Tuesday, November 5, 2019
Grammar Tips Using the Present Tense - Get Proofed!
Grammar Tips Using the Present Tense - Get Proofed! Grammar Tips: Using the Present Tense ââ¬Å"Carpe diemâ⬠is a Latin phrase often translated as ââ¬Å"seize the day.â⬠Itââ¬â¢s used to urge people to appreciate the present moment instead of thinking about the past or future too much. And in that spirit, weââ¬â¢ve written this blog post about using the present tense. Carp diem, meanwhile, means Be a fish for the day. After all, you certainly wonââ¬â¢t be ââ¬Å"seizing the dayâ⬠if you spend all your time worrying about errors in your writing. So, do yourself a favor and seize this grammatical advice instead. Simple Present The simplest form of the present tense is, appropriately, called the ââ¬Å"simple presentâ⬠tense. This is possibly the most common grammatical tense in English, as we use it to describe: Current facts (e.g., I live in Chicago.) General truths (e.g., Many people live in Chicago.) Things that happen regularly (e.g., The bus arrives in Chicago at 8am.) Things due to happen at a fixed time in the future (e.g., The festival begins in July.) The base verb form is usually correct in the simple present tense. However, the verb form changes slightly in when writing in the singular third person. For example: First Person: I live in Chicago. Second Person: You live in Chicago. Third Person: He/she lives in Chicago. As above, when using the third-person singular, an extra ââ¬Å"sâ⬠is added to the base verb. Present Continuous The present continuous tense is used to describe an ongoing or incomplete action. It is formed by combining ââ¬Å"am,â⬠ââ¬Å"is,â⬠or ââ¬Å"areâ⬠with a present participle. For example: I am learning Latin. They are going to the beach. She is dancing on the ceiling. All of these examples emphasize an ongoing or incomplete process. But theyââ¬â¢re also things that have an endpoint or where progress can be made, not steady states of affairs (e.g., I live in Chicago) or general truths (e.g., Rain is wet) that donââ¬â¢t change over time. Present Perfect The present perfect tense is used for actions that happened at an unspecified time in the past: We have visited New York twice. It can also be used to describe actions that began in the past and continue into the present (or that happened in the past and continue to be true in the present): She has lived here since she was young. In both cases, the present perfect tense combines ââ¬Å"hasâ⬠or ââ¬Å"haveâ⬠with a past participle. à Most past participles, including ââ¬Å"visitedâ⬠and ââ¬Å"livedâ⬠above, are formed by adding ââ¬Å"-edâ⬠to the end of a base verb. However, keep an eye out for irregular verbs that donââ¬â¢t follow this pattern. For instance: The leaves have fallen from the trees. In this case, since ââ¬Å"fallâ⬠is an irregular verb, we use the past participle ââ¬Å"fallenâ⬠(not ââ¬Å"falledâ⬠). Present Perfect Continuous Finally, we have the present perfect continuous tense, which combines elements of the present perfect and present continuous tenses. As such, itââ¬â¢s used to describe ongoing actions that began in the past. We indicate this by combining ââ¬Å"has beenâ⬠or ââ¬Å"have beenâ⬠with a present participle: I have been waiting for the last half hour. Here, for example, ââ¬Å"have been waitingâ⬠describes an ongoing process of waiting, but with an emphasis on how long the speaker has been there. This makes it distinct from the present perfect ââ¬Å"I am waiting.â⬠Hopefully that clears up how different present tense forms are used. If you want to make sure your writing is error free, though, embrace the spirit of ââ¬Å"carpe diemâ⬠and have your work proofread today.
Saturday, November 2, 2019
Outsourcing jobs Essay Example | Topics and Well Written Essays - 1500 words
Outsourcing jobs - Essay Example On the downside, some of the neg'tives include difficulties in m'int'ining confidenti'lity, ret'ining control, 'nd confronting tr'nsition problems. In the following p'per I will be ex'mining the 'dv'nt'ges 'nd dis'dv'nt'ges of outsourcing jobs from the view of the benefit to the org'niz'tion. Assigning various functions, such as accounting production, security, maintenance, and legal work to outside organizations. (Nickels, McHugh, McHugh, 257). Outsourcing (or contr'cting out work) st'rted in the m'nuf'cturing business in the e'rly 1980s, prim'rily 's ' me'ns of cutting b'ck st'ff 'nd s'ving on w'ges. Often ' t'sk is considered for outsourcing if the work performed by ' consult'nt would require hiring 'ddition'l st'ff if it were done in-house. In 'ddition, work h'ndled by ' former employee who m'y perform ' specific service is 'lso considered 's outsourcing. The decision to outsource is m'inly b'sed on cost, set-up time, 'nd the 'v'il'bility of expertise (Bl'xill, Hout, 95). Two prim'ry f'ctors h've c'used the job m'rket to tr'il the gener'l economy: we'kness in m'nuf'cturing 'nd stell'r productivity perform'nce 'cross 'll m'jor sectors. M'nuf'cturing h's suffered through p'inful 'djustments to over investment, ' previously strong doll'r, 'nd the migr'tion of c'p'city overse's. Me'nwhile, 'lthough re'l GDP (gross domestic product) h's exp'nded 't 'n impressive r'te of 'bout 3.5% over the p'st two ye'rs, he'lthy productivity g'ins--including sizzling r'tes during the second 'nd third qu'rters of 2004--me'nt th't m'ny comp'nies s'w little need to 'dd to their workforces (Minoli, 54). Estim'tes of the 'ctu'l number of jobs outsourced overse's 're sketchy. G'rtner Inc. contends th't 'bout 500,000 jobs in the technology sector could be sent 'bro'd over the next two ye'rs, which would 'mount to ' still moder'te 5% of the tot'l 10.3 million workers believed to work in the technology sector. Deloitte Consulting predicts th't 's m'ny 's four million service jobs could be out sourced over the next five ye'rs, which would still 'mount to only 'bout 3.5% to 4.0% of the tot'l U.S. service sector. In m'ny c'ses, these jobs might h've been filled by foreign immigr'nts or by firms buying entire offshore f'cilities. The free flow of l'bor 'nd c'pit'l is vit'l to ' he'lthy glob'l economy. 't the s'me time, p'rt of 'ny incre'se in foreign incomes should come b'ck to the United St'tes in the form of either new purch'ses or investment (Minoli, 56). M'ny jobs c'nnot be exported overse's. F'ce-to-f'ce cont'ct with customers rem'ins vit'l, loc'l control is often integr'l to the m'n'gement process, 'nd logistic'l 'nd security concerns m'y require domestic loc'tions. Indeed, fin'nci'l institutions need to exercise speci'l c're to insure 'g'inst identity theft for their customers. 'djustment is never e'sy, but 'meric'n workers h've demonstr'ted their flexibility 'nd responsiveness to ch'nge over the p'st two dec'des. Our competitive 'dv'nt'ge will continue in fields requiring higher skills 'nd knowledge. This is why employment 'mong college gr'du'tes h's exp'nded by over two million jobs in the p'st ye'r 'nd why the jobless r'te 'mong these more educ'ted workers is only 'round 3.0% (G'ntz, 41). 's the recovery m'tures, look for job growth to show further improvement over the next sever'l months. ' resumption of higher c'pit'l spending, ' more competitive doll'r, 'nd ' rebuilding
Thursday, October 31, 2019
The Overview of an Article about Japanese Animation Essay
The Overview of an Article about Japanese Animation - Essay Example The essay "The Overview of an Article about Japanese Animation" talks about the article that describes the Japanese attempts to animate the western ways of imagination and even some aspects of its art culture. The article starts with a sort of story and this continues for a while but at the end of the paragraph comes the thesis statement which explicitly enables the reader to know what the article will be about. The thesis presented in the article is backed up by the artwork of Monetââ¬â¢s La Japonaise where even though it has a bit of Japanese theme based on clothing, the other impressionists are all western. This is a new thing in the Japanese art. This is evidence of the painting is also in coincidence with the films and other artwork by the Japanese whose direction has changed from purely Japanese themes to a mixture of Japanese and western ideas. Questions and even answers about more evidence of this thesis statement and in support of the article are found further in the article. The author also specifies the time changes of these art impressions and direction and hence anyone with more questions can check this up against historical books. The explicit explanations offered by the author about this subject of discussion leaves the audience satisfied. The authorââ¬â¢s discussion about the change in direction of Japanese art and also the pictorial evidence makes me agree with her. I do not agree with her argument that Japanese culture still has great influence over the western type of art since the 19th Century to date.
Tuesday, October 29, 2019
What Is Mohandas Mahatma Gandhi's Relevance on Economy, Ideology and Dissertation
What Is Mohandas Mahatma Gandhi's Relevance on Economy, Ideology and Religion in Modern Day India - Dissertation Example For instance, he took part in political protests in South Africa against the ill-treatment of Indians in that region by the prevailing government. Gandhi believed that the weak should not be oppressed by those in power and was against any political system that was oppressive1 Although Gandhi was actively persuading Indians to resist British ideologies, he was against any form of violence. He encouraged Indians to protest peacefully against British political and economic systems as well as the British approach to religion and morality. Gandhiââ¬â¢s ideologies led to his imprisonment on several occasions. However, many leaders made reference to his ideologies that promoted cohesion, peace and love among individuals and religions. He was assassinated for his belief by a fellow Hindu who was against his beliefs about the Muslims.2 Mohandas Karamchand Gandhi made a significant contribution to Indiaââ¬â¢s economy through his ideologies and campaign for an independent economy. Many In dians supported his religious, political and economic beliefs. Gandhi was against discrimination and violation of human rights. He campaigned for unity and resistance against westernisation. His efforts yield fruits and Indiaââ¬â¢s economy achieved significant levels of growth and independence. This paper examines Gandhiââ¬â¢s ideologies, religious beliefs and economic contribution to determine his relevance to modern India. The Relevance of Gandhiââ¬â¢s Economic Ideas, Ideologies and Religious Beliefs to Modern India Mohandas Karamchand Gandhi played an important role in freeing India from British colonialism. Gandhi had a political vision of a free country that had control over all its sectors including social, economic, and political sectors in India. Gandhiââ¬â¢s vision had a moral and economic perspective of what India would be as a free country.4 Gandhiââ¬â¢s personal philosophies and beliefs were adopted in many political systems across the world. For instance, human rights activists in the United States based their movements on Gandhiââ¬â¢s philosophies. The relevance of Gandhiââ¬â¢s philosophies and beliefs to modern societies has been ignored until recently. Political analysts and historians are examining the state of nations to determine if Gand hiââ¬â¢s ideologies are still applicable to modern societies. Gandhi was determined to lay down a foundation that would unite Indians towards achieving their economic freedom. His ideology was to prepare Indians for a self-sustaining economy.5 Gandhi was against adopting a Western economic model and according to him; such a model would not help Indian establish an egalitarian and independent economy. Gandhi argued that with the high population growth rate and poverty levels in India, a consumer economy as suggested by western countries was inappropriate. His idea of an independent economy in India was based on conservation and systematic exploitation of natural resources. Consumerism would harm Indiaââ¬â¢s given its demographics and Gandhi advocated for limited consumption of the scarce resources in the country. One of Gandhiââ¬â¢s concerns about Indiaââ¬â¢s economy was the state of the agricultural sector. He believed that agriculture would help India achieve significan t economic growth. However, his idea of a sustainable agricultural sector involved exploiting the readily available human resources as opposed to importing technology from the west.6 Gandhiââ¬â¢s speeches on Indiaââ¬â¢s economic welfare indicated his passion for the nationals to recognise and exploit Indiaââ¬â¢
Sunday, October 27, 2019
Advancing Nursing Practice Current Role and Personal Learning
Advancing Nursing Practice Current Role and Personal Learning The idea of Advanced Nursing Practice (ANP) is reported to have commenced in the USA in the early parts of the 20th century (Mantzoukas, 2006) and its development has been well recorded in the literature (Ketefian, Redman, Hanucharurnkul, Masterson Neves, 2001; Furlong Smith, 2005). But lack of clear definitions for the concept, its scope of practice and standards has resulted in a great diversity in practice (Woods, 1999; Pearson Peels, 2002; Daly and Carnwell, 2003). Furlong and Smith (2005) identifies that several attempts have been made to conceptualise advanced nursing practice. This has resulted in some consensus on the core concepts that underpin ANP such as clinical autonomy, professional and clinical leadership, research capabilities, application of theory and research to practice and graduate level education requirement (Ketefian et al., 2001; Furlong Smith, 2005; Mantzoukas, 2006). Knowledge level, skill level and population of response model developed by Calkin (1984) and from novice to expert model by Benner (1984) are some of the models that were developed but none of these analysed contextual influences on advanced nursing practice. Manley (1997) developed a conceptual framework that describes four integrated sub roles (expert practitioner, educator, researcher and consultant); necessary skills and processes as well as contextual prerequisites for the advanced nurse practitioner to achieve outcomes strove for. This framework was developed from a model by Hamric (1989) and shares similarities in the four sub roles, some skills and processes. However, the framework by Manley (1997) establishes a relationship between the ANP role, its context and its outcomes, giving it an advantage over the models of Calkin, Benner and Hamric. It is worth stating, at this point, that the term ANP is not for a single role but for different advanced nursing roles such as nurse practitioners, certified nurse midwives, nurse anaesthetists and clinical nurse specialists (Ketefian et al., 2001) I have worked for one year as a general nurse (Nursing Officer rank) after completing my four-year nursing training in Ghana. My responsibilities include ensuring adequate nutrition and elimination, administering medication and reporting on patients response, allocating task based on skill of staff, supervising staff and students in the ward, and participating in ward rounds (GHS, 2005). Henry (2007) states that Ghanaian nurses have automatic promotion after every five years of service until they reach the rank of Principal Nursing Officer. It seems that this is changing. My experience is that, recently, higher education certificate as well as evidence of continuous professional and personal development is a requirement for certain roles in the nursing profession. Moreover, research, leadership and application of theory to practice are some of the advanced nursing skills that are not well developed in my current role. I have, therefore, enrolled in the MSc. Advanced Nursing course to develop these skills to advance my nursing practice. It appears that the four advanced nursing roles described by Ketefian et al. (2001) are present in Ghana, although the term ANP is not used. East and Arudo (2009) identifies that due to shortage of health personnel, nurses in sub-Saharan Africa perform certain roles and tasks that would be classified, in other countries, as advanced practice. Ghanaian nurses in these roles have some degree of clinical autonomy, especially in the district hospitals, but not necessarily a graduate level education. Instead, a post-basic diploma is required for some of them (nurse anaesthetist and clinical nurse specialist roles). Until recently, post-basic diploma was the qualification for medical assistants (similar to nurse practitioner role). Thus, ANP roles in Ghana developed as a result of shortage of health personnel and the health needs of the population. However, the roles are different from those in the UK and USA in areas such as research, professional and clinical leadership, academic qualifi cation, and clinical autonomy. Therefore, with the ANP conceptual framework of Manley (1997) as the focus, I hope to achieve the following objectives in advancing my practice: Develop a teaching package to slow progression of chronic kidney disease (CKD) among patients with diabetes Advance myself as a nurse educator and the other sub roles identified by Manley (1997) Develop leadership and effective change management skills Contribute to the professional development of my colleagues. The Project: Introduction and Rationale for Selection In advancing my nursing practice, my focus for this project is to develop a teaching package to slow progression of chronic kidney disease among patients with diabetes. Other patients at risk of developing kidney failure, including those with hypertension would also benefit from this project. The package would, also, be used among patients with stages 1 4 chronic kidney disease. In the final year of my nursing training, I had to submit a care study to the Nursing and Midwifery Council of Ghana. The patient I worked with had been diagnosed with type II diabetes. The care study required that I participate in the active management of the patient and present a report on that, as well as a literature review on the condition. I reflect on the entire process now and I realise that complications of diabetes were just mentioned to the patient, with no adequate information on how they can be prevented. This project is, therefore, anticipated to create awareness of chronic kidney disease as a major complication among patients with diabetes in Ghana and how to delay its progression, if not avoid it. My primary focus would be to develop a strategy that would reach out to all patients, including those with low literacy skills. This would advance the nursing care and health education given to such patients, thereby, delaying the need for dialysis (Thomas et al., 2008). Literature Review WHO (2002:11) defines chronic conditions as health problems that require ongoing management over a period of years or decades and has labelled them as the biggest challenge faced by the health sector in the 21st century. While the economic cost of managing chronic diseases is high, Suhrcke, Fahey McKee (2008) identify some strong economic arguments that may be made in support of the need for societies to invest in their (chronic diseases) management. They identify some primary benefits such as improved health (in terms of patients quantity and quality of life in years), long-term cost savings from complications avoided and workplace productivity experienced by patients and their employers. Nevertheless, preventing their occurrence is central in the general management of chronic conditions (Nolte McKee, 2008) and this is a responsibility for all, including governments, private sectors, healthcare systems and individuals (Novotny, 2008). Chronic Kidney Disease (CKD) is becoming a global pandemic (Mahon, 2006; Chen, Scott, Mattern, Mohini Nissenson, 2006; Clements Ashurst, 2006). The disease causes gradual decline in kidney function (Silvestri, 2002). It has been categorised into 5 stages according to the glomerular filtration rates (Johnson Usherwood, 2005) and the progression through these stages is influenced by several processes, mostly lifestyle-related (Riegersperger Sunder-Plassmann, 2007). Management of stage 5 (end stage) is either by dialysis or kidney transplant (Johnson Usherwood, 2005, Chen et al., 2006). Patients with CKD stages 4 and 5 experience other complications such as anaemia and metabolic acidosis that must, also, be managed efficiently (Silvestri, 2002; Murphy, Jenkins, McCann Sedgewick, 2008). This, in addition to dialysis, accounts for the reported higher costs of managing CKD (Gonzalez-Perez, Vale, Stearns, Wordsworth, 2005; Kaitelidou, Ziroyanis, Maniadakis, Liaropoulos, 2005). Presently, more than 23,000 adults in the UK undergo dialysis treatment as a result of kidney failure and this number is expected to increase yearly (World Kidney Day, 2009). Korle-Bu Teaching Hospital (Ghana) recorded 558 cases of CKD between January 2006 and July 2008 in the country (All Africa, 2009) and this may represent less than 30% of the total disease burden as the hospital serves a few regions in the country. Several studies have identified diabetes mellitus and hypertension as the major causes of CKD (Clements Ashurst, 2006; Rosenberg, Kalda, KasiuleviÃâà ius Lember, 2008; Marchant, 2008; Stropp, 2008; Thomas, Bryar, Mankanjuola, 2008; Ulrich, 2009). Amoah, Owusu and Adjei (2002) report of little, but outdated, statistics on the prevalence of diabetes in Ghana. Another report is on the assumption that diabetes is uncommon in Ghana (ibid.). However, it appears that my clinical experience at KATH alone suggests otherwise to the latter. Amoah et al. (2002), again, report that data on diabetes in Ghana is unreliable and this is confirmed by incongruent data observed in the literature. For example, Abubakari and Bhopal (2008) report that prevalence of diabetes in Ghanaian adults (25years and above) was 6.3% in 1998 while the Ministry of Health, Ghana (2001 cited by Aikins, 2004) estimates diabetes in 4% of Ghanaians between 15 to 70 years. Notwithstanding, Aikins (2004) reports of incr ease in the prevalence rates of chronic illnesses in the country, and diabetes is no exception. Primary care management delays nephropathy and other complications of diabetes (Thomas et al., 2008). They add that there could be a lot of potential savings if the need for dialysis can be delayed, even if for a short period for a few patients. Since prevention reduces healthcare costs (Booth, Gordon, Carlson Hamilton, 2000), Ghana, not being a rich country (CIA, 2008) stands to benefit from such an approach. Chen et al. (2006), also, identify that delaying the progression of CKD improves clinical outcomes and moderates costs. Strategies to delay progression include good glycaemic control, blood pressure control, smoking cessation and other lifestyle modification (Nicholls, 2005; Clements Ashurst, 2006; Rosenberg et al., 2008). Patients knowledge on these factors may lead to a change in behaviour which, in turn, would yield positive outcomes in the management of their conditions. Health education is one of such strategies to achieve positive outcomes and prevent complications, especially if the method used is appropriate for the age group as well as their cultural background (Funnell et al., 2008). It is often used interchangeably with health promotion in the nursing literature and criticisms have been made on that (Whitehead). The argument has been that health promotion has shifted from preventing specific diseases or detecting risk groups towards health and well being of whole populations (Naidoo Will, 2000). Hitherto, health education remains central to health promotion (Whitehead, 2), and, because of the dominance of the medical model, health promotion is mostly equated to prevention of disease, through primary, secondary or tertiary prevention in clinical settings (Naidoo Wills, 2000). Secondary and tertiary prevention interventions prevent complications such as chronic nephropathy development in patients with diabetes and health education is one of such interventions (Rosenberg et al., 2008; Naidoo Wills, 2008). Diabetes is, predominantly, self-managed (Collins et al., 1994; Funnell Anderson, 2002), making education very necessary as it empowers the patients to take charge of their health behaviour and other factors that influence their health status (Piper, 2009). Whitehead (1) adds that health education focuses on lifestyle-related and behavioural change processes, making it an integral part of comprehensive diabetes care (type II education). The above implies that when patients with diabetes receive health education, it enhances their ability to collaborate with the effective management of the disease and, consequently, avoid its complications. However, very little knowledge on CKD as well as misunderstandings of illness and treatment has been reported (Jain, 2008; Holstrà ¶m Rosenqvist, 2005). Patients may not appreciate the role that lifestyle modification, in addition to pharmacological interventions, can play in effective management of diabetes. Since diabetes, usually, do not present any physical symptoms, patients tend to distance themselves from it and, as a result, ignore the education being provided because they do not feel ill (Holstrà ¶m Rosenqvist, 2005). Complexity of self-management of diabetes may also be a major contributor to the reported misunderstandings (Szromba, 2009). The primary concern then becomes who should educate these patients and what strategies should be used to achieve positive outcome s? Making time to educate patients and their families on everything that they need to know is seldom easy because of the busy schedules of nurses in the ward (Rankin Stallings, 2001). Yet, Hamric (1989) and Manley (1997) have documented the integration of health education into the roles of advanced nurse practitioners and Rankin Stallings (2001) have attested to this. Advanced nurse practitioners are able to draw on their knowledge and skills related to higher education as well as their expertise from practice to achieve positive outcomes in the clinical settings (Manley, 1997). Szromba (2009) suggests that alternative methods to the traditional lecture method of health education should be utilized to enhance self-care. Babcock and Miller (1994) suggest that discussion, demonstration, modelling, group activities and role playing are other teaching strategies that the health educator can employ. However, they add that consideration should be given to the strategy that best fits the obj ectives, content, the clients, the health educator and the reality of the learning situation. This underscores the importance of client needs assessment in health education. Literacy skills of the clients should, also, be taken into consideration during health education. This project is to be implemented in Ghana and WHO (2009) estimates an adult illiteracy rate of about 35% of the total population. The use of written materials may be a difficulty in such settings, especially as the literates may not understand the jargons used in health very well. Therefore, the health educator should ensure that materials are simplified so readers do not have difficulties in understanding the content. Rankin Stallings (2001) suggest that health educators should, therefore, focus information on the core of knowledge and skills that clients need to survive and cope with problems, teach the smallest amount possible, make points vivid, present information sequentially and allow patients to restate and demonstrate what has been learnt. They also suggest the strategic use of educational media such as flipcharts, photographs, drawings and videotapes to enhance understanding. Aims and Anticipated Outcome The primary focus of this project is to develop a teaching strategy to slow the progression of chronic kidney disease among patients with diabetes in Ghana. Consideration would be given to strategies that would reach out to and promote understanding among patients with low literacy skills. It is anticipated that when patients have enough information on their disease condition, they would collaborate with the healthcare team in the management of the condition. I hope to enhance my knowledge on the management of chronic kidney disease and my role as a nurse educator. This experience would, also, be transferred to my colleagues in Ghana and lead to general improvement in the management of chronic kidney disease in the hospital. This collaboration would, therefore, reduce complications of the disease and enhance patients quality of life. As has been identified by Thomas et al. (2008), when complications such as kidney failure and the need for dialysis is delayed for a short period among few patients, a lot of financial savings is made. Therefore, in addition to providing quality care for patients and enhancing their quality of life, this project would reduce the cost of managing complications of diabetes and chronic kidney disease in Ghana. The Professional and Organizational Context Komfo Anokye Teaching Hospital (KATH) is the second largest teaching hospital in Ghana, training many doctors, nurses and other paramedics in the Ashanti Region of Ghana. It is an autonomous service delivery agent under the Ministry of Health of Ghana (MOH, 2009a). In addition to training many of the health personnel in the Ashanti Region at KATH, many people within and outside the Ashanti Region seek healthcare there. As a result, provision of quality healthcare has always been the focus. An organisation that recognises the need for change, weighs costs and benefits, and plans for the change when the benefits outweigh the costs is ready for a change (Dalton Gottlieb, 2003). KATH is, therefore, ready for change because some of its employees are sent overseas or to other parts of the country, whenever there is the need for a new skill or knowledge to be gained, to bring about a positive change within the institution. This may be a factor that would facilitate my agenda to implement s ome changes within the institution upon my return to Ghana. However, Ghana, as a country is underdeveloped (CIA, 2008). Therefore, financial support, many a time, becomes a difficulty. Another challenge may be the fewer nursing staff. The Ministry of Health (2009b) estimates that there was a nurse-to-population ratio of 1:2024 in Ashanti Region and 1:1451 for the entire country in year 2007 while the WHO estimates that there are 9 nurses/midwives per 10,000 of the Ghanaian population (WHO, 2009xxxxx). Nevertheless, the desire to provide quality patient care and reduce healthcare costs, and dedication from the health personnel are factors that would supersede the anticipated obstacles to the implementation of this project.
Friday, October 25, 2019
The Government Denial of Agent Orange Claims Essay -- Vietnam Governme
The Government Reaction to Agent Orange Claims PREFACE United States involvement in Vietnam has been surrounded by controversy since the 1960s. Many felt that controversy would end with the withdrawal of US troops in the 1970s. The troops came home and were not welcomed with the fanfare that surrounded veterans of previous wars. Was the controversy surrounding Vietnam a ââ¬Å"deadâ⬠issue now that the troops were home? The answer is no. The controversy continues to this very day. The issue of whether or not the US should have gotten involved with Vietnam is still undecided. The even larger issue, on the other hand, is that of exposure to Agent Orange. I have been interested in the controversy surrounding Agent Orange since I was in 10th grade. I knew nothing of the topic before that. In 1997, my uncle died of lung cancer. When he was first diagnosed with the disease, I had thought that it was because he owned a bar. I believed that the cause of his cancer was due to all the second- hand smoke he inhaled over the years (he had quit smoking in the 1970s, after 6 years of being addicted). However, I realized that this might not be the case when I overheard him talking to a doctor. My uncle wanted his disability benefits from the Army to go to his son while he was sick and after he died. So, I asked him about his and he started to tell me about Agent Orange. He was drafted in the Army and stationed in Vietnam from 1966 to 1967. His job was to deliver and clean the buckets that Agent Orange was stored in. He attributed his illness to his exposure to Agent Orange. The story of my uncle has motivated me to learn more on the topic of Agent Orange. However, because of the story of my uncle, I am bias in the way... ...mber 1993. New York State Temporary Commission on Dioxin Exposure, Dioxin Agent Orange: Findings, Conclusions, and Recommendations. Albany: September 1983. Scheim, Rich, ââ¬Å"VA to Take Vetsââ¬â¢ Word on Agent Orange Exposure,â⬠Courier- Express, November 3, 1981. U.S. Congress, Senate, Committee on Veterans Affairs, Statement of John. F. Sommer, Jr., Director National Veterans Affairs and Rehabilitation Commission Before the Committee on Veterans Affairs, 14 July 1988. Veterans Administration, Worried About Agent Orange? Washington D.C., July 1, 1980 pamphlet. Vietnam Veterans of America, Agent Orange, ââ¬Å"VVA Sues VA Over AO Comp. Rulesâ⬠. Washington, D.C., December 1986. VVA Legal Services, ââ¬Å"Agent Orange Settlement Upheldâ⬠, Agent Orange Claim forms, July 1983. Wolff, Leslie Patten, ââ¬Å"Defoliant Manufactures Launch Counter-suit,â⬠Buffalo Veteran, 1980.
Thursday, October 24, 2019
Castle Family Resturant Stage
The HAIR that I think would best benefit the company is the Management Information System (MIS). A MIS provides information that organizations require to manage themselves efficiently and effectively. Management information systems are typically computer systems used for managing five primary components: 1 . ) Hardware, 2. ) Software, 3. Data (information for decision making), 4. ) Procedures (design, placement and documentation), and 5. ) People (individuals, groups, or organizations). Management information systems are distinct from other information systems, in that they are used to analyze and facilitate strategic and operational activities. (Wisped, 2013) The MIS system will allow all eight stores to be connected to your location that you work at. This will allow you to cut down the time you spend on the road away from the office and save on spending money on gas.The MIS will provide you with reports, current performance and let you access past information. It will also allow fo r better leaning, control and make important decisions without traveling to each store. The company will be able to maintain proper payroll information for each store via the internet, it will be an easier task because you will be able to access employees weekly work schedule without leaving the office. There will be software that will allow you to process the time sheets and send checks in a timely manner each pay period.With the MIS it will give you a transaction processing system, which records the routine transactions needed to conduct business, such as shipping, sales orders, and office automation systems, which are intended to increase productivity in the office for electronic mail and digital filing. Using the MIS will allow you to concentrate more on things that need to be completed from the office. This will cut down a significant amount of travel time to and from each restaurant. You will be able to stay at the main office more and communicate with managers and employee fr om every location through email.This will help with getting information on recruiting ideas, and hiring information on potential employees. Once the communication line is open through mail you will be able to determine how often you may actually have to physically make trips to the different locations. If there is ever a need for you to bring in additional help with office work this will be an easier transaction for them. The cost of the system may be costly but in the long run it will pay for itself by cutting down on travel time and gas cost.HAIR VENDOR CHOICE While looking for a vendor that would best suit the companies needs I have come across two that you can choose from to help with your business needs. I first went to Hearthstone(http://www. Gallium. Com/index. HTML) they give a detailed list of the information and systems they offer to small businesses. These items are: These items are: Heroics HAIR: database that will manage HER employee data from hire to end- of-employment . Import all data into an integrated system that will store, track, analyze, and generate reports and letters.Self-source: add on that managers can personal information and update online). Online Leave Request: online request that can be viewed and approved in a timely manner via the internet. Online project / time tracking: employees enter tidemark information and managers review and approve the time cards via the internet. Online Employment application, online Job requisition, HER portal, Heroics payroll interface. System support services such as Data Loading, Annual Maintenance and Support, Onsite Training, and System Implementation Support. Hearthstone) The second place I visited was Simple HER(http://www. Simpler. Ca/); this site offers easy instillation, quick setup, and no training. They also have Salary History and Benefits, Performance reviews and Training, Vacations, Attendance and sick leave, Health and Safety Records, HER Dashboards, Automated Reminders, Document Library , and Reports. ( HAIR ââ¬â HER system for small business) Hearthstone site does not offer a price right away, but there is a free 14 day trial. Simple HER says that the cost is $199.I know I was not able to access a price from Hearthstone, but I feel that Hearthstone might be the better of the two. It seems that there is more offered to the business than what Simple HER has to offer. Both web sites offer a free trial or a Demo. I recommend that you try them both to see what works best for you, once you make your decision make sure you check both sites to figure out which offers the most products for your money.
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