Friday, June 7, 2019
Tourism Country Analysis-Germany Essay Example for Free
Tourism Country Analysis-Germany EssayIntroductionGermany is a country with astounding diversity with bingle of the voluminousest historical heritage in the land, standing pop as one of the tourist attraction features. Germany is the most centr on the wholey placed in Europe among all told the European countries. It has a history of a disunited nation having distinct states and tribes. For this reason, Germany more(prenominal) that any other European nation bears different names depending on the language used. For example it is called Deutschland within Germany in French it is called Allemagne and Niemcy in Polish. (Country profile)On October 3rd 1990, Western Germany was unified with the German Democratic Republic. The leaving standards in the last mentioned could not march those ones of the former it has been a major challenge to do this because of the inherent industrial enterprise inefficiencies that characterized the German Democratic Republic. Another major means t hat has posed challenges include the difficulty in East Germany of resolving property ownership and the lack of infrastructure and the environmental degradation that occurred during the communist rule. (Berghahn V. R. 1987)The extremist effect especially from the political right that is usually witnessed in East Germany is always related to the economic uncertainty in this region. Most clippings the violence is order towards foreigners and in particular non-Europeans. (Berghahn V. R. 1987)PoliticsGermany is considered to be a federal, Parliamentary, and submitative democratic Republic. The Grundgestz or the Basic Law is the framework that was laid down in 1949 that guides the German political system up to today. For any amendments to take place in the Grundgestz, a two-thirds majority in Parliament is required. (Country profile)The Chancellor heads the Government and the position is before long held by Angela Merkel and she exercises executive powers that are similar to a Prim e Ministers. Parliament that consists of the Bundestag and Bundesrat (Federal Council) is vested with Federal legislative Powers. Members of the Bundestag are elected directly and members in the Bundesrat represent the governments of the 16 states. These members are appointed by the state cabinet, which possesses the power to remove them any time. (Country profile)The Christian Democratic ships company Union and the Social Democratic Party of Germany are the dominating parties since 1949. However theres existence of other smaller parties, which include the Free Democratic Party and the Alliance 90/ The cat valium (Christian Democratic Union/Christian Social Union).The President of Germany also doubles up as the Head of State and is normally elected by the Federal Convention (Bundesversammlung), which is the institution made up of members of the Bundestage and some members of the State delegate. The President of the Bundestag is the second highest official and the Bundestag itself elects him/her. His/her responsibilities include the overseeing of the bodys daily sessions. The Chancellor on the other hand doubles up as the head of Government and is the third highest official who is nominated by the Germany President and then is elected by the Bundestag. A constructive motion of no confidence by the Bundestag is what is necessary to remove the Chancellor.( Christian Democratic Union/Christian Social Union)EconomyIn Europe, Germanys National Economy is the largest. It is ranked the third largest in the world by nominal gross domestic product, but ranked fifth in regards to gross national product. As per 2006 statistics, the average growth stands at 2.8% per annum. Germany has been renowned world over since the industrial age as one of the best motor innovators and has greatly benefited from the globalized world economy. (Berghahn V. R, 1987)One of its major drivers of its exportation economy is the trademark Made in Germany, which the world has continuously ass ociated with sturdiness and durability. This has turned out the country to be the worlds top exporter with the export figures as at 2006 standing at $ 1.133 trillion generating a trade surplus of approximately 165 billion. 70% of its total GDP is generated by the service sector with 29.1% contributed by the industrial sector and agriculture falling behind with about 0.9%. (Berghahn V. R, 1987)Germanys automobiles, machinery, metals, and chemical goods contribute greatly to the export portfolio. In solar and wind turbine technology, Germany leads the world (Global Wind vigor Market ). Amongst its most popular brands include Siemens, Mercedes Benz, BMW, Audi, Volkswagen, Porsche, and Nivea among others.Germany uses the common market currency the Euro and the country stands out as a major advocate for the European Union.Society (People and Culture)The majority German population is made up inhabitants of ethnic Germans and over 7 one thousand million foreigners. Majority of the foreig ners are made up of the so called guest workers who were mostly Turkish workers, who in the 1950s and 60s were invited to fill in for the labor shortages, Germany thus has preferably a good number of ethnic Turks. Many political and economic refugees from the world over especially the developing world choose Germany as a prime destination. (Country profile)Germany boasts of having one of the worlds highest levels of education with exquisite technological advancement coupled with an unrivaled economic productivity. University enrolment has steadily risen and has more than tripled since World War II the trade and technical schools that are sponsored by the Federal Republic of Germany support the universities. The majority of the population is made up of the spunk class with a per capita income standing at $ 28,700, this is combined with a comprehensive social welfare system that caters for the universal medical care and unemployment care in addition other social needs. (Berghahn V. R, 1987)Culturally Germany is usually called the land of poets and thinkers (Wasser J. 2006). Religious and secular currents that have taken place in Europe for a long time have continuously shaped the German culture. One of the most famous German classical music composers is Ludwig Van Beethoven (Wasser J. 2006).GeographyThe geography of Germany is rich and diverse ranging from the high Alps in the South, the Bavarian plain, and the flowing hills of central Germany to the coast of the North and Baltic Sea. This makes the countrys countryside scenery worth visiting, it all looks like a miniature train landscape packed with the nicest of old towns, medieval houses, gothic churches and small villages its exotic (Country profile)Global PositionGermany has continued to touch a very important role in the formation and the continued strengthening of the European Union and has continued to cultivate a very stuffy relationship with France. One of Germanys closest allies has been the U.S, whose help was quite invaluable during the 1948 Marshall Plan to rebuild Germany after World War II. Ties with the States have gone to other areas like trade where a more balanced trade relationship has continued to flourish. (Country profile)REFERENCESBerghahn, Volker Rolf. (1987) Modern Germany Society, Economy, and Politics in the twentieth Century. 2d ed. Cambridge Cambridge University Press.Christian Democratic Union/Christian Social Union Retrieved on 6th March 2008 from U.S. Library of Congress ,Global Wind Energy Market 2006-2011, Retrieved on 6th March 2008 from www.windtech-international.comWasser, Jeremy. (2006) Sptzle Westerns Spiegel Online International Retrieved on 6th March 2008Country profile Germany Retrieved on 6th March 2008 fromhttp//news.bbc.co.uk/1/hi/world/europe/country_profiles/1047864.stm
Thursday, June 6, 2019
Food Addictives Essay Example for Free
Food Addictives EssayThis food additives essay is basically an advantages and disadvantages essay. You need to be c arful with the word outweigh as this oft confuses students. The word outweigh can be placed in different ways in the sentence so rather than work it out, it is better to envisage of it simply as be there more advantages or disadvantages Decide what you think there are more of and then state this in the thesis statement without mentioning the word outweigh. For example, look at the thesis statement from the food additives essay model answer In my opinion, the potential dangers from this are great than the benefits we receive. Outweigh questions do suggest, though, that there are definitely both advantages AND disadvantages, so you should discuss both. However, make sure your essay supports your opinion. For example, if you have said there are more disadvantages, it would not make sense to then write mostly about advantages. As you can see from the model answer , advantages are discussed, but the direction is on the disadvantages as this is what it is stated are greater in the thesis statement.Model Essay 15 Food Additives Essay You should spend about 40 minutes on this task. Present a written argument to an educated reader with no specialist knowledge of the following topic. Do the dangers derived from the use of chemicals in food production and preservation outweigh the advantages? Give reasons for your answer and include any relevant examples from your own experience or knowledge. You should write at least 250 words.www.ieltsbuddy.com Free online IELTS Advicewww.ieltsbuddy.com Free online IELTS AdviceFood Additives Essay Model Answer Most foods that are purchased these days in small stores and supermarkets have chemicals in them as these are used to improve production and ensure the food lasts for longer. However, there are concerns that these have harmful effects. In my opinion, the potential dangers from this are greater than the b enefits we receive. There are several reasons why chemicals are placed in food. Firstly, it is to improve the product to the eye, and this is achieved via the use of colourings which encourage people to purchase food that may otherwise not look tempting to eat. Another reason is to preserve the food.Much of the food we eat would not actually last that long if it were not for chemicals they contain, so again this is an advantage to the companies that sell food as their products have a longer shelf life. From this evidence, it is clear to me that the main benefits are, therefore, to the companies and not to the customer. Although companies claim these food additives are sound and they have research to support this, the research is quite possibly biased as it comes from their own companies or people with connections to these companies. It is common to read reports these days in the press about possible links to various health issues such as cancer. Food additives have also been linke d to problems such as hyperactivity in children. To conclude, despite the fact that there are benefits to placing chemicals in food, I believe that these principally help the companies but could be a danger to the public. It is unlikely that this reading can be stopped, so food must be clearly labeled and it is my hope that organic products will become more readily for sale at reasonable prices to all.
Wednesday, June 5, 2019
Ethical Responsibility Of The Airline Industry Management Essay
Ethical Responsibility Of The Airline Industry Management EssayThe internal and external environment of an organization is connect to managerial ethics and also corporate social certificate of indebtedness in the process of management. This report focuses on the aerodrome diligence. In my report, there is the baseborning of all factors and also an analysis of the airport industry. I expect that this report will help us know more more or less some key ranges that need to be improved and understand key management.Ethical Responsibility of the Airline IndustryIntroductionThe argument of international flight path has developed as businesses progressively atomic number 18 rotating ecumenical in periods of their investments, provide and output chains and their consumers. The fast development of creation business in items and work and worldwide target buying have furthermore supplemented in the development of enterprise travel? One thing that actually influenced people about the industry of airline was their proficiency to sustain high earnings and sustain high clientele groundwork heretofore after the September 11 attacks and the 2002 recession (John, 2005). The worldwide charges have expanded due to advanced surety methods while localized or nationwide charges are very inexpensive to consumers.DiscussionAirlines achievement is in the first place due to their pointed aim. This is apparent through their no-frills, low-cost model their aim is to supply the safest and cheapest pattern of air travel between two destinations. Driven through the model that consumers batch be persuaded without having costly choices accessible for them, International Air Transport Association, IATA, outlooks a bring forward in worldwide air travel through an mean 6.6% a year to the end of the ten years and over 5% a year from 2000 to 2010 (John, 2005). These rates are alike to those of the past 10 years. harmonise to the last four years, outcomes of airlines economic ad vancement have sustained stable snare sales. In 1999, they had a mean snare sale of $6,739 million, which is an increase to $7,565 million. Their pocket-size fall in 2002 to $7,225 million was due to the September 11th occurrence (Graham, 2010). However, this is not anything contrasted to other foremost commerce that had lost so much more. Since then, many airlines and airports have filed for insolvency and have been compelled to close down. In detail, airlines are the only foremost US carrier to stay money-making since then airlines were influenced through the poor monetary touch (John, 2005).A effect of components are compelling airlines to become more proficient. In Europe, the European Union (EU) has directed that authorities must not be permitted to sponsor their loss-making airlines. In several other countries, governments anxieties over their own investments and acknowledgement of the advantages of privatization have directed to a stepwise move of possession of airlines from the state to the personal area. In alignment to apply to potential shareholders, the airlines have become more effective and aggressive. There are other causes as to why there has been a boost in air travel. Firstly there has been a decline in employed judgment of conviction since 1971 producing and boost in free time.Emerging trendsFast uprise volumes of traffic and estimations of continued expansion into the next decades has damage on the airport capability. Industries of Airbus, for instance, expects a standard yearly traveler traffic development rate of 5.0 part throughout the next 20 years, which means that throughout this time traffic will raise by 168 percent. At the same time, tolerance of the public environmental effects of air traffic around airports like noise, air contamination and third party danger would emerge and have to be reduced. These contradictory styles of direct airlines, airports , organizations of air traffic control and the industry of equipment an d aircraft to plan latest innovative ways and technologies of working aircraft and airports in order to gather both the capacity demands and the environmental limitations. Safety is not the objective of these developments it is a mere constraint. Consequently, new hazards emerge and accessible dangers become complicated to maintain unless proper concentration is given to security features in this arrangement of rising trends. A latest aspect, third party danger, presented itself as a security distress in a rising number of European states.Airports are centers in the musical arrangement of air transport. Therefore, their attendance causes a junction of air traffic over the region nearby the airport. For the people life-time in the surrounding area of an airport this involves unintentional experience to the danger of aircraft bad lucks. Even though the possibility of a mishap per flight is extremely baseborn (normally in the order of 1 in one million), local danger levels around a irports are higher than one may think. The resulting yearly possibility of a mishap at a distinctive large airport is so much larger than the small possibility of being concerned in an aircraft mishap as a passenger. In addition, mishaps have a propensity to fleet throughout the landing and take-off stages of flight and therefore close to an airport. Security information from researches describes that attack and landing stage mishaps account for a major part of fatal air transport mishaps. It can be observed that 82 percent of the accidents of world jet aircraft fleet 1988-1997 happened in these flight stages and recorded for 58 percent of all wounded. Historical information verifies that accidents of aircraft relating significant numbers of third party sufferers happen numerous times a year. Perhaps the best recognized example is the terrible mishap of a Boeing 747 in suburban Amsterdam in 1992. a la mode(p) mishaps happened in Taiwan (Taipeh), Russia (Irkoetsk), Paraguay and Z aire (219 3rd party victims). This environmental effect is of rising consequence to airports security liability and decision making on airport improvement and land-use development for airports.Airports summercater a significant function in the security of air travel. A current study of mishaps described that around 30 percent of these mishaps related at least one airport concerned aspect in the fundamental chain leading up to the accident. Airport related factors in this case are taken as those factors which are specific to the airport environment but are not necessarily owned by the airport (and can therefore include concerns like fog, snow, inadequate ATC guidance, etc.). The comparative value of airport fundamental aspects can be anticipated from their comparative oftenness of incidence in fundamental series of mishaps in the dataset. To this end, the 76 various airport connected fundamental aspects discovered, were grouped into seven groups. These groups are Marking and spunk Taxiways and runways Information External dangers Ramp and apron and ATC agencys and operations AerodromeDefinition of social responsibilitySocial responsibility is the managerial obligation to take trans follow out that protects and improves both the welfare of society as a whole and interests of the organization means, not an end. To be socially amenable, the airline industry must have a clear, rational definition of social purpose, a system of setting priorities based on their social implications, and a structured, integrated approach to financial and social action (Graham, 2010). Implicit in social responsibility is a new definition of success for small business.Area of Social ResponsibilityWhen defining its sense of social responsibility, airline industries typically confronts four areas of concern responsibilities toward the employees, environment, customers and its investors (John, 2003).Social responsibility towards employeesIn the best tradition of participative managem ent, the airline industries invited all its employees to join in forging a new statement of values to avoid massive layoffs. These included teamwork, mutual respect, and professionalism, all duly inscribed on, among other places, coffee cups at office, so that, every time you had some coffee, you drank the values, too (Gurpreet, 2003). Employees needs must be met if the business itself is to prosper. Relationships of decency and trust are central to the achievement of the airline industries aim. Employees who in the form of skanky lavatories, lack of privacy or unjust wage structures, will be unwilling to contribute to the airline industries. Do people imagine a thespian might be inclined to maximize his/her profits by stretching out the work to get more overtime or perhaps even a little Sunday double time? And just as employees need to believe in the gilds commitment to treating them with decency, they expect to be treated mightily and fairly, not be used and then arbitrarily rejected. If they can strike a fair deal with people theyll come back for more. In the wide run, airline industries will do that much better.Social responsibility towards investorsThe views of shareholders / investors might have encouraged responsibility in the airline industries. Stockholders want the company to practise as much money for them as possible (Gurpreet, 2003). Their objectives differ and they are not confined to furthering the strictly economic role of companies. Indeed, recent developments in the area of ethical investment trusts would seem to indicate that many investors, like employees, are very keen to feel good about the firms in which they are involved. for sure not all of them are simply after a quick financial return and they are often clear about areas like tobacco, alcohol, gambling, or arms into which they do not want to, put their money (John, 2003).Social responsibility towards customersObviously, a company should act responsibility towards its custome rs and provide quality products and set product fairly based on consumer rights (Graham, 2010). Consumers have a right to safe products, most completed instruction and product testing. Consumers have a right to be informed about all relevant aspects of a product.Social responsibility towards environmentGood environmental management can improve employee morale and help attract better quality staff, cut costs by eliminating waste and saving energy, and bring competitive advantage by putting the company at the forefront of technical and regulatory development. Firms in numerous other industries have also integrated socially conscious thinking into their production plans and trade efforts. The production of environmentally safe products, for example, has become a potential boom area, designing products to be environmentally friendly. Sales of vegetable-based cleaning products, recycled paper products and all immanent toiletries are a few examples.Approaches to social responsibilityT here are four approaches to social responsibility. First is obstructionist approach. Second is defensive approach. Third is concerted approach. And fourth is proactive approach.Advantages of behave social responsibilityUsing social responsibility to spot out new markets isnt a matter of recognizing that these opportunities exist. That means we may have to be content with a smaller profit margin in exchange for gaining a new market, and never make the mistake of presumptuous that a less-affluent market is any less choosy than the well off when it comes to buying habits.Disadvantages of behaving in an unsocial manorUnethical and irresponsibility business practices towards customers can result in government fines and loss of clientele. Collusion occurs when two or more firms agree to collaborate on such wrongful acts such as fixed pricing. However irresponsible behavior towards investors means abuse of a firms financial resources. In such cases, the ultimate losers are indeed the owne rs who did not nab there due earnings or dividends. Companies can act irresponsibility by misrepresent ting company resources such as improper financial management, check kiting, insider trading, and misrepresentation of finances (John, 2003).Case studyThere is an example of Malaysia Airlines System (MAS) as a case study. As an employer, insurer, consumer and investor, MAS has studied that the social responsible can be reflected in its environment, community, workforce, human rights, health and safety, suppliers, customers and standards of business practice. Every member is committed to continuous improvement in the corporate social responsibility program and this encourages those business partners to strive for matching performance. Thus, they recognize that the business activities have direct and indirect impacts on the society in which is operating all the time and carried out some policies as belowa) Employee appreciation and prizes MAS realizes that workers are inclined to enl ist in demeanor that is identified and paid and bypass demeanor that is punished. The system of employing, chartering, encouraging, reimbursing and openly respecting workers all may be conceived to encourage business communal duty.b) Communication, education and training MAS identified that workers will not be held responsible if they are not cognizant of its significance and supplied with the data and devices they need to proceed properly in bearing their job requirements. They announce the significance of business communal excite internally, encompass it as a subject in administration teaching programs, and supply managers and workers with decision-making methods that support them accomplish to blame results.c) Environment MAS has an encouraging dream of a cleaner, smarter development in aviation which maximizes the affirmative advantages for humanity facilitating prosperity, regeneration, local and UK competitiveness, heritage exchange and communal addition while minimizing co ntradictory communal and ecological influences (David, 2009).d) Practices of business It has habitually integrating schemes, inducements and pay schemes to make sure that sustainable improvement main concerns are echoed in day-to-day conclusions and procedures at each of the airports. By move presentation through objectives, externally audited goals, key presentation signs and by mirroring these main concerns in connections with enterprise suppliers and partners.By looking through MAS past accomplishments, they have struggled to instigate the buyer better and have obtained worldwide acclaim from numerous unaligned associations for diverse facets of their services. Their peak administration group obtained an accolade from the Asian Institute of Management and the human being Executive Digest, for its excellence in general administration and achievement in positioning itself in the airline industry. Going as far back as 1957, they obtained the Cumber Batch Trophy for no misfortune record (John, 2003). In year 1995, the Boeing Commercial Aircraft Company provided Malaysia a Pride in Excellence distribute in accomplishing reliability excellence for the B737-400 fleet (David, 2009).Malaysia Airlines performance has a crucial function in projecting Malaysia as a favored and worth for currency tourist place traveled to through comprehensive on-going junction advancements with tourism in Malaysia at main markets to boost tourist appearances into Malaysia.ConclusionMalaysia Airlines can play a role of leadership in influencing the behavior of others, from business partners to industry colleagues to neighboring businesses. The entire company has been acting conscientiously and thinking long terminal because they recognize that eventually it is in everyones best interests to have as several companies as possibly honoring the expectations and requirements of responsibility of corporate social. It endeavors to control every procedure in a responsible approach, believ ing that sound and provable performance in relation to business social responsibility rules and practices is a basic grammatical constituent of business success.
Tuesday, June 4, 2019
Comparison of Hospital Points to National Benchmark: Florida
Comparison of hospital Points to National Benchmark FloridaHOSPITAL data POINTS COMPARED WITH STATE AND NATIONAL BENCHMARKSDOUGLAS WINTERAnalyze and summarize the results. Are there signifi basint outliers? Try to summarize the results as comparable, unfavorable, or favorable to the evidence and field of study benchmarks.I compared three hospitals in my general area to ten different data manoeuvres that were also compared to the state and national averages. The areas within the statistics I compared were in seasonable effective manor, survey of endurings experience, readmissions, complications deaths, and use of checkup mental imagery. Following the data comparisons, I overwhelmd a brief explanation of the data geological period being examined, along with potential causes, improvement suggestions, and outliers when found.Timely effective manorFirst data point Outpatients having surgery who received an antibiotic drug at the right sentence (within adept hour) before su rgery. infirmary staff should win sure surgery patients get antibiotics at the right time. It is alpha to receive antibiotics pre-operation due to the possibility of wound infections from functional procedures. Research has shown patients who ask received antibiotics prior to surgery were less likely to get wound infections.Results Florida Hospital biography and Florida Hospital Flagler rated 100%, above the state and national averages of 99% and Flagler Hospital rated 98% only one purpose below the state and national average.Potential causes for the problem Their talks protocol for patients to receive an antibiotic earlier or after surgery is not being followed. An in- religious service commands to be scheduled to make sure all staff is following(a) protocol guidelines and new employees are being trained correctly as well. dish up improvement suggestions to improve the results Their teams of operating room nurses, surgeons and anesthesiologists need to analyze and brush up the processes with the goal of having 100 percent of their surgical patients receive an antibiotic within one hour prior to any scheduled surgery.Second data point Heart attack patients given a prescription for a statin at dis spud. Most patients who have had a philia failure and who take a statin, Ace inhibitor have fewer symptoms, feel physically violate, and are less likely to return to the hospital.Results Florida Hospital Flagler and Florida Hospital history bind at 100% outperforming the state and national averages, and Flagler Hospital rated 97% under the states 99% and national average at 98%.Potential causes for the problem Statin protocol is nonperformanceed, no one held grudgeable, no regularly scheduled meeting or in-service are being conducted.Process improvement suggestions to improve the results Flagler Hospitals team of operating nurses, physicians need to pay closer attention to assure their patients receive a statin at discharge and strive to reach a goa l of 100 percent of their patients receive a statin Ace inhibitor at discharge to maintain a continuity of care.Third data point Pneumonia patients given the most bewitch initial antibiotic(s). Pneumonia is a long infection which is caused by bacteria or a virus. If the pneumonia happens to be caused by bacteria then the infection will be treated by an antibiotic that is specific for bacteria, and if the pneumonia is caused by a virus a specific antibiotic will then be used for viral infections.Results Florida Hospital Flagler tied with the state at 98%, outperforming the national average at 95% and Flagler Hospital scored 94% below all comparisons. In addition, Florida Hospital autobiography scored 97% above the national average, and 1% below the state averages.Potential causes for the problem Each staff appendage needs to follow a respiratory protocol, and if pneumonia is identified, that protocol needs to be followed. Blood cultures are not performed, and the potential for givi ng the patient the wrong antibiotic is high. Protocols are not followed, no accountability, or in-service are being regularly held.Process improvement suggestions to improve the results All three of the hospitals require improvement and need to make sure patients whose initial emergency room blood culture was performed prior to the administration of the first antibiotic in high society to provide the most appropriate care.Survey of patients experienceFirst data point Patients who reported that their nurses always communicated well. This is important for any patient staying at a health care facility, and is communicate if nursing explained things clearly, listened, and listened carefully to the patient, and treated the patient with courtesy and respect.Results All comparisons performed poorly, Florida Hospital Flagler and the state tied at 75% While Florida Hospital Memorial tied with the national average at 79%, leaving Flagler Hospital below the other comparisons at 73%. All comp arisons are well below an bankable benchmark of 100%.Potential causes for the problem Health care staff gets busy, and they tend to have so many things they are thinking about and they neglect to fully communicate with the patients. Also people assigned to a bed are not looked at as patients but a body and communication tends to be non-existent.Process improvement suggestions to improve the results All comparisons failed in this analysis. Patient satisfaction is top priority, and should be for most health care organizations. Every member of the team needs to be reminded that every patient regardless of ethnicity, creed, demographics, etc. deserves communication and respect. Regularly scheduled meetings, and in services regarding patient communication, and care in order to make the patient feel loose and looked after.Second data point Patients who reported that their pain was always well controlled. Again all comparisons failed this part of the analysis. Pain management should be t op priority with those patients that are not scheduled for immediate surgery. Patient satisfaction, and rec everywherey will be all the better if they are well controlled.Results Again, all comparisons failed in this part of the analysis. Florida Hospital Memorial and the national average tied at 71%, trance Florida Hospital Flagler was 69% and Flagler Hospital at 67% and the state average at 68%. All comparisons in this data point fell short of the acceptable aim of 100%.Potential causes for the problem Health care staffs are not fully aware of the pain each modality can cause and influence the outcome of patient care. They tend to be removed, for example a patient has an abscess to his lower leg, yet he says he is in pain but I am removed from his discomfort because all I nab is an abscess. Although he is in pain and the health care worker needs to be reminded that it may only be an abscess to them, but to the patient it constitutes the end of the world.Process improvement su ggestions to improve the results The three hospitals compared need to setup a mandatory in service by floor with a committee and their manager to remind everyone the importance of pain management. Remind everyone that they are patients and not textiles, and yes your shifts are busy, but never embarrass that it is our responsibility to care for them and caring for them includes pain management, and if the patient says to you that this pain is a 10 out of a 10, talk with their physician to see if anything can be done.Third data point Patients who reported that staff always explained about medicines before giving them to them. Patients want to know, they want to be cognizant and feel about the medications they are taking while in the hospital. It is further important to know what patients are feeling about their hospital experience and by asking patients if their nurse communicated with them about their medication before dispensing it will effectively let the hospital staff know wher e they need improvement in order to enrich the patients overall hospital experienceResults Florida Hospital Flagler and the state average tied at 60%, Florida Hospital Memorial rated 65% and Flagler Hospital rated 57% and the state at 64%. All comparisons data points fell short of an acceptable 100%.Potential causes for the problem Protocols not being followed, no in services to remind nurses to communicate with their patients more effectively. Not acknowledging patient satisfaction surveys to find areas that need attention.Process improvement suggestions to improve the results It is important for the patients to feel comfortable and have a feeling of well-being so when they have a concern or have a question they will feel unacquainted(p) to ask. Monthly in service meeting reminding to encourage staff to have a positive attitude, to be more approachable, about hospital image, go over patient satisfaction survey results.Readmissions, complications deathsFirst data point Rate of unp lanned re-admission for heart attack patients. The percutaneous coronary intervention (PCI) re-admission data point evaluates and compares unplanned re-admissions which may take daub within 30 days after discharge and after a PCI procedure. In addition, this data point takes into account the level of a patients illness before being admitted into the hospital, and the differences along with re-admission percentages that may be coincidental. For example, patients who have underlying medical diagnoses that are not seen with younger healthier patients were not included in this data point.Results Florida hospital Flagler scored 19.4%, just below Florida Hospital Memorial at 19.9%, and Flagler Hospital was at 17.9 and below the state and national averages of 18.3%.Potential causes for the problem Patients are not clinically able to be discharged, are not properly instructed on the methods to reduce the form of infections, their medications need to be reconciles, and they need to be en couraged to call for assistance to their primary care provider, or given a number to call at the participating hospital (Meyer, Rybowski, 2004, p.viii).Process improvement suggestions to improve the results Ensure the patients are stable and clinically able to be discharged, this will help reduce the happen of infections, assist them with reconciling their medications, encourage and improve communications with their providers in transitioning of care, encourage, train patients on strategies promote disease management principles and educate patients on what symptoms to monitor, who to contact with questions and where and when to seek follow-up care (Meyer, Rybowski, 2004, p.10).Second data point Death rate for Heart attack patients Percutaneous coronary intervention (PCI) is what health care providers call. door-to-balloon time, and this time frame is 90 minutes from the time the patient arrives at the hospital suffering from a heart attack and also (PCI), such as angioplasty when a catheter with a very small balloon is inserted into the blocked artery and inflated in order to open up the vessel.Results Florida Hospital Flagler rated 16.7% and while Florida Hospital Memorial rated 15.5%, while Flagler Hospital is 14.4% below the state and national average of 15.2%.Positive outlier Flagler Hospitals results is 2.3% lower than Florida Hospital Flagler, 1.1% lower than Flagler Hospital and .8% lower than the state and national averages. Flagler Hospitals lower results may be attributed to having regular monthly meeting that involve key hospital staff and emergency medical responders designed to follow heart attack subject areas, and having a cardiologist nearly on site most of the time, and part of the care team to encourage problem solving by immediate hospital staff and not the responsibility of only nurses but the entire team (DEugenio, 2012, p.1).Potential causes for the problem This data point has many variables and is babelike upon the level of patient s general health in the hospitals geographical area. That is why this data point has already been adjusted for patient characteristics that may make death or unplanned readmission more likely, regardless if any of the compared hospitals are providing high quality of care. Some of the characteristics included are age of the patient, past medical history, and co-morbidities that the patient had when they were admitted to the hospital and a known health risk that can to increase the patients risk of dying or of having an unplanned readmission.Process improvement suggestions to improve the results As performance improvements are identified then appropriate problem-solving techniques can be employed. Beginning with putting together an action plan, that can change certain patterns set by physicians that have been identified as possible contributors with the death rates for heart attack patients. Also, accountability measures should be implemented to hold appropriate department staff acco untable for protocol adherence, critical paths to follow through, and enforcing the plan towards improving outcomes, policies that enhance efficiency, and fluid communication across departments. medical exam ImagingFirst data point Outpatient computed topography (CT) scans of the chest that were combination (double) scans. This data point only applies to Medicare patients that were treated in the hospital and does not include ambulatory or inpatient settings of the hospital. The lower the percentage the better and points to the efficient use of medical imaging for that hospital being compared. In addition, it is important not to jeopardize the patient to contrast material and or unnecessary radiation exposure.Results Florida Hospital Flagler scored the highest at 2.9% and Flagler Hospital tying with the national average at 2.7% and Florida Hospital Memorial rated well below the other comparisons at 1.4% and the state scored better than the other comparisons except Florida Hospital Memorial with 2.4%.Positive outlier Florida Hospital Memorial scored 1.4% which is 1.5% better than the highest advance hospital at 2.9% and 1.3% better than the national average at 2.7%.Potential causes for the problem The primary cause for double C.T. scan results, its over use in general is caused by emergency room physicians since they are more apt to order expensive tests that can have high levels of radiation, and which are also not needed It is easier to order a test than to take extra time to explain to a patient why it is not needed (Parr, 2014, ND, p.1). Florida Hospital Memorial contributing cause may include using C.T. scans only as a diagnostic tool and not as a screening modality, while the other comparisons seem to follow defensive medicine techniques, and or illustrating a wide spread disengagement between the physicians and their patients.Process improvement suggestions to improve the results It is important to encourage patients to question their physicians motiv es, consult with their physicians. Patients need to know why tests are being ordered and what impact will the test have on their treatment Parr, 2014, p.1). Physicians need more frequent in services regarding hospital expenditures, assign quality control measures to each physician in order to track unnecessary procedures and to follow-up with the physicians to encourage other means to same problem. Florida Hospital Memorial contributing cause may include using C.T. scans only as a diagnostic tool and not as a screening modality,Second data point Outpatients who received cardiac imaging stress tests before low-risk outpatient surgery. The hearts ability to respond to stress is necessary to understand if the patient is scheduled for surgery. The physicians need to know what levels of stress the patients heart is capable of handling. For instance, a cardiac stress test is not required for a colonoscopy, cataract surgery, biopsies, because this kind of procedure will not over task the h eart, and poses very little risk to the patient unlike, bypass surgery for example.Results Florida Hospital Flagler scored 6.6% and Florida Hospital Memorial at 5.5% only 2% higher than the national average of 5.3%, while the state scored 6.4% and the outlier in this data point is Flagler Hospital at 9.3%.Negative outlier Flagler Hospital is performing far more cardiac imaging scans at 9.3% than necessary and is higher than the lowest reporting percentage by 4%. This procedure places the patient(s) at greater risk, introducing contrast and intentionally stressing the heart muscle in order to locate any problems (Einstein, 2014, p.1).Potential causes for the problem Not looking into other means of diagnosing, not following the cardiac imaging protocol or critical paths in place, staff members are not held accountable to improve patient safety, enhance efficiencies through standardizations. Lack of physician, floor managers, and charge nurse in-services to make sure staff is following protocol guidelines.Process improvement suggestions to improve the results Ensure cardiac imaging protocols are in place as well as critical paths, assure all staff personal having direct contact with patients are held accountable, schedule monthly in-services, and assign physicians case managers to coordinate and facilitate care with all their patients in order to help facilitate use of technology better and with less risk.ReferencesDEugenio, R. (2012). Key factors relate to lower death rates among patients with heart attacks.(1). Retrieved from http//medicine.yale.edu/news/article.aspx?id=944Einstein, A. J. (2014). Radiation from cardiac imaging tests. Questions you should ask. (1).Retrieved from http//circ.ahajournals.org/content/127/11/e495.fullMeyer, J. A., Silow-Carroll, S., Kutyla, T., Stepnick, L. S., Rybowski, L. S. (2004). HOSPITALQUALITY INGREDIENTS FOR SUCCESSOVERVIEW AND LESSONS LEARNED. Retrieved from http//www.commonwealthfund.org/programs/quality/761_Meyer_hospital _quality_overview.pdfParr, J. T. (2014). apply of CT scans adds to cost. Fort Bend Indiana.(1). Retrieved fromhttp//fbindependent.com/overuse-of-ct-scans-adds-to-cost-p2851-89.htm
Monday, June 3, 2019
Economic, Cultural and Political Impact of Globalisation
scotch, Cultural and Political Impact of globalizationIn this rapid changing field, globalisation affected flock and states virtually the world largely. A British Labour Party politician, Clare Short, once said People subscribe accused me of being in favour of globalisation. This is equivalent to incriminate me of being in favour of the sun rising in the morning. (Ridgers, 2012) This quote shows quite well that globalisation is the new ages of human history, which is inescap satisfactory. Most of the people gauge that globalisation is the process of interconnection between the people, companies, g everywherenments of different countrys, in which driven by massively increased mountain and cultural exchange (Navar, 2003). However, it may be too simplistic. Globalisation, in fact, has galore(postnominal) underlying meanings and brings some unforeseeable consequences. Therefore, this essay will attempt to analyse globalisation and find out its true definition. In order to dem onstrate this, this essay will discuss the meaning of globalisation in three dimensions economy, gardening and politics along with three waves of globalisation, namely hyperglobalist, sceptics, and transformationalists.Globalisation in economy dimension refers to the worldwide movement of the global economy, resulting in the increased interconnectedness of interior(a) economies with free transfer of goods, capital, and services across national borders (Guttal, 2007). Financial markets, such as credit markets, commodity markets and capital markets are the apparent examples. Base on the hyperglobalists perspectives, there are four chief(prenominal) factors that blend in to the process of globalisation in the economy (Martell, 2007). Firstly, transportation advances. With the improvements in transport, a large pattern of people and goods are able to move more quickly (Guttal, 2007). As a result, the cost of transporting goods change states relatively cheaper where there are many larger cargo ships available (Guttal, 2007). Also, it means that the cost per item roll in the hay be reduced since the cost of transporting is the central reason which influences it (Guttal, 2007). Secondly, the freedom of trade. The typical example of it goes to the Europe Unions (EU) free movement and trade, which includes goods, workers, and services (Nayar, 2003). This promotes people in different European countries to open or do business in each others countries (Nayar, 2003). Thirdly, technology revolution. It offers a more accessible and convenient communication between people or so the world with the birth of electronic communication devices, such as smartphones, email, faxes, and social ne tworking websites or apps (Nayar, 2003). Lastly, labour availability and skills (Guttals,2007). It could tackle the problems of jobs and skills shortage in More economically Developed Countries (MEDs) and reduce the unemployment risk in Less Economically Developed Countries (LEDs) in the meantime (Guttals, 2007). Moreover, it sens take advantage of cheaper labour costs (Guttals, 2007). For example, Indian people whose country with the high unemployment rate are employed in Germany with lesser wages to fill the IT vacancies there (Campe, 2008). Since it seems that the process of globalisation is not inevitable due to the reasons above, then it may be appropriate to look at what impact will it make.Hyperglobalists say that capitalism is one of the many manifestations of globalisation (Guttal, 2007). As we know it today, capitalism is an economic system in which a countrys industry and trade are owned privately by people with minimal noise from the government (Campe, 2008). In this case, hyperglobalists claim that the growth of capitalism results from the rising interconnectivity between countries (Martell, 2007). They think that when the world becomes more integrated, the economies are becoming denationalised in which the relevance and role of nation-state are declining (Martell, 2007). Also, they view the transnational corporation (TNCs) the companies that operate in different countries, becoming the biggest global influence and not nations, for example, Coca-Cola and MacDonald (Campe, 2008). Consequently, the global economy is considered to lose integrated, current and included different parts of the world (Guttal, 2007). Hyperglobalists claim that global economy brings some advantages. Firstly, global economy promotes the increasing international trade and the rise of the number of TNCs in which helps countries, especially LEDs by training the local people with new skills and jobs (Manu, 2000). Secondly, improvement in the standard of alive that provide a better living condition for people living in countries that are globalising (Manu, 2000). For example, countries who welcome those foreign investments could earn more revenue as globalisation has brought about more opportunities for trade (Manu, 2000). The capital of Singaporean government used this revenue to develop sectors, including welfare, transportation, and education.In contrast, sceptics perspectives consider global capitalism as a myth (Martell, 2007). They believe that the nation-states still have the responsibilities to control the flows of economic benefits even though the number of TNCs is increasing (Martell, 2007). For example, foreign investment flows into the control of several advanced economics (Martell, 2007). This shows that TNCs are still germane(predicate) to their original nation-states and gain profits for these states (Martell, 2007). They also look global economy negatively. They state that global economy is essentially not globally inclusive for two reasons rising protectionism and increasing international inequality (Liedekerke, 2000). In economics, protectionism represents a method to restrain trade in goods and services (Liedekerke, 2000). Sceptics claim that the increased competition among nations is the main reason of ca using protectionism (Teichmann, 2002). For example, the lower costs of labour in China and India make many companies have located their production facilities there (Teichmann, 2002). Benefiting from the increased revenue, these countries can rapidly develop their infrastructure like road networks and industrial parks, which further improve their attractiveness to foreign investors (Teichmann, 2002). Consequently, this strongly threatens developed economies such as Thailand and Singapore and more so for LEDs with poor political stability and infrastructure like Cambodia and East Timor (Manu, 2000). According to World Health Organisation (WHO), Economists predict that increased competition from low-wage countries will destroy jobs in richer nations and there will be a race to the bottom as countries reduce wages, taxes, welfare and environmental controls so as to be more competitive, at enormous social cost. Pressure to compete will erode the ability of governments to set their own ec onomic policies and the move towards deregulating will reduce their power to protect and promote the interests of their people. (Liedekerke, 2000) When the protectionism leads to the higher international inequality, the income gap between countries is widening (Nayar, 2003). For instance, business owners in developed countries are able to outsource their operations to other countries in lower costs of production due to the improved communications and transportation (Nayar, 2003). As a result, higher downsizing rates become higher, and income among the average workers reduce, turning into a phenomenon that the rich getting rich and the poor becoming poorer (Nayar, 2003). During 2012, the 29 richest states on earth generated 48 portion of the world output, whereas the 51 poorest nations contribute only 2 portion of the worlds total output (Manu, 2000).While the globalisation makes a huge change to business dealings, it also has cultural implications. Culturally globalisation refer s to an interconnection of ideas, customs and values around the world (Guttal, 2007). In hyperglobalist perspectives, globalisation leads to the homogenisation of the world under American popular culture or Western consumerism (Martell, 2007). It states that globally people are enjoying the homogenised global cultures as the culture consumed is no longer exclusively from their own nation (Guttal, 2007). The national culture is declining significantly as people are interconnected with a universal culture (Guttal, 2007). For example, globalised culture shown in different areas, such as music, television, and sport. Firstly, music from certain countries has spread and sold across the world, notably the Beatles in the 1950s (Campe, 2008). People could learn the English language, English love stories, and ultimately culture through their lyrics (Campe, 2008). Secondly, Hollywood shows on television which originally produced for local audiences has been widely known in the world through globalisation. Consequently, the American culture, customs, performance, folk tales which appear in the Hollywood shows dominate global culture (Campe, 2008). Lastly, footballs popularity shows the globalised culture in sport. People with different nationalities would royally support the football teams. Also, it is common that there are many football players in a team are of different nationalities. Moreover, football is included in Olympic Games. In this case, hyperglobalists say that the emergence of the new technologies is the key role in promoting the global culture, particularly Internet and Satellite communication (Campe, 2008). People all over the world could receive the news, messages or information at once from these corporations.However, sceptics view the global culture differently that it is, in fact, Western Imperialism (Teichmann, 2002). They criticise that globalisation poses a threat to classical nationalism where Western cultures dominate over all others (Teichmann, 2002). They also condemn that globalisation inevitably leads to the clashes of culture as the speed of globalisation has been accelerated significantly by the improvement of technology (Guttal, 2007). The renowned example can be found in migration. In the United States, the melting pot, which refers to the assimilation of migrants into one single culture, has been happening (Campe, 2008). Another example can be found in Hollywood films, in which poses a powerful influence in the global film industry (Campe, 2008). It is found that 95 percent of the global movies are produced by the USA whereas, on the African continent, only 42 films are produced each year. On the other hand, transformationalists argue that globalisation refers to the intermingling of cultures and people (Guttal, 2007). It is said that cultures are hybridised and transformed into new forms (Teichmann, 2002).Politically globalisation means the expansion of the worldwide political system (Koshy, 2001). In the hyperg lobalist opinion, political globalisation challenges the nationalism, which leads to the slump of national-state and the loss of national sovereignty (Koshy, 2001). International organisations including the World Trade Organisation (WTO) and the European Union (EU) superseded the nation-states to take the lead in decision-making (Haynes, 2003). Many states sovereignty is hurt when the membership in intergovernmental organisation asks them to hand over (Agnew, 2009). For example, German students in Scotland unexpectedly are allowed to vote in elections to the Scottish Parliament. However, sceptics propose political globalisation in various ways, again. They say that states retain autonomy and sovereignty unevenly (Agnew, 2009). Some states have gained, and some have lost political power, for example, many states become stronger with more social democratic policies. They also suggest that there is a great power inequality between the states (Liedekerke, 2000). The most powerful nati ons would use those international political body as a tool to impose their will for their own benefit and to exempt themselves from restrictions when it is disadvantageous to them (Koshy, 2001). Oppositely, some weak nations, perhaps, have no freedom to speak their will in front of these most powerful nations. In contrast to another two views, transformationalists see political globalisation in a relatively positive way (Haynes, 2003). They think there is a shared sovereignty between nation states and international organisations (Haynes, 2003). Nation states still have the power to make important decisions. States and international political body cooperate with each other to solve the global problems, such as demands for human right, environmental pollution, developments in international transport and communication (Haynes, 2003).In conclusion, this essay has attempted to demonstrate the meaning of globalisation in economic, cultural, and political dimensions. In these dimensions, i t is not problematic to see that technology revolution in recent years has played a vital role in the growth of globalisation. Moreover, with three perspectives on globalisation, it is plausibly to conclude that there are various meanings of globalisation in different dimensions and it is neither the totally positive nor negative. Globalisation helps as well as harms the world relations. Therefore, it is better to raise public awareness of globalisation, so that people could take it carefully to avoid the worst consequences.Bibliography Agnew, J A. (2009) Globalization and sovereignty. Lanham Rowman Littlefield Publishers.Campe, C.V (2008) Atlantic Community. Available at http//www.atlantic-community.org/app/webroot/files/articlepdf/Globalisation%20and%20Nationalism.pdf (Accessed 12 March 2017)Guttal, S. (2007) Globalisation, Development in Practice, 17(4/5) 523-531.Haynes, J. (2003) Tracing Connections between Comparative Politics and Globalisation, Third World Quarterly, 24(6) 1029-1047.Koshy, N. (2001) Political Dimensions of Globalisation, Economic and Political Weekly, 36(18) 1513-1517.Liedekerke, L. V. (2000) Economic Globalization The Political Challenge, Ethical Perspectives, 7(1) 3752.Manu R. Shroff. (2000) Globalisation, Economic and Political Weekly, 35(7) 498-584.Martell, L. (2007) The Third Wave in Globalisation Theory, International Studies Review, 9(2) 173-196.Nayar, B. (2003) Economic Globalisation and Its Advance From shallow to Deep Integration, Economic and Political Weekly, 38(45) 4776-4782.Ridgers, B. (2012) The Economist. Available at http//www.economist.com/blogs/schumpeter/2012/08/z-business-quotations (Accessed 12 March 2017).Teichmann, I. (2002) Globalisation. London Watts
Sunday, June 2, 2019
A Comparison of The Chrysalids and 1984 :: comparison compare contrast essays
A comparison of life in London, Air Strip One (or Great Britain) in the George Orwell novel 1984 and Waknuk, Canada in the John Wyndham novel The Chrysalids. Waknuk is a society living after a nuclear attack. The people of Air Strip One (or Britain) in 1984 live in a dictatorship controlled by The Party. Waknuck is an enclosed society similar to Victorian Britain. As people spend all their lives in the town or city they are born they cant experience different cultures and therefore call for a neglect of tolerance and understanding for differences in the lifestyles of these cultures. The lack of experience of different cultures is not the reason for a lack of a true understanding of these cultures in 1984. The people of London are effectively poisoned against such(prenominal) cultures by the Party and so get down no reason to want to experience them. Waknuck is also based largely on Religion - it is a Christian society. Most of the prejudices are formed from the Bible. Any cr eature that is against the true image of God (or a mutant) is called a Blasphemy. The Christian religion (and indeed other religions) have been the source of numerous prejudices in modern society in Britain (for example sexism and homophobia) and indeed conflicts (for example the conflicts between the Republic and Northern Ireland). In the novel 1984 no-one follows a religion as such, as far as the people of Britain in 1984 are concerned there is no God, the complete opposite of the radical spiritual views of the people of Waknuk. Most people in Waknuk have been brainwashed by Christianity in the same way many people in Great Britain in 1984 have been brainwashed by the party and Big Brother. Each use repetitive slogans, in 1984 such slogans as War is peace. Freedom is slavery. Ignorance is strength. are used and more subtly in Christianity in the form of prays and commandments. The Party and Christians each worship a figure, Big Brother and God respectively, neither people can be only sure of there presence but convince themselves that they exist nevertheless. The power lies with the Party in 1984 but lies with the church in Waknuk. The people of Waknuk are ineffective to comprehend theories such as the Evolution Theory dispute finding fossils and other evidence that would conflict with Genesis.
Saturday, June 1, 2019
The evolutionary theory of a ï¬Ârm :: Business, Innovation
Focusing on a rm level analysis, RBV suggests that differences in rms mental ability are primarily the result of resource heterogeneity across rms (Peteraf, 2006). Firms that can accumulate resources and capabilities that are rare, valuable, no substitutable, and imperfectly imitable will achieve an advantage all over competitors (Barney, 1996). A distinction is normally made between resources and capabilities, in that resources are stocks of available factors that are owned or controlled by the governance and capabilities are an organizations capacity to deploy resources (Freiling, 2008). Resources tend to be tradable in markets and can be divided into tangible assets, much(prenominal) as nancial and physical capital, and intangible assets, such as human and organizational capital (Barney, 1986). By contrast, capabilities reside in routines that are intrinsically intangible and embedded in the rm, and thus cannot be traded on factor markets (Kogut & Zander, 1992).Drawing on the evolutionary theory of a rm, the innovation capabilities approach to a rm emerged as an extension of RBV. Specically the processes to integrate, recongure, gain and release resources, use resources to react and even create market change (Eisenhardt & Martin, 2000). Moreover, they are vital to gaining and sustaining a competitive advantage in industries where both technology and the market change (Verona & Ravasi, 2003). As such, they are considered as antecedent organizational and strategic routines that enable managers to acquire resources, which they then modify, integrate, and recombine to generate new value creating strategies. Eisenhardt and Martin (2000), and Zahra and George (2002) maintain that a rms routines or processes and organization culture and information technology advance can form unique innovation capabilities which allow the organization to make strategic changes that slip by it the exibility to operate in innovation markets. Lawson and Samson (2001) applied an innovation capabilities approach to the investigation of innovation. Many authors highlighted the differences between an organizations well established or mainstream activities and its innovative or new stream activities (Badawy, 1993). Lawson and Samson (2001) proposed a model that operationalizes this global innovation capability as seven elements vision and strategy harnessing the competency base organizational intelligence creativity and ideas management organizational structure and systems culture and climate and management of technology. The concept of innovation capabilities proved useful in some other marketing areas. Previous studies considered their use in the analysis of a rms international expansion (Grifth & Michael, 2001 Grant, 1996), while Hart and Sharma (2004) canvas the capabilities required to address the challenges of globalized and rapidly changing markets.
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