parks? More companies are moving from the traditional strategy of doing business inside their own borders, to a global strategy (Ferrell, Hirt, Ferrell, 2009). Walt Disney has experienced great success with its theme parks in California and Florida. By 1990, Disneyland and Disneyworld were attracting 2. 7 million international visitors a year (Greenhouse, 1991). Due to their success in the United States, this was a good reason to venture into the global markets with its theme parks. What troubles has the company had to overcome in opening theme parks outside of the US home based? Walt Disney faced many challenges when entering the global market. In the case of Euro Disney, initially Disneyââ¬â¢s management failed in the aspects considering the lack of cultural awareness, misunderstanding the French laws and the traditions/habits of the French people. Disney planning for Euro Disney was driven by their success experienced in the United States and Japan therefore never made the necessary adjustments when moving into a different country and culture. We will write a custom essay sample on Walt Disney or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page What steps might Disney take to ensure better success with a future Chinese theme park location? Disney has gained some insight from its mistakes with Euro Disney, as it sought to make its new Disney Studios park and Disneyland Hong Kong less extravagant and more in tune with the local culture. It now sees itself as a company ââ¬Å"dedicated to change, employee empowerment and cultural respect and appreciationâ⬠(Packman Casmir, 1999). However, it still needs to be extremely careful to analyze all parts of the market by researching the Chinese culture, laws, and tradition.
Monday, November 25, 2019
Who Caused the Korean Conflict essays
Who Caused the Korean Conflict essays Following the end of World War II, Korea was divided into North and South Korea with the border at the 38th parallel. Not only were the two sectors split geographically, but the governments regimes were diametrically different as well. It was a conflict between the communist regime in the North and the nationalist leadership in the South that would ultimately lead to the Korean War. In Paul Lashmars article published in New Statesman and Society, he wrote, Japanese occupation of Korea ended with its defeat in the Second World War. The victorious Russians and Americans divided Korea at the 38th parallel. In 1948, both super powers withdrew. In the South, the Americans had installed Syngman Rhee, a long-standing, aggressive national leader. For the North, Stalin chose Kim II Sung, a former captain in the Soviet Red Army, to lead the communist regime (Lashmar, p. 24). It must be kept in mind, however, that it was not just internal conflict which led to the war. It was, in fact, the culmination of several different foreign leaders' actions. In this paper I will discuss the causes of the Korean War, including a discussion of some of the background regarding the foreign influences and the main players in the conflict. North Korean leader Kim II Sung became the driving force behind the Korean War, along with Soviet and Chinese leaders. Some historians believe it was actually Stalin, the leader of Russia at the time, who was the mastermind behind plotting the war. As Lashmar wrote, traditionalists believed the war was Stalins prelude to world domination, and the North Koreas leader, Kim II Sung, was Stalins puppet, ordered to start the war to confront the west (Lashmar, p. 24). On the other hand, as is always the case in American history, there are those that hold the opposing point of view. These scholars believe that the war was started from inside Korea by the respec...
Friday, November 22, 2019
Business Plan - Euroflorida Assignment Example | Topics and Well Written Essays - 4000 words
Business Plan - Euroflorida - Assignment Example In order to ensure that we have best customers, we would use internet as our marketing tool alongside estate agents and sales force, the benefits of registering and payment through internet website would be provided to the people only living in Europe. The houses would be sold on first come first serve basis, however if received so many applications then we can sell them on random basis to top class people. The team would be comprised of development department, which is of course the most important one, customer relationship department, marketing department, and finance department. If the houses would not be sold to any one and we would be failed to communicate and attract audience then there is a contingency plan that is to sell the houses on no profit no loss situation and then we would come up with some new idea, however we would reapply the construction procedure if the scheme would be successful. Also we would have all the houses insured, so that if any natural calamity destroys them, we do not face any loss. "We are making the future peaceful for you, simply not just by providing you a shelter in your dreams but also by providing you a big part of your dreams where you can go whenever you want and get whatever you want." The prevailing problem in the Europe is that people are living extremely busy and fussy life in Europe, the weather is most of the times very rainy and no body gets the chance to spend vacations and life outside the fewer European countries such as Greece and Italy. It has been identified on exploring Europe that in Italy there is a place which can become a heaven for the people of Europe facing various difficulties in life, these people are of course having a desire to visit places that are new, green and fresh forever. So there is an opportunity that we finally identified and now there would be some work to do on that idea, the idea that is simply related to providing a lifetime opportunity to people of Europe by providing them a home in a heaven in Apulia, Italy. The basic idea behind starting a housing scheme named "EuroFlorida" in Apulia, Italy is to target the people from the northern side of Europe who do not have any chance to visit somewhere within the Europe, as you can see that those people are catered as the target audience who have the buying power, who want to pass either their vacations or their life in a peaceful lush green environment which is absolutely free of pollution, also the people who are catered as target audience are not just limited to the northern Europe but any one who is having a desire to visit the most beautiful place in Italy and also who is having some buying power is recognized as the target audience. The retired people who want to spend their life in a peaceful environment are also our target audience. The competition is some how not just present in Italy but it is present in the entire Europe but the difference appears in the price and the size of the living places where EuroFlorida is having an edge on the other competitors. Porter's Five Forces -Rivalry: The rivalry is automatically
Wednesday, November 20, 2019
Secondary Data Assignment Example | Topics and Well Written Essays - 250 words
Secondary Data - Assignment Example h this comprises the integrity of the data to some extent since it is not gathered directly from the source (Christensen, Johnson & Turner, 2010); some studies require data that cannot be gathered directly or it can be unethical to expose participants directly to research conditions (Frankfort-Nachmias & Nachmias, 2008). Data that is gathered in such indirect ways is called secondary data; and when used appropriately, it can provide valuable information about the population (Frankfort-Nachmias & Nachmias, 2008). An example of a study using Secondary Data would be one that attempted to evaluate the changes in the manner and extent to which depression was reported over a decade at a campus clinic that caters to the students of a university. A study like this would want to study the number of cases reported; the symptoms described; and the treatment suggested and chosen as well as the number of cases that reported recovery and the time taken to achieve this recovery. The data required for this study is historical data that is available from the case files available at the clinic. The participants in this study would be the persons who were diagnosed with Depression; and it would be unethical to remind them of their illness ââ¬â particularly since it can raise painful memories especially for participants who had to struggle with the illness for a long time (Frankfort-Nachmias & Nachmias, 2008). Also, participants who were diagnosed many years back may not remember the symptoms well; or the details of the treatment they took, and may not be able to provide details. These details can be taken from the case files; and will provide a more accurate representation; although using the case files limits the scope of the research to the details available (Christensen, Johnson & Turner, 2010). If the participant provided inaccurate information, this cannot be evaluated; nor can it provide information about people who did not approach the clinic but were depressed nevertheless.
Monday, November 18, 2019
Events in U.S.A History in 1799 Research Paper Example | Topics and Well Written Essays - 1500 words
Events in U.S.A History in 1799 - Research Paper Example Major amendments to the American constitution took place during his reign (Henriques 148). Largely, the American society recorded great changes in its political history following the ascension and death of President George Washington. Many historical facts in American society developed from contribution of renowned personalities in the society. Politics and war are inseparable, in many cases, they would influence the out come of events in the society. The political system adopted by the society in a particular period would influence the outcome of events in the society. For instance, the quest for independence by the American late president George Washington changed the political history of the nation. Social lifestyle of people in the society would change when different politicians ascend to power. Social changes brought by a politician in office would influence the lives of the people in the society. This paper intends to explore the effects of death president George Washington in 1799. Many historical publications through books and articles provide information regarding many reputed political figures that brought social or economic changes in the society. Demise of such political personalities may lead the country into instability. The death of President George Washington brought many changes to the political and social systems in America. Death of George Washington influenced the political system of United States of America. Although he was thought to achieve amicably in many of his policies, some of the changes instigated by his successors impacted political state of the country positively. For instance, Washington did not like formation of many political parties and promoted federal ideology while he was a live (McMaster 326). His death was a blessing to the Militia Legion, which was against his federal system of governance. The Militia Legion believed that, the presence of George Washington promoted federal policies. History records that the Militia Legi on honored a partisan governor of Pennsylvania, Thomas McKean (Koschnik 237). Militia Legion acted contrary to the expectation of many people. The Republican wing followed national mourning script. Another notable event that took place when George Washington died is joint mourning program that was led by Republican militia companies. His death led to the abortion of slavery as he had started in his will. The will indicated the intention of George Washington to abolish slavery and promote equality among the American people. Historian believes that the death of George Washington influenced the reaction of United States to Quasi War. The decision made by United States to engage in Quasi War was contrary to the wishes of President George Washington. George Washington influenced the neutral position that American took in handling the issues European conflicts (Grizzard 111). It is important to note that the European conflict had an impact to United States politically and economically. Th e economical ties between United States of America and the western countries relied on peaceful coexistence among the countries. This major factor influenced the decision of President George Washington. Political events, which took place after his death, respected many political decisions that he made while he was a live. For instance, federal governance system did not collapse. This led to disagreement between the two warring faction which later jeopardized the unity of United States of America. Unity of the nation was very crucial because it marked the end of tyrannical British regime. Another crucial area that is worth noting is role of unity in passing of the sedition act.
Saturday, November 16, 2019
Benefits Of Scenario Planning And Systems Thinking Business Essay
Benefits Of Scenario Planning And Systems Thinking Business Essay Scenario Planning Introduction Today, organizations are increasingly affected by the growing uncertainty from the macro-environment.. In recent years, it is very common to see some organizations suddenly get into a recession or even fall into crisis because of some changes of external factors. These companies have one thing in common, that is, they all fail to take into account the future. And now a powerful tool which used largely by businesses to solve this problem Scenario planning. It is a tool which can help organizations think about the future , grasp the trend to look for new profit growth in an uncertain future, help decision makers reshape the mental models and find the correct direction of the future.( Bill and Ian , 2008 ) In order to make us have a better understanding of scenario planning, the following issues will be discussed: Benefits of Scenario Planning, difficulties of implementing scenario planning, PEST Analysis over the period to 2030, risks and opportunities organisations will face and the action plans. Benefits of Scenario Planning Scenario planning is a tool of strategic decision-making that does not focus on accurately predicting the future, but is a process that creates a number of possible futures that are credible yet uncertain (Schoemaker, 1995). There is no doubt that companies can gain benefit from scenario planning, and here are the several strengths of scenario planning. Systems thinking By using the scenario planning manager can have a systems thinking. Like smart chess players always think clearly and have a variety of possible scenarios in the next steps , the scenario planning can provide manager a preventive mechanism , before problems occur, manager can deduction the possible scenarios based on a series of logic and empirical facts through the business acumen and the immediate perception, seeing trends in the evolution of things ,shape and the impact of changing trends in the structure. (Mbalib,2007) In addition,through scenario planning, managers can use systems thinking, take into account the various factors which they think will influence the decision to make a overall well-depth analysis, and to avoid narrow personal bias. The optimal allocation of resources Using the scenario planning , companies can predict the possible future scenarios, so that managers can be more aware of the external environment and their companys status and future directions therefore they can match internal resources to external environment to allocate the resources more effective and rational. Risk Reduction: Scenario planning help us understand today better by imagining tomorrow , it is good to help organizations deal with the future uncertainties by aware of the weak signals and let them get better prepare to handle new situations to keep business alive and flourishing. Difficulties of implementing Scenario planning Scenario planning as a business tool which is aim to help organizations make right decisions, reduce risk, save time and maximum profit. Though the aims of organisations who adopt the scenario planning are the same, there are many inherent difficulties for organisations of differing sizes in implementing Scenario Planning for the first time. Usually, all the company will faced with these difficulties: Cost The costs of scenario planning really depends on the numerous variables such as the organization size, timeframe of the scenarios, teams and those partnering in the strategic planning process and methods of analysis and data collection involved in the planning process Time To make an accurate predictions of scenario is very time-consuming. Usually, scenario planning could take around 6 to 12 months for some organizations engaging in depth, multi scenario planning. Data and information from different sources have to be collected and interpreted which makes scenario building even more time-consuming. Resources Scenario planning need to use various resources, in addition to money, with the propose of forming a scenario management team it need the external experts to cooperate with internal staff, whats more, it also need the companys data resources from different departments. Small companies For a small business, such as self-employed and partnerships, they generally just have a short-term plan with the goal of maximum profits, and usually make decisions relatively easy just simply focus on cost, price and output decisions. As for a small business, they has few competitors and the external business environment is relatively stable and certain which has little effect on their business. Since the first time implementing scenario planning, companies may not well aware of the real needs of the company, though they do not need a complex scenario planning, do not need to have such high sensitivity of external influences, do not need such resources, technical staff they may still spend too much time and money on it which will increase the costs of company and may not take advantage from scenario planning. Large, multinational companies With the turbulent external business environment and the increasing competition it is necessary for large, multinational companies to adopt Scenario Planning in order to survive and prosper. Although large companies have abundant resources or access to the necessary resources in terms of expertise, time and money, there are still many inherent difficulties for organisations in implementing Scenario Planning for the first time. How far ahead should organizations predict The time horizon for scenarios must be short enough to create scenarios that are probable, but long enough for us to imagine that important changes with an impact on the future business can take place. (Lindgren, M. and Bandhold, H. (2003))How long should organizations take into consider ,it is a vital issue. With the accelerated pace of world change, the further predict, the more complex. More aspect need to consider, and the predictions are less accurate. However, if the prediction of the time too close it will not achieve any effect. How many scenarios For a company it is not necessary to say that the more scenario planning the better future of the company and of course, it make no sense of the company development if company has too little scenario planning. All the scenario planning need to prepare action plans and corresponding measures, have too much scenario planning not only take times and waste money but also may increase the operational costs of the company, however, if with few scenario planning it cannot help company predict the future to avoiding the risks PEST Analysis over the period to 2030 Today, due to increasing concern for sustainable development, global economic competition and technological advances ,change is happening faster than before which increased the business uncertainty . For this reason, scenario planning has been unprecedented attention. In order to make the correct prediction of what might happen in the business environment over the period to 2030 , it is important to have an understanding of what are the key drivers of external change .The best way to do this is to monitor and analyze trends and scan the current environment. There is a particularly useful tool -PEST (Political, Economic, Social, Technological) analysis can help organization to identify the different forces. http://www.jiscinfonet.ac.uk/tools/scenario-planning/trend-analysis Political: BRICK adding new memberSouth Africa. BRICK expanded five-member bloc known as the BRICS, which groups Brazil, Russia, India, China, and, for the first time, South Africa. (Mainichi,2011) The expansion of the BRICS have a great impact in the western business environment over the period to 2030. Since BRIC countries are facing a great historical opportunity for development, their development will bring a significant impact on the global economy and global structure .According to the global economic report of Goldman Sachs: (Dreaming with BRICs: The Path to 2050), BRICs will guide the world economy in 2050 coquettish. And BRIC has been trying to expand its influence which make the western countries have to be careful to look at the next step plans of these emerging economies . In addition, more and more international investors are divide their asset allocation according to the BRIC. And ONeill, chief economist at Goldman Sachs, said the BRIC will catch-up G6 in the next 20 years. Economic Globalization It can be said that the developed countries led economic globalization as they master the worlds most advanced productivity and technology. However, according to the annual World Economic Report which published by The World Bank reported that by 2030, the global economy will grow from 35 trillion U.S. dollars in 2005 to expand to 72 trillion dollars, the share of total global output of developing countries will from the current 1 / 5 to nearly 1 / 3 and the share of the global purchasing power will occupy more than 1 / 2. Report also highlighted a general underlying trend: in the next 25 years, developing countries will be a major force in global economic growth. (Sujingxiang,2006) Over the period to 2030, with the spread of new technologies such as the Internet, developing countries will go from the periphery to the center of the world economy, and gradually grow into an important engine for global growth, however , the developed countries, the influence on globalization is weakening , some organization and workers of developed countries were impact by the developing countries, particularly in emerging economies competition. Manufacturing and other traditional industries were in trouble which increased unemployment and the downward pressure on wages.(Haoran, 2009) Social Change in consumer behavior pattern As technology developed, people gradually changed their consumption habits, staying at home, online shopping has become a way of life that are interested by Internet users. The eMarketer estimates that over 68% of UK web users ages 14 and older will buy online at least once per month in 2011-a total of more than 27 million people. It estimated that between 2009 and 2014 he size of the UK online shoppers will continues to grow, penetration rate of online shopping users in 2014 will reach 71.1%. And the UK online shoppers will continue to increase in the future. http://www.emarketer.com/Report.aspx?code=emarketer_2000779 Since more and more people prefer online shopping and the number of people seems keep increasing, it can be said the online shopping represent the future direction of business. Face with this huge online consumer groups, organizations should seize the opportunity to develop the online shopping channels. However, The online shopping will change the business environment over the period to 2030. It will change the competitive basis and competitive approach among the organizations. E-commerce is information-based, the level of the access to information determine the market competitiveness of organizations . Technological Web 4.0 is transforming the Internet landscape according to Spivaks predictions, by the year of 2031 the next generation of internetWeb 4.0 will appear which further convergence of the online and physical world http://www.zmogo.com/web/web-40trip-down-the-rabbit-hole-or-brave-new-world/ Technology innovation will also influence the business environment during the period of now to 2030, With Web 4.0 which increase speeds and bandwidth, coupled with high-speed wireless access will enable information exchange on an unprecedented level. Risks Competition: The expansion of the BRICS and the increasing globalization will lead to more competitors from developing countries such as China and India. Similarly, with the increasing number of Internet users and network development, e-commerce appears which changes the business environment, reducing the trade entry barriers, blurred industry boundaries and expanding the scope for competition. Information management The improvement of network technology will allows us to enter an information age, as the network is free and open which will make the global information more transparent, everyone can master the competitors product information and marketing dynamics. Opportunities E-commerce E-commerce can significantly reduce inventory costs. Compared with the traditional commerce, E-commerce with high speed and fewer links, whats more, it does not have pressure on inventory, a well-run electronic store can even be zero inventory, no bear any pressure on the stock which will save a considerable costs. Internet Over the past 20 years the revolution of Internet has changed business model, and similarly, in the next 20 years, the networks development will bring new opportunities to the organization. With increasing speeds and bandwidth, coupled with high-speed wireless access will enable information exchange on an unprecedented level organizations can use business information effectively to fully serve their customers and attract more customers. Whats more, they can also open up international markets and change production environment in order to gain more profits. Action plans Since We have listed the key factors of the changes of macro environment in the next 20 years and also found out the opportunities and risks which company may experience in the future .In order to survive and make the company prosperous, companies should make some corresponding countermeasures. Improve management systems With the next generation of internetWeb 4.0 appears and the increasing online shoppers , organizations should improve their management systems in order to catch the pace of business. Organization can adopt the commodity cloud computing and during the production process , using the computer-aided design and manufacturing (CAD / CAM) based on the management information systems (MIS) to establish the computer integrated manufacturing system (CIMS).Using these new manage methods to combine the production technology and information technology together and to upgrade the traditional mode of management system. (Shizhenxi,2010) Focus on global strategy It can be said that with the economic globalization, the increasing integration of world economy is becoming an unstoppable trend, the world is entering an era of borderless competition. Only focus on the domestic market is not enough, organization should develop foreign markets. Organization should develop and allocate resources in global in order to survive and prosper in the future.Organization can gradually develop and allocate the capital, labor, technology, resource from domestic to global. Distribute the capital according to different regions to reduce financial risks, establish appropriate technology development centre in different regions to gain the local advantage in order to enhance their technology competitiveness . Conclusion Lindgren, M. and Bandhold, H. (2003) Scenario Planning; The Link Between Future and Strategy. Basingstoke, Palgrave MacMillan. (pg53) Scenario Planning Handbook Bill Ralston)à £Ã¢â ¬Ã à ¤Ã ¼Ã
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(Ian Wilson2008 http://product.china-pub.com/826843ref=browse 2007, http://wiki.mbalib.com/wiki/%E6%83%85%E6%99%AF%E8%A7%84%E5%88%92 http://www.jiscinfonet.ac.uk/tools/scenario-planning/trend-analysis (Mainichi,2011) http://mdn.mainichi.jp/mdnnews/business/news/20110414p2g00m0bu044000c.html (Sujingxiang,2006) http://news.xinhuanet.com/world/2006-12/22/content_5518332.htm (Haoran, 2009) http://www.zh09.com/lunwen/jjx/gjjj/200912/373158.html (à ¥Ã ¯Ã ¹Ã §Ã »Ã à ¦Ã µÃ
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¡Ã ¥Ã ®Ã ¢) Schoemaker, P.J.H. and van der Heijden K. (1992) Integrating Scenarios into Strategic Planning at Royal Dutch/Shell, Planning Review. Vol. 20 (3): pp.41-46.
Thursday, November 14, 2019
Technology Law :: Law College Admissions Essays
After a few quick gulps of coffee, I departed from my apartment in Florida. It was six in the morning and still dark outside. Seventeen hours later, I made it to the District of Columbia. I drove to Washington to attend a conference hosted by Ralph Nader on the state of competition in the computer industry. At some point during that drive, I realized I had become a "computer nerd." Before that, I had never really fancied myself a "computer nerd." To be quit honest, computers used to intimidate me in a certain respect. I did not even own one until I enrolled in college. My primary interest in college was philosophy, a discipline which, at first glance at least, does not seem particularly connected to the computer world. I was drawn to philosophy because of its emphasis on analytical thinking. By "analytical thinking," I mean the use of logical analysis and creative speculation to sort out different aspects of an argument. I instantly felt at home in my first philosophy class when my professor remarked that people looking for "the answers" in his classes would be disappointed. What interested me in philosophy was the sustained and rigorous attempt to think through intellectual questions not necessarily to "the answers," but towards more sophisticated formulations of alternative viewpoints and arguments. In contrast to my intuitive attraction to philosophy, I stumbled upon the world of computers in my junior year of college. Tired of working unrewarding jobs during the summer, I figured that I should develop some practical, marketable skills (especially since graduation was nearing and I knew my philosophy degree, while invaluable to me, was not a hot commodity on the job market). In that context, I took a few computer programming classes. I soon discovered that I actually liked designing programs. Whereas I assumed that "the answers" would be taken for granted in computer science, I found that computer science, especially when practically applied, requires both logical and imaginative problem solving. The skills refined in my philosophy classes, the application of logical thinking and attention to various ways of looking at a problem, proved helpful in computer programming. Later, I sensed other links between my interest in philosophy and the technical world of computers. I first began making those realizations while working for Stand For Children, a small Washington DC based nonprofit. Stand's mission is to develop a national network of child activists.
Monday, November 11, 2019
Sample Acknowledgement
We, the researchers, would like to extend our gratitude to all those people who helped and supported us in completing this term paper. We would like to thank our beloved professor, Fr. Kim Lachica, S. J. , for the lessons, guidance and advices he bestowed upon us. He inspired us to work efficiently on this project. In addition, we would like to thank him for motivating us to work hard in achieving our goals in life.Moreover, we would also want to express our gratefulness to the one who gave all of his time to us in the interview and shared his personal life experiences as an entrepreneur which also motivated us to work harder in our fields. He is no other than Mr. Steffen Eisenbarh, the owner of GROUPWORX101 Company. For without him, we would not finish this project. In addition, we express our sincere gratitude to our families who understood and encouraged us in every time we spent in making this term paper.Last but not the least, we would like to extend our heart-felt gratitude to our Almighty Father for His unending and unconditional support He had given upon us. He enlightened us throughout the struggles and experience weââ¬â¢ve been through in making this term paper. Without the help and support of the particular persons that mentioned above, we would face many difficulties while doing this term paper. Again, we take this opportunity to express our gratitude to the people who have been instrumental in the successful completion of this term paper.
Saturday, November 9, 2019
Behavior: Teacher and Young People Essay
Adults that support children and young people in school setting have to be aware of the different stages that children and young develop: this includes emotional, physical and social development. Children and young people learn how to behave in time and need guidance and clear boundaries from adults in order to behave the way society expects them. There are Strategies to make children and young peopleââ¬â¢s behavior one of them is the need to praise them for their work and effort. Children and young people need to feel valued, some seek to belong to group being able to communicate with them effectively to build a positive relationship will help them learn to use to positive behavior. A behavior policy will help all staff to learn how to promote positive, by explaining that children need to develop positive skills and attributes. In my setting these are some of the behavior policies in place: Behavior policy-in order for effective learning to take place, good behavior in all aspects of school life is necessary. By adhering, this policy we aim recognize and promote positive behavior and in doing so we will help promote self-esteem, self-discipline and build positive relationship based on mutual respect. The policy is not only aimed at pupils but to all who are involved in the school community from parents to governors to staff ect in order to be able apply it consistently. In key stage one and two an assembly is held each week one child will receives a prize for earning a Golden star award which is selected by raffle of all the awards. Golden awards are counted up in houses across the school and the wining house receives a reward such a additional P.à E/ games or an ice skating trip. All classes have an opportunity to LAD achievement assembly, which parents/cares are encourage to attend, where are able to show and celebrate examples of their best work. Each week a different year groupââ¬â¢s achievement are celebrated in whole school assembly with individual pupils being selected to come on stage to receive a certificate. All staff work hard to help children maintain high standards of behavior. This important so that they can use their in school effectively to learn that learning is not disrupted by others. We actively encourage and promote good behavior which is rewarded in variety of ways such as house points, certificates, stickers, praise from other teachers ect. Children also understand that poor behavior is not acceptable. Within school we have a clear set of behavior consequences such if a child is disruptive: question them on their behavior; a warning inappropriate behavior continues; consequence if child choose not to heed warning. Six Golden Rules: This is the guideline in my setting for pupil so they have an understanding how to behave in school: * Do be kind and helpful * Do be honest * Do look after property Do be gentle * Do listen to other people * Work hard * Do wear the right uniform. Teachers are only able to teach effectively and pupils learn effectively in orderly classes with good behavior. (Department for children and families- taken from school setting behavior policy) Sanctions In my setting they have accepted that some children will find it difficult to abide by the schools code conduct therefore all staff have to be consistent when confronted with inappropriate behavior. The staff are informed of the three groups of behavior that the school has listed: * Less serious incidents- calling out in class Serious incidents-swearing * Very serious incidents-fighting Depending on behavior staff will allocate appropriate sanctions which may include; loss of privileges- not being a prefect, class leader, helping the teacher with register, loss of lunch or morning break or the loss any extra, curricular activities if the child keeps contenting behaving the same. In key stage two, children who are being disruptive in class not working too of their ability and who have forgotten their homework will be given 5mins in the time out corner and if it happens twice in one week is detention at lunch time. Parents are always informed of their childââ¬â¢s inappropriate behavior, if the child gets two lunch time detentions for the same reason in one half term. They get a lunch time detention with the head teacher or Deputy head teacher. And the parents are invited to discuss the matter with the class teacher. In a case where the childââ¬â¢s disruptive behavior continues, either in the playground or the classroom, the child will receive two warning. If the child continues to behave inappropriately then the head teacher, after consultation, may decide to issue an internal exclusion. An internal exclusion differs from exclusion as the child is still able to come into school but the child works away from their own class for fixed period. Exclusions also vary depending on the behavior. If a child is excluded and it is for over 15 days the head teacher will need to get it approved by a panel of governors. The outcome is decided by the Chair of Governors and the LEA. All exclusion are record in every childââ¬â¢s school file and will eventually be sent on to their secondary schools. BULLING: In my setting, all staff work alongside with parents and the children to create a school community where bulling is not tolerated. They take all types of bulling seriously such as, emotional, physical, and racial, cyber bulling and are recorded in the school behavior book by the Head teacher. Any form bulling is reported to the Head teacher as well as the class child protection officer. The children are encouraged to speak to their class teacher if they feel they have are being bullied. The school involves the parent(s) of the child who is bulling others by encourages them to support and re-educate their child, they also inform the parent(s) of the child who have been bullied and offer support. Describe with examples the importance of all staff consistently and fairly applying boundaries and rules for children and young peopleââ¬â¢s behavior accordance with the policies and procedures of the setting: In my setting staff promotes positive behavior by giving children and young people the opportunity to develop their true potential academically, morally and spiritually. It is important for all staff to be consistent when dealing with inappropriate behavior so that children and young people have sense and knowledge of right from wrong and also know what is expected from them. Example: One day the teacher was instructing the children on their learning objective when a child was being disruptive. I asked the child politely not to sit down and if he/she needed something to put their hand up first, I was quite taken back by when he/she replied rudely. I waited till the whole class was busy with their work and approached the child spoken to her about her rudeness then and asked her if she would move her name down from green to yellow, also made her aware I would tell her teacher about her behavior. The class teacher spoke to the child and he/she was told to apologize to me. It is important for all staff to work alongside each other so that children and young people will expect rules to be the same. If boundaries and rules are not consistent staff would feel undermined. If one staff allows inappropriate behavior and another disciplines the child, the child would be confused. It is also important to remember when addressing a child or a young person of their unaccepted behavior the appropriate sanction is used according to their age and stage of development. For example a child in key stage one who behaves inappropriately would not be given lunch time detention for not doing their homework as opposed to a child in key stage two or at secondary age. The reason why policies and procedures are in place is for parents to support children and young people in their school work and for children and young people to understand what is expected from them. As well as school having a behavior policy, each class would have their own ââ¬Ëgolden ruleââ¬â¢ that was created by the children themselves. The importance of letting children create this rule is to include them and allow them to participate. Children benefit by this as they feel valued which helps their self-esteem and self- development. In my setting children who behave inappropriately are given verbal warning and are encouraged and supported to make more positive choices. If the unaccepted behavior continues throughout out the week the child misses their morning and lunch time break by spending it in detention supervised by the Head teacher. Their parents are also informed they may come a time when a child or a young personââ¬â¢s behavior is out of control that parents, class teacher, Head teacher and appropriate practitioners have to work alongside each other. IEP {Individual Education Plan} is created for the individual and a target is set to manage the child or young personââ¬â¢s unwanted behavior. This approach is known as the S. M. A. R. T target {specific, measurable, achievable, realistic, time, bound/specific} The plan may include use of intervention to get the child not to behave inappropriately. It also has to be specific and clear so the child understands what has to be achieved. The target has to be realistic in order for the child to be able to achieve it, therefore it needs to be relevant and time given is reviewed according to the childââ¬â¢s behavior. Before a child or young person is put on the IEP, teachers invite the childââ¬â¢s parents/guidance/Carer to discuss the behavior. A childââ¬â¢s behavior may be a cause of by many factors that has affected them largely such as a change in family structure, home environment or transition to a new school such as secondary school, it can also be through bereavement, parents getting divorce, parents getting re-married, new siblings or illness on one of the family members. In order to support the child, staff in school setting has to act as role model, it sets the standards of behavior and expectations to the children and young people. This is how they learn about positive behavior by watching us. Praising the child for positive behavior and rewarding them with responsibilities such as head boy/girl prefects, class monitors will build their self-esteem, create a calmer environment and build relationships.
Thursday, November 7, 2019
Blood type b in asian countries Essays
Blood type b in asian countries Essays Blood type b in asian countries Paper Blood type b in asian countries Paper 2001). These variants harbored missense mutations in specific exons that generate alterations in the carbohydrate chain of the ABO antigens. Such reports have significantly affected serological protocols that were closely associated with donor-patient compatibility testings, because these variants had the capacity to express the antigens at a broader range of degree of expression than what was classically described. This dilemma may cause mistyping of blood groups which, in turn, may affect transfusion and transplantation procedures. The ABO blood group system has been determined to follow a unique geographic distribution (Fukumori et al. , 1996). Frequencies of individuals with blood type B are known to be particularly high in Asian countries, ranging up to 30% is specific populations such as the Himalayans. The Himalayan region has been reported to have a history of smallpox and bubonic plague epidemics, which are specific medical illnesses that confer particular physiological responses in the body that blood types A and O are selected against (Yamamoto et al. , 1993). Such selection is also associated with the development of resistance to the other antigens, hence blood type B is said to be fixed in the area through the mechanism of genetic drift. Investigations on the ABO locus has revealed that random sequence variations occur within this region, resulting in substitutions of nucleotides bases that are presumably less susceptible to selection pressure, hence it is possible to trace the phylogeny of the B alleles in a more robust way. The diversification of the B locus may be a result of two genetic mechanisms. Point mutations may have occurred in the consensus ABO locus due to recombination events (Olsson and Chester, 1995). The fixation rates of a mutation may be calculated based on its extent of homology to the consensus B locus. This may be observed in the high frequencies in Asian populations and the low frequencies in different white populations. Recombination facilitates the generation of new variants of blood type B may also be enhanced by inter-lineage sequence transfer, resulting in intermediate products of the B allele. Blood type B is strongly associated with specific medical diseases such as esophageal carcinoma, infantile diarrhea and typhoid fever (Su et al. , 2001). These associations may be due to the selection against the other blood types during the onset of the medical illness. In addition, the B antigen is maximally expressed in these populations because the physiological settings of these individuals are optimal for the fixation of the blood type B and its related subtypes, as well as the increased suppression of expression of the A antigen in the red blood cells. The ABO blood typing system should therefore be cautiously analyzed especially when dealing with serology, transfusion and transplantation procedures, together with the ethnicity data that is gather from the patient, in order to avoid mistyping and adverse rejection reactions. References Fukumori Y, Ohnoki S, Shibata H, Nishimukai H (1996): Suballeles of the ABO blood group system in a Japanese population. Hum. Hered. 46:85-91. Olsson ML, Chester MA (1995): A rapid and simple ABO genotype screening method using a novel B/O2 versus A/O1 discriminating nucleotide substitution at the ABO locus. Vox Sang. 69:242-247. Olsson ML, Irshaid NM, Hosseini-Maaf B, Hellberg A, Moulds MK, Hannele Sareneva, Chester MA (2001): Genomic analysis of clinical samples with serologicABO blood grouping discrepancies: identification of 15 novel A and B subgroup alleles. Blood 98:1585-1593. Su M, Lu SM, Tian DP, Zhao H, Li XY, Li DR, Zheng ZC (2001): Relationship between ABO blood groups and carcinoma of esophagus and cardia in Chaoshan inhabitants of China. World J. Gastroenterol. 7(5):657-61. Yamamoto F, McNeill PD, Yamamoto M, Hakomori S, Bromilow IM, Duguid JK (1993): Molecular genetic analysis of the ABO blood group system, 4:another type of O allele. Vox Sang. 64:175-178.
Monday, November 4, 2019
Management Essay Example | Topics and Well Written Essays - 2500 words - 3
Management - Essay Example In addition, managers may utilize various motivation techniques to ensure that employeesââ¬â¢ efforts are directed towards achieving the set targets. Among the techniques employed include: compensations packages, salary increments, job promotion to mention just but a few. However, it is important to note that some employees may not be motivated using money but rather by how managers speaks and encourages them to continue performing exceptionally. In order to do these Managers should also have some special. Those skills include but not limited to; technical skills, communication, problems solving skills just to mention but a few (Adizes, 2004). In addition, managers have a role to play when executing managerial decision. Among the roles played by managers are; decisional role, information and interpersonal role. Decision role entails the responsibility of initiating and implementing change. On the other hand, decision role entails determining what actions are to be undertaken to so lve organisation problems. Information role entails providing seeking information and providing employees and all stake holders with necessary information to ensure that there is a seamless operation within an organisation. Finally, interpersonal role involves linking organisation with the outside world whereby, manager plays the role of representing the organisation outside. This means that he act as a figurehead of the entire organisation. However, the performance and execution of the above roles depend substantially on the styles of management employed. There are two common management styles that are used to manage organisation are further broken down into other smaller styles. The two styles include; autocratic and pessimistic management styles. Autocratic management style is a managerial style where all decisions are made by a single managers and no other party is allowed to participate in the decision making process. On the contrary, Pessimistic style involves a management sty le where lower levels employees are given an opportunity by the managers to participate in the decision making process .This style involves a participatory style of leadership (Adizes, 2004).. Therefore, this study aims to compare managerial style employed by Gordon Ramsay and Jamie Oliver COMPARE THE MANAGEMENT STYLE OF GORDON RAMSAY AND JAMIE OLIVER Gordon Ramsay management style Gordon Ramsey has been reported to be one of the most successful managers in the hotel management industry due to his unique capabilities and tough approaches in dealing with employees. He was born on November 1966 in Scotland as a second born in a family of four childrenââ¬â¢s. He was educated at North Oxfordshire Technical College where he took a career in Hotel management. However, prior joining culinary art, Gordon Ramsey used to be a footballer though his life in football was quite difficult due to numerous injuries he succumbed in. Despite numerous challenges as a footballer and as professional C hef, Gordon Ramsay completed his education successfully and was offered a job at Wroxton House Hotel where he worked as a chef before returning back to London. In the year 1993 he got a job in London as a head Chef at La Tante Claire, he continued to perform exceptionally in this restaurant and managed to win numerous awards. Thereafter, he developed difference with the restaurant owner and moved out to open his first restaurant named after him. In 1998 his first was named as the best restaurant in the
Saturday, November 2, 2019
Operation Management Assignment Example | Topics and Well Written Essays - 3000 words
Operation Management - Assignment Example The location would provide greater benefits to the company as there is significant demand for printing related services. Correspondingly, the aspect of quality control and capacity planning have been emphasised as they would enable the printing organisation to ensure quality outcomes. Part 1: Introduction The growing demand of the printing industry has inspired in strategizing a business plan related to printing. The business is based in the city of Madinat Zayed in the UAE to meet the market demand and benefit from the business in the future years. Al Gharbia Printing Centre will be based on the concept of partnership, where the capital for the business will be provided by every member. The business will be headed by three partners; one of the partners will focus on the operational aspects and the others on the marketing. The intention for the business to set up was the profit making perspective and the demand. The printing service will be small in nature with nearly 30 employees in the initial years. The factors that influenced the business idea regarding the printing were the market trend and the growing demand in the United Arab Emirates (UAE). The growing economy of the country, the future market growth prospects and the present market need of the business have influenced the choice of the business. The printing services as planned by the partners would offer cards, brochures, booklets, envelops, business forms and catalogues to meet the demand of the market and to attain its unique position. The easy availability of the raw material and the location of the business selected in the UAE would prove to be of advantage to the business. Moreover, the business can be beneficial as the printing service would provide assistance to the other industries by fulfilling their requirements of cards, catalogues and brochures (Palo Alto Software, 2013). Mission The missions of the Al Gharbia Printing Centre are as follows: To ensure satisfaction to the clients Creation o f more value through better services Promoting the cultural communication for the up gradation of the society Ensuring creativity and design in serving the public To influence the growth of the people working in the organisation Employing high standards Ensuring reliability, ethical practises and professionalism Ensuring timely delivery of services Goal of the Company The goal of the business is to develop relationship with clients. Working together with the client and gaining trust would facilitate in the delivering better services. Providing satisfaction to the customer is the primary goal of the business. Attainment of the long-term goals by providing quality services through Al Gharbia Printing Centre business will be the utmost objective. The business strategy for the success of the business is based on the mission, goals and objectives of the business. The business strategy to be used is to analyse the market and the target segments. The target market segment strategy is to be followed in which the focus of the company will be to satisfy the requirements of the small organizations. The reason for selecting this strategy is because the primarily aim to would to work at small level and gradually grow towards satisfying larger organisationsââ¬â¢ demand. The business depends on the knowledge of the print vendor they rely upon. The main area of the marketing strategy would be face-to-face contact with the individuals. The pricing and the promotion
Thursday, October 31, 2019
CRJS472IP3 Research Paper Example | Topics and Well Written Essays - 750 words
CRJS472IP3 - Research Paper Example This implies that the investigating agency must have an original sample from the person to work with if they require accurate results. However, samples are also important in unintended recordings. The agency can get an individual original voice recording by securing a court order demanding the suspect to do so (FBI n.d). In high secretive missions, voice recorders are planted in strategic places in order to identify the speakers. For example, police may plant recorders in the body of an undercover agent to capture the conversation between drug dealers, arms dealers and terrorist. The device captures the voices that can be analyzed and used as evidence before a court of law (Becker 2009). Voice recognition works effectively when the police or the investigating agency has an authentic voice sample of a suspect. Analysis is then done on the sample with the original sample as a reference. Analysis is done using high-tech computer programs. The programs identify modification in the voices that are meant to disguise the conversation by use of personal voice tracts that cannot be compromised. The most used source of voices is telephone conversations. This method entails recording and listening to selected telephone conversations. The conversations are passed across a voice recognition system whereby speakers are likely to be identified. In this method, the speakers must speak for some time for analysis and authentication to be complete. The timing is usually pegged at thirty seconds; however, it is impossible to control the length of the conversation in cases where the investigator is not part of the conversation. Voice recognition has been used in investigations involving drug dealers in the USA. Drug cartels are highly secretive thus it is very hard to nab them with their cargo. As such, the police and FBI use telephone conversations and undercover agents to obtain voice samples of the criminals. The voices are then analyzed
Tuesday, October 29, 2019
Several language techniques Essay Example for Free
Several language techniques Essay From the perspective of soldiers we experience what men suffered during World War I. Through the vivid imagery and the dramatic language in the poems Attack and Exposure, Siegfried Sassoon and Wilfred Owen share their views on war. That all war is- is fear, misery and death. Sasson descibes a battlefield where men are on the attack. They follow behind a tank, fighting their way up a scarred slope, clambering over barbed wire, right into the hands of death. The use of alliteration and rhythym (eg. Smouldering through spouts of drifting smoke that shroud) conveys the sense of urgency and excitement. Personification plays a major role in Attack, eg. glowring and barrage roars gives the poem a tone of anger/rage. The use of onomatapoiea helps the readers experience what the battlefield was like for the soldiers. Lines such as bristling fire, makes the readers imagine the sound of machine guns firing and Tanks creep and topple forward to the wire, creates a powerful image of tanks slowly making their way upto the barbed wire. His climax is a perfect example of the kind of emotive sentences he uses, O Jesus, make it stop! fills the readers with the despair, anger, fear and helplessness that the soldiers feel. Yet, Sassoon also gives the poem an unemotional tone (eg. They leave their trenches, going over top.) to emphasize the fact that the fear, panic and death happened everyday. But none of these things were what war was conveyed to the people not involved with the fighting as back then. Men who went off to war thought that it was a way to prove their masculinity and that to die for your country was a glorious thing. None of these men knew of the fear that would strike their hearts, or of the desperate, panicked need to return home- alive. None of these men knew that it was not just bullets and bombs that killed, that the horrible conditions were just as much their foe as the men who fired at them. Owen describes a cold uneventful night on the battlefield. The use of personification (eg. Iced east winds that knive) immediately conveys the sense of an icy wind that bites like a knife would nick the skin. He uses rhetorical questions well, lines such as What are we doing here? and Isà it that were dying? pulls the readers into the tangled web of fear, regret and weariness that surrounds the mind of a soldier. Although onomatopoiea is not used much in Exposure, the sentences that do contain onomatapoiea words are very effective (eg. whisper, curious, nervous) gives the voices in the readers mind a whispery hush. The use of similes (eg. Line twitching agones of men among its brambles) and emotive words such as cringe and poignant helps the readers understand what the soldiers were experiencing. But nothing happens. was a very effective ironic sentence, because althought nothing officially happened, men still died and had to be carried away to be buried. This sentence was repeated to emphasize this fact. These poems along with many others that were written about World War I, helped the people who werent involved with the fighting understand what war was life for the soldiers and that all war caused was fear, misery and death.
Sunday, October 27, 2019
Outpatient Treatment for Mental Health in New York
Outpatient Treatment for Mental Health in New York Michael Woodworthà For many individuals in the United States, mental and behavioral illness is something they must deal with on a daily basis. For many of those, the depression, anxiety, and feeling of powerlessness has become the norm due to a lack of treatment options. As the number of affected individuals grows, outpatient clinics are becoming the treatment of choice for many Americans and in New York this trend also holds true. With the third highest population in the United States, New York is home to over one million individuals suffering from mental illness. According to the 2015 census, the number of individuals suffering from mental illness had reached an all-time high of 900,000 adults and 528,000 adolescents (Friedman, Woods, LaPorte, 2016, p. 4). Despite the alarming increase in numbers, less than 20% of those affected by mental illness receive adequate, if any treatment at all (Friedman, Woods, LaPorte, 2016, p. 4). Although this may be partly due to the individual choosing not to receive care, I believe there is a direct correlation between the policies and procedures New York has put in place that govern the access, cost, and quality of mental health care. The New York State Office of Mental Health currently has over 50 categories of policies and procedures that govern treatment options, approved providers, medication, and criteria patients must meet to be treated, just to name a few (Office of Mental Health, 2017). As a result, many individuals choose to self-medicate or simply ignore their symptom rather than deal with the bureaucracy that surrounds behavioral health as well as the negative stigma associated with anyone receiving the treatment. Of the 20% of individuals receiving mental health services in New York, nearly 71% are through outpatient treatment services. Outpatient treatment exist as a way of providing access to individuals who are suffering from disorders that may not require intensive inpatient treatment. They are capable of treating disorders such as depression, anxiety, grief, phobias, trauma, and so forth. Overview on Outpatient Care Systems Outpatient care can provide a wide variety of services to individuals seeking assistance with their mental and behavioral health. These services include, but are not limited to: individual counseling, group therapy, acupuncture, massage therapy, DBT, art therapy, interventions, couples and family therapy, and alcohol and drug detox. These services are based on severity and need and are often delivered by peer advocates, licensed counselors, nurse practitioners, case managers, clinical psychologists, psychiatrists, and medical doctors. New York State offers two main avenues of treatment to those seeking outpatient care; these are the hospital systems and the health programs available within the community. For many people in New York, there are only two ways into these outpatient programs. The first being through a referral from a qualified healthcare professional (QHP). This can include a primary care physician, clinician, psychologist, nurse practitioner, among others (Friedman, Woods, LaPorte, 2009). The second is through court mandated supervision and treatment, and with one in 52 adults in New York on probation or parole, this accounts for many outpatient treatment referrals. The question now becomes, with such incredible services available why are only 20% able to get them? The answer lies within the policies. Although the policies do provide expectations and restrictions regarding cost and quality, the majority of outpatient policies focus on access. These policies not only determine who is eligible to receive services, but also what services are covered by Medicaid and other insurance. So lets take a look at just how these policies hinder so many New Yorkers from receiving adequate services. Hospital Systems With the hospital system, as with any business, accessibility comes down to resources; and in many hospitals the resources are limited. As a result, outpatient care is reserved for those that will not only benefit from it the most, but also those who will bring the hospital the most profit. Most of the individuals in New York who are receiving mental health treatment are covered by Medicaid. Those covered by Medicaid are by definition poor, and despite the need for the treatment are unable to pay the out of pocket expenses associated with it (Garfield, 2016). This fact has had significant influence on the policy makers to establish a list of criteria that must be met in order for Medicaid to pay for the total treatment. In addition, they developed a list of reasons that a hospital can deny mental health services to patients. Unfortunately in New York, many of the hospitals have a board of directors that have little to no medical experience. Instead they are comprised of wealthy and powerful business professionals from within the community. For example, one prominent hospital in Upstate New York has a board of directors that consists of several CEOs and presidents of companies that have direct ties to the local congressmen and assemblymen. One of the members of the board is actually a longtime friend of the current Governor of New York. These ties to politicians along with a lack of medical knowledge often result in policies and decisions being made for the sole purpose of profit rather than care and in turn make access much more difficult. Community Based Services The second healthcare system is that of community based resources. This is where the bulk of outpatient mental health treatment occurs. Many of these resources are non-profit organizations that rely heavily on funding from the state. Accessibility to these resources are governed by the overall state budget and is solely based on where the money needs to be allocated that year. As a result, many community resources are limited in the number of patients they can treat due to the limited annual funds available. Much like the hospitals, this causes the community resources to deny service to many individuals that need treatment. In general, these services are delivered in three ways and are typically based on the severity of the need. Hospitals offer outpatient mental health counseling for individuals who may require a higher level of intensity. Hospitals often utilize psychiatrists who have the ability to recommend and prescribe psychotropic medications for those suffering from severe mental disorders such as schizophrenia. The second option for patients is a privately or publically run outpatient clinic. These facilities usually employ licensed clinicians who are supervised by a clinical psychologist. Although they can offer the same level of counseling services as the hospital, they are not equipped to prescribe or monitor medications. These facilities are primarily used to focus on the less intensive mental health disorders such as depression, anxiety, PTSD, and addiction. The third option is counseling and guidance through a religious leader. Although this option can provide assistance with minor mental health issues, it is seldom covered under insurance. This is due to the fact that in most cases, the religious leader does not possess the required education or credentials to be recognized by the state as a legitimate form of mental health treatment. However, as a result many religious leaders choose to pursue degrees in mental health so they can better serve their congregation. Barriers to Care New York has several different levels of care which include intensive outpatient treatment, outpatient treatment, step down treatment, continuing day treatment, and assertive community treatment (Friedman, Woods, LaPorte, 2009, p. 12). Each of which is a step within the continuum of care provided by New York State Office of Mental Health. Generally speaking, these steps are effective when utilized appropriately by the patient and followed through with by the provider. Unfortunately the greatest barrier falls in the follow through of both the patient and the provider. With over 380,000 adults and 575,000 adolescents in New York suffering from severe and persistent mental illness (Friedman, Woods, LaPorte, 2009, p. 12), it is easy for a patient to fall through the cracks of the system. Many providers have limited time and resources to track down a patient that missed an appointment, or just check in on a regular basis to see if they are alright. As a result, many patients will feel unsupported and stop treatment all together. As previously stated, outpatient is usually reserved for those with a professional referral and as such the access can at times seem quite limited. In the clinics that I have worked in, a patient could arrive only after a referral had been received. After they have arrived, they would undergo several interviews and assessments to determine if they would benefit from the treatments the clinic offered. If they would, then they could begin treatment. If however they were thought to not benefit, they would be referred to another clinic or to the local hospital for further consideration. In New York, the need for mental health services are far greater than the resources available and therefore every clinic and outpatient service does seem to have an extensive waitlist for services. I was a case manager for a supportive living program working with veterans suffering from mental health disorders as well as addiction and chronic homelessness. My program was a 12 month intensive treatment program and had 24 beds/apartments available. At any given time, the waitlist for this program had well over 50 individuals listed on it. Outpatient access is a serious concern in New York and so far has left much to be desired. For many individuals who require outpatient mental health services, access comes with three major barriers: Finding a clinic, getting approval from Medicaid and insurance, and physically getting to the clinic. Far too often these barriers hinder individuals from receiving adequate, if any services they so desperately need. With the constant change to Medicaid waiver services and insurance, it is difficult for clinics to accept every patient in need. With private insurance, managed care, and straight Medicaid placing strict eligibility and billing restrictions on the clinics, it is amazing that they are able to stay open at all. These regulations are causing the clinics to become more business focused instead of focusing on the real reason they exist. As a result of the clinics focusing more on the business, they are more inclined to accept patients that they can profit from the most. This ultimately tends to sway more towards those with private insurance as they are more likely to get approval for ongoing treatment. This leaves the majority of individuals suffering from mental health disorders to fend for themselves. As with any treatment, a referral is required to receive treatment in an outpatient setting. Attempting to get this referral poses the second struggle to accessibility. Many of those suffering from these disorders do not have a primary physician and are likely to go to free clinics if they seek assistance at all. As a result, many individuals are simply prescribed medications like Zoloft by the attending physician and told that they have a cookie cutter diagnosis of depression or anxiety. On average, it takes nearly six months of trial and error in medication before a referral is given and accepted by insurance or Medicaid. In far too many situations, the individual has given up on treatment before reaching the six months. Getting to a clinic often poses a barrier to those in a low income bracket. These individuals are unable to purchase transportation on their own and rely heavily on others or public transportation to maintain mobility. This requires them to find clinics that are on bus or subway line if they live in the city, or friends and family if they live in a more rural location. This causes unnecessary instability in treatment due to the patients inability to commit to a treatment schedule. For the more than 30 million adults in the United States that require but do not receive mental health services, 45 percent claim that the cost is the biggest deterrent. The average outpatient service can cost between $100 and $5,000 based on the service and the credentials of the provider (Babakian, 2013). In New York City the average rates for outpatient services are as follows: $80 $120 for a 45-55 minute standard counseling session (Babakian, 2013). $200 $300 for a 45 minute session with a psychologist or psychiatrist (Babakian, 2013). $60 $100 for group sessions facilitated by a licensed provider (Babakian, 2013). $300 $ 460 for individual art, music, and/or recreation therapy sessions with a licensed provider (Babakian, 2013). As with any healthcare service these can be paid for using self-pay, private insurance, and government insurance such as Medicaid and Medicare. Unfortunately due to the restrictions imposed by the mental health policies in New York, many individuals are forced to pay a significant amount out of pocket. As a result, many outpatient providers offer patients sliding scale charges which can be 30 percent lower than standard fees, payment plans with and without interest, and in some situations income based fees (Babakian, 2013). Although outpatient treatment is covered by most insurance, it is seldom covered in full. This causes many patients to stop treatment as a result of an inability to pay the deductible or co-pay. At this time, New York does not offer any additional assistance with co-pays or medical bills for individuals receiving outpatient services. However, if the patient were to be admitted to an inpatient clinic as a result of a mental hygiene arrest or emergency room visit, it would be covered in full by many insurance providers including Medicaid. This creates a situation that is counterproductive in that we do not offer treatment as an early intervention but rather offer it after the individual has reached a breaking point. In order to get an insiders opinion of the current barriers within outpatient care, I was able to interview Megan Cortese, LCAT. Ms. Cortese is a licensed art therapist and senior clinician in a very prominent outpatient clinic in Rochester, NY. During the interview I simply asked her what she sees as a barrier to her current and future clients. When asked what she would want to change about the overall way mental health services are provided, she had the following to say. The current system of mental health services has two major flaws; funding and accountability. Ms. Cortese stated that due to budgetary restrictions, lack of government funding, and overall economy struggles the quality of care is becoming lower. She stated that the clinical staff are underpaid and told to meet with as many clients as possible in a day. She stated that this causes many clinicians to burn out and therefore provide a subpar level of treatment. Ms. Cortese also stated that the lack of accountability from patients on Medicaid is ridiculous. She stated that when a patient on Medicaid does not show to an appointment that there are no penalties to the patient such as the cancelation fee that those of us with private insurance would have. Ms. Cortese stated that this causes patients to continuously miss appointments and therefore miss out on beneficial treatments. Quality of Care As for quality of care, New York does seem to excel at regulating the providers and clinics. The New York State Justice Center monitors, regulates, investigates, and enforces all policies regarding the fair treatment of individuals under care. As a result, every clinic is held to the same standards and accountability in regards to the treatment of patients. Although this is beneficial in providing adequate and proper treatment to all those involved in outpatient clinics, it is only effective if the patients are able to receive services. Policy and Influence So now that we have reviewed how these polices can hinder treatment, we must next understand not only how the policies come to be, but also who has the power to influence them. Health policy in todays modern world poses several complex legal, ethical, and social questions and as such require qualified individuals to write, approve, and integrate them into the current healthcare systems. As with the nation as a whole, New York relies heavily on Government officials to accomplish this objective while simultaneously respect and protect the rights of patients. As a result, several highly diverse and complicated groups are tasked with the oversight of these policies. Healthcare policies in New York are developed through the three branches of government; the judiciary, legislature, and executive branches. The judiciary branch is responsible for overseeing new policies to ensure that they do not violate any human rights as well meet all legal and financial guidelines. The legislature reserves the right to conduct hearings in an attempt to gather sufficient data from all parties involved with the policy. This ultimately provides additional checks and balances to ensure the legality and effectiveness of the proposed policy. The executive branch, or Governors office retains the power to sign the new proposed policy into law after it has made it through the checks and balances from the judicial and legislative branch (Gostin, 1995). Now despite a significant set of checks and balances within New York, policies are not always reviewed as they should be. Far too often members of the three government branches are influenced by outside factors and groups. As previously mentioned, outpatient treatment in New York has many governing bodies; which along with providers, insurance companies, and several special interest groups all have a way of influencing the current policies. Each of these groups have a significant impact on the access, cost, and quality of care that patients receive while participating in outpatient services. The real question is who has the power and are they using it to benefit the patient or are they simply looking out for their bottom line. So lets start from the bottom of the hierarchy and work our way up. At the bottom of the outpatient ladder are the small and seldom heard from special interest groups. In New York these are groups such as; NAMI (National Alliance on Mental Illness), NMHA (National Mental Health Association), as well as smaller support groups located throughout the state. The main focus of these groups is to educate the public, influence change and improvement, and advocate for the patients. Many of these groups rely heavily on petitions and public outcry to influence change and policy at the higher levels of the state government. Even though these groups do not carry the influence of some other groups, with a mass of concerned voters behind them, they are usually quite effective. Sitting on the next rung of the ladder are the providers who influence treatment and policy by acting as a deciding factor as to what if any treatment is recommended. The providers are in essence the frontline of the outpatient world. The providers conduct the assessments that provide the information to choose the most beneficial treatment option. The providers are able to influence policy by simply choosing a course of action. If the majority of providers choose the same treatment for a particular diagnosis, then it is likely that the governing bodies will consider that to be the go-to treatment. Once this is the case, it is very likely that policies will be rewritten to reflect this treatment as the acceptable one. Sitting on the next rung is the insurance companies. The insurance companies have significant influence over policy simply because they pay for it. Insurance controls who gets treatment, where they get treatment, and what quality of treatment they can receive. This is of course all based on what tier level the patients insurance plan is on. Ultimately, the insurance company has the ability to approve or deny treatments simply based on the overall cost and as a result many patients are unable to access necessary treatments and medications. Now, at the top of the ladder is the state agencies such as Department of Health (DOH), Office of Mental Health (OMH), State Legislature, and the Governor. It is implied that these people have the ultimate influence over access, cost, and quality of outpatient mental health treatment. Policy recommendations are delivered from the DOH and OMH to the legislature who then agrees and passes them along to the Governor, or disagrees and sends them back to the agencies for revision. Once in the hands of the Governor, the policy is either approved or denied. As most healthcare in New York is Medicaid funded, the Governor has significant influence over who gets treatment and what treatments are offered simply by approving the state budget. If the Governor approves a policy that allows more access to treatment, he must also approve an increase in taxes to maintain funding. However, if the Governor does not pass a policy for increased care, they may lose ratings and therefore votes. As a result, it is a very complex balancing act when influencing health care policy. Although the aforementioned groups seem to have the most influence over health care in New York, I stumbled across a group of individuals that seem to have influence over the Governor himself. The United Healthcare Workers Union (1199SEIU) is a union of pharmacists, nurses, and physicians located throughout the nation. The influential power of this group is astounding. In 2009, the full power of this organization was felt by then Governor David Paterson. With a severe surge in Medicaid costs in New York, Governor Paterson proposed $3.5 billion in cuts to the Medicaid program. The Governor proposed shifting monies away from inpatient hospitals and into outpatient clinics which were significantly less expensive (Eide DiSalvo, 2015). This would have resulted in a 2% loss in revenue for the inpatient hospitals annually. Medicaid is the primary source of funding for the inpatient hospitals which employ a majority of 1199SEIU members. The union responded to the Governors proposal with a serious ad blitz which cost over $1 million per week. After a month of adds belittling the Governor, Paterson retreated and instead approved tax increases and cuts to other programs (Eide DiSalvo, 2015). As a result of the serious influence by the 1199SEIU, the overall quality, access, and cost of care suffered. In an act that simply secured their own interests, the patients suffered. Overall, the diverse and effective variety of outpatient treatments available in New York is quite impressive and could provide much needed assistance to many individuals. However, the lack of accessibility and increasing out of pocket costs create significant barriers to those individuals who need the treatment the most. In order for New York to effectively serve those needing mental health treatment, it is necessary for the policymakers to begin thinking in terms of care rather than profit. References Babakian, G. (2013, December 17). How Much Does Mental Health Care Cost? Retrieved from Clear Health Costs: https://clearhealthcosts.com/blog/2013/12/how-much-does-mental-health-care-cost-part-1-series/ Cortese, M. (2017, January 29). Outpatient Barriers. (M. Woodworth, Interviewer) Garfield, R. (2016, October 19). The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid. Retrieved from Kaiser Family Foundation: http://kff.org/uninsured/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/ Lawrence Gostin, J. L. (1995). The formulation of health policy by the three branches of government. Retrieved from The National Academies of Sciences Engineering Medicine: https://www.nap.edu/read/4771/chapter/17 Michael B. Friedman, G. W. (2009). New York States Mental Health System. New York: Mental Health Association of New York City. Office of Mental Health. (2017, January 1). OMH Official Policy Manual. Retrieved from Office of Mental Health: https://www.omh.ny.gov/omhweb/policymanual/contents.htm Stephen Eide, D. D. (2015). The Union That Rules New York. The City Journal.
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