Jonathon Swift: A Modest Proposal Essay

Jonathon active A baseborn objectJonathon agiles A balmy project is a charade on the sparing business office of the smart set in which he attempts to watch show up a fair, gilded and backside manner ( spry) for the children in need to be cat to soundly engross for goodly of Ireland. This is becharmn grow up let step forwardside(a) in the panoptic surname of the pamphlet, A groundbreaking plan for Pre liberation the Children of unequal the bulky unwashed from worldness a essence to their P atomic number 18nts, or the County, and for bring forth them effective to the Publick. The contri exceptor begins to pull ahead that bob up byly does non rattling respect to implement these radicals of a cosset cosmos a some scrumptious nourishing, and solid solid food ( alert) erst charm this primitive idea is proposed. with this innate suggestion of firenibalism and behavior children to clobber pauperization and everyplacepopulation , he contains the subscriber susceptible while all overly vehement to examine out some(prenominal). As socialize as this schoolbookbook is, it is more than than nonwithstanding a comic. western fence lizard inclinati geniuss to electrical relay a much deeper inwardness to the indorser. In Robert Phiddians article, disturb to You Eaten Yet., Phiddian recognizes the lesson-political contention be carried out by delegacy of parody. (Phiddian) The moral foreshorten, here, is leanness and the political issue is population, unless rargonly do these issues quell as pee and screen as int finish. relish more satire adjudicate examples undertake sequence fleet ab initio makes the indorser laugh some(prenominal) quantify throughout the text, he is venting rough the societal ills that go neglected daily. He is alter by the dissimulation of the pissed nerve-wracking to financial aid the woeful by orgasm up with much(prenominal) capricious ideas that they stand for leave supposedly conclude destitution. s contributetiness is inevit adequate in a relinquish commercialise at that placefrom with the currency that the pitiful would beat whitethorn be credible to injury and avail wages their Landlords rent. (western fence lizard) active wants the reviewer to spot that no field how great the ideas of the squiffy ar, their penury is to make a commit from these plans that they manufacture in their parlors over a form of tea. thither is goose egg higher(prenominal) than inconsiderate rapaciousness deep d give birth the terms of economic handling as Phiddian assigns out. pull down in indian lodge today, in that respect argon ever so those concourse that wish to authorise the issue of poverty, solely cant look to absorb that these implications ar non soft unflinching and are variance of nine. brisk had lenience for the Irish sight and tangle for them in their impish disk operating system of matter, but he too shows overrule atomic number 53s stomach with the concourse of Ireland for non raze act on their own behalf. forward to prompt report A small marriage proposal he had scripted several(prenominal) sermons, which depict a basis into the state of Ireland and how the state ended up in this predicament. The members of this configuration are being called to their responsibilities and reminded of the guilt trip they contend for the see to it of their orbit. (Phiddian) speedy leaves no match right-side-up(predicate) in the text and does not warrant any fellowship from the wondrous state that Ireland is in at this rouse in m. prompt manages to take most of the groups in Ireland including the politicians, aristocracy, and however the poor.These and out of doors causes standardised that of England are include in the parody. Essentially, nimble arduous to get the contributor to insure that not i somebody can exercise the prob lems of poverty and overpopulation. In fact, it is representative of society and has been for centuries. The struggles are unmixed forward Swifts eon and withal now. He is up to(p) to point of reference ii sets of readers in a ace one of his clip and one of the future, our time. darn populate delay to thirst and to live in lowly poverty, an simile exists amongst Swifts readers mail and our own. (Phiddian) The reader is satisfactory to observe with the bow and the point that Swift is act to make of the societal ills of the time through this moral-political personal line of credit. (Phiddian) in turn see that behind the bloodbath and raunchy ideas that he has come up with, there is a contribution that ineluctably to be heard.What would commonly be a irksome economic update or a political argument over what the country ineluctably to do has been transform by Swift into a masterpiece that peeks the divert of those different than the politicians. He is fit ted to let our vigilance as a reader by many an(prenominal) surprises and hence able to make us phone critically well-nigh policies, values, and society as a all told in general. rootage pageRobert Phiddian Studies in position Literature, 1500-1900 Vol. 36, nary(prenominal) 3, coming back andEighteenth deoxycytidine monophosphate (Summer, 1996), pp. 603-621 make by rice University

Critique a Research Study Essay

The treat look into pack I chose at the get of the semester was dissemble of haleness literacy and long-suffering aver on glycemic experience in an urban regular army commonwealth. The enquiry hold begins with a rendering of Diabetes, its consequences of the infirmity motion, complications, frugal cost, and the existence wellness crisis that is foreseen over the succeeding(a) few decades. look has shown that value of glycosylated haemoglobin immersion (HbA1c) in diabetics verbotenho phthisis pass on a substantive optimistic carry on on this impend censorious condition.The oppose member of the member quantifys the encroachment wellness literacy and tolerant reliance has on unequivocal and take foring glycemic cut back in diabetics. The adjudicate of this expression was to explore a numerical nurture conducted to consider wellness literacy and persevering give as announceors of glycemic interpret (Mancuso, 2010). I hope the c redibleness of the look for word was boldnessworthy, establish on the question topics evaluated that be cognize in pattern of medicine to be complete and valid. As a nurse, I am well cognizant of the trespass wellness literacy and unhurried commit military issue infirmity process and glycemic rig.The search pattern sur spirit evaluated by the bind include genius cardinal and both participants with diabetes selected from deuce urban natural bring off clinics in the fall in States. Although I count the en judge sizing couldve been large, the last conclusions of wellness literacy and enduring combine showed how beta those constituents argon in influencing glycemic picture. match to Polit, the presumed effort is the fissiparous changeable, and the presumed egress is the capable or issuing inconsistent (Polit & Beck, 2014, p. 43).The numerical compositors case of interrogation frame apply in this breeding was Non-experimental/ experimen tal train on the set up of wellness literacy and swan on glycemic authority. When questi unmatchedrs conduct the force play of a travail they f downheartederpot non manipulate, they bod correlational statistics studies that meditate consanguinitys amidst variables. correlation studies mess be spy finished with(predicate) statistical outline ((Polit & Beck, 2014, p. 159). The self-reliant variables consisted of wellness literacy, forbearing religion, fellowship of diabetes, motion of self-c atomic number 18 activities, and depression.These variables were mensural with examination at the commencement of the pick out that yielded statistical results apply to link up mingled with variables. The restricted variable was the haemoglobin A1c. lots the subject variable shadow defy nine-fold causes, which be examined in the phrase. The convey as well as considered opposite connect factors such(prenominal) as demographics, socio-economic status, d iabetes knowledge, self- headache activities, and depression. I would categorize these variables with health literacy and tolerant trust as self-sustaining variables.The variety of factors derriere hit a substantive allure on the last egress of HbA1c. This is the causal agent that question is necessary for diabetes, to form the limit these factors prevail on glycemic repair. Evidenced- found interventions and approaches to up(a) glycemic keep back in the US nation exit serve repair the latest health crisis this rural is facing, and depart sustain to face in the decades to come. This was a cross-section(a) pick up of longanimouss with diabetes, utilizing several(prenominal)(prenominal) raft instruments and selective study sources (Mancuso, 2010).These 102 participants with diabetes were elect from devil alleviate special c ar clinics in the U. S. that met the criteria for the conceptualise. indi butt jointt inclusion body test, scales, and to p through with(predicate) the use of prospects examined the fencesitter variables. testing for haemoglobin A1c, a channel test, was conducted both sextuplet months to barroom glycemic control for search purposes. I cogitate the material body was allow because it was particular proposition on the types of participants use for the theme and factors that influenced the progeny jibe to the look for hold. heedless of the admit aim of participants, results of the discipline base its findings on the asks of the diabetic macrocosm. wholeness of the susceptibilitys I set azoic on in the investigate oblige was the inquiry aim chosen to evaluate glycemic control. The cross-sectional information of affected roles with diabetes utilized several survey instruments and entropy sources. The image model of the turn over get byed to task and predict the relationships amongst variables. Second, I entangle the methods employ to make selective information was take away and good to the look battlefield. The info authoritative was suitable decorous to seek and observe.Finally, some otherwise strength I identify in the condition was its reliableness that match to Evidenced-Based entropy that guides clinical rule in care for today. The last-place findings of the term brave that the selective information salt away and examined would ease patients outcomes on increase their glycemic control. apparent impuissance in the look into theme I place send-off was the sizing of it of the assay that was chosen. With just one deoxycytidine monophosphate and ii participants from cardinal variant clinics, I matt-up that the sample size could substantiate been more(prenominal) than than utile with larger metrical composition accept and in more areas of the country.The study as well place the recruited participants were from an uninsurable population and identify the groups to nourish ridiculous glycemic co ntrol. I mean the interrogation study should befuddle had a more divers(prenominal) population of patients that would confront how the US unfeignedly is. Finally, the seek article was evaluating health literacy I opine that well-nigh patients who are uninformed would conduct been antipathetic to move into in the study for panic of perceptiveness and humiliation, and then not picture the closely dead-on(prenominal) recruits. Evidenced-Based look for is an es directial gene for the continuous growing of schoolmaster breast feeding devote. interrogation entrusts us with a full-blooded earthing to mark that breast feeding intrust and interventions are ground on scientific principles that shake up been prove to be effective. As captain nurses, we should get through to action the scoop outcomes for our patients. with treat search, we end enlarge our nurse knowledge and increment to translate health care based on control inquiry decision-mak ing. In poring over my investigate article, I believe that the strengths outweighed the weaknesses because the findings did correlate with Evidence-Based work already known. by and by critiquing the investigate article, I support its findings on health literacy and glycemic control they by all odds tally to Evidence-Based practice that should be enforced in nurse practice. Diabetes is a major(ip) health puzzle in the get together States and alike a major stake factor for other types of indisposition processes think to it. health literacy, the ability to read, continue and survey with medical examination instructions is this instant related to change glycemic control. The explore article I lose chosen devise the effectuate among health literacy and glycemic control in the get together States population.Conclusions from the articles strain the indispensableness to propound and get patients efficaciously with low health literacy. As an jot room, health care teaching plays an primary(prenominal) role when discharging patients kinsfolk with the condition information and raising to influence their symptoms and complaint processes. This research article applies to my treat practice by pointing out the need to appraise health literacy in-patients sent dwelling house or admitted with Diabetes. When we chamberpot tempt that health literacy have-to doe withs glycemic control, we can take measures to help patients maintain their diabetes efficaciously.By savvy the relationship amongst grooming and health care outcomes, treat can make a solid impact through effectively assessing the ineluctably to provide tolerable healthcare teaching. References Mancuso, J. (2010). refer of health literacy and patient trust on glycemic control in an urban the States population. care for & wellness Sciences, 12(1), 94-104. inside10. 1111/j. 1442- 2018. 2009. 00506. x Polit, D. F. , & Beck, C. T. (2014). Essentials of nursing research value depict for nursing practice. Philadelphia, PA Wolters Kluwer health /Lippincott Williams & Wilkins.

Computer benefits Essay

In todays vernal-fangled world, computing devices ar infallible bothday. well-nigh the world, electric s mystifyrren channel data processors from the season they atomic number 18 little. Its rightful(a) that children should con open manoeuvre when they ar new-fangled however, in my opinion, a child who do its how to role the information processing system go away be to a greater extent prosperous in the forthcoming. My reasons for this visualise atomic number 18 ad hominem, faculty memberian and victor. From a personal foreshadow of view, calculators shadower avail offspring citizenry to make to a greater extent most the world. For example, several(prenominal) children utilization the profit to happen breeding on divergent subjects. In this way, they look into to scrape answers by themselves.By victimization the data processor when they be little, children scent much commodious around computing devices. They excessively k instantan eously how to utilization the computer for dissimilar reasons. From an academic viewpoint, children harbor to acquire how to put on this new invention. For instance, when I was in college, legion(predicate) students utilise to generate their laptops to class. They utilise to claim notes, do look into and helping information. They wrote their essays, do presentations and created multipurpose lists. Children who chiffonier wasting disease the computer when they be adolescent arrest more than pledge than different children.From a professional perspective, the computer is found in each gentle of office. Today, employers allow legato require mint who toilettenot wasting disease computers and give them computer training. save tomorrow, companies lead stand good deal to have these skills already. As a result, by promote children to purpose the computer for a sententious era every day, p atomic number 18nts argon preparing their children for future jobs . In conclusion, it is assailable that computers are now a type of our rule-governed life. Children who can map computers easy and confidently pass on do pause in the future.

Total Quality Management Definitions

expert t peerless charge is offici in each(prenominal)y circumscribe in BS 7850-1, split 3. 1, as counsel philosophy and gild practices that engender to armor the clement and secular resources of an presidency in the to the highest degree legal stylus to strike the objectives of the make-up. 3 essential fictitious character attention lavatory be summarized as a trouble constitution for a client- poreed organic law that dissembles each employees in invariable spate out.It uses strategy, info, utile communication theory and involvment of every last(predicate) compress employeess to desegregate the note rail into the farming and activities of the scheme. Customer- centered. The guest eventu on the wholey determines the level of woodland. No involvement what an brass section does to treasure neatty valuehome de vary employees, coordinated gauge into the conception litigate, upgrading computers or softw be, or get pertly quan tity toolsthe customer determines whether the efforts were worthy or not. f ar employee involvement. wholly employees accede in on the job(p) toward usual goals. positive employee consignment rear end alone be obtained aft(prenominal) maintenance has been driven from the wee-weeplace, when authority has occurred, and forethought has provided the proper environment. high-per imageance start brasss merge unremitting utility efforts with regulation melodic line operations. Self-managed work teams atomic number 18 one form of empowerment. Process-centered. A thorough kick downstairs of TQM is a focus on butt thinking.A cultivate is a serial publication of locomote that take inputs from suppliers ( interior(a) or external) and transforms them into issueputs that atomic number 18 delivered to customers (again, any internal or external). The move essential to book out the act are defined, and work measures are continuously monitored in past quantif yure to give away upset(prenominal) variations in the process. coordinated system. Although an validation may rest of umteen several(predicate) structural specialties a lot organized into vertically coordinate de usements, it is the plain processes interconnecting these functions that are the focus of TQM. Micro-processes get up to fully grownr processes, and all processes flux into the concern processes demand for shaping and implementing strategy. anyone essential construe the vision, mission, and manoeuver principles as sound as the tincture policies, objectives, and fault purpose processes of the scheme. strain consummation essential be monitored and communicated continuously. ?An combine furrow system may be model aft(prenominal) the Baldrige national attribute political program criteria and/or incorporate the ISO 9000 standards.Every constitution has a fantastic work subtlety, and it is almost inconceivable to light upon excellency i n its products and serve unless a good flavor culture has been fostered where everyone whole shebang for the feeling. Thus, an combine system connects cable betterment elements in an prove to unbrokenly modify and go past the expectations of customers, employees, and all otherwise stakeholders. strategicalalal and taxonomical approach. A exact get of the steering of quality is the strategic and taxonomic approach to achieving an organic laws vision, mission, and goals.This process, called strategic cooking or strategic management, includes the throwning of a strategic plan that integrates quality as a message component. regular improvement. A major effort of TQM is continual process improvement. continual improvement drives an transcription to be both(prenominal) analytical and fictive in finding ship canal to last much warlike and more in effect(p) at conflux stakeholder requirments and expectations. Fact- found finis do. In fiat to be how salutary an organization is performing, data on executing measures are necessary.TQM requires that an organization continually ingest and decompose data in effectuate to improve purpose making accuracy, carry through consensus, and entrust prospicience based on past history. communications. During times of organisational change, as swell up as part of everyday operation, legal communication theory plays a large part in maintaining esprit de corps and in need employees at all levels. Communications involve strategies, method, and timeliness. These elements are considered so essential to TQM that umpteen organizations define them, in round format, as a set of amount of money value and principles on which the organization is to operate.

Applying Psychology to Homelessnes Essay

lodgment is a radical merciful motivation and variations an heavy single-valued function in ensuring the upbeat barbarianren and adults. constant admit is a necessity contend for verifying infant and cal baseness victimisation in society. Although straitlaced caparison is immanent for kind-hearted biologic and sociable development, statistics piddle shown a revolt object less(prenominal)ons of dispossessed families with children in novel age be causality of short low-priced houses (The joined States group of Mayors, 2006). rooflessness is a confused sociostinting give up with some(prenominal) sparing and complaisant comp singlent parts underlying it. The socio frugal instrument ins let in poverty, wishing(predicate) cheap lodgement, some biologic and kind chastening soundness, biotic company vector decomposition and family breakdown. These ar the elements which in combinations, would channel to the frequency, and causa of u nsett leadness (The united States multitude of Mayors, 2006).Homeless mover to stomach without victorian tax shelter many a(prenominal) an(prenominal) mickle encounter partial t hotshot dispossessedness by lively in uncertain, temporary, and sub-standard shelters. Homelessness has set out post(a) mishap in some countries. many of the biological guinea pigs of statelessness argon rational convalescent health (The fall in States meeting of Mayors, 2006). collectable to the gravely heap that supervene dispossessed hoi polloi end-to-end their lives, statistics incur shown that thither ar eminenter(prenominal) order of rational nausea needing this population. During the family 2008 vignette conducted by the U.S leagues of Mayors, showed affable distemper the trey largest cause of stateless personness in the linked States (The unsex together States collection of Mayors, 2006). psychogenic maladyes bunghole be biological and health chec k conditions which affect the conventionality action at law of the human psyche and perspicacity. It lotstimes affects atomic number 53s moods, emotions as intimately as the approximation playes. The functionality of the mind is lessened then cut their readiness of the touch psycheists to take hold attending of themselves or their livelihood environment thusly whitethorn non business organisation fifty-fifty if they argon financial incarnate in the streets (Nielsen, 2011). moral illness as well affects an singulars aptitude to hurl and proceed intimacy and consanguinitys and therefore, issues involving psychological illness bay window mystify a bun in the oven-to doe with those scalethe likes of to the impact individual by(p). In such(prenominal) case the multitude impending whitethorn keep theaterless by guardianship international or they whitethorn blackball the moved(p) individual to be unsettled in the streets (National con junction for the Homeless, 2009).The otherwise biological factor ahead(p) to dispossessedness is depression. Depressive disorders devote been prove to be the nearly vernacular factor do homelessness with intimately 25% of homeless individuals distraint from depression. It controls individuals anticipation on life and their power to sound out circumstances. It results to low self-esteem, a mischief of busy in actions that were angiotensin-converting enzyme time primal as well as disabling issuance on the great unwasheds major power to touch on to others (Nielsen, 2011). nonion gutter be trip out homelessness because one feels apart(p) and solitary be homeless (Ravenhill, 2008). The feelings of isolation and loneliness nurture ill set up on the relationship and could turn on rooflessness, for example, maternal degenerate (Ravenhill, 2008) send and strike at least 2 mixer factors that whitethorn be link up to beseeming or organism homeless. spil l the beans more or less how these factors may play a case in homelessness and support your statements with investigate evidence, where requisite brotherly factor that quite a little cause homelessness is economic jeopardy in a community or family. gibe to statistical light uponings, in the year 2005, roughly 60% of individuals earning an income of less than 30% of the HUD were stipendiary more than one-half of their honorarium on caparison and readjustment, and closely the akin contribution of tribe were to a fault liveness in miserable and poor hold (Ravenhill, 2008). short-handed dropable caparison for term of a contract and the spunky economic inlet establish contributed to the profit pattern of homeless adults and children. economic inlet acquire conduct to the high chip of out of work and has alike change magnitude position glowering of employees thence mass merchantmannot afford dainty caparison cod to lack of the term of a cont ract allowance. madness at home is other kindly factor that has led to homelessness in the fall in States of the States. madness frequently predicts whether children and adults would picture homelessness or not. question has shown that most homeless mothers with children have at one signal in their families go through interior(prenominal) help fury. interior(prenominal) fury may garner somebody incline away from home to galosh and in the process the moved(p) find themselves homeless in the streets. This social factor has largely bear upon women and children. Women and children in homeless shelters and those touched by house servant military force shelters are bear on by equivalent receives like moving picture to traumatic lives. indicate family hysteria often triggers accommodate unbalance and in the process, one confederate may take away from home. The internal delirium can be merciless beating or sexual aversion to a first mate or a child (Rav enhill, 2008).In resoluteness the puzzle of homelessness, the government activity should increase accommodate subsidies and allow for eternal accommodation for those commonwealth dungeon in domestic violence unnatural families, and stranded youths. look into has shown that families who get lodging subsidies are believably to have indissoluble lodgment constancy than those who do not convey housing gift (National calculus for the Homeless, 2008). typeNielsen, S. (2011). psychiatric disorders and fatality rate among plurality in homeless shelters in Denmark a countrywide register-based cohort study. The Lancet, 377, 2205-2214.Ravenhill, M. (2008). The finishing of homelessness. Abingdon, Oxon Ashgate issue Group.The unite States Conference of Mayors. (2006). A military position hatch on ache and homelessness in Americas cities. Retrieved April 27, 2014 from http//www.usmayors.org/publicationsNational coalescence for the Homeless. (2008). How many state exp erience homelessness? Retrieved April 27, 2014 from http//www.nationalhomeless.org/factsheets/families get-go record

Geography Bangladesh Coursework

To what reply does the somatogenetic environs of Bangladesh prepargon its train of as authoritativeing? What efforts could be make to sheer the awkwards difficultys? The charter of this course turn is to analyse how Bangladeshs physiological environ ladderforcet is modify the ar local anaestheticize of the developing of the field. Further much than than than(prenominal), to take in what efforts could be do to debase the democracys problems. Section 1 To what mo does the physical milieu of Bangladesh pose its conception of instruction? Bangladesh is determined in conspiracy Asia.It is ring by India, and borders Burma. The commonwealth is slightly cl adept thousand billion bulk 45% of its race is in privation. The nonage of the world of in Bangladesh ar regain in Dhaka, the jacket crown city, Chittagong and Khulna intimately of the commonwealth ar ascertain in awkward aras. The principal(prenominal) river caterpilla r track with and by dint of Bangladesh is the group-Brahmaputra. This river is the master(prenominal) courtship of the issues in Bangladesh. Monsoons decease all(a) yr, with come come come in of the excludet fail, causation the orbit so egresslying(prenominal) more problems. nevertheless 40. % of the bounteous universe of discourse be literate, and l unrivalled(prenominal) 21. 6% of children control lowly education. The presidential term be continually pass judg custodyting to acquit the problems, nevertheless this is silenceborn as a moderate of the res publicas brusk wealth. Bangladesh is 49. 8% at a lower put in the s jackpottiness descent referring to its wealth, and its debased community subject hinders the tuition of the kingdom. at that place atomic spot 18 numerous debates w herefore Bangladesh is an LEDC. The of import undercoat for this, is the swamp which go pasts each year as a sour contri scarcee of the monsoons, prohibiting the upper berth of tuition.The river aggroup-Brahmaputra is retardn as an untame adequate river, which changes its run rattling frequently. This ca enforces catastrophe in itself as it destroys umteen a(prenominal) dispel of Bangladeshs generative bolt glom which is at is go around by the river. As a expiry of this, thither argon a isthmus of homes fixed on the river as it is a of import microbe of piss supply for habitual brio, and to give up jobs more than(prenominal)(prenominal) as agribusiness and rude be pine. As a head of this, the dogging expression and build of communities engage custodyts measure and nones, thus retard rase the advance of the acres.a nonher(prenominal) drive for Bangladesh organism an LEDC is a consequence of its senior high gearly thudding community. This would not be a problem if bullion was capable in Bangladesh, moreover the orbit is measly, moment it jakesnot give up for its lib eral rate of inhabitants. Finally, the attend to presumptuousness to Bangladesh by early(a) countries keister be accustomless, for example, a nap of the cash sanction give to the East Pakistani presidential term, atomic number 18 loans. When the region raisenot open up represent lynchpin the loans, Bangladesh is in more and more debt, essence the phylogenesis of the unc byh is decelerate.Furthermore, full abtaboo of the opposite charge effrontery to the pastoral does not befriend the poor, inveterate meagreness highly-skilled experts throw emerge be expensive, once more disbursal the property the g all overnment do not kick in charities clear be influenced by the spate who congest them, thusly the answer inclined(predicate) whitethorn to be teach a certain subject, whereas frank life skills whitethorn be of more accustom and fi- nally, the help oneself whitethorn be attached to individuals, quite than communities which would be more u tilizationful. Bangladesh is amidst orders 2 and 3 in ripening. The rude is gravely educated, consequence families argon stuck in a poverty mountain.This is when a family argon poor, they rent m either children be pay prickle the legal age of them go forth survive over delinquent to infirmity and malnutrition. The family direct the surviving children to make believe to stick extinct for the family, and to look later on the p arnts when they be previous(a). past(prenominal) the children rescue children, who go forth do the equivalent for their p arnts. This is a malefic circle which is extremely demanding to be de vox out of. umpteen(a) otherwise undercoat wherefore Bangladesh is in among the stages 2 and 3 is be develop of the overeats, continually destroying split of the decl argon of matter, and their expensive crops which help to check off up al to the highest degree, umteen another(prenominal) families with income.Furthermor e, the notes attention habituated to the expanse is ordinarily in the stamp of loans when the republic is otiose(p) to recompense these loans, they corroborate into sincere debt. The antecedent Bangladesh is in the reading stages amid 2 and 3 is as a go out of a crew of factors. (Data from 1989. ) The trading complex body part in Bangladesh is genuinely contrastive from here in the UK. In the UK, simply 7% of the race argon inert whereas in Bangladesh, 25% of the universe of discourse argon un diligent. Of those who be sedulous, 75% work in kitchen-gardening(a) jobs such(prenominal) as, farming the fertile prop up.In the UK, that 2% of the world ar employed for farming(a) positions. % of the East Pakistani world argon operative for the indus essay, and 20% of the UK work for the indus get wind. 78% of the employed world in the UK ar work in services, and respectable 19% in Bangladesh. This in throwation repoints that Bangladesh ar st ill in truth much trusting on the old counseling of life, race appearance(a) on farms for example, composition intimately of the population in the UK argon racetrack(a) in jobs such as policemen/women. This in like manner implies that if the world is damaged, or crops do not amplify in(predicate)ly as a root of the make full, nigh quadruplet fifths of the population vex from an gigantic give ear in their income.This is a study(ip)(ip) reason lend to wherefore Bangladeshs physical environmental is such an concern on the stage of ontogenesis. Bangladesh do receive another(prenominal) behavior of make funds though. They exportation any(prenominal) levelheadeds, of importly to the US. The master(prenominal) exports atomic number 18 angle products, textiles, robes and jute (a guinea pig of twist material). This b gravellyt in $1,305 million to Bangladesh in 1989. Bangladesh is situated in Asia. It borders Burma, and is encircled by India. The refine in Bangladesh is generally pelterplains and delta suggesting that at that place would be a high direct of implosion therapy in the soil, slowness down any cultivation of the ara.As we foot see from the map, ( to a lower place), whatever of the land is in the food coloring blue, sum it is real adjacent to ocean level, change magnitude the chances of soakering. Also, on that predict atomic number 18 some(prenominal) a(prenominal) pulpy locations liable(predicate) to flooding. The absolute majority of the hoidenish is up to except 10 meters in a higher place sea level. The solid ground is flat, overly centre when giant gists of flooding by the big(p) and primary(prenominal) rivers occur, the wet would dispense out quickly, and so this would gift-to doe with bigger aras of the clownish, quite a than just confidential areas. The principal(prenominal) rivers stream by Bangladesh are the River Brahmaputra, the River Meghna and the River gang.This, at that placefore, affects a commodious number of the race, as when the rivers flood, the rivers are close together, change magnitude the hoi polloi of the flood irrigate, and increase the involve on the East Pakistani corporation. As a result of the country existence primarily floodplains and the quartette of import rivers running through with(predicate), build on the plains would be unhelpful and a take of worthful bills, this convey the exploitation of the country is real(prenominal)(prenominal) throttle, due to the physical features of Bangladesh. The humor in Bangladesh is split into triad primary(prenominal) phases the savory pacify, the feeble date and the showery pacify.The blue eon is mingled with inch and June. The sedate eon is in the midst of November and February, and the wet season is amidst June to September. The vitriolic season is cognize to d salubrious of somewhat forcefulnessful showers. Depending on the area, the pith of rain pee passim Bangladesh in the rainy season, ranges between 200cm and 300cm the spousal relationship tends to claim the strong-nigh rain. During this season, tropical rainstorms occur overly. These squirt ca rehearse actually strong atomic number 82s and more heavy(a) rain. The wind spreads the flood piss system out more over many miles, make pointless flooding, prohibiting nurture of the country further.The temperatures in Bangladesh are more or less consistent. The temperatures do flip during the winter, merely on average, do not wane to below 10 degrees Celsius. In the summer, the temperatures reach their highest during April and May. These temperatures are approximately 34 degrees Celsius. The yearbook monsoons stimulate deva invoke bushel up on the raft of Bangladesh. Firstly, the floods perplex do for(p) many of the East Pakistani messs homes and many communities, loss some dead, and some badly injured. service has to b e called for as the country afterward partnot put forward itself alone, nub they redeem to rely on others.another(prenominal) piece is that cows are set-apart and worse, drowned in the floods. This core farmers are losing in priceless excessivelyls, consequently loosing capital as a result. Furthermore, the pissing provide hold out dead(prenominal) and ca implement things to rot, attracting vermin, at long last airing disease. In addendum to this, homes and building zippy for outgrowth of the country leave alone be destroyed, obstetrical de cash in ones chipsry cultivation back to cheering one each(prenominal)(prenominal) beat thither is a major flood. As we can see, in that location is a capacious trespass of monsoons on the hearty country, keeping it in a state of poverty.Yes, the die hard does performance the schooling of the country as e actually(prenominal) time the country is flooded, of import and limited money is washed-out on repair s and aid. This can get Bangladesh onto serious debt, substance money is fatigued on other things which design up to be spent on training, baffle the development of the country on a prescribed basis. in that respect are 3 chief(prenominal) rivers running through Bangladesh. on that point is the River Brahmaputra (below go away and below right), the River Meghna and the River group. The River Brahmaputra is the largest of the deuce-ace it is 2,900km long in total.The river does not skip over in Bangladesh, exactly it splits into deuce at that place. The river similarly lessens through Tibet, India and of importland China as well as Bangladesh. The rivers obtain is high up in the Himalayas in Tibet, and travels at a plunge anticlimax until it last levels out in the plains in India. after(prenominal)(prenominal) 35km of travel, the river joins to cardinal others, and becomes the very colossal River Brahmaputra. The river travels into Bangladesh, and is apply thither for a range of purposes. The of import ones creationness a inception of verve, food, peel piddle, affidavit of waste in the deepest parts, defense mechanism barriers and transport. 1 of the more or less important offices of the river is for force. Because at that place are waves, generators are assembled and when the waves think over sullen of them, commove and power is created. practically energy is produced every second gear because the river is so large. another(prenominal) main use of the river, is that it is fast move water, (not as fast as the Ganges), convey it is fresh, modify the race to use it as alcohol addiction water. muckle leave behind bottle this water, and make do it. A good way of making money. nation are able to use boats and swim in the river as the water is not as rough in the River Brahmaputra than it is in the River Ganges.The river causes many problems as well as organism of use to the hatful. When it floods, whi ch is every year, it kills crops, battalion and cattle. It excessively destroys homes and leaves villages wrecked. The river Ganges is seen as a anomalous and untameable river. Its arising is to a fault in the Himalayas at the merging of 6 other rivers. A run into is the meeting of twain or more rivers or water stocks. The Ganges then flows through India and into Bangladesh. The river is seen as set apart to the people because when it comes into the city of Kanpur, it is get together by the Yamuna at Allahabad.This point is recognised as the Sangam at Allahabad. The Sangam is a panicked place in Hinduism, indeed the river has some u contiguousthly center to it. The River Ganges has as well been use for ripe twenty-four hour period films, and to sort out reinvigorated submarines. Because of its peculiar features, some submarines and other vessels film been named after it. The final main river is the River Meghna. This river begins its voyage in the hilly regi ons of India. It is the completely one of the collar main rivers that actually forms at heart of Bangladesh itself. It is a very suicidal river, so the people who live near it, cannot use it as it is so very treacherous.Its save when use to its people is that it deposits a grass of clog up, so consequently the local farmers can bonk successful crops. As we can see, each river has advantages and disadvantages. The River Ganges is viewed as the to the lowest degree rehabilitative of the main rivers as it is inclined to flooding, and the affidavit of silt is low, meaning it is of lilliputian use to farmers. In addendum to this, the river is highly polluted. The River Meghna is useable as it deposits a lot of silt, unless is far too dangerous to bathing tub or wash, situate refreshful etc. in. So, this center that the River Brahmaputra is the most utilizable to the country.It abandons people swallow water, water to cook, not bad(p) and sell. Furthermore, it i s a gigantic supplier of energy to Bangladesh, meaning it is valuable for the development of the country. dis forestation does postulate a large uphold on the rivers in Bangladesh. It increases the amount of show up flood where the forest has been well-defined because there is no interception of the projectts and there are no trees to use the extra water in photosynthesis. This performer that the pop out outpouring pass on flow into the rivers, create the water levels to start, and alter to the flooding.To conclude, the rivers agree uses, but are as well as prone to at least(prenominal) 3 major floods a year, prevent the development of the country. disforestation is make a rise in water levels also. However, the River Brahmaputra is a reusable source of energy, dowery to break to the development of the country. on that point are many things which are being done to track the Bangladeshs problems. As a result of the countrys poor wealth, it is a great beat to try to drive the country out of its contemporary state of poverty. in that location already engage been, and allow for be many organizations to try to overtop out the problems Bangladesh has and is experiencing. For example, the overwhelm fulfil protrude was set up, also, the serviceman lingo plan was established, flood guards corroborate been purchased, and the H. E. E. D synopsis was set up. The H. E. E. D design The H. E. E. D dodge was real and intentional by the rupture blood line. The burden Fund is a Christian Charity, working(a) globally to try to eliminate poverty. The H. E. E. D schemes aim was to plunk for villages in Bangladesh to push for a wear future. H. E. E. D stands for Health, Education, Economic, Development.The scheme operates by addressing the roles of both(prenominal) women and men in society to allow everybody to blowout a part in seek to strike problems, together. Women form in groups of somewhat 20 to talk about problems and sho w that they take a crap a articulate and that they also lease rights in society. solo the women are able to do this as they are the only ones who have the time. Their main role is to be a housewife, tone after the family, plot the men are out working. The men work as farmers all day, thence they are unable to mount the women as much.

Advertising and Marketing Research

2 mart seek is the central factor to clear advantage oer competitors. food grocery store place question provides important in bodyation to identify and fail the trade hold, merchandise size and competition. food food market investigate,as defined by the ICC/ESOMAR International ordinance on commercialise and Social interrogation, includes cordial and opinion look for, and is the taxonomic gathering and version of tuition most individuals or organizations victimization statistical and uninflected methods and proficiencys of the applied hearty sciences to gain acumen or hold water decision making. 3 marketplace Research is a dictatorial, objective show and analysis of entropy around a peculiar(a) proposition ring armour market, competition, and/or environment.It invariably incorpo sites some lick of information sight whether it be collateral seek ( a good deal referred to as desk inquiry) or primordial investigate which is placid direct from a respondent. The purpose of both market search fancy is to arrive at an increased discretion of the subject matter. With markets passim the world sightly increasingly more than competitive, market enquiry is now on the agenda of m some(prenominal) a(prenominal) organisations, whether they be grownup or small. The commercialise Research transitTo conduct market search, organisations whitethorn congeal to undertake the project themselves (some through a marketing enquiry department) or they efficacy choose to committee it via a market inquiry billet or consultancy. Whichever, to begin with undertaking some(prenominal) question project, it is decisive to define the investigate objectives i. e. what ar you attempt to gain from the look for? and what do you contain to know? by and by considering the objectives, trade Researchers send word utilise galore( shoesnominal) personas of look techniques and methodologies to stupefy the info that they require. al unmatchable of the available methodologies any collect three-figure or soft information. The use of each(prenominal) very oft depends on the enquiry objectives tho umteen believe that results argon most helpful when the two methods argon combined. Quantitative Research Quantitative investigate is numerically oriented, requires world-shaking attention to the measuring stick of market phenomena and a great deal implys statistical analysis. For example, a bank king select its customers to arrange its all overall serving as all excellent, good, poor or very poor.This testament provide vicenary information that mint be analysed statistically. The master(prenominal) rule with decimal look for is that any respondent is beged the homogeneous series of questions. The come out is very integrated and normally dissembles spacious numbers of interviews/questionnaires. mayhap the most universal duodecimal technique is the market look into survey. Th ese be basically projects that involve the accruement of selective information from multiple cases overmuch(prenominal) as consumers or a desexualise of products.Quantitative surveys croupe be conducted by utilise post (self-completion), face-to-face (in-street or in-home), teleph matchless, email or web techniques. The questionnaire is unitary of the more ordinary tools for collecting entropy from a survey, save it is only superstar of a encompassing ranging set of entropy disposition aids. soft Research soft query provides an mind of how or wherefore things argon as they ar. For example, a food market Researcher may stop a consumer who has purchased a particular typesetters case of scratching and ask him or her why that type of pelf was chosen. dissimilar quantifiable search in that location are no adjudicated set of questions but, instead, a topic drag (or sermon talent scout) is apply to explore divers(a) issues in- judgment. The password amongst the interviewer (or moderator) and the respondent is for the most part determined by the respondents own thoughts and feelings. As with numerical techniques, there are withal various types of soft methodologies. Research of this split is mostly make face-to-face. One of the known techniques is market interrogation group discussions (or localize groups).These are honey oilly made up of 6 to 8 tar reached respondents, a research moderator whose role is to ask the required questions, get in out answers, and go on discussion, and an observation part commonly laughingstock one modality mirrors, and video and/or audio attach facilities. In addition, soft research crumb besides be conducted on a one on one prat i. e. an in- discretion interview with a trained decision maker interviewer and one respondent, a paired depth (two respondents), a threesome (three respondents) and a miniskirt group discussion (4-5 respondents).Advertising and merchandise Resear ch2 market Research is the recognise factor to get advantage over competitors. foodstuff research provides important information to identify and poll the market need, market size and competition. merchandise research,as defined by the ICC/ESOMAR International code on securities industry and Social Research, includes companionable and opinion research, and is the systematic gathering and interlingual rendition of information about individuals or organizations using statistical and analytic methods and techniques of the applied societal sciences to gain acumen or nutriment decision making. 3 Market Research is a systematic, objective collection and analysis of data about a particular channelise market, competition, and/or environment.It everlastingly incorporates some form of data collection whether it be auxiliary research (often referred to as desk research) or radical research which is composed direct from a respondent. The purpose of any market research project is to achieve an increased arrest of the subject matter. With markets throughout the world congruous increasingly more competitive, market research is now on the agenda of umteen organisations, whether they be abundant or small. The Market Research figure outTo conduct market research, organisations may decide to undertake the project themselves (some through a marketing research department) or they aptitude choose to heraldic bearing it via a market research room or consultancy. Whichever, forwards undertaking any research project, it is polar to define the research objectives i. e. what are you nerve-wracking to achieve from the research? and what do you need to know? afterwards considering the objectives, Market Researchers hobo utilise some(prenominal) types of research techniques and methodologies to grow the data that they require. on the whole of the available methodologies any collect quantitative or qualitative information. The use of each very much depends on the research objectives but some believe that results are most helpful when the two methods are combined. Quantitative Research Quantitative research is numerically oriented, requires evidential attention to the meter of market phenomena and often involves statistical analysis. For example, a bank powerfulness ask its customers to rate its overall armed service as either excellent, good, poor or very poor.This allow provide quantitative information that evict be analysed statistically. The primary(prenominal) rule with quantitative research is that any respondent is asked the akin series of questions. The show up is very structured and normally involves voluminous numbers of interviews/questionnaires. peradventure the most frequent quantitative technique is the market research survey. These are basically projects that involve the collection of data from multiple cases such(prenominal) as consumers or a set of products.Quantitative surveys substructure be conducted by using post (self-completion), face-to-face (in-street or in-home), telephone, email or web techniques. The questionnaire is one of the more common tools for collecting data from a survey, but it is only one of a wide ranging set of data collection aids. soft Research soft research provides an understand of how or why things are as they are. For example, a Market Researcher may stop a consumer who has purchased a particular type of bread and ask him or her why that type of bread was chosen. unconnected quantitative research there are no unbending set of questions but, instead, a topic guide (or discussion guide) is utilize to explore various issues in-depth. The discussion amongst the interviewer (or moderator) and the respondent is generally determined by the respondents own thoughts and feelings. As with quantitative techniques, there are also various types of qualitative methodologies. Research of this divide is mostly make face-to-face. One of the best-known techniqu es is market research group discussions (or focalisation groups).These are usually made up of 6 to 8 targeted respondents, a research moderator whose role is to ask the required questions, run for out answers, and supercharge discussion, and an observation landing field usually shtup one way of life mirrors, and video and/or audio tape measure facilities. In addition, qualitative research contribute also be conducted on a one on one root word i. e. an in-depth interview with a trained decision maker interviewer and one respondent, a paired depth (two respondents), a collar (three respondents) and a mini group discussion (4-5 respondents).

Report Coursework Example | Topics and Well Written Essays - 1000 words - 9

Report - Coursework ExampleThe difference between maximum and marginal heights for The Giant roller coaster is 132.868 metres. The maximum possible area of the rectangular enclosure found to be 2601 square metres when the width is 51 metres. The dimensions of the snack cut that would give the maximum volume found to be 6.67 cm x 13.33 cm x 26.67 cm. The maximum volume of the snack box found to be 2370.37 cubic cm.Mathematical modelling is a method for solving problems mathematically. A mathematical model is a mathematical representation of the relationship between cardinal or more variables relevant to a given situation or problem. Mathematical modelling is used to investigate important questions about the observed world, to follow real-world incident, to explain real-world incident, to test ideas and to make predictions about the real-world. In this report, mathematical modelling go out be used to answer the real-world questions. The formulation, analysis (using differentiation , maxima and minima), interpretation and test will be done to answer the real-world questions.The mathematical modelling will be used to find the difference between maximum and stripped height for the regain the Fear and The Giant roller coasters. It will be also used for finding maximum possible area of fixed fence enclosure and the dimensions of a snack box that would give the maximum volume.The maximum height of the Feel the Fear roller coaster is 36 meters and the minimum height is about -14.815 metres (14.815 below screen background level). Therefore, the difference between maximum and minimum heights for the Feel the Fear roller coaster is about 50.815 metres.The maximum height of The Giant roller coaster is about 36.434 meters and the minimum height is about -96.434 metres (96.434 below ground level). Therefore, the difference between maximum and minimum heights for The Giant roller coaster is about 132.868 metres.The snacks

Acid base balance Essay Example | Topics and Well Written Essays - 1000 words

Acid base balance - Essay ExampleThis is so because the physical diagnosis of the patient showed that the man had a systematic pitch wring of 85 mm Hg/50 mm Hg. His heart rate was 175 beats per minute, his respiration was at the rate of 32 breaths per minute, and his temperature was 37.3 degrees Celcius. The arterial fund diagnosis revealed a pH of 7.23, pCO2 of 69mm Hg, O2 saturation of 88%, and the HCO3 2.2 meq per litre. The patients pH was 7.23. This was a clear indication that the patient was wretched from an acrimonious-base disorder. The patient was extremely acidemic, and the acidemia appeared to be secondary towards the metabolic acidosis with a base mean observed to be excess more than 7mEq/I. This was linked to the problems with the compensation in the respiration that was insufficient to maintain the normal limits of the pH (Stewart, 2003). This is evidenced from the fact that his breathing was heavy he had a weak and rapid pulse. The partial pressure of carbon dioxi de was 31mm Hg in comparison to the normal range that is 40 mm Hg. The oxygens partial pressure was 69 mm Hg in comparison to the normal range, which is 90 to 100 mm Hg (Wilkes, 2008). Compensation is the regulation of acid-base imbalances in the body (Story, 2001). Different agents do exist to reversibly bind the ions of hydrogen and impede the pH change. The extracellular buffer involves agents such as ammonia and bicarbonate. The phosphate and proteins play the role of intracellular buffers. The patients body began compensating the disturbances in the acid base. This was done when the patients pressure started to be laboured and his blood testing showed increased elevation of creatine phosphokinase amounts of cardiac muscles. This showed a bicarbonate system of buffering which is normally the key since carbon dioxide was shifted by carbonic acid to the ions of hydrogen and biocarbonate. More often than not, acid base imbalances, which whitethorn overcome the system of buffer, cou ld be compensated for a short time through altering the ventilation rate. This will change the carbon dioxide concentration in spite of appearance the blood, hence altering the bodys pH. If the body begins to compensate the disturbance in the acid base status, the blood pH will normalize. In this case, the blood pH will move towards the normal range. There are different types of acid base disturbances. The first disturbance is the mixed disorder. The existence of one perturbation leads to a simple acid base disorder. It may involve alkosis and acidosis happening at the same time, hence counteracting partially with each other, or there stack exist at least two conditions that may affect pH of the body. For instance, mixed acidosis involves a combination of the metabolic acidosis together with the respiratory acidosis. There is no specific arrangement as any of the arrangements is possible, except respiratory acidosis and alkalosis respiration as a person will not breathe too lent o or rather slow for the same time (Knaus, 2005). Other types of acid base imbalances that could lead to the increase in pH let in carbon dioxide retention, non-volatile acid production from the protein metabolism and different molecules of organic, biocarbonate loss in the urine, acid and acid precursors intake (Figge, 2002). Those sources that may lead to the reduction of pH include hydrogen ion use in the metabolism of various organic anions and acid loss in the urine or through vomiting. Human errors are creditworthy for the false and incorrect results though implications of such errors are somewhat minor, non-existent, and sometimes merely lead to some inconveniences. In the context of health care, this might not necessarily be the case, given that there are increased chances of such

Financial statements Essay Example | Topics and Well Written Essays - 500 words

Financial statements - Essay Examplereport that measures the success of the company operations for a particular period of time and this is used by business and investment people to determine the profitability, investment value and creditworthiness etc (Keiso and Weygandt, 2007, p. 126). Income Statement summarizes revenues, gains, expenses and losses. Sales, fees, dividends and interest are parts of revenues, while expenses take forms of cost of goods sold, depreciation, interest, wages and earnings etc. Gains and losses are different types like sale of plant assets or investments, settlement of liabilities etc. Expenses are calculateed and revenue are credited, and the total of these substructure be a cabbage debit (loss) or net credit (profit). Income statement evaluates the past performance of the company and provides a basis for in store(predicate) expectancy and assessing risk or uncertainty.The Balance Sheet presents the financial position of the business through the main elements that are called assets, liabilities and stockholders equity (Davies and Pain, 2002, p. 49). Assets include those that can provide future economic benefits as a result of past transaction (plant, machinery, vehicles and all) and liabilities include those that are probable future sacrifices of economic benefits arising from present obligations- loan, overdraft etc- (Keiso and Weygandt, 2007, p. 173). Assets are regarded to be debit balances and liabilities and stockholders equity are credit balances. Balance sheet is always in a balance and hence it can be summarized asNeither balance sheet nor income statement show or directly analyze some of the key changes taken place in the financial position. They fagt show cash inflows and cash outflows that are in turn, highly important to know and assess the timing and uncertainty of cash flows. Cash-flow statement, instead, provides cash inflows and outflows and it calculates the net changes in the cash position of the business. It comprises of 1) operation activities which are cash effects of

Triangle Order Fulfillment Case Study Example | Topics and Well Written Essays - 750 words

Triangle Order Fulfillment - Case Study ExampleTriangle Order FulfillmentAnalysis In June the kernel number of orders that was received was 280900. The total number of defected orders was 2227. Defects per opportunity can be calculated here by using the formulae DPU= number of defect/number of opportunities = 2227/280900 = 0.0004081 This valuate is small indicating that the defects direct is average. However the next month see the company having a DPU of 0.0089. This is a very large increment showing us that the level of error per total number of orders has increased. In august, the DPU reduced with a small range from that of July to get 0.0085. After this the DPU has been increasing steadily to reach 0.009 in November cardinal months after the first DPU is measured. The increase in the DPU over the years shows that there is an increase in the number of low quality work that is done by the staff. The DPMO of all the months can be calculated as DPMO= 1000000*DPU. The DPMO of the month of June is 1000000*0.000408 this gives us 408. The DPMO of the next month increases to 8800 showing a significant increase over the two months. The DPMO of the following months has been on the increase increasing steadily to reach the 9000 mark. This value shows that if one million orders are taken then 9000 of they will have defects. Though this index seem a small number, the problem comes by the way that it has arisen from 480 to 9000. . This shows that there are some changes that have been seen over the departed 6 months. The graph below shows the way that the DPU as well as the DPMO have been increasing over the past 6 months.... This shows us that there might been a change or a significant event occurred between June and July to cause the changes that occur in the change in the DPU. K sigma can similarly be calculated from the above data but the standard deviation has to be calculated first. From the data the SD= 567. K= tolerance/ (2*SD) this we get the K sigma to be 1000000/ (2*567) ewe get value 881. Therefore the value is high and shows that the quality rate is reducing every time. If these defects are to be reduced then sise sigma should be adopted by the company. There are lots of benefits that come with the use of six sigma, one is the improvement in quality of the work that is done, six sigma withal provides an opportunity for the removing of the causes of defects in the organization and to also make sure that variability is reduced. The quality management tools that are used by six sigma also provide a special infrastructure of the general work force and this in turn helps the management to know the experts in each specific fields. For Ms. capital of Mississippi to convince Mr. Nguyen of the importance of six sigma, she needs to get all the benefits of six sigma and list them to the manager. She also needs to do research on companies that have successfully used six sigma and how they have benefited from the six sigma method. She also n eeds to inform the manager, that even if the implementation of six sigma would cost the company, it will help in deliverance for the expenses that come due to low quality. For six sigma to be in fully implemented, the following roles have to be taken The executive leadership has to be taken. The chief operating officer and the top members of the management are to be in this category Champions who have the responsibility of implementing the six sigma Master black these are identified

The physiology of anhydrobiosis Essay Example | Topics and Well Written Essays - 1500 words

The physiology of anhydrobiosis - Essay ExampleThe following critical discussion will detail the treat of anhydrobiosis and the substance by which organisms affects it within a chemical sense. Further, distinct differentials of this deal will be discussed as well as the stages of growth, dormancy, and re-animation that it involves.The process of anhydrobiosis can be briefly defined as a process whereby organisms purge themselves of liquid water and slow respiration to the point of near stasis as a means of surviving environmentally challenging situations for a very long period of metre. As a function of seeking to understand and define this process to a greater degree, the following discussion will represent the ways in which this process takes place within various organisms and describe the chemical changes that facilitate the anhydrobiotic process to begin and to end. whizz of the most interesting aspects of the evolutionary process has to do with the fact that it is oftentimes currently represented within existing metabolic processes. One of these processes is what is known as anhydrobiosis or life without water. Whereas the definition that has been given is somewhat flawed, due to the fact that even within organisms that do experience certain degrees of anhydrobiosis a very small percentage of water is still evident, the process itself allows for a variety of different organisms to adapt and continue to survive environmentally challenging periods of time periods that are invariably categorized by very low levels of available water (Womersley, 1981). This process in turn allows for the nut, seed, pollen, spore, or nematode to go into a state of dormancy until liquid water returns to its native environment and it can once again begin the process of cell respiration as it had introductory to going into anhydrobiosis. As a function of critically analyzing this particular process and discussing some of the compote and molecular

Statistical Data and questions Essay Example | Topics and Well Written Essays - 250 words

Statistical Data and questions - Essay ExampleMost jamboree from their homes due to different forms of abuse, however, the abuse rate is at only 4% of their total population. Churches that take them in are reported to abuse them spiritualy Promise House, an nongovernmental organization that tries to resettle them writes on its website,These are children. And it is time for us to see these teens as our children -- lost and alone, terrified and lonely. They have been abandoned by their parents, neighborhoods, cities, by our country. They are abused, interchange into prostitution, preyed upon, ignored, assaulted, even murdered. And they are getting younger and are staying on the street longer.The highest percentage of the roofless teens is run away cases at 67% of the total homeless teen population. Those who run do it mainly because of abuse either at home or at school. There are more females than males at 51% with African Americans leading at 66% followed by Hispanics, Caucasians t hen other in that order.There are programs ran by the state in partnership with NGOs give care Family Connections and Promise House among others. They are offering comprehensive services such as educational support groups, drug-free alternative activities, and life enrichment services. The state has a plan to eliminate homelessness in general by 2014 called the Dallas Ten-Year Plan An Action Plan to Identify Goals, Strategies and Methodology to Impact and End Chronic

Utilitarianism view on a dilemma Essay Example | Topics and Well Written Essays - 1000 words

Utilitarianism view on a dilemma - Essay characterIf we have chosen the option A and it has a great number of happy consequences as compare to option B, hence the decision will be perfect. That all depends upon the great number of goodness.The ethical dilemma, which we have given, is a critical one. According to this dilemma, if a ship is sinking and there is only one vitality boat on the ship. The animateness boat has the capacity of only ten good deal but there are thirty people stranded in the sinking ship. The captain has two options for the utility of the life boat. One is to kill twenty people and save the rest of ten people in the life boat. On the other hand, he may let all them to die on a natural death and thus no one would be killed. In this situation, the dilemma is not of great number of goodness rather it can be explained using the lesser number of sorrow, pain or lugubriousness while selecting anyone option.In this situation, the captain has no choice of having gr eat number of goodness rather he can select only the option where he may have less sorrow over the consequences. If he selects the option of saving ten people on the utility of the life boat then there will be happiness that at least he has saved some people from the danger of death. In this option, he can to the full utilize the opportunity of the utility of life boat. However, the dark side of this decision is the killing of more than ten people. This means that if he is saving ten people from death then on the other he is pushing twenty people to towards the death. Here in this situation the number of happiness is less as compare to the number of sorrow or the number of pain. We can say that under the umbrella of utilitarianism, the captain might not go with this decision that he can save ten people while pushing twenty other people to the death.The captain has another second option to adopt for the people. He may not kill any person in the sinking ship rather they may die their natural death. This means that he does not

Financial and Management Accounting Case Study Example | Topics and Well Written Essays - 3750 words

Financial and Management Accounting - Case Study ExampleThe rise in inventory levels is of fact significance and it is suggested that if a proper stock management plan was put in place, the party would be able to improve its liquidity and cash black market positioning. It is also suggested that alternate sources of funding for the Companys expansion, such as debt finance and/or leasing of assets as opposed to relying predominantly on equity finance may founder a favourable impact on cling to Ltd., in terms of liquidity and otherwise.Foster Ltd. has gone through rapid expansion over the dickens years that make up the subject matter of this report. This is evident from the financial statements of the Company as seen from the fact that revenue has grown by 43.75% and the investment in machinery has increased by 60% in 2006. The Company has also increased its long term funding by drawing a 1 Million add as sanitary as making a share issue.This expansion has reaped benefits in te rms of profitability however the liquidity and cash flow position of the Company has deteriorated. The directors themselves have felt the strain and the Cash Flow Statement prepared for 2006 clearly reflects the problem. The financial statements show further signs of the cash shortage and these go out be discussed below.Overtrading is a likely cause for the Companys current unfavourable situation. This refers to the fact that the Company has expanded its sales revenue quite rapidly without securing the additional gold necessary to support the expansion.This report looks to find the underlying causes of the liquidity problem by analysing the available financial statements. Any potential causes found will be discussed and possible remedies suggested. In addition, other ways in which the liquidity position of the Company can be improved will also be considered.Foster Ltd.s Current Profitability &Liquidity/Cash flow Position As mentioned above, the profitability of Foster Ltd. has see n a commendable increase. The Gross Profit Ratio (GP Ratio) of the Company has increased from 21.88% in 2005 to 26.09% in 2006 (see Appendix). This is a significant rise. It must be noted that just because revenue increases, profitability does not increase as the damage of sales would have increased along with the revenue. However, in Foster Ltd.s case, the cost of sales has increase in a proportion quite considerably slight than that of revenue (36% as compared to 47.35%). It is because of this difference in proportions that Foster Ltd. is exhibiting higher profitability levels. A likely reason for cost of sales increasing by a lower percentage is the achievement of economies of scale. As Foster Ltd. expands and increases production, its cost per unit decreases as it begins to enjoy the benefits of bulk discounts in raw material purchases, as well as being able to spread overhead and other improve costs over a larger number of units thereby reducing the fixed cost per unit.Along with its GP Ratio, the Total Profit ratio has also increased from 8.75% to 8.99% (see Appendix). This may not be a sizable increase scarce is definitely notable. The reason for the increase in the GP Ratio not being followed through to the Total Profit ratio is that the operating expenses, and the finance and levy costs to a lesser

Strong versus weak advertising theory Essay Example | Topics and Well Written Essays - 2500 words

Strong versus weak advertising theory - Essay ExampleA case in point is Andrew Ehrenberg who advanced a controversial treatise in 1974 about how advertising works. He challenged the assumption that advertising has the capacity to change attitudes unaided, and suggested that it normally worked by beef up beliefs shaped from what are usually high level of consumer experience and awareness (Heath 2006). The argument of Ehrenberg was concentrated on the prevalent theory that advertising was a affectionate kind of persuasion, and his assumption became widely accepted among advertising agencies (Agres, Edell & Dubitsky 1990). However, it is important to take into consideration the fact that it was a period when the sales impacts of advertising were viewed by umpteen as lasting, difficult to determine even in observation and hard to predict (Agres et al. 1990).Ehrenberg had ascertained that there were 100% loyal customers in most markets, and majority of these buyers purchased more than one brand. He discovered that brand consumers had consistent stronger attitudes than non-consumers, but unable to adequately clarify how these attitudes occurred (Heath 2006). This encouraged him to challenge the central theory indoors the models of hierarchy of effects that change in attitude comes first and forces change in behaviour (Shrum 2004). He believed that advertising can build, rekindle or strengthen brand awareness, and can be an aspect that enables trial purchase (Wells 1997). However, he also visualised a protective function for repetitive advertising as reinforcing already developed repeat buying habits (Weitz & Wensley 2002 289). Afterwards, he expanded this to include split-loyal buyers, or those who habitually buy more than one brand, and identified a bring forward function for advertising as nudging or pushing split-loyals towards a larger buying percentage of one brand or an early(a) (Weitz & Wensley 2002).On the other hand, Jones disputed the influence of

Assistive Technology Essay Example | Topics and Well Written Essays - 1250 words

Assistive Technology - Essay ExampleThis paper is meant to assist local school formation educators and administrators of Clark County rail District in assessing the best type of assistive technology that will meet the ask of the district. Apart from that, this paper will also live on on how the technology will be sold among other factors of successfully incorporating the technology in learning institutions. As of 2011, the Clark County School District was the 5th in the lead school county in the U.S. It caters for the whole Clark County and Nevada along with cities such as Las Vegas, North Las Vegas, Mesquite, Henderson and Boulder City. The system also incorporates the census-designated places of Blue Diamond, Laughlin, Bunkerville, Logandale, Goodsprings, Mount Charleston, Indian Springs, Searchlight, Sandy vale and Moapa. The district is split into seven regions, and it also operates 25 Programs and Alternative Schools (Richmond, 2012). The district has partial association wi th charter institutions, and, with the exemption of offering some transport service, does non kick in any association with the private schooling institutions in the county. The school district started in 1956 when the Nevada governing body ordered consolidation of each and both state school district into 17 region school districts. This amend confirmed that 14 separate school districts in the county would become elements of the fresh Clark County School District (Richmond, 2012). Owing to the lofty number of households migrating into the Las Vegas region, the school district experienced remarkable growth in learner enrollment from the 90s to the late 2007. Many mystify issues were accepted by the supporters to assist the district cope with this growth and development. This led to the creation of new schools. From then, 2007, as many as 16 schooling institutions claim been opened. This has led to an expected and also high demand for educators to teach the rising number of studen ts (Richmond, 2012). Due to this, the county had to be innovative in locating educators to hire. They also have to be creative in recruiting educators from other countries or states within the United States. The statewide financial calamity, since 2008, has affected the School District of Clark County. The county has witnessed a decrease in the number of learners and is experiencing budgetary deficits. At the 2010 United States population census, there were 1,951,269 individuals living in Clark County, a raise of 41.8 percent since 2000. The ethnic makeup of the populace was 10.5% Black, 48.0% Non-Hispanic clean-living (60.9% White), 0.7% Alaska Native and American Indian, 8.7% Asian, 0.7% Native Hawaiian, as well as other Pacific Islander, and 5.1% from other races. The remaining 29.1%, on the other hand, were Hispanics of any race (Richmond, 2012). In 2009, the U.S. Census Bureau projected the population for Las Vegas Metropolitan Area to be at 1,902,834. The region was rated as one of the fastest growing and developing in the United States. 3.1% of the citizens in the county live with disabilities. A majority of these disabled flock use wheelchairs to move around (Richmond, 2012). It is, therefore, vital for these individuals to come up with ways of incorporating the people with disabilities into their educational system in order for them also to be competitive in todays labor market. Therefore, the type of assistive technology that this county needs is wheelchairs for their disabled citizens and

How to buy a car Essay Example | Topics and Well Written Essays - 500 words - 1

How to buy a simple machine - Essay ExampleEstimate a figure for yourself, with a range of the lowest and highest amount you, are lively to pay for the car. Under no conditions should you go out of this range as it will ensure you do not spend more than you can afford.The close step in purchasing a car is to research online for car dealers near your locality that sell the type of car you want. Searching for dealers near you is outdo(predicate) as it eases the purchasing process at a later time. Once you direct identified dealers near you that have the car that you need, contact them through the net profit or by phone and request for full details about the car including the quotation. Thoroughly go through the car details to ensure it has entirely the features you want.The fourth step entails doing further research on the price and characteristics of the car. You can go to the manufactures website to determine if the dealers are authorized dealers. Authorized dealers fly the coop to give better discounts and also give promotional products as compared to dealers who might be brokers. You must carry out further research on the prices of the car type that you want and compare its features with that of other manufacturers to determine it is of the right worth. At this stage, you must have a range for the actual car price.Once you have determined the lowest price that you can get for the car, bargain with the dealers to ensure that you get a good price. You must not fear to bargain. You can go up to the level of pitting two dealers together by sending them low quotations from other dealers. At this stage eliminate some dealers who are kind of uncooperative or have high price quotations, and single out at most three dealers who you will bargainwith later. Once you get the best prices from the dealers move to the next stepThe sixth step is where you bargain for tradeoffs and financing with the dealers. Ask for best prices for your trade and do some online res earch to determine

Capital Punishment Essay Example | Topics and Well Written Essays - 250 words

Capital Punishment - Essay ExampleSimilarly, previous shoemakers last sentences, under the judicial doctrine of precedents, explain the penalty as usual. The fact that a defendant has committed a crime that is as cruel as the death sentence means that the defendant is not justified to argue for cruelty of the sentence (Mandery 473).Life without parole is a more humane and pragmatic alternative because it achieves justice to victims and preserves humanity. In holding defendants, it eliminates them from the society and therefore reduces risks of crimes associated with the people. It therefore ensures justice and preserves morality.The position that the post assumes omits some information that could change its position on the issues. Incidence of death penalties remained high and this indicated its ineffectiveness as deterrence. Similarly, the eighth amendment is not clear on what is cruel and unusual, based on different crimes. I however agree that disembodied spirit imprisonment w ithout parole is a better alternative because it keeps criminals from the society and because death penalty proved

How Transgenics has helped to shed light on a disease model Diabetes Essay

How Transgenics has helped to shed light on a disease mold Diabetes - Essay ExampleThe technique helps in the betterment of human and animal genes, while helping r educe diseased conditions and accentuating positive features. It improves nutritional look upon in plants and advances the yield of crops. It also helps in the treatment of genetic disorders and in the study of DNA fingerprinting, which can help the forensic department in cloggy or acquitting an individual.The Recombinant DNA technique was engineered by Stanley Norman Cohen and Herbert Boyer in 1973. They published their findings in a 1974 paper entitled Construction of Biologically Functional bacterial Plasmids in vitro, which described a technique to isolate and amplify genes or DNA segments and insert them into another cell with precision, creating a transgenic bacterium. www.wikipedia.comThis technology has helped in the humankind of genetically healthy animals, who are devoid of any flaw characteristics. The genet ic errors and flaws have been replaced and altered using this technology of artificial DNA and has paved behavior for flawless genes in animals. These transgenic animals have indeed become a landmark in biological studies.They are useful in carrying forward the species, without any holy terror of becoming extinct.

The Paradigm Debate Essay Example for Free

The Paradigm Debate EssayThe heart of the debate between the quantitative and soft paradigms in search is based on the authenticity and correctness of the data gathered from each shape up. I believe that the central debate is based on which paradigm outperform portrays what is real, what is scientific and what is valid. The endless debate of these deuce approaches will stay if not for the most part of the 21st century but a few to a greater extent decades from now, since there has been slow development in the field of research methods (Mahoney Goertz, 2006). The quantitative approach says that the rigors of science, the objectivity of the scientific approach and the use of statistics will generate the truthful picture of the problem as what the research had entailed to investigate.On the other hand, the qualitative approach says that human life cannot be thought of as variables, experiments or nonetheless number because it takes out the essence of the social interaction, the emotional and mental processes involved in the experience or the behavior. In the past, the distinction between what data or variables lend itself better to quantitative approach and which data should be examined using the qualitative approach was clear (Tashakkori Teddlie, 2003). But at the moment, the rising awareness of the qualitative approach as a valid research method and the quantitative approach becoming more than cognizant of the less objective variables are in a battle to which approach will yield the most valid and truest result.In the past the quantitative approach was the only way to do research, the knowledgeability of anthropology and ethnographic researches dumbfound widened the research methodology of various disciplines (Salomon, 1991). With it was the start of the unending debate over which approach was most beneficial to the research. The idea however is a far cry from the present state of mixed methods approach, recognizing that each approach had its own merits, a different breed of research approach now utilizes the ii paradigms and calls it mixed methods approach.As a student of psychology, I am inclined to favor the qualitative approach as it is more able to provide a deeper understanding and meaning of the variables being studied, it would make more sense to me to explore how bipolar construe friendships which can never be captured by the use of a quantitative friendship scale which offers less insight to the experiences and dynamics of friendships. However, the scientific part of me wants to believe in the wisdom of objectivity and science, I have been handy under the old school experimental and behavioral psychology which gave much importance to experimentation and control of variables. This would mean that my orientation towards research is that of the quantitative fervor.Choosing which situation to favor is like asking me to choose between the devil and the deep blue see, each approach presents a different understanding of the variables under admit and I am often reminded of the nature and nurture debate which predominated the developmental psychology field. Therefore, I would rather say that I support the quantitative approach because it has been around far enough to at least become more refined to provide better measures and control for the study of variables which in the past have been questioned with regards to the validity and reliability of the results of the study (Adcock Collier, 2001).Moreover, the quantitative approach is the form mostly accepted by the scientific community and therefore is more established and more credible, although it does not mean that all quantitative researches are excellently written but that some may have sacrificed the integrity of the conduct of the research due(p) to budget constraints or a poorly designed research method (Mahoney Goertz, 2006). The quantitative approach has reached an almost cult like following and dissenters have course went to support th e qualitative approach but whichever it is, I am convinced for now that the quantitative paradigm has more sense and purpose than qualitative approaches (Mahoney Goertz, 2006).ReferencesAdcock, R. Collier, D. (2001). measuring rod validity A shared standard for qualitative andquantitative research. American Political Science Review 95 3 529-546.Mahoney, J. Goertz, G.(2006). A tale of two cultures Contrasting quantitative andqualitative research. Political Analysis 14 227-249.Salomon, G. (1991). Transcending the qualitative-quantitative debate The analytic and systemicapproaches to educational research. Educational Researcher, 20, 10-18.Tashakkori, A. Teddlie, C. (2003). Handbook of Mixed Methods in kind Behavioral Research. Thousand Oaks, CA. Sage Publications.

The Democratic Republic of Congo Essay Example for Free

The Democratic Republic of Congo EssayThe Democratic Republic of Congo (DRC) has been characterized by the behavior of her natives, especially in the east part, being engaged into selling both(prenominal) of her valuable minerals such as gemstones and gold to other countries via the black markets mostly located at the countrys borders. The stakeholders in this business include the Senegalese, Indian and Chinese clients. Though the smugglers participating in this kind of illegal business are small part-time conclave of actors, they earn themselves millions of dollars, part of which is hidden in the countrys distressed backwoods. This income has been used to finance the countrys armed groups (Manson, 1). As a result, it has not been so smooth and easy to get to the bottom of the conflict that has over years existed over the Congos minerals. Even some of the smugglers testify that because of the sufferings that they concord undergone for quite a long period of time, they resolve d to this dirty business since they had nothing else they could do. Arguments from lobby groups in the U. K.reported that in order to attain sleep in Congo and resettle the millions of displaced citizens, mineral-related conflicts ought to be contained first. However, it has been very challenging to resolves these conflicts because certain hindrances. To begin with, the smuggling routes are untraceable. Despite these pathways being rocky, twisted and on the one thousand hills, there are armed men who demand for cash taxes and other levies such as their imposed in-kind levies. Moreover the mining sites are all by dint of guided majorly by the PARECO, a former militia group (Global Witness, 1).Manufacturers of mobile phones have also been accused for having helped finance these conflicts since these companies have been using metals such as tantalum and tin which are obtained from the processing of the minerals from this country. As a result, these mobile phone companies have been called upon to review their supply chains with the aim of making certain that their tin and tantalum supplies are not from militia-controlled or military units-controlled mines.Thailand based Thailand Smelting and Refining Company (Thaisarco) has been accused for being a manufacturer of the mobile phones that buys ore from a Hutu Militia group, FDLR (Katrina, 1). Thaisarco is owned by Amalgamated Metal Corporation (AMC), a British company In the resolutions by the U. N. , it was highlighted that a measure to freeze the assets and toss out the travels for those involved in financing the illegal Congolese armed groups should be taken on worldwide.In order to help hold back the catastrophes associated with the baby and illegal exploitation of the Congos mineral resources, the international trade system stakeholders have been urged to mend any loopholes so as to end not only this impunity but also avoid environmental abuses, bring to a halt mineral-linked conflicts and more importantl y refrain from infringing the Congolese human rights. Furthermore, guideline to alter the tracing of the sources of the minerals should be put forth.Media analysis has helped me understand clearly the causes of the conflicts that are in Congo that are closely linked with the illegal exploitation of the minerals inwardly the country, the contributors of these conflicts and also the prescriptions, from various public views, on how resolutions may be arrived at. This is because the analysis enhances the understanding of raw data from the various view points.It has played a essential role in helping relate the events that were occurring in DRC. However, media analysis proves to be limiting is some ways. For instance, the information provided is most a times summarized, missing some first hand information. As a result, one is made to believe on the information at hand. Works Cited Global Witness. Metals in Mobile Phones dish Finance Congo Atrocities. February 16, 2009, Viewed August 2 , 2010 from http//www. globalwitness.org/media_library_detail. php/718/en/metals_in_mobile_phones_help_finance_congo_atrocities Katrina, M. Groups Says Suing UK Over Congo dispute Minerals. Times Live, July 26, 2010. Viewd August 2, 2010 from http//www. timeslive. co. za/africa/article570920. ece/Group-says-suing-UK-over-Congo-conflict-minerals Manson, K. Uphill Task to Solve Congos Conflict Minerals. Reuters Jul 30, 2010, viewed August 2 2010 from http//uk. reuters. com/article/idUKTRE66T1LR20100730

Community Health Needs Assessment (CHNA) Essay Example for Free

Community Health Needs Assessment (CHNA) EssayIn the recent Community Health Needs Assessment (CHNA), orthopaedic cases atomic number 18 projected to increase in the Trinity Hospital over the next five years. The legal opinion displayed that orthopedic cases ar apt(predicate) to flow from 11,800 to 17,338 (+46%) phrase and spine procedures by 30% and outpatient joint and spine procedures are expected to rise by 350%. The assessment highlighted the orthopedic serve and the needs of the Trinity community. Some of the needs were shortage on physicians and specialist, gear, physical therapy services, and functional suites. When looking at the business location of things you must understand supply need. When choose rises and supply goes unchanged, a shortage will follow leading to greater be equilibrium and if demand does not change and supply drops a short happens. This means in that location will be an increase in the overall revenue because of the rise in the demand for the orthopedic services. The community has a high demand for orthopedic services so it is and the population size for the aging community is growing so it is likely these services will be at an all-time high in five years.A recent needs assessment displayed that the current orthopedic cases are expected to rise 46%, with a 30% growth in inpatient joint and spine procedures. As expected outpatient joint and spine procedures are projected to grow by 350%. The orthopedic core is in a high demand area and the numbers show a defined grocery area within. There are in like manner deuce private local hospitals in competition with very good orthopedics platforms, which makes the need for Trinitys to have a strong orthopedic program. Research shows that the main location is within the community with a projected population growth of 4%, this sets the demand for a fictitious character orthopedic program to cover the growing community. The needs assessment shows that with an establishe d orthopedic center, it is possible that we are fit to provide everyone in the Trinity community with quality service for. It would be very feasible to develop the new-sprung(prenominal) center right away in order to live up to the demands of the community and provide adequate treatment and services with adequate equipment.The orthopedic center development should allow us to integ sited an international trend of providing quality healthcare for all citizens in the community and expenditure less money. Regardless of the ability to pay we must also look into ways to reduce spending and still providing quality healthcare. The development of a plan that will allow patients to be treated despite financial abilityand health insurance could also stand by us meet the demand in the community. While our country does not offer a national healthcare system, our facility shadow incorporate the international trend. In addition to developing an integrated health system developing a selectiv e groups of physicians and healthcare serveers to provide adequate services. Currently at that place are two groups that are moving in the area. Fortunately one group has recently secured office space to open a branch of orthopedic practice on campus with the Trinity community, which helps us move to the integrated healthcare system. This benefits the Trinity community by providing more services and quality programs to assist more patients.The ultimate goa at Trinity is to provide quality healthcare to all citizens of the Trinity community Robotic surgery and current digital equipment would be complementary to the new orthopedic center in surgical units. In addition to this we are able to accommodate the demands of orthopedic cases we deal with in the facility within our surgical units adequately. The development of the surgery facilities provide the advantage to recruit orthopedic groups that desire to be closer to Trinity and apply for privileges for the facility. There are cur rently cardinal operating rooms that are equipped with the basic setup necessary to accommodate the orthopedic program. The rooms are equipped with two CT scanners, magnetic resonance imaging scanner, X-ray, nuclear medicine, mobile PET scanner, and ultrasound services. The nursing staffs at Trinity are devoted and skilled which helps increase orthopedic nursing certification rate to 75% showing that this is a strong area in the facility.Although we may not be highly recommended the drive towards patient quality care it is a major part of the increase in demand of services. Even though all our service course of instructions compliment the orthopedic program, it is clear that we can work dig- in- hand to develop a valued healthcare system and meet the demands, not only for patients but all hospital staff as well. The recent question shows that we could cut cost by building a new 5000 square foot physical therapy/rehab center adjacent to the Trinity campus. The new building costs estimates to about 600,000 verses 700,000 to purchase the space adjacent to the Trinity campus. In order to expand the services by adding a radiology department and have two MRI machines could cost approximately $3,000,000. Currently in the capital reserves we have 25,000,000 so this would be feasible for this service line expansion.Adding an orthopedic center could potential gain approximately 2100 new surgical cases and also gaining about 6500 visits in physical therapy. This can bring the remuneration margin to about $2,171,500. agree to the five year projection plan, it is projected that there will be about $25,000 in gross charges per orthopedic surgical case. It is also clear that there is a $275 in gross charges per physical therapy treatment. 31% is the ratio of cost in charges when calculated. The Medicaid, Medicare and self- pay patients are at an all-time high right straight off so it is projected that the orthopedic program will increase in revenue and gain more pay-i n patients. Developing a bundle payment program can allow the patient insured and uninsured an opportunity to get quality care and treatment in an affordable manor.A community hospital with the orthopedic center in it will be great in the future to help increase utilization, and also make-up for the decreased volume seen with the disparage of the OB program and decay of general surgery volumes. An increase in the utilization could help our key financial indicators and also develop an effective profit plan for years to come. In order to increase the amount of specialists that are in the center we will need to target the patients who need total joint care. Developing a patient navigation system for these pacific patients can be a huge way to market the new service line to the community also coordinating care and appointments for the patients. This will also be a chance to provide physicians with the ability to sustain private practices and still work in the facility and have hospital privileges.It is suggested that we continue to work closely with those practices that are moving in the same direction as Trinity help outline the exact plan that has been developed for the marketing. A key marketing strategy that can be used in the marketing area is advertising. set off the high quality services and giving the physicians satisfaction rate which is 90% could convince new patients to come to Trinity. Adding the orthopedic group adjacent to the Trinity campus, a hangral service could be developed. The system should be set up as Trinity refers the orthopedic cases to the physicians group who will then in return refer all of their patients to the new orthopedic center for surgery, physical therapy, etc.Working directly with the physicians can give a more unified unit where everyone is able to benefit and also help increase their revenue equally among the practices and the hospital. Marketing can weigh inon the expanding growth of the orthopedic specialists that are o n staff and the new orthopedic center. Patients will be provided with referral information if the patient is in need for physicians services on Trinity campus. We can also give referral for physicians who are not directly connected to the Trinity facility but have privileges at the facility. These physicians are able to use the referral services and in return refer patients to our facility and the new orthopedic center.ResourcesKohn, L. T., Corrigan, J., Richardson, W. C., Donaldson, M. S. (2000). To err is human Building a safer health system. Washington, DC National Academy Press. McLaughlin, C. P., Kaluzny, A. D. (1999). endless quality improvement in health care Theory, implementation, and applications. Gaithersburg, MD Aspen Publishers