Respiratory Therapy

The Path of Respiratory Therapy Introduction About a year ago, I came home from work one night and walked into the kitchen to where my mother was standing. There was a feeling of uneasiness and the panic began to clench my stomach. She looked so sad, so stressed; maybe it was the frizzy hair, the bags beneath her eyes, the way her back slouched in a low negative curve, or her eyes. Her eyes looked at me before she turned them away, but in that fragment of a second, it’s almost like I could look inside her narrow eyes and search until I would come upon this thing.This thing has no name, but it scares her. She wouldn’t exactly explain to me what it was but I felt the sudden movements of uncertainty with the way she shifted her body and tilted her gaze away from mine. It’s almost like I started to feel scared too. The expression that was set on her face gave me such a feeling that went straight to my heart. My mother sat down with me that night and explained that he r sickness had become idiopathic, meaning that it was created from an unknown cause. The malfunctions that inhabit her body are respiratory related and deals with her lungs.Every week, she attends respiratory therapy and completes several breathing treatments. The therapists who have taken care of her, year after year, have set a positive influence and have created a better outlook for her. I have been inspired to become a respiratory therapist to help patients, like my mother, who suffer from breathing complications. My overall goal is to give people the opportunity to experience their lives as long as possible. Setting a positive outlook for others will help build a base for patients to be happy once again.Respiratory therapy is extremely popular with the amount of people who are diagnosed with breathing disorders every year. From 2010-2020, employment is expected to grow by 28 percent (â€Å"Occupational Outlook Handbook†). This is faster than the average growth for all ca reers. Thousands of people are employed as respiratory therapists across the country. In Indiana, the number ranges just over 3,000 people (â€Å"Occupational Outlook Handbook†). Whether working here or in a different state, hospitals are always in need of medical help.As people become elderly, it is essential for them to breathe to stay alive; that is where the necessity of respiratory therapists comes in. Job Description Respiratory therapists eat, sleep, and work mainly in hospitals. It is common to work in nursing homes or even travel to patients’ homes. From the time babies are born to the adults reaching old age, they assist anyone who has breathing difficulties. Typically, RT’s interview/examine patients, perform diagnostic tests, treat patients, monitor/record the progress of treatment and teach patients how to use treatments (â€Å"Occupational Outlook Handbook†).The environment in which they work in is extremely clean to prevent patients from ca tching bugs that can put their health in more danger. Though the salary ranges from state to state, Indiana’s respiratory therapists are able to make around $50,000 a year (â€Å"Occupational Outlook Handbook†). Depending on the shifts that are worked, therapists can make a bit more by working on holidays and even night shifts since hospitals are always open. Qualifications The more education experienced, the greater chance applicants will successfully obtain the job of a respiratory therapist.At minimum, an associate’s degree is needed. Many colleges and universities, vocational-technical institutes, and the Armed Forces offer training-most programs even award an associate’s or bachelor’s degree (â€Å"Occupational Outlook Handbook†). Respiratory therapy is particularly science based and requires a certain amount of credits from classes. Important courses taken are human anatomy and physiology, chemistry, physics, microbiology, pharmacology , and mathematics (â€Å"Occupational Outlook Handbook†). In order to receive the license for a respiratory therapist, an exam is to be taken.This exam is important because employers prefer to hire those of who have successfully passed. If therapists are certified, there is a greater chance of obtaining the job. Studying for long hours and keeping steady grades pays off in the end. Opportunities Growth in the middle-aged and elderly population will lead to an increased incidence of respiratory conditions such as emphysema, chronic bronchitis, pneumonia, and respiratory disorders that permanently damage the lungs or restrict lung function (â€Å"Occupational Outlook Handbook†). Knowing this, the demand for respiratory therapy will increase.When medications and treatments improve, so will the need for therapists to help patients. There will always be factors that continue to harm the health of people such as pollution and smoking. There are other types of therapists that come close to the career of one in the respiratory field. Though some require a bachelor’s, master’s or even a doctoral degree, select trainers and therapists still hold the duty of treating patients. From physical to radiation therapy, therapists use different techniques to help treat problems that many people suffer from.Depending on what field of therapy the career is in, the salary can range from $40,000 to around $80,000 (â€Å"Occupational Outlook Handbook†). Conclusion Since the time that I decided what I wanted to do, I have taken steps in the right direction to obtain the career that I want. Before I started college classes, I saw an advisor and specifically asked for the courses that I needed in order to get into the medical program. General studies for respiratory therapy include classes in which I have to achieve high grades. If my grades are not the best, I may not get accepted for the medical program.As long as that does not happen, the positive o pportunities for this career will lead me to a successful life without the fear of losing this job. As I mentioned before, respiratory therapy will be demanded more as conditions get worse, causing a rise in treatments for patients and a higher demand for therapists.Reference Bureau of Labor Statistics, U. S. Department of Labor, Occupational Outlook Handbook, 2012-13 Edition, Respiratory Therapists, on the Internet at http://www. bls. gov/ooh/healthcare/respiratory-therapists. htm (visited October 25, 2012).

Diabetes Education

Nowadays, in the field of the diabetes, it is a common scenario that more and more people consider type 2 diabetes as a primary health concern.   For people working with or taking take of persons with diabetes, they are thankful that diabetes care is now getting nationwide recognition.   However, in certain matters, we can observe a lack of investment in continuing learning prospects for practitioners.According to Cooper et al. (2002), in the year 2000, the Audit Commission recognized a discrepancy in knowledge and understanding regarding diabetes among patients, and a scarcity of evidence-based practice as well. In view of this fact, Cooper et al. (2005) carried out a study to determine the effects of a diabetes-specific health education program. Their research centered on what patients recognize to be valuable and beneficial to them in the educational approach espoused.The study stressed the necessity for an interdisciplinary method to patient education with regards to diabetes . Cooper et al. (2005) said that diabetes nurses have long been leading the activities in underatking such programs. The authors further asserted that the role of these diabetes nurses in cmoing up with a standardized approach to patient education training has to demonstrate good practice founded on research evidence of what works best and what is most applicable.Furthermore, Cooper et al. (2002) claimed that education has been stressed as a primary component of the treatment for diabetics. As a consequence, attention has therefore centered on the necessity for effective and efficient provision of education services that are both accessible and inclusive. Nevertheless, the Audit Commission has recognized gaps in present service provision. In addition, as stated earlier, the Commission likewise discovered serious and critical deficits in knowledge and understanding regarding diabetes among patients, and a scarcity of evidence-based practice. At present, the findings of the Commission are upsetting and disturbing, and this issue is expanded by the concentration on diabetes nurses as the major players in providing such treatment (Cooper et al., 2002.)Given these conditions and because of the constraints in continuing educational prospects it is now a concern if how could we maintain and preserve an informed and dynamic workforce for diabetes care where diabetes practitioners are under pressure (Phillips, 2006). It is also a question if diabetes is not interesting enough for workforce investment save for the pharmaceutical giants.   At present, several diabetes practitioners consider that this source of funding is the lone source that allows further or additional study.Meanwhile, Guirguis et al. (2006) declared that pharmacists could play a significant part in the health of diabetics. They said that an increasing body of research has showed that pharmacists could effectively and successfully offer care to diabetics and in several instances enhance their health o utcomes as well.   In addition, Guirguis & Chewning (2004) claimed that supposed pharmacy students’ role beliefs and patient reactions were strong predictors of pharmacy students’ reported purpose to inquire regarding the diabetes ABCs someday.In terms of diabetes education, Anderson et al. (2005) said that diabetes educators employ theories constantly, even if they are not conscious of it. The authors said that in order to teach, one should first have certain suppositions regarding how people gain knowledge of the matter and what comprises effective and successful teaching. Hence, the purpose of their study is to assist diabetes educators concerned in research and evaluation on how to choose the proper theories.Their study assessed the four (4) rationales of theories, specifically, description, explanation, control, and prediction, in addition to the extent to which a theory has been expressed and expanded. The authors also evaluated the significance of a theoryâ₠¬â„¢s explanatory power, its personal resonance, and its utility. Moreover, their study assessed how to employ one or more theories at every period of an evaluation or research or project.Moreover, Anderson et al. (2005) maintained that theories could be vital instruments for the purpose, comprehension, and carrying out of diabetes patient education research. The authors emphasized that they could be particularly useful in the design and assessment of intervention research as well. Furthermore, educational researchers will take advantage of the implementation of theories that reverberate with their experience, have been expanded by way of reflection and argument with their peers, and have been experimented by means of research.They likewise said that such theories would offer a coherent, powerful, and strong base on which to perform research studies. Moreover, Anderson et al. (2005) claimed that diabetes educators derive benefit from theory-based interventions that can be successful ly converted into various settings numerous diabetes educators. Theory-based research that is the basis of effective interventions provides greater understanding of how to be effective educators and enhances the credibility of the profession.SynopsisBased on these studies, I can say that as diabetes received national public health recognition, it is somewhat confusing why investment is not being made to support and also protect the workforce involved in diabetes education in improving excellence in care and upholding care on the cusp of evidence-based delivery.Furthermore, I have learned that diabetes education must not be viewed as a luxury, but instead it should be regarded as a necessity because it is definitely a significant part of the clilical governance program of constant learning. Moreover, it will definitely be advantageous and beneficial for people with diabetes to recognize that the care that is being given to them is up-to-date and that they are being given the best alt ernatives. #ReferencesAnderson, R. et al. (2005).   Choosing and Using Theories in Diabetes Education Research.   The Diabetes Educator.Cooper, H. et al. (2002). Diabetes education: the patient's perspective.   Journal of Diabetes Nursing.Guirguis, L. et al. (2006). Evaluation of Structured Patient Interactions: The Diabetes Check. American Journal of Pharmaceutical Education.Guirguis, L. & B. Chewning. (2004). Talking to pharmacists about diabetes: How to ask about monitoring clinical targets. Journal of American Pharmaceutical Association.Phillips, A. (June 2006).   Developing the diabetes workforce: no longer a priority? Journal of Diabetes Nursing.    Diabetes Education Nowadays, in the field of the diabetes, it is a common scenario that more and more people consider type 2 diabetes as a primary health concern.   For people working with or taking take of persons with diabetes, they are thankful that diabetes care is now getting nationwide recognition.   However, in certain matters, we can observe a lack of investment in continuing learning prospects for practitioners.According to Cooper et al. (2002), in the year 2000, the Audit Commission recognized a discrepancy in knowledge and understanding regarding diabetes among patients, and a scarcity of evidence-based practice as well. In view of this fact, Cooper et al. (2005) carried out a study to determine the effects of a diabetes-specific health education program. Their research centered on what patients recognize to be valuable and beneficial to them in the educational approach espoused.The study stressed the necessity for an interdisciplinary method to patient education with regards to diabetes . Cooper et al. (2005) said that diabetes nurses have long been leading the activities in underatking such programs. The authors further asserted that the role of these diabetes nurses in cmoing up with a standardized approach to patient education training has to demonstrate good practice founded on research evidence of what works best and what is most applicable.Furthermore, Cooper et al. (2002) claimed that education has been stressed as a primary component of the treatment for diabetics. As a consequence, attention has therefore centered on the necessity for effective and efficient provision of education services that are both accessible and inclusive.Nevertheless, the Audit Commission has recognized gaps in present service provision. In addition, as stated earlier, the Commission likewise discovered serious and critical deficits in knowledge and understanding regarding diabetes among patients, and a scarcity of evidence-based practice. At present, the findings of the Commission are upsetting and disturbing, and this issue is expanded by the concentration on diabetes nurses as the major players in providing such treatment (Cooper et al., 2002.)Given these conditions and because of the constraints in continuing educational prospects it is now a concern if how could we maintain and preserve an informed and dynamic workforce for diabetes care where diabetes practitioners are under pressure (Phillips, 2006). It is also a question if diabetes is not interesting enough for workforce investment save for the pharmaceutical giants.   At present, several diabetes practitioners consider that this source of funding is the lone source that allows further or additional study.Meanwhile, Guirguis et al. (2006) declared that pharmacists could play a significant part in the health of diabetics. They said that an increasing body of research has showed that pharmacists could effectively and successfully offer care to diabetics and in several instances enhance their health ou tcomes as well.   In addition, Guirguis & Chewning (2004) claimed that supposed pharmacy students’ role beliefs and patient reactions were strong predictors of pharmacy students’ reported purpose to inquire regarding the diabetes ABCs someday.In terms of diabetes education, Anderson et al. (2005) said that diabetes educators employ theories constantly, even if they are not conscious of it. The authors said that in order to teach, one should first have certain suppositions regarding how people gain knowledge of the matter and what comprises effective and successful teaching. Hence, the purpose of their study is to assist diabetes educators concerned in research and evaluation on how to choose the proper theories.Their study assessed the four (4) rationales of theories, specifically, description, explanation, control, and prediction, in addition to the extent to which a theory has been expressed and expanded. The authors also evaluated the significance of a theory†™s explanatory power, its personal resonance, and its utility. Moreover, their study assessed how to employ one or more theories at every period of an evaluation or research or project.Moreover, Anderson et al. (2005) maintained that theories could be vital instruments for the purpose, comprehension, and carrying out of diabetes patient education research. The authors emphasized that they could be particularly useful in the design and assessment of intervention research as well. Furthermore, educational researchers will take advantage of the implementation of theories that reverberate with their experience, have been expanded by way of reflection and argument with their peers, and have been experimented by means of research.They likewise said that such theories would offer a coherent, powerful, and strong base on which to perform research studies. Moreover, Anderson et al. (2005) claimed that diabetes educators derive benefit from theory-based interventions that can be successfull y converted into various settings numerous diabetes educators. Theory-based research that is the basis of effective interventions provides greater understanding of how to be effective educators and enhances the credibility of the profession.SynopsisBased on these studies, I can say that as diabetes received national public health recognition, it is somewhat confusing why investment is not being made to support and also protect the workforce involved in diabetes education in improving excellence in care and upholding care on the cusp of evidence-based delivery.Furthermore, I have learned that diabetes education must not be viewed as a luxury, but instead it should be regarded as a necessity because it is definitely a significant part of the clilical governance program of constant learning. Moreover, it will definitely be advantageous and beneficial for people with diabetes to recognize that the care that is being given to them is up-to-date and that they are being given the best alte rnatives. #ReferencesAnderson, R. et al. (2005).   Choosing and Using Theories in Diabetes Education Research.   The Diabetes Educator.Cooper, H. et al. (2002). Diabetes education: the patient's perspective.   Journal of Diabetes Nursing.Guirguis, L. et al. (2006). Evaluation of Structured Patient Interactions: The Diabetes Check. American Journal of Pharmaceutical Education.Guirguis, L. & B. Chewning. (2004). Talking to pharmacists about diabetes: How to ask about monitoring clinical targets. Journal of American Pharmaceutical Association.Phillips, A. (June 2006).   Developing the diabetes workforce: no longer a priority? Journal of Diabetes Nursing.

The Spread Of Nuclear Weapons Essay Example | Topics and Well Written Essays - 1000 words

The Spread Of Nuclear Weapons - Essay Example (Waltz, 1981) Nuclear weapons had played a vital role during the cold war. When the cold war had ended in late 1980s and the early 1990s, there was a sense of relief as a great threat to the world was over. However, right after that, the idea that the possession of nuclear weapons by some country might lead to the spread of nuclear technology in the world did worry people. People believed that this might lead to great destruction and harm to world if the usage became common, thus, making the world a dangerous place to live in. (Sir Laurence Martin) Defense - Almost every nation in today's world is under threat by one or the other nation for various reasons, example; political, resources, history and religion. Every civilian needs the head of state to take responsibility of their security and to let peace prevail. State security requires a good military force and arsenal, so that if it is attacked by a rival state, they can fight back and protect their nation and people. Nuclear weapon is although dangerous, but it is a very strong type of weaponry which gives a sense of security that fighting back will not be a problem at all. Prestige - In the post cold war world, only very strong nations such as the UK, USA, France, Russia and China possess nuclear weapons. Being a part of the nuclear block and becoming a nuclear power is a matter of pride, as you are then counted among the few dominant states of the world. For example, India and Pakistan wanted to join the nuclear club because they wanted to be declared as independent states that would stand up against their adversary without fear. Deterrence - Simply any person ruling a state that does not possess nuclear power would think a million times before attacking a state that has nuclear power. Or if both rival states possess nuclear power, both would know that their opponent is equally potent, and if nuclear weapons are used to settle the dispute, the world will face major destruction. For example, India and Pakistan have been on hostile terms for a long time now and have also had many wars with other another; but ever since both of them became nuclear powers, they don't even consider attacking the other, as they know that they will be answered back with a nuclear attack too. Thus, it can be said, that nuclear power brings about 'Balance of Terror' in the world. Disadvantages of Nuclear Power: Hazardous - The abbreviations 'MAD' and 'WMD' are often attached to nuclear weapons, which stand for 'Mutually Assured Destruction' and 'Weapons of Mass Destruction' respectively. It is common knowledge that nuclear weapons are extremely destructible, so much that alone Russia's nuclear weapons can destroy the world three to four times. The incident of Hiroshima and Nagasaki is a very appropriate example to show the extent of annihilation that can be caused by nuclear weapons. Compellent - If a nation's rival becomes a nuclear power, it is an evident threat for its rivals, as no nation can fight back nuclear weapons using conventional weapons. This compels one nation to another to take a step towards the possession of nuclear weapons. India became a nuclear power because it had antagonistic relations with China, which was a nuclear power. Following that, Pakistan became a nuclear

To what extent has China become a responsible stakeholder in the Essay

To what extent has China become a responsible stakeholder in the international politics of the Asia-Pacific region - Essay Example This paper shall discuss the fact that China has extensively become a responsible stakeholder in the Asia-Pacific region. The first part of this paper shall clarify the origins of the responsible stakeholder concept. Such conceptualization shall then be followed with discussions from various authors who will help determine the extent to which China has become a responsible stakeholder in the Asia-Pacific region. Finally, a discussion on China as a responsible stakeholder in terms of how it has managed to sustain the political, economic, and security systems that provide common benefits for the nations in the Asia-Pacific region shall be discussed. The ‘responsible stakeholder’ concept was initially coined by US Deputy State Secretary Robert Zoellick; he conceptualized this term very much in relation to Central Asia—more particularly, China. According to Zoellick, responsibility as a stakeholder exists when â€Å"major power invested in the international system has a compelling interest in seeing its investment protected and the rules of the international system defended against those likely to violate them†¦Ã¢â‚¬  (Zoellick, as quoted by Rumer, et.al., 2007, p. 70). Responsibility as stakeholders, in this instance, involves international cooperation and the protection of common interests. Being a responsible stakeholder also implies a stakeholder’s (in this instance, China) capacity to sustain the existing political, security and economic systems in the region (Asia-Pacific region). The extent to which China has become a responsible stakeholder in the Asia-Pacific region is one of the most crucial questions in international politics. In his paper, Gries (2005) points out that China’s communist/socialist political system has somehow allowed it to modify its demeanor in the past several years. â€Å"More and more Chinese are claiming a nationalist

Cross Cultural management Essay Example | Topics and Well Written Essays - 1750 words

Cross Cultural management - Essay Example It is important to understand CCM In the management of global operations, particularly in the case of MNEs. All aspects of international business – understanding the customers, motivating employees, controlling operational processes, and strategically planning for shareholders – necessitate an understanding of the dynamics between the cultures of home country and host country nationals. CCM remains the central theme in MNE literature on this subject, and will be further examined in this brief study. Culture impacts the behaviour, morale and productivity of individuals at work, and because of this values and patterns of behaviour reflect upon company attitudes and actions. This poses no problems for companies operating domestically, but for globalized business problems are created when people from different cultural backgrounds are required to work together (Ching-Hsiang & Hung-Wen, 2008). For MNEs and even for domestic corporations, there are advantages in having a meas ure of cultural diversity in the workforce. A workforce is culturally diverse ‘if it is composed of individuals who differ on a characteristic on which they base their own social identity’ (Mazur, 2010, p. 6). A diverse workforce is vital in the present global environment because it currently reflects the changing world and marketplace (p.14). If a company is to grow significantly and prosper into the future, it cannot remain monocultural because doing so would render it irrelevant in an increasing multicultural environment. Furthermore, diversity in an organization enhances the adaptability of its workforce, and organizations characterized by high adaptability have a significant relationship to high performance (Taylor, et al., 2008). CCM is vital to a firm in both the marketing and operational functions. When a firm serves a foreign market, then its products for that market should be compatible with the culture of that country while maintaining the identity of the par ent company’s brand. In such cases, workforce diversity provides the firm with the necessary human resources (skills, tastes, and knowledge) needed to design, construct and market the product. Diversity among operations personnel, particularly in the provision of services, will enable the firm to connect more closely with the intended market (Lindholm, 2000). Literature Review There are six perspectives identified by Fontaine after his seven-year study on CCM in Malaysia, based on comparisons made between Britain, a relatively homogeneous culture, and Malaysia, a heterogeneous culture. The first perspective typifies the classical approach which is based on Hofstede’s theory that national cultures are defined by commonly shared values. Fontaine found issue with Hofstede’s discussion of Malaysian culture, which he described as sharing the same cultural values. Fontaine contends to the contrary, and found that Malaysians tended to mould their values and viewpoints according to their ethnicity, and a number of ethnical groups comprised Malaysian society. CCM uses Hofstede as its classical foundation and from thence diverge into the other perspectives. The

Revenue Recognition Research Paper Example | Topics and Well Written Essays - 3250 words

Revenue Recognition - Research Paper Example Modern financial accounting is highly dependent on double entry bookkeeping. However, the origin of double entry bookkeeping is not clearly known of yet literatures suggest that in almost every civilization, financial record keeping was followed. Franciscan Friar, Luca Pacioli is often associated with double entry bookkeeping because he published a book on the same in 1494. In the book, he spoke of debit and credit as well as of liabilities and assets. Pacioli also advised in the book about periodic profit calculation and yearly closing of books (Previts, Parker & Coffman, 1990). Around sixteenth century, noticeable changes were proposed and incorporated in the bookkeeping techniques for the purpose of recording various kinds of transactions. During this period, usage of specialized subsidiary books such as separate cash book increased greatly. By the end of seventeenth century, evolution of periodic preparation of financial statements was witnessed. Additionally, the eighteenth century marked personification of different accounts and transactions for rationalizing debit and credit rules that were applicable to abstract and impersonal accounts (Jones & Riahi-Belkaoui, 2010; Previts, Parker & Coffman, 1990). The period also pointed at evolution of three methods of treating fixed assets. Firstly, assets were carried forward in financial statements at original cost and difference between revenue payments and receipts was shown in profit and loss account. Secondly, fixed asset accounts were closed on the balancing date and the difference between debit and credit balance due to original cost and other expenditures was carried forward. The third method was to evaluate appreciation and/or depreciation in the asset value and the difference was reflected in profit and loss account. However, it was only around 1930s, the depreciation charges and methods became more evident in practice (Edwards, 2013). Post industrial revolution in nineteenth century, cost

Brazilian Economy Essay Example | Topics and Well Written Essays - 1000 words

Brazilian Economy - Essay Example These factors combine to show that Brazil is on its way up. Those who maintain that Brazil is performing the most of the BRIC group also argue that despite huge withdrawals by foreign investors, Brazil has suffered less than the other BRIC members and this is a good sign of a healthy economy. Delfeld (2008) says, "BRIC begins with Brazil. Political stability (Mr. Lula is up there in the stratosphere at a 78% approval rating), strong consumer spending, more flexible exchange rates, a more effective central bank and higher reserves may help Brazil weather the global financial storm much better than most expect. Brazil has been able to maintain foreign reserves in excess of $200bn. More than that, the credit crisis may have come at a good time, potentially helping the economy to cool without damping growth too far below the country's potential. Inflation has risen recently to about 6% due to strong consumer spending. A slowing of global growth could be helpful in moderating this and also allow the central bank to suspend its tightening policy sometime later this year." Brazil has been doing exceptionally well since the election of President Luiz Lula in 2006. With exports booming, the country has witnessed considerable growth in the size of its middle class. Not only that, Brazil has its millionaire's club expanding too with 130,000 members in 2006 to 190,000 in 2007. That is extraordinary economic growth and it is because of this that Brazil was awarded "investment grade" status by Standard and Poor's which also attracted considerable investor energy and helped boost their confidence.1 A country that now poses a threat to the US economy has seen all this exceptional growth in only the last two years. Before this period, the company was far behind the US and even other strong economies like Japan. The GDP comparison in 2005 is shown below: Gross Domestic Product in 2005 (Trillions USD, Current Prices)US 12.46, Japan 4.56, Germany 2.79, UK 2.20France 2.13, China 1.98, India 0.80, Brazil 0.80 2 At that time United States was clearly the leader but a lot changed this year when world's biggest economy was dealt some serious blows. Brazil however continued to show growth signs till as late as October 2008 but beginning November, Brazil has also faced some growth problems. The recession that has hit the world has also arrived in Brazil. According to the very recent survey by Morgan Stanley, Brazilian economy is expected to grow by 2 percent in 2009; this is clear down from the earlier prediction of 3 percent. Apart from this, Morgan Stanley also doesn't rule out the possibility of zero growth. Brazilian currency is also consistently falling against US dollar. The only reasons why we must not rule out possible economic problems in the future is Brazil's continued fight against drug lords and its unequal income distribution. Brazil's poor continue to suffer as its rich section is consistently getting higher share of economic growth. Lula has certainly been successful in creating a robust economy but what he is overlooking is the fact that there is vast disparity between the rich and the poor which not only translates into fewer opportunities for the poor but also leads to higher drug-related activities. The Gini co-efficient is a useful tool for measuring income distributio

The South East Plan Essay Example | Topics and Well Written Essays - 2250 words

The South East Plan - Essay Example From the discussion it is clear that the main issue of concern within the plan is affordable housing. Affordable housing can be defined as the provision of housing through the use of a subsidy obtained from local authorities such that rent will be considerably lower than prevailing market prices. The plan suggests that number and quality of affordable houses should be increased.This essay stresses that  the main reason is that there are a number of homeless households in the South East Region. These households need to be catered for in the housing plan. Statistics from the Regional Housing Strategy show that 4.5% of households in the region belong to this category and together they represent a whooping 11% of all the homeless households in England. These facts necessitate a need for immediate action to be taken and this is why housing is relevant as an issue in the plan.  Housing also needs to be addressed as a main issue because there is a serious need for affordability in this area. Renting and purchasing houses in South East is too expensive; the area is the second most expensive place to rent in England. This poses a serious problem to development in the region because people find themselves living in distant houses. This means that most of their time is spent while commuting. Commuting brings about more carbon wastes, thus contributing to poor air quality and pollution in general. In addition, commuting causes a waste of time and resources that could otherwise have been directed to more productive issues.

A Discharge Plan for an Elderly Patient Essay Example | Topics and Well Written Essays - 1250 words

A Discharge Plan for an Elderly Patient - Essay Example Even though Mr. Trosack is hopeful of going back home and living a normal life where he goes to work in his bakery, there are concerns about his mobility, especially the stairs and pain control issues. He would have been helped by his son and daughter in law but they have very tight working schedules that force them to work long hours. His son and daughter in law doubt the diagnosis of Mr. Trosack’s diabetes. Their effectiveness of caring for him is therefore questionable in regard to giving him his new medication and medication regimen. It also raises concerns about moving Mr. Trosack from his long time home, church participation and routine lifestyle since this would cause a lot of anxiety for Mr. Trosack. A lot of safety factors also need to be taken into consideration. These include the fact that his house is cluttered, therefore making difficult for him to move around with a walker. It also increases the chance that he might fall again. Mr. Trosack’s bathroom does not have any safety features that will ensure his safety. He has a lot of expired medication and foods in the refrigerator. There needs to be an interdisciplinary team that will be responsible for designing the best discharge plan for Mr. Trosack. The team should have a manager, a physical therapist, a social worker, a nurse and a physician. The role of the physician would be to provide input on the physical capacity of Mr. Trosack and his expectations on of progress, safe medical equipment, outpatient physical therapy and order medication. The physical therapist would be responsible for providing input on the physical capabilities of Mr. Trosack such as his tolerance level to activities, his strength, mobility and endurance. The role of the primary nurse...This paper will report on the most appropriate discharge placement for an elderly patient by the name Mr. Trosack. Mr. Trosack is set to be discharged from hospital where he underwent a total hip replacement surgery. This case st udy revolves around Mr. Trosack, a 72-year old man who is recovering from a hip surgery that he recently underwent. This paper is a discharge plan for Mr. Trosack so as to ensure that his discharge is faced with the least issues possible. So far, Mr. Trosack’s recovery is going well and he is ambulating well using a walker. Because of this, Mr. Trosack can finally be discharged from hospital so that he can go and continue with his recovery at home. It is therefore the duty of the healthcare team to develop a workable discharge plan for the patient. Mr. Trosack is known to guard his independence strongly. This is evident in the fact that for two years now, since the passing of his wife of very many years, he has been living alone. He has spent most this time living in the same apartment. Mr. Trojack works in a bakery that he jointly owns with his brother Karl. He is a very religious person who is keen on attending church services and participating in church activities. He rare ly gets adequate time to socialize with his son and daughter in law because they do not participate in church activities and have very long working hours. In conclusion, the recovery plan of Mr. Trosack can ensure that he returns home and continues with his recovery process. There should be other support systems to ensure that Mr. Trosack recovers well from home.

Earned value management Essay Example for Free

Earned value management Essay What is meant by an integrative project management process and why is this so important? What are the pitfalls if such an approach is not taken? The main goal of the integrative project management process is to take a project and design it around the specific needs of a company. This process can sometimes force companies to change how they conduct business, who they advertise too and how they attract new customers. What makes the integrative project management so important to companies is success. When a company spends millions of dollars to implement a new strategy, they want to ensure things go smoothly, especially if they are changing the direction of their business. These projects can take a bit longer to complete because the project manager will have to take the time to get to know the company, and how the conduct business, but in the end a business is usually more successful if they use an integrative project management strategy. When companies don’t follow this stringy, and go with a generic project template it usually ends up wasting time, money and resources. The final project, even though it is complete won’t meet their needs and usually more money is spent on small adjustments to finalize the project. I see this at work all the time, now one ever looks at our computer system as a whole, and designs a plan around what we already have in place. This can become frustrating because we end up with three and four different networks, and none of them ever seem to work correctly. Why is the traditional project management approach less effective when project scope is not clearly understood? Provide examples to illustrate your points. Our text refers to the triple constraint of scope, schedule, and budget. It’s a triple constraint in the sense that variability on any one of the constraints affects the other two. Effective project management must maintain scope, schedule and budget in a relative equilibrium or balance. That is, scope change, either to expand or contract it, will by necessity affect schedule and budget. For example, if an organization wants to make more narrow the scope of a project that is underway, it should require fewer resources and/or less time to accomplish. On the other hand, if the organization wants to expand the scope, it will have a direct effect on resources and schedule in that it will require more resources to finish on schedule, or the schedule will have to slip to accommodate finite resources spread across more project tasks. If project scope is poorly or improperly defined at project initiation, the schedule and budget will also be less valid because of the triple constraint nature of scope, schedule, and budget. Later in the project management timeline when additional requirements may expand the scope, schedule and budget will be impacted. For example, when a former employer was planning a new downtown office building as a company headquarters, they expanded the scope of the project to include a retail shopping and restaurant area. This necessitated arrangements with the city government to expand an adjacent public parking structure and allow a below-street-level tunnel between the building and the parking structure. This scope change resulted in a six-month schedule slip and required additional resources. Wk1 summary (Monday) Typical first week; rather steep curve as the learning teams form, I get into a battle rhythm so I can meet my individual and team requirements, and I figure out what software/tools I need to get the work done. This is only my second online course, and I am reminded that one of the advantages of being a ground student in a particular cohort is that the learning teams stay more or less intact from one course to the next, and we can really hit the ground running. Online is a different dynamic. Reading load is okay so far; I have some familiarity with the material since I have been working in a project environment for some time now.

The Social Media In Our Life Media Essay

The Social Media In Our Life Media Essay Many people have used social media at least once in their lives. According to Peggy Orenstein, most people agree that social-networking sites have allowed users to connect with people in ways they never could before (p. 40). Thanks to social networking sites, we can share anything with many contacts in just a matter of seconds. We can do this whenever we want to and from anywhere we are (technology permitting). Sites like Facebook and Twitter have become more and more a part of our life, both directly and indirectly. They are used by various people for myriad reasons and in different ways. Some of this reasons and ways have generated much criticism. But they keep being used more and more. Social networking sites are not perfect; however, they have shown their strength and their ability to withstand time. Many writers look at social networking sites with a critical eye. In her essay, Faceless on Facebook, Kate Beals says: The personal area on Facebook is less about the real you and more about what you want people to think about you (p. 49). She points out how social networking users might be constructing their online image, by critically assessing every information or post they put online, instead of sincerely showing themselves and not worrying about the image it would give of them. Beals herself epitomizes this, for she is constantly worried about how people would look at her, through her personal page. Another critique is that social media encourage users to keep posting every thought or acts online. This encourages quantity over quality as Christine Rosen says in her essay, Virtual Friendship and the New Narcissism (p. 59). And I also agree with her thought: True friendship can only flourish within the boundaries of privacy because it depends on mutual revelations that are conceal ed from the rest of the world therefore the idea of public friendship is an oxymoron (p. 56). Social networking sites can help by creating a virtual contact between people, but we need much more than that if we want to create a true friendship. Even though both of these writers have a point, they are missing the true strength of social networking sites like Facebook and Twitter. Practicality is the most appealing positive aspect of social media. Not so many years ago, if we wanted to share the adventure we had during a wonderful trip to Europe, we would have needed to meet a friend in person, catch them up on the phone or send them an e-mail and wait for an eventual response. If we wanted to show a specific picture of the Coliseum, we would have first needed to print it, put it into a photo album and wait for them to visit us. Today, we would post every picture right after we take it with our phone. We would share our adventures right after we experience them. This way all our friends or followers (as they are called on Twitter) would be able to enjoy our antics instantly. But is practicality the only strength of social media? Facebooks website says there were 955 million monthly active users at the end of June 2012 (facebook.com). That number equals a seventh of the worlds population. There has to be more to social networking sites than simple practicality. In his essay, You Gotta Have (150) Friends, Robin Dunbar says: Emotional closeness declines by around 15 percent a year in the absence of face-to-face contact (p. 46). Whether or not accurate, this statement has been true for me. When I moved from Albania to Italy, I had to say goodbye to many good friends. This happened in 2001, and back then, the only way of communicating for us was phone calls. Since those calls were not so cheap, my friends and I rarely made them. By the end of the year we were feeling both, physical and emotional distance. Lately, I had another life-changing moment. Just a month ago I said goodbye to Italy (and all my friends there) and came to the United States. After this se paration, I had much more reliable and costless ways to communicate with my friends. This way we can keep our emotional bond alive no matter how far we are from each other. I am confident that we will not end up like my Albanian friends and me. This is, by a fair amount, because of social media. In the same way social networking sites are used to keep up with friends, they can also be used to keep up with the world. Many communication media use websites such as Facebook to keep people informed on virtually everything. Many celebrities, journalists and even political figures have a public page on Facebook, or they tweet regularly. President Obama, trying to attract younger voters, used social networking websites extensively during his 2008 presidential campaign. One of the defining moments for social networking sites, especially Twitter, was their usage during the revolutionary uprisings in different Arab countries in late 2010, also known as Arab Spring. During that period, I noticed the amount of input that news media took from social networking sites. I do not know if social media were a catalyst for the uprisings or simply tools used during these events, but they undeniably played a role. Besides sharing information about ourselves and the world around us, social networking sites can be a powerful marketing tool. A positive post on a certain product, made by a close friend, is much more powerful than a commercial. When I need to decide on what to buy, or I need to know how good specific restaurants are, I always rely on what my friends think about it. A perfect example for this is Foursquare. Foursquare is an application for mobile phones. It gives you the opportunity to check in into specific places, and leave comments about your experience while visiting those places. All these check-ins and comments are shared instantly with your friends. The better the rating a particular place has, the higher the possibility I will go there. No matter how we look at them, social networking sites have built a strong position in our society during these last years. They have given us some powerful communication tools. Whether or not we choose to be a part of social media, there will always be somebody that will use them according to their needs.

La Vida de Fernando Botero :: Papers

La Vida de Fernando Botero Fernando Botero llevado en Colombia en 1932. En 1951, à ©l viajà ³ a Bogotà ¡, donde à ©l tenà ­a su primera exposicià ³n individual en la galerà ­a de Matiz. Él estudià ³ en Madrid en la academia del San Fernando y en Florencia, donde à ©l aprendià ³ las tà ©cnicas del fresco de los italianos. En 1956 à ©l trabajà ³ en la escuela de los artes finos de la universidad en Bogotà ¡ y viajà ³ a Ciudad de Mà ©xico para estudiar el trabajo de Rivera y de Orozco. Durante los aà ±os sesentas en Nueva York, Botero empiezà ³ una forma de pintura figurada del renacimiento y de pintura barroca con la tradicià ³n colonial de Amà ©rica latina. En 1969 su obras bellos fueron en el museo del arte moderno en Nueva York. Seises de sus trabajos de arte famosos son el cuarto de baà ±o, pares, una familia, hombre con el perro, los mà ºsicos, y un naturaleza muerta de la sandà ­a. Sus pinturas casi siempre son comentarios sociales con las polà ­ticas. Sus retratos satà ­ricos carà ¡cter en susn pinutras. La tà ©cnica del fresco y la historia estudiadas Botero del arte en Florencia a partir de 1953 a 1955 y à ©sta ha influenciado su pintura desde que. Durante este perà ­odo en Nueva York, à ©l comenzà ³ a experimentar con crear el volumen en sus pinturas y comprimiendo el espacio alrededor de ellas. En la pagina ciento en el libro de Paso A Paso, hay una pintura de Botero, la familia social polà ­tica. El tà ­tulo es ?La familia presidencial?, pintado en 1967. La pintura representa a una familia presidencial faimily quià ©nes parecen cerdos. Las siete personas en la pintura son todas gordos, el gato son gordo tambià ©n. Esta vida polà ­tica del satire. Una mujer gorda en el centro con un bolso y una ropa animal en un brazo. El sacerdote y el comandante està ¡n detrà ¡s de la mujer con el bolso y en el primero plano està ¡ una serpiente.

The tragical history of Doctor Faustus Essay -- English Literature

The tragical history of Doctor Faustus, which followed in the wake of Tamburlaine, is acclaimed by all as Marlowe's best play in which the leaven of fertile poetry and fearless imagination works wonders. Introduction: The tragical history of 'Doctor Faustus', which followed in the wake of 'Tamburlaine', is acclaimed by all as Marlowe's best play in which the leaven of fertile poetry and fearless imagination works wonders. The idea of a passionate struggle to reach beyond the grasp of ordinary mortals as its theme Marlowe takes this old story of the medieval magician who sells his soul to the Devil for twenty four years of pleasure and the gift of all knowledge and gives it a significance as in to that of such world old myths as Eve's eating the apple and Prometheus' defiance of Gods. Hence, making the Faustus legend a symbol of humanity's splendid struggle to reach the stars, as well as a tragedy of infinite aspiration ending in agony and remorse. Inspite of the critics and scholars being one in their opinion to recognize Christopher Marlowe's 'Doctor Faustus' as one of the masterpieces of British drama there cannot be any denying the fact that the most glaring weakness of 'Doctor Faustus' lies in the lack of a well knit or an organic plot. Aristotle's definition of Tragedy: According to Aristotle 'Tragedy' in the real sense is an imitation of an action that is complete, and whole, and of a certain magnitude; The beginning, called by modern critics the incentive moment, must start the cause-and-effect chain but not be dependent on anything outside the compass of the play meaning that its causes are downplayed but its effects are stressed. The middle, or climax, must be caused by earlier incid... ...d are laid bare. Conclusion: Hence the fact remains that 'Doctor Faustus' is unquestionably a masterpiece by Christopher Marlowe and one of the greatest and the most powerful tragedy to be written before Shakespeare inspite of its flaws and limitations. But at the same time it is also clear that though the beginning of the play just like the end has been perfectly executed but the middle portion is weak and does not serve its purpose. As Levin puts it: "The structural weakness of the plot however corresponds to the anti-climax of the parable; it lays bare the gaps between the bright hopes of the initial scene and the abysmal consequences of the last". Therefore, the statement that Doctor Faustus has a beginning and an end but no middle can be accepted to some extent as the middle portion though existing is not relevant to the development of the play.

Emersons Friendship Essays -- essays papers

Emersons Friendship I believe that in his essay, â€Å"Friendship†, Emerson’s main point is that people should not be afraid to expand their friendly horizons. They should more try to open up and be honest with people. The essay investigates simply how to be more open with others and gives tips on differentiating between true friends and those whom we just refer to as friends. There are many people whom we speak to and meet on an everyday basis. In everyday conversations we show others that they are favored â€Å"from the highest degree of passionate love, to the lowest degree of good-will, they make the sweetness of life.† It is believed by many that our intellectual powers increase accordingly with our affection. In order for someone to take on another person as their friend there are certain things that one can search for. Suppose a stranger comes up to you and you are beginning a marvelous conversation, one in which you begin to suspect that he may be your new best friend, during this conversation or meeting you must think and observe him carefully. Once he b...

Academic Achievement

The relationship of academic achievement and self-esteem has been seen in a number of studies. These studies have become the basis of programs and strategies implemented by educators to promote healthy self-esteem in students.Self-esteem and academic achievement have a reciprocal relationship (Marsh and O’Hara, 2008). Some would say that self-esteem might be the cause of academic achievement and those who have a positive view of themselves are focused and motivated to learn. While those with low self-esteem are afraid to take risks, and tends to avoid active participation in classroom and school activities.On the other hand, some presupposes that academic achievement results to increased self-esteem and self-confidence.   No wonder, some teachers invest so much of their time and effort to help build their students' self esteem, while others challenge their students by raising their standards, with little regard of other circumstances affecting their students' performance.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In my opinion, it is not an issue of which of the two strategies is better, but rather, it is more an issue of how a teacher can strike the right balance and timing in implementing the appropriate strategy in motivating his student.Most teachers mean well if they put pressure on their students to perform well at school. But I believe that   a teacher can best demand work from an above average or superior student who, for some reason, lacks the motivation, but is innately competitive. Expecting higher standards from these students is likely to lead to academic achievement, and eventually increase their self-esteem and self-confidence.But not all students belong to this category.   An â€Å"ordinary† student has an â€Å"ordinary† view of himself.   He is less driven and finds competition less appealing.He will tend to view academic pressure placed by a well-meaning teacher as an added source of anxiety. To an ordinary stud ent who is experiencing school adjustment problems for instance, or who happens to be having personal difficulties,   the increased demands from a high-driven teacher is a good excuse for him to withdraw, and worse, to drop-out of school (Flook, 2008).Increasing the self-esteem of an under-motivated student and, working on the lack of   confidence of a low achiever   are two different issues. The challenge for teachers is for them to give an individualized approach in setting the standards for their students. It might be more appropriate to gear the academic pressure to those who are capable of handling the challenge. Meanwhile, they may continue to invest their time and effort in building the self-esteem of those who need it most.Teachers play a significant role in   nurturing the fragile egos of their students and improve their self-concept. It is not only their role to cultivate the intellect, but to provide emotional support and encouragement if the situation calls for i t. This strategy is really a gradual process and the results are not immediately seen. But no effort is wasted for a conscientious teacher.He can see the complete picture . He understands that a student's poor self-concept and low motivation are results of several factors, such as family roles or relationship problems, individual traits and characteristics, among many others.   Because self-perception is attributable to many variables, there is no single formula in addressing the problem of poor self-esteem and self-confidence.An effective teacher however, can see the root cause of the problem and act on it. If it is rooted in low competence, he knows which skills to cultivate. He does not set unrealistically high standards. Better yet, he lets his students set their own standards, but he knows just how to encourage them when they fall short of meeting these standards.Sometimes teachers choose not to accept excuses when their students perform less better than they expect. I still think it depends on the situation. Some students will benefit with a little push, and they are good to go. But pushing the wrong student too hard and at the wrong time might make the situation worse. What if the situation calls for the teacher to go out of his way to address his student's personal difficulties and circumstances?   More important than the grades and the homework are character, relationships and sense of self-worth. Are they not?ReferencesFlook, L. and Fuligni, AJ (2008). Family and School Spillover in Adolescents’ Daily Lives. Child Development Journal, 79 (3).Marsh, H. and O’Mara, A. (2008). Reciprocal Effects Between Academic Self-Concept, Self-Esteem, Achievement, and Attainment Over Seven Adolescent Years: Unidimensional and Multidimensional Perspectives of Self-Concept. Personality and Social Psychology Bulletin, 34 (4), pp. 542-552.

The Relationship Between Managed Care And Prevention

In the fast and extensive changes that come with the evolving health-care systems in the United States, Managed Care organizations are viewed as the new actors in disease prevention and management. There are several reasons why Managed Care organizations should and are involved in disease prevention and management. First, managed care organizations have become the primary source of health care both for beneficiaries of publicly and employer-funded health programs such as Medicare and Medicaid.Statistics show that Managed Care enrollment has jumped from 6 million people in 1976 to 51 million in 1994 (Bektas, 2000). Since Managed Care plans are basically set up as health care insurance policies, this rapid increase that is prevalent even in the present means a greater risk of financial loss due to members getting sick with all kinds of disease. It thus becomes an imperative for Managed Care organizations to provide programs for disease prevention and management in order to minimize pot ential loss. Second, Managed Care plans have historically included prevention.This is embedded in the system’s performance measure as such organizations maintain and develop systems that aim to improve service quality. Thus, a god number of Managed Care organizations use internal performance-measurement and quality-improvement systems like Continuous Quality Improvement (CQI) for system oversight and enhancement. Since the primary goal of Managed Care organizations is the health welfare of its clients, it falls incumbent upon them to provide measures for disease management and prevention (Bektas, 2000).Previous preventive measures that Managed Care organizations were involved with include vaccinations, cancer and cholesterol screening, mammography, retina exams for diabetics and prenatal care. Third, since Managed Care organizations are basically representatives of organized care systems, they should take due responsibility for the populations they service. They are accountab le to plan purchasers and individual consumers as well as to federal and state regulatory agencies for outcomes desired of all stakeholders which includes disease prevention.The following are the current measures that Managed Care organizations provide for disease prevention and management. Diseases and Health Care Information Drives Information drives aim to use public awareness to prevent possible undesirable outcomes from occurring. This activity involves tie-ups with business and government institutions where the drives could be launched. Some information drives are launched in public schools while others are held in business districts or company buildings.For its part, The Group Health Cooperative of Puget Sound (GHCPS), a Managed Care organization with 486,000 members in Washington and Idaho continues to have information drives on the dangers of smoking, depression detection and management, stress management, and bicycle safety tips for children (Gordon, 2003). Such moves have led to an 8% decrease in smoking prevalence from 1985 to 1994, a 44% increase in the use of proper bicycle safety gear among children from 1987 to 1992 which is cited as the main reason for the 67% decrease in bicycle-related injuries in the same period (Gordon, 2003).Disease Screening Disease screening involves offering free services for routine examinations for common diseases. GHCPS has been involved with launching breast cancer screening programs in the past 12 years and continues to be involved at the present. The programs have yielded a 32% decrease in late-stage breast cancer. This is primarily because the program was able to detect breast cancer in early stages. This led to a 27% increase in survivability of breast cancer patients (Gordon, 2003).United Health plan in Los Angeles is also funding a similar program, they have also included lung and skin cancer screening as well as cholesterol and sugar level monitoring. United Health has reported positive results regarding the se disease screening programs. They determine several cases of abnormal cholesterol and sugar levels on a daily basis which help clients avoid further health risks. Immunization Programs Immunization programs require the procurement, delivery, and administration of necessary vaccines in order to prevent common diseases.These often necessitate tie-ups with pharmaceutical companies and local government. The GHPCS, United Health, and several other Managed Care organizations continually launch immunization programs for childhood and adult vaccinations. The vaccines are for diseases like chicken pox, influenza, hepatitis, typhoid, mumps and measles. Similarly, the National Immunization Program has formed tie ups with several Managed Care organizations to improve preschool children’s vaccination status. The dynamics of this alliance have individual organizations working with public health agencies in conducting CQI initiatives in immunization areas.The main objective is to increase vaccination rates in children up to 24 months of age. The program involves data collection and patient database management, parent education and incentives, and partnerships with both public and private entities for community outreach and immunization education. Implementation of the program over a 5-year period resulted to the standardization of vaccination records, various information seminars for medical staffs and children’s parents, and a vaccination completion rate that increased to 73% from 55% since the start of the program (Gordon, 2003).Satisfied with the program’s initial success, the National Immunization Program continues its partnership with Managed Care organizations at the present. Breastfeeding Seminars and Pre-natal care Previous studies have shown that breastfeeding significantly increases infant’s immune system and body resistance. This is why United Health also implements a breastfeeding awareness and seminar program that seeks to make wome n who have just given birth or are currently pregnant aware of the advantages of breastfeeding their babies up to two years of age.These seminars also discuss and disprove common misconceptions about breastfeeding and include illustrations on proper breastfeeding in order to minimize discomforts and maximize milk output. These programs have helped increase the prevalence of breastfeeding from only 7% in 1988 to 30% in 1990. Currently, breastfeeding programs have collectively encouraged 65% of American pregnant women to breastfeed for at least 6 months after giving birth (Gordon, 2003). Public Service ClinicsPublic service clinics are situated in key locations within the coverage area of designated Managed Care organizations. Their primary task is to service the immediate community’s basic health care needs. Their objectives include preventing disease outbreaks, providing a venue for other programs such as screening and immunization drives, and administering immediate remedies regardless of health care insurance status. Of the 100,000 people under United Health’s public service clinics, only 65% are Medicaid or Medicare beneficiaries (Gordon, 2003).Conclusion Managed Care organizations have genuine, industry based concern regarding the immediate and long-term disease prevention and management status of the areas that they operate in. This has led them to venturing into a variety of action plans that include information drives, screening and immunization programs, health awareness seminars and public service clinics. These projects show that managed Care organizations are standing up to their responsibility of not merely insuring but also ensuring the health of the American society. References: Gordon, K. (2003). Corporate Responsibility in Managed Care Providers. Howard & Sons: New Jersey. Bektas, Y. (2000). An Analysis of Trends in American Health Care since World War II. Prentice Hall.

The Great Navigator Columbus

The great navigator Columbus Mr. Christopher Columbus (1451-1506) navigator Spain famous and pioneering major geographical discoveries in human history. He was in his youth believer in the theory of spherical Earth and not leading the famous Marco Polo every respect and appreciation, and the determination to become a navigator. During the period between the year 1492 and in 1502 crossed the Atlantic Ocean four times and discovered the American continent and became a great crew in the history of the world.Columbus Italy and had a passion for navigation and exploration since he was young and looked forward to traveling to China and India. And has repeatedly asked the Portuguese and Spanish kings and the British and French to help him do a cruise to the west until it reaches to the eastern states, but they rejected the plan because the spherical earth theory were not complete and convincing in those days. He spent more than ten years trying to convince people to help him implement his n avigational plan.In 1492 the queen of Spain with the help of satisfied Columbus financially the implementation of the plan. In September 1492 launched Columbus' fleet of three ships and 87 crew from Europe to the west, hoping to reach Asia in the end. A month after the fleet arrived at the dry ground, and Columbus and his men think Columbus and his men, it is the land of Asia, told the audience in Europe that they have arrived in India. Thus Columbus discovered the American continent without being aware of the fact discovered.This trip changed the great process of the evolution of the history of the world, and turned the World Trade Center from the Mediterranean Sea to the west shore of the Atlantic Ocean. In the following centuries, modern industrial civilization has become a new trend of the evolution of the global economy. The United States identified in 1792 on the 12th of October or the first two second-day of October each year, â€Å"Columbus Day†. In this day every yea r organizes most U. S. states many festive activities on the occasion of the anniversary of Columbus' discovery of the Americas.

Example Solution Manual Essay

PESTEL analysis is a useful starting point for environmental analysis, encouraging students to think wide. Exhibit 2.2 provides an initial PESTEL analysis of the airline industry, giving students the general idea. The first question asks for additional elements in the analysis. For example, under Political, you might add subsidies for local airports; under Economic, you might add the rise of Asian economies; and under Legal, you could add the trend towards airline privatisation. A key danger to highlight is of long lists of forces or influences that are too unwieldy for practical action. So the second question challenges students to assess which of the forces are likely to be of most significance in driving industry change. Here students should justify their views in terms of the evidence from the past and the likely impact in the future of any particular influence. The end-chapter case example on the European brewing industry also asks students to do a PESTEL analysis. Illustration 2.2 Scenarios Scenarios help students think long term and very broadly: here the World Economic Forum and its members are looking a decade ahead, and thinking about geo-economics in general as well as just the market in a narrow sense. The question asks about whether companies have more influence over government policy or geo-economics. It then goes on to ask about how companies might influence government. This also obviously touches on issues of corporate social responsibility, pursued in Chapter 4. Companies probably do have more influence on policy coordination, but the issue is which governments they should be talking to (the United States, China?) and whether it is only governments that matter (United Nations, International Monetary Fund, World Trade Organisation?). They should also consider how they can best influence governments, individually or collectively through, for example, the World Economic Forum or the Business Roundtable, the group of CEOs of leading American corporations. To some extent, the power is likely to be exercised negatively: through lobbying against and criticism of  proposals for financial re-regulation. It is worthwhile also asking about the influence these corporations can have themselves on geo-economic shifts: some Western company headquarters are shifting away from their home-countries, for example, the global headquarters of American civil engineering conglomerate Halliburton moved to Dubai and Swiss/Swedish engineering company ABB moved its global robotics business headquarters to Shanghai. Illustration 2.3 The Steel Industry The steel industry provides a fairly easy-to-understand case of rapid structural change, and one led by industry actors. Understanding how the leading companies are making an impact helps to counter a risk of ‘determinism’ in Porterian analyses; in other words, a sense that structures are given rather than changeable. The first question particularly invites a comparative analysis using the radar-plot introduced in Exhibit 2.5. The radar-plot might look roughly like the following, with the continuous lines indicating rough positions in around 2000 (10 years earlier than the illustration) and the dotted lines indicating positions in 2010. The comparative positions highlight the increasing power of suppliers such as the iron ore producers (negative); the high power of sophisticated buyers, somewhat mitigated by the declining power of the Big Three (mildly positive perhaps); and the beginning of decreased rivalry (positive) as the larger steel companies such as Mittal try to consolidate the industry. It might be said that the new entry threat has stabilised and even reduced, though continued investment by Chinese players may increase rivalry especially if they turn to overseas markets. Overall, comparing the size of the two radar plots over time suggests only a marginal change in favour of the steel producers. With regard to the second question, the acquisition strategies seem driven by the desire to reduce rivalry by reducing the number of players and even capacity. You might ask students what is necessary to make this work: here you might highlight the importance for reduced rivalry of both simultaneous cuts in capacity investments by, for example, the Chinese and strong barriers to new entry. With regard to the third question, success in raising barriers to entry (e.g. through technological change) and in  reducing rivalry (through continued consolidation) would make the industry more attractive. Vertical integration strategies into sources of supply (e.g. iron ore) would help too. A potential negative is significant progress with substitute materials. This depends on technological progress, hence providing a useful link between the Porter 5 Forces and PESTEL. Illustration 2.4 Chugging in the Charity Sector The aim of this Illustration of course is to show that industry structure analysis is relevant to not-for-profits as well. Indeed, charities appear ruthlessly competitive – hence the High Street chuggings. The first question points to at least three of the Porterian forces as causing problems: (i) There are low barriers to entry, with ‘constant refreshment’ of the industry by new charities; (ii) there is strong buying power on the part of local authorities commissioning services; (iii) there is intense rivalry because of the number of competitors and tendency towards overlap and duplication of charitable services. In addition, they face substitutes in the form of local authorities and other agencies performing services in-house, but at this point the trend in that respect was in their favour. The suppliers of funds – donors – have many alternative charities to give to. The mergers and increasing concentration levels (the largest are growing fastest) imply growing industry consolidation. At the moment, the industry structure might be described as highly competitive, but there may be widespread advantages to it moving towards a more oligopolistic situation. Illustration 2.5 Cycles of Competition The ‘wisdom’ in strategy theory has been that competitiveness is about building up a long-term competitive advantage and then defending it against competitors. The idea of cycles of competition takes a more dynamic view as to how competition in an industry will work its way out over time. It also highlights the potentially destructive nature of competition (at least from the point of view of industry players) and the value of trying to avoid it. Indeed, a key point is that these competitive cycles are not inevitable. Signaling to competitors, and interpreting the signals of others’  competitive moves, can help avoid head-on competition. Retaliation (Section 2.3 under barriers to entry) is a key principle here, as are the basics of game theory (Chapter 3). With regard to question 1, Francotop might have slowed down or rebuffed entirely Deutschespitze’s invasion of the French market by retaliating hard against its initial move: even though the youth niche was not so important to Francotop, a determined response there would have signalled the likelihood that attacking the core French market would be so fiercely opposed that it might not be worth Deutschespitze’s while even to try. With regard to question 2, Francotop would have been hard-pressed to avoid escalating competition in the business market. However, one possibility might have been for Francotop to focus on a particular neglected niche (say the small firms segment). By signaling clearly through advertising or similar that this niche was the extent of their ambitions, Francotop might have encouraged Deutschespitze to concentrate on its best opportunities, leaving the French get on with their specialism in peace. Illustration 2.6 Key Debate: How Much Does Industry Matter? This debate addresses an enduring source of controversy in strategy research, and allows students to review the importance of the contents of Chapter 2 (particularly the ‘five forces’), at the same time as introducing the more internally focused issues of Chapter 3 that follows. For Porter, industry matters a lot. The sceptic might argue ‘he would say that, wouldn’t he’? After all, this is exactly what his training in industrial economics and the standard products of his consulting firm would favour. However, the important thing here is to recognise the extent of the research he (and collaborators such as Anita McGahan) draw upon to make their case. It is worth pointing out to students that strategy theories are more than ‘just theories’: there is solid empirical research involved too. When meeting a new theory, students should get used to asking: where is the research evidence? What the research seems to suggest is that an industry is no t the be-all and end-all, but that choosing an attractive industry is a very good starting point in strategy: industry accounts for about two-fifths of the explained variance in the Porter and McGahan study (leaving aside control variables etc.). Turning to the precise question, the kinds of industries  that influence members’ profitabilities more than others seem generally to be service industries (explaining the greater industry effects in the Porter and McGahan study than in Rumelt’s). But to go on from here, industry influences are most likely to be strongest in highly competitive and mature industries. In such industries, sources of firm-specific differentiation are likely to be few, easily imitated and easily competed away, so making it hard to earn above-normal profits. At the same time, standard recipes for competing would have been established, so only the incompetent would perform substantially below the norm (and competition should have eliminated most such incompetents by the industry maturity stage). These conditions would probably prevail in service industries such as hotels, restaurants and retail. Newer industries are likely to offer more scope for innovation and differentiation, and have fewer commodity competitors and suppliers, so allowing persistent variability in profitability. Video Questions Hiscox Hiscox is a specialist insurer in the Lloyds of London insurance market. The company specialises in niche areas such as property and casualty insurance for high net worth individuals and companies, as well as cover against such risks as hacking, kidnapping and satellite damage. The video case is quite complicated, so best viewed after a thorough working through of the chapter material. 1.The industry is facing more buyer power, with the rise of online price comparison sites. On the other hand, there is a process of consolidation with the rise of ‘consolidators’ (companies such as Resolution), who are acquiring weaker companies in order to build position. This is likely in the long term to reduce rivalry. Major failures such as that of the American giant AIG (American Investment Group) are likely to reduce rivalry too. It is clear that general recessionary pressures are also influencing the market at the time of the video, reducing demand and likely to make it more price-sensitive. 2.Hiscox has a specialist position, aside from companies like AIG or the general insurers that Resolution is trying to buy, and its power in its niche is reinforced by its brand (well known in the United Kingdom). It also has the advantage of having both an underwriting (issue of insurance policies) and investment business, which mean that Hiscox is protected from short-term cycles or crises in one part  of the business, probably helping to buffer it from price competition in the short term too. Assignment 2.1 PESTEL Analysis PESTEL analysis is a useful starting point for environmental analysis. Illustration 2.1 provides a model. A ‘blank’ of the basic template of illustration 2.1 can be provided to students who can then be asked to complete it for the forces at work in a particular industry. The danger is that long lists of forces or influences can be generated by this device. So the second question challenges students to assess which of the forces are likely to be of most significance in driving industry change. Here students should justify their views in terms of the evidence from the past and the likely impact in the future of any particular influence. See the discussion of the PESTEL for the end-chapter case on the European brewing industry for an example. Assignment 2.2 Building Scenarios Assignment 2.2 requires students to focus on change in industry characteristics and competitive forces through the construction of scenarios. Guidelines for the construction of scenarios are given in Section 2.2.2 it is recommended that students follow these, building either two or four scenarios for a given industry. The work done in Assignment 2.1 should provide the bases of identifying the key industry forces or influences which will enable them to do this. Some of the problems of scenario building should be emphasised to students: Students may try to build in too many factors and, therefore, not be able to limit the number of scenarios. They may find difficulty in generating scenarios with a coherent and compatible set of factors. Some may be wary of having to exercise judgement; and others will confuse judgement with hunch. Try to encourage a realistic debate that tests out assumptions and projections against known facts and trends. A particularly useful exercise is to ask stude nts to build scenarios for an industry for which there is a company case (or for their own industry/company if possible) and then to assess the company’s strategic position in the light of the different scenarios (e.g. see the notes above on the brewing industry). One of the issues that might surface is the ease  or difficulty with which scenarios can be constructed. It usually emerges that scenarios are much easier to construct where the number of key forces at work in an industry is relatively few. They are less easy to construct if the number of important forces is high because the number of variables the student is trying to handle becomes too great. This, in turn, raises another issue. Scenarios are of particular use in uncertain environments as a means of helping managers to think through possible futures. However, uncertainty may arise for a number of reasons. If uncertainty arises because of the unpredictability of a few forces, then arguably scenarios may be very helpful, but what if uncertainty arises primarily because there are a large number of forces at work: to what extent are scenarios of use in such circumstances? There are a limited number of very important forces at work in the brewing industry: but what of fast-moving hi-t ech industries where there are many different forces at work? Assignment 2.3 Five Competitive Forces Five forces analysis is an absolutely fundamental technique in strategy. Section 2.3 should give students the ability to carry out a basic five forces analysis of any industry. They should be encouraged to consider all of the elements of each of the five forces: so for example, under barriers to entry, scale and experience effects, channels, retaliation and so on. The radar-plot technique of Exhibit 2.5 should only be used as a summary once the full analysis is complete; the danger is of it being used to short-circuit the analysis. Students should be expected to do more than simply list elements; they should clearly identify the implications (positive or negative) of each. The second question about conclusions for industry attractiveness should underline the importance of drawing out implications, rather than just listing. Assignment 2.4 Comparisons between Industries and Over Time This assignment allows students to build on Assignment 2.3 in order to consider the investment implications of differences between industries and change over time. The assignment is a substantial one if relying on students’ own research. However, time can be saved if two case studies are used (e.g. brewing, pharmaceuticals or hi-fi, perhaps looking backwards at  change over the past three to five years, rather than change in the future). Similarly, students may save time by using the radar-plot technique (Exhibit 2.5), as in the discussion of Illustration 2.3. It is important to note the two follow-up questions. Explicitly asking for justification helps students avoid the superficial analysis which is easy to do with five forces. Asking the question about investment helps students think about concrete implications, again something that five forces analyses often neglect. By looking over time, students will learn to be cautious about investing in industries with declining attractiveness. By comparing industries, students can also consider industry attractiveness in their diversification decisions, an issue picked up in Chapter 7. At the same time, it is worth countering the implications of five forces analysis with two thoughts: Industries that are highly attractive are likely to have high barriers to entry, so the costs of entry may outweigh the benefits of entering. An industry that is becoming relatively unattractive may be neglected by competitors, and, if you enjoy a strong competitive advantage in that industry, it may still be a source of profit to you. Assignment 2.5 Strategic Groups This assignment builds on the notion of strategic groups and strategic space outlined in Section 2.4.1 in the text. Figure 2.8 provides an example of how the exercise could be carried out. This could, for example, be applied to the European brewing industry: Key strategic dimensions might come under either of the scope or resource commitment characteristics in Section 2.4.1 – for example, product range or extent of vertical integration. Possible key strategic dimensions in the European brewing industry might include geographical coverage, strength of brands, diversification, size of firm, type of distribution, and so on. Students are encouraged to draw more than one strategic group map if they believe that more than two dimensions are important. It is useful to ask them to consider the extent to which different bases of such maps give rise to similar or different configurations. They might find, for example, that however the maps are drawn up, some companies always tend to end up in the same groups. In other words, some companies may have a very similar set of strategic characteristics along many dimensions. Students are asked to examine the  strategic group maps to see if there are any under-populated ‘white spaces’ in the industry. For example, in brewing, is there an opportunity for a giant specialist in making ‘own brand’ beer for the large retailers? However, students should assess carefully why there are few competitors in any such white spaces. White spaces can often turn out to be dangerous ‘black holes’ rather than attractive opportunities. Assignment 2.6 Critical Success Factors and the Strategy Canvas It is very likely that students will concentrate on success factors that are salient to them as consumers – for example, the product ranges of a clothing retailer. Less visible elements, such as ownership by a diversified parent company, may be neglected. However, for a short assignment, this need not matter too much: the essence is comparison in order to identify areas of (potential) competitive advantage. The key insight of a strategy canvas is to encourage competitors to compete where it is relatively easy to secure a significant advantage (Blue Ocean), and not necessarily to compete fiercely over the top-rated success factors if advantage can only be obtained at very considerable cost (Red Ocean). You can introduce less visible, but strategically significant elements after they have done their basic analysis. Integrative Assignment Full Analysis of an Industry or a Sector This assignment would be a demanding research project over a significant part of the course. It is however a very good test of students’ ability to apply tools to real data appropriately, as well as developing their research skills. Students will see it as practical and, if allowed a choice of sectors, relevant to their own interests. Good research resources are essential. As well as free web-based resources such as company reports, trade association statistics and some government or supra-governmental (EU, UN) reports and statistics, students would likely need limited-access resources such as the business press and journals available through BusinessSource Premier, Factiva or Proquest, and reports from organisations such as Euromonitor, Key Notes and Mintel. Your institution’s librarian will advise you on what is available to students and how proficient they are likely to be in using such sources. You would also want to guide students  on which industries or sectors to choose. Very broad industries – for example, the world airline industry – are likely to overwhelm students with data. It might be helpful to encourage focus – for example, the airline industry in India, or similar. Industry focus also reduces the risk of plagiarism. There are many student assignments of a similar nature available for a fee on the web, and it would definitely be wise to avoid allowing students to research the same industries in successive years. Requiring a specific focus on particular themes (e.g. internationalisation) or some less common concepts (e.g. the strategy canvas, cycles of competition etc.) can also reduce plagiarism. Insisting on precisely citing sources for key data and points (through an end-note system or similar) makes simple plagiarism harder too, as well as being good practice. If allowed, students will find very helpful a couple of example assignments from previous years to guide them roughly on what they are supposed to do. A report length limit of around 2000–2500 words would encourage students to focus on what is really important. Requiring an ‘executive summary’ would also force students to consider what is really important and what are the key implications. Over a two semester course, this assignment could be stage one of a two-part assessment regime; the second semester could have as an assignment asking students to consider implications of the first part for the strategy of a particular company in the original industry or sector. Case Example The European Brewing Industry This case focuses on the key techniques of PESTEL and five forces analysis that are central to this chapter. Full cases such as the pharmaceutical industry can be used develop students’ skills in seeing trends in industry data and drawing conclusions as to the likely impact of those trends on particular companies in an industry. PESTEL Here it would be helpful to ask the students to draw on wider knowledge or research (you may have beer drinkers from many countries in your class). Depending on how extensive students’ additional research and thinking are, a wide-range of issues may be raised. To highlight some for the purposes of illustration: Political: government campaigns against drink driving Economic: the rise of the Asian economies Social: rise of beer consumption in southern Europe Technological: few clear in the case, but innovations around products such as ice-cold lager might be raised Environmental: few clear in the case, but packaging issues are likely to be important Legal: few clear in the case, but changes in licensing laws and permitted alcohol limits for driving are relevant. PESTELs can often seem somewhat inconclusive, so it is important to pull out key issues and conclusions. The increasing hostility to drinking (under P and L) and the rise of Asian economies and southern Europe (under E & S) seem particularly important trends. One way of drawing some simple conclusions is to assess the overall balance (positive or negative) under each of the PESTEL headings: in the case of the European brewing industry, most of the headings are likely to be negative. The Five Forces There has traditionally been a wide variation of industry structures across Europe. The United Kingdom is fairly competitive. Denmark, Holland, Italy, Belgium and France, on the other hand, have been in near monopoly situations. However, with increasing exports and imports and cross-border acquisitions, national markets are becoming less protected. An interesting issue, then, is at what level to conduct industry structure analysis. If at a European level, the broad issues to consider under each of the five forces are as follows: Buyers: With more than one fifth of beer sold through supermarkets, and increasing resort to ‘own-label’, these buyers are increasingly powerful (underline that buyers are not the ultimate consumers). Suppliers: The high concentration of the packagers suggests that these are becoming increasingly powerful. Substitutes: Wine is clearly a dangerous substitute. New entrants: Internationalisation through M&A and increased trade is introducing new entrants into previously protected markets: most countries see increasing imports (Table 2). Anheuser-Busch and SABMiller are two obvious new entrants into Europe. Students might be alerted to the potential threat of TsingTao and the other Chinese brewers. Although not prominent in the case, there is still the potential of small new brewers entering using micro-breweries or contract brewers (e.g. Cobra). Rivalry: falling demand,  international entrants and over-capacity obviously increase the scope for rivalry. However, note that sales values are rising, that innovation and branding can mitigate price-competition, that there has been a history of price-fixing cartels, and that leading players are attempting consolidation through M&A. It might be useful to ask the students to compare industry concentration ratios in 2000 and 2009: that is, the share accounted for the top three or five players (Tabl e 3). As ever, it is important to draw conclusions. On balance, the European brewing industry does not seem attractive, and unlikely to become more so until the current round of consolidation is completed and brewers achieve greater leverage against their buyers and suppliers. Impact on Particular Brewing Companies The three companies are chosen to represent different types of ‘player’. A–B InBev is the largest player, after a succession of spectacular mergers. It is remarkable how the company is withdrawing from fast-growing China and Eastern Europe, however. Greene King is tiny in comparison to A–B InBev, with just one key domestic market, the United Kingdom. However, domestic focus and its own pubs may be giving it a strongly defended local position. You might ask whether there are competitors who might be tempted to buy such a company. Tsing Tao is the wild-card here. It is strong in its booming home market, but it is also interested in moving overseas. But would it make Europe a priority region for expansion, or choose another market?

Catherine the Great Research Paper Example | Topics and Well Written Essays - 2000 words

Catherine the Great - Research Paper Example khail, Peter I, known as Peter the Great, who nearly transformed the backward country into a major power by the early eighteenth century – he succeeded in reforming both the army and administration, created the Russian navy, encouraged trade and secular education, as well as introduced Western technology (Hatt 12). The Church had been deprived of its privileges and was largely subordinated to the state; while the power of the Russian nobles – boyars – was also curbed (Hatt 12; Williams 343-345). Following the victory over Sweden in the Great Northern War, Russia expanded into the northwest, conquering the Neva valley, along with the other Baltic provinces of Sweden, like Ingria, Estonia, Livonia, Vyborg, and part of Karelia; the fort, whose construction had begun in a desolate area of marshland nearby the mouth of the Neva River in 1703, some nine years later became the capital city of the Russian empire under the name St Petersburg (Williams 345; Hatt 12). Peter the Great died before he could name his successor – some six years after the death of his son Peter, by his second marriage – so the son of Tsarevich Alexis, and Peter the Great’s grandson, became the emperor of Russia as Peter II (Williams 346). During his short reign dominated by two powerful magnates’ factions – the Menshikov and Dolgoruky factions – Russia played a rather passive role abroad (Williams 346). Peter II died before he could marry Dolgoruky’s daughter , Catherine, and was succeeded by the niece of Peter the Great, Anna Ivanovna (Williams 346). Under Empress Anna, Russia was ruled by her favorite, Birone; at home, this period was characterized by a decreased Crown control over the nobility, while abroad Russia gained control over Poland in the war of the Polish succession, as well as over Azov in the Russian – Turkish war of 1735-9 (Williams 25). One year after her death, i.e. in 1741, a palace coup carried out by the guards of the Preobrazhenskii regiment overthrew

What is the good life Essay Example | Topics and Well Written Essays - 500 words

What is the good life - Essay Example Money is the means to purchase; it is true that the availability of money makes life better and a lot more comfortable. However, the availability of money is not tantamount to the attainment of a good life. A good life is characterized by happiness, money guarantees the availability of resources but it does not guarantee happiness in a home and satisfaction. Money enslaves people, turns friend into enemies, compels people to steal and engage in dishonest act. Money is therefore more related to evil than happiness and satisfaction. In the non-fictional story, Zeitoun, a character, Abdulrahman Zeitoun is introduced; he is a Muslim who moves from Syria to settle in the United States of America (Dave 12). While in America, he meets a Muslim convert, one Kathy who he later marries and together they have two children and a family business. Life for the young family is good enough. They have a family business which is capable of catering for their financial needs, they have children they are generally comfortable. Things change with time as hurricane Katrina strikes, the family is forced to separate as zeitoun chooses to remain and cater for the family business, he uses a second hand canoe to rescue the stranded tenants and provides shelter to abandoned dogs. He happily does this and shows affection to very strange people, he gains satisfaction from the smiles he receives from those he helps. Things change suddenly for him after he is arrested and the society within which he had lived and made a life for himself suddenly turns against him. The 9/11 incident takes place and situation worsen for Zeitoun who is of Arabic descent (Dave 22). The society is overly discriminated and Zeitoun is treated worse than a human is, he is denied basic needs that other American citizens in the same cells are granted. Good life is therefore a satisfactory life, satisfaction comes from setting personal goals and achieving them. Money is overly