The more advances that are made in Medicine, the more things stay the Scholarship Essay - 1

The more advances that are made in Medicine, the more things stay the same. Discuss - Scholarship Essay Example This paper argues out this concept by giving the several impacts of the advancement of medicine on patients in the society. This will create the basis of the argument to verify its credibility. The paper will analyze both the positive and negative effects of advancement of medicine in the society today by looking at various situational cases where advanced medical services are used. The results of the use of advanced medical services lay the foundation of this argument considering its positivity and negativities. Because of the availability of medical equipment for research and treatment, researchers in the field of medicine have come up with different kinds of medicines which cure various diseases (Alyson, 2014). They have also been able to study complicated diseases in the recent years and have found the cure for some chronic diseases. Biotechnology is a great advancement in the field of medicine making it easy for people to live with chronic diseases. It prolongs the life of people suffering from serious and chronic illnesses by controlling of diseases or the virus in the body of patients. An example is dealing with patients suffering from cancer. Biotechnology has given hope to such patients by controlling the disease through chemotherapy hence prolonging their life span. The use of plastic body parts has also helped individuals to live a normal life (Catalunya, 2014). An example is patients suffering from breast cancer and has lost a part of her breast. Plastic breasts can be used to al low her live a normal life like any other woman. The advancement of medicine in the world today is due to the evolvement of technology as it improves to make solving problems today an easy task. There are various advancements in medicine today and a majority of them are influenced by the availability of advanced technology in the health sector. Medical advancements are aimed at

(Love) ACC 403 SLP 4 Activity Based Costing Essay

(Love) ACC 403 SLP 4 Activity Based Costing - Essay Example The concept of Activity Based costing has its origins in the U.S manufacturing industry, where increases in technology led to a decrease in fixed costs and increase in variable costs and the number of steps in each manufacturing process as the automation process increased. For example, manual labor declined as robotics was introduced in the automotive industry, while the number of mechanistic processes and increased use of machinery meant that depreciation and replacement costs went up. Activity based costing is, as the name implies, based on determining the costs of different activities involved in the manufacturing or production process, and then identifying the costs of each activity (Kaplan & Cooper, 1988). In a company like Apple, there are also a number of activities involved in manufacturing its laptops, PCs and monitors. While traditional accounting takes into account only the cost of activities actually performed, activity based costing also includes the wait time for inventory parts etc. which are also included in overall costs of production. Activity based costing has been used to define re-engineering processes and eliminate unnecessary costs and processes (Kaplan & Cooper, 1988). Activity Based Costing is implemented by first identifying the cost drivers for each activity. Cost drivers are the basis for allocating product costs to the activities performed. Volume and Time are the most commonly used cost drivers (Turney, 2010)- everything else is attributed to a charge that is directly allocated to the activity in question being performed (Kaplan & Anderson, 2007). Volume means units of work or products produced. Time means length of time taken to complete a specific activity. If Activity Based Costing was used at Apple, we could have the following chart for activities performed from Jan 1-Dec 31, 2011: In practice, many difficulties are encountered while

Book Review The Communist Manifesto Sociology Essay

Book Review The Communist Manifesto Sociology Essay The Communist Manifesto was written by Karl Marx and Friedrich Engels in 1848. Whether or not the publication was planned to coincide with the first revolutions in France we can only surmise. However what we do know is that both Marx and Engels were commissioned to compile the Communist Party Manifesto at the Second Congress of the Communist League which met between November and December 1847. The Manifesto is split into four sections but the overall aim of the book is an attempt to explain the ideologies and goals of the Communist party. Marx and Engels argue that it is the history of class struggles  [1]  that are the driving force of history. Marx claims that relationships between classes are dependant upon that periods channel of production. He also argues that once these relationships are no longer well-suited a revolution happens and a new ruling class take power. This is Marxs explanation for the move from feudalism to capitalism at the hands of the bourgeoisie (middle classes). This is also how Marx views the progression from capitalism to socialism and from socialism to communism. Marx and Engels believe that Communism is inevitable, that eventually the proletariat (working class) will seize power straight from the hands of the bourgeoisie. The first section of the manifesto is based on the Communists theories of history and of the relationship between the bourgeois and the proletariat in a capitalist society. Marx informs the reader of class struggles that have dominated history, how classes are either oppressor or oppressed. Marx states that as a result of the move from the complicated feudal system to the capitalist system hostilities between classes have simplified to the point where there are no only two classes in direct opposition; the bourgeoisie and the proletariat. The manifesto pinpoints the fact that because of the demands of society and the rise of modern industry the modern bourgeois have became the ruling class by doing away with the old feudal system and allowing people to become more self-interested. Despite this new self-interest Marx argues that the modern bourgeois has done away with the traditional family values and instead turned each family member into a commodity, someone to go out and earn a wag e. He states that this new bourgeois society has resolved personal worth into exchange value. This new capitalist society, Marx states, leaves one man dependant on another in a way they had never been previously; it has created a class of labourers, who live only so long as they find work, and who find work only so long as their labour increases capital. Thus we have a society based on production and demand. However this society will not always see the relevant demand for the products they produce so those who rely on industry to supply wages in order for them to have a roof over their heads and food in their bellies, are expendable, they will be used, and be able to afford to live, only so long as the bourgeoisie need their skills. Section two then goes on to discuss the relationship between the Communists and the proletarians. Marx is keen to point out that the Communists do not see other working class parties as opposition rather they wish to help these other parties in à ¢Ã¢â€š ¬Ã‚ ¦clearly understanding the line of march, the conditions and the ultimate general results of the proletarian movement. Marx addresses the question on the abolition of property directly and clearly states that it is not the aim of the communists to abolish all property but to abolish private property, that property owned by the bourgeois. He points out that property only belongs to one tenth of society as the other nine tenths cannot afford such luxury as owning their own properties. Upon addressing this he also claims that as a result of this, and many other defining features, Capital, is therefore not a personal, it is a social power. Upon defining the role of the proletariat in society Marx states that the Communist party wish to do away with the miserable characterà ¢Ã¢â€š ¬Ã‚ ¦.under which the labourer lives merely to increase capital, and is allowed to live only in so far as the interest of the ruling class requires it. The third section of the Manifesto outlines and evaluates the three divisions of Communist writings. These are; reactionary socialism, conservative socialism and critical-utopian socialism and communism. Marx argues that each of these divisions fail because each of the fail to realise critical communist values. The reactionaries and the conservatives fail to take note of the fact that the bourgeoisie will eventually fall at the hands of the proletariat whereas the utopians fail to realize that social change is essential; there is no perfect world where communism is king without this change. The fourth and final section of the manifesto confronts the Communist partys feelings towards the opposing parties that exist in society. The communists final and foremost aim is the proletarian revolution and they strive for this constantly and consistently even if it means working with other opposition parties in order to achieve this. Marx and other communists believe that history goes through stages of social change and that by arming the proletariat in one particular stage (capitalism) it will ensure the overthrow of the bourgeoisie at the hands of the proletariat thus reigning in a new era of socialism and eventually communism. All in all The Communist Manifesto is extremely clear

Attack in Pearl Harbor Essay example -- History

Attack in Pearl Harbor Attack in Pearl Harbor in December 1941 shocked United States to its core. It signaled not only an utter destruction of an important naval base and the loss of many lives, it in the first place signified the beginning of a great struggle for nation’s survival. At time when France fails to Germany, and Russia and Great Britain are at the verge of failing, nothing seemed to prevent the Nazi and its powerful allies to conquer the world. And though Attack in Pearl Harbor was shocking, the nightmare of expected upcoming tribulations was much greater. While incidents similar to that in Pearl Harbor were perhaps unconsciously expected by many Americans as they were observing great struggles on European scenes of war, they still couldn’t accept so miserable defeat of their naval base. As Hitler came to blame the German Jews for the defeat of Germany in WWI, Americans came to blame the American Japanese for the defeat of their forces in Pearl Harbor. As there was no solid evidence of the German Jews treacheries activities against their German government also there was no conclusive evidence of even a single American Japanese engaged in treason against America. Regardless how justifiable Internment of Japanese though to be during World War II (and by some today), it occupies, according to most historians an infamous place in American history. However it is possible to learn how to shape foresight policies during similar cases, if we learn from hindsight. â€Å"What did the Internment of Japanese American Mean† book, edited by Alice Yang Murray introduces through 5 different essay, different aspects of Japanese internment: â€Å"Reasons for internment†, â€Å"Legality of internment then and after†, â€Å"Precedents of Japanese internment abroad†, â€Å"Resistance to internment by Japanese Americans†, â€Å"Perception of internment by the Japanese American families and communities†. In the first part Roger Daniels describes the rise of paranoia against Japanese, and its underling racist motifs. He then goes into describing with some details on how the decision for mass evacuation evolved in the upper echelons of the government and military. The process of arriving to the decision is described by Daniels as intermingled with prejudices and lack of evidence. â€Å"Catch 22 situation† is particularly notable in this essay, which occurred when the absence of evidence ... ...tensively and genuinely (that is by advocates of interment camps themselves). Even while most historians condemn Japanese Internment, a balanced debate of both sides is more informative than unilateral presentation of the issue. We could relate Japanese Internment to current history, by referring to Patriot Act. While Patriot Act doesn’t force Arab Americans into internment camps, it could be used to prosecute, and deny civil liberties to many Arab Americans, including citizens. It is possible to argue that Patriot Act is justified out of security reason as the attack during September 11 occurred from interior of the country, rather from exterior, as it happen at Pearl Harbor, nonetheless most of the Arab terrorists, lived a relatively short time in the United States and did not hold citizenship. As United States is a melting pot, even if its effect is not always apparent, the likelihood for Arab American naturalized (and especially born) citizens, as for Japanese American, to commit sabotage, is not significant greater than for a Anglo-Saxon naturalized citizen (like Timothy McVeigh) to do so. Respect for civil liberties of all Americans thus is not only just but justifiable.

Purusha Suktham

Purusha evaedaghm sarvam yad bhootam yach’cha bhavyam | uta amritatvas yeshaanah yad annenaa tirohati || 03 Yetaavaan asya mahima ato jyaaya aghascha poorushah | paado' vishvaa bhootaani sya tripaadasya ‘amritam divi 04 Tripaad oordhva udait purushah paado ‘ syehaa bhavat punah | tato vishvaan vyakraamat sa asana anasane abhi || 05 Tasmaat viraada jaayata viraajo aadhipoorushah | sa jaato atyarichyata pashchaad bhoomim atho purah || 06 Yat purushena havishaa devaa yajnam atanvata | vasanto asya ‘asee-daajyam greeshma idhma saraddh avih || 07 Saptaasyaa san paridayah trih saptah samidah kritaah | devaa yad yajnam tanvaanaah abadhnan purusham pashum || 08 Tam yajnam barhishi prokshan purusham jaatam agratah | tena devaa ayajanta saadhyaa rrishayas cha ye || 09 Tasmaad yajnaat sarva’ahutah | sambhrritam prishadaajyam | pashooghs taaghs chakre vaayavyaan | aaranhyaan graamyaas cha ye The great Purusha, brilliant as the Sun, who is beyond all darkness, I kn ow him in my heart. Who knows the Purusha thus, attains immortality in this very birth. I know not of another way to salvation.With innumerable heads, uncountable eyes, and multiple feet, He moves all over manifesting as all the creation. Verily, He is immeasurable, Beyond the grasp of the hands of men. That which is, was, and is to be, all of this is He alone, the eternal, beyond all end, He alone is Lord of that. The world is food, which hides, and ventures forth, He is that too. All that you see is but his glory. He is more than all of this. All of creation is but a fourth of him. Three parts eternal rest in him alone. Three parts of his are beyond all this. All of this, is but a part. Again and again, all that eats, and that eats not appeared from this one part of His.And even the knower of this world, desires no more but to adore Him. Who burns as bright as fire in the Gods, who is their priest, eldest, who is the essence, of what is, we worship Him. The Gods who experienced Hi m, spread this word as the foremost ‘He, who with his heart knows Him thus, even we will be bound by him. ’ Hree and Lakshmi are your consorts, Your two sides are the day and the night, the stars are your form. Healing are your words. Grant us our desires and our joys. You’re all. From the waters and earth does all appear As a builder he builds, as a smith he forges it. He, who was all before the all was. Tat tvam Asi Dr Sarma R V S N www. drsarma. in

Ex Post Facto Laws Essay

Ex post facto laws refer to laws that apply to acts committed before the enactment of such laws and are, therefore, disadvantageous to the affected persons. The United States constitution in article I, section 10 prohibits the state from enacting such retroactive laws. This prohibition protects individuals from unjust legislative acts. However, the ban on ex post facto laws applies only with regard to criminal and not civil laws (Zollar, 2002). I believe that the US constitution is reasonable and consistent by containing provisions that limit the enactment of ex post facto laws since this help in safeguarding the rights of individuals under existing laws. If the constitution did not contain the ex post facto clause, individuals would be unfairly subjected to laws that act retrogressively and deny them justice. For instance, an adult should not be prosecuted for crimes he committed when he was a minor if such crimes could not be instituted against him at that time due to limitation on juvenile court jurisdiction. I concur with the authors of the ex post facto clause that laws should not be applied retroactively. However, where the rule cannot be reasonably applied, various exceptions should be incorporated to make the rule workable. Like every other rule, I believe that it is important for the ex post facto clause to have various exceptions that would ensure its enforceability. While I agree that laws should not be enacted retrogressively, I feel that the biggest challenge facing the ex post facto clause is the obscure differentiation of criminal laws from civil laws. The clause that prohibits ex post facto laws bans several acts. First, it prohibits the creation of criminal laws and making them retroactive. Such retroactive laws have the effect of criminalizing acts committed before their enactments. The clause also prohibits laws that are made in order to retroactively aggravate a crime, for instance, by retroactively changing a misdemeanor to a felony. Retroactively increasing the punishment for a crime is also prohibited under US laws. Furthermore, the Ex post facto clause also bans the creation of laws that alter the rules of evidence and instead allow conviction based on different or lesser evidence than what the law proscribed at the time of the crime’s commission (Gardner & Anderson, 2011). There are several exceptions to the limitation of retroactive laws in the ex post facto clause. The rule is limited to penal law and is not applicable to cases where the new laws favor the accused. Moreover, the rule is not applicable to customary laws and precedent laws that are retrospective with regard to previous cases. Another exception to the ex post facto rule is a retroactive law that provides for retribution for certain acts that were illegal but not criminal when they were committed. An example of such a law is the London Agreement, which is retroactive to the extent of acts that constituted violations of international laws when they were committed (Bassiouni, 2011) One of the most important current aspects of ex post facto laws is taxation. Prohibition of retroactive laws is limited to criminal acts. Therefore, there is no ex post facto law prohibition in taxation since it is a civil act. In the case of Fernandez vs. Fernandez, it was ruled that prohibition on ex post facto laws was limited to criminal laws and that tax laws were civic. In September 2012, the U.S Commerce Department imposed an ex post facto tax of $ 100 million as an anti-dumping measure (Foldvary, 2012). I feel that there is need to address the lack of prohibition of ex post facto laws in taxation. It would be unjust if entrepreneurs would lose property through confiscation by the government in an effort to recover retroactive taxes. References Bassiouni, M. C. (2011). Crimes against humanity: Historical and contemporary application. Cambridge: Cambridge University Press. Foldvary, F. E. (2012). The Progress Report: Ex post Facto Taxation. Retrieved October 27, 2012 from: http://www.progress.org/2012/fold784.htm Gardner, T. J. and Anderson, T. M. (2011). Criminal Law. Belomont, CA: Cengage Learning. Zollar, J. (2002). Prohibition against Ex Post Facto laws. House Research. Retrieved October 7, 2012 from: http://www.house.leg.state.mn.us/hrd/pubs/ss/clssexpost.pdf

5 Tips for Handling Clients

5 Tips for Handling Clients 5 Tips for Handling Clients 5 Tips for Handling Clients By Colin Running a home-based writing business is a great way to make a living. It allows one to be creative, flexible, and above all, it allows for a certain amount of freedom. There remains however, some things that anybody who runs any size of business can get out of; client management. Without clients you have no business, and without your business, it’s back to the drawing board. There are several key points all freelance writers should remember, in order to stay organised, stress-free, and legally covered. None are hard to implement, but one should work hard at sticking to the following basic guidelines: Get It In Writing First It goes without saying that contracts are a vital tool if you want to be a successful freelance writer. Having a standard contract detailing your terms of work, deliverables, and billing procedures, sets client expectations and means you will be taken seriously. Always ask for the contract to be signed and dated, and provide a copy for your client for their own records. Any further agreements should be placed in a superseding contract. Template contracts are readily available from the Internet, but a good one can be adapted from the example provided by Peter Bowerman in his book, The Well-Fed Writer. Set Your Payment Schedule In Advance There’s nothing more unprofessional than an unprepared freelance writer. When asked how much a job will cost, a client wants to hear confidence, reliability, and professionalism, more than they do a bottom-rate charge. Good clients know how much good writers cost, so set your rate card in advance and stick to it. Working for free or severely discounted rates not only damages your reputation, but it leaves you open to being taken advantage of. Nobody will take you seriously, and it hurts the industry as a whole, especially for those writers who do charge market rates for work that you have offered to do for next to nothing. Clients try many tricks to get payments down to a minimum, so always remain aware of slick persuasive tactics. Don’t become over friendly, and keep the relationship business-like and professional. This includes when asking for payment, and sticking to the terms of the contract they have already signed. Set Reasonable Deadlines Never be pressurised into agreeing to work at a shortened timescale, when you know you will struggle to complete it. It’s far better to complete a project well within an agreed deadline than after it, because the client will likely not use you again. Until you are very experienced, always be prudent with your time estimates for work to completion, and incorporate revision and research time within the original estimate. If a client has a non-debatable deadline in which he is looking for your help to meet, it may be a good tactical move to rearrange other work to accommodate him. If there is room for altering one or two other deadlines to meet a client’s urgent request, they will be delighted when you are seen to be bending over backwards to help. Obviously, this scenario will result in a higher percentage fee for the client, so have a line detailing this in your contract. Be Comfortable Saying ‘No’ Sometimes it’s all too easy to agree to take work, especially when you start to do well and the money begins to roll in. But it’s not always a good idea to take on too much work if you don’t want to hurt the relationships you have built up with your clients. Not only will you end up working 20-hour days, but the quality of your work will deteriorate, you will lose your focus, your clients, and probably lose your head. Money isn’t everything, and the business won’t grow any faster. Saying ‘No’ is as important as saying ‘Yes,’ and further down the line you will be glad you struck a balance. Working for oneself is supposed to permit a certain amount of freedom, so don’t blow that by agreeing to every project that comes along. Your body will thank you for it, and believe it or not, clients will respect you for it. If they really want you, they will wait until you can schedule them in or pay you to reschedule them in. Allow Downtime for Administration Being a self-employed freelance writer means more than typing out articles, sales copy, or web content. You are the director, the manager, the employee, the cleaner, the accountant, the marketing executive, the secretary, and even the cleaner. In short, the success of your business depends on you! In order to keep your business running smoothly and efficiently, you must build in a certain amount of time each week for administrative tasks. It helps if you can develop as smooth a process as possible for keeping track of all your work, looking for more work, and managing cash flow. Whatever process you settle on, stick to it religiously but don’t be afraid to adapt it if it needs fixing. Falling behind will get you into a mess very quickly, and you will only spend more time than you can afford untangling the mess and fixing all the problems. An unorganised freelance writer rarely gets work, is never taken seriously, and loses clients faster than hot cakes from a baker’s shop. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Freelance Writing category, check our popular posts, or choose a related post below:Types of Rhyme3 Types of HeadingsComment, Suggestion, and Feedback

Ernest Hemingway essays

Ernest Hemingway essays Ernest Hemingway is considered to be one of the greatest American writers. He is writer who in his works reveals much about himself, because incidents and many scenes from his own life are reproduced in his novels, and actually leading characters have much in common with their creator. To my mind that makes his novels, stories more attractive, more interesting and exciting. That involves also some element of realism in his works. E. Hemingways works are so popular also because of the fact that the author has a consistent view of life and man. Earnshow characterizes the essence of this view in his book Modern Writers: His principal characters are tough men whose appetite for danger leads them into situations where injury, wounds and death are almost inevitable. They are also sentimental men who form strong attachments to women or children and these attachments make them equally vulnerable to emotional wounds. They pitch themselves into struggles that they cannot hope to win, but they show that although a man must lose, he can lose with dignity and honor. ...Hemingway had a strict moral code. The code is worked out emotionally, not intellectually; if what the hero does feel right to him, then it is right, even though it is opposed to the moral standards accepted in society. [Earnshow Modern Writers, London, 1968, p. 193] Indeed Hemingways characters follow this code, code of their own also in the novel the Sun Also Rises. This is the novel of the group of people who make trip to Pamplona for the bullfights. This group of people includes Jake Barnes, Bill Gorton, Lady Brett Ashley, Mike Campbell and Robert Cohn. Although there is one more character, which plays important role but does not belong to that group Pedro Romero. Why he does not belong to this group? The answer is that he does not belong to so called lost generation, because the other characters ...

Texas State Laws on Flag Burning, Desecration

Texas State Laws on Flag Burning, Desecration In Texas, it is a misdemeanor if someone intentionally or knowingly damages, defaces, mutilates, or burns the flag of the United States or the State of Texas. A flag includes any emblem, banner, or other standard or a copy of an emblem, standard, or banner that is an official or commonly recognized depiction of the flag of the United States or of this state and is capable of being flown from a staff of any character or size but does not include a representation of a flag on a written or printed document. Source: 42.11 Analysis of the Law Texas was the source of the infamous Texas v. Johnson Supreme Court decision which upheld peoples right to burn American flags. At the time, the law made it a misdemeanor for someone to knowingly desecrate a state or national flag, where desecrate was defined as deface, damage, or otherwise physically mistreat in a way that the actor knows will seriously offend one or more persons likely to observe or discover his action. There isnt much difference between the law that was held unconstitutional in 1989 and the law which currently sits on the books in Texas. Now, as then, the crime is located not so much in the act as it is in causing negative reactions in others. You arent guilty of flag desecration in Texas if you burn a a flag and no one is offended; you only become a criminal when others take offense.

World Map of CO2 Emissions Essay Example | Topics and Well Written Essays - 2500 words

World Map of CO2 Emissions - Essay Example United States of America ranked first then with average emissions of 19.54 metric tones/capita followed by Canada, Russia, and the UK. Developing countries like India and China lagged at the tail end then.   The Fourth Assessment Report of Intergovernmental Panel on Climate Change concluded among other things that â€Å"warming of the climate system is unequivocal† and that â€Å"anthropogenic warming over the last three decades has likely had discernible influence at the global scale on observed changes in many physical and biological systems.† The report also stated that human activities have a significant impact on climate change.   The Gross Domestic Product is one of the primary indicators calculated to assess the health of a country’s economy. It represents the total dollar value of all goods and services produced over a specific time period. According to the Environment Kuznets hypothesis, environmental pressure increases faster than the income in the early stages of development and slows down relative to GDP growth as higher income levels are reached. The EKC proposes that indicators of environmental degradation first rise, and then fall with increasing income per capita.   There are views supporting and criticizing this theory. Those views supporting it emphasize that the curve exists through it is becoming smaller in nature and shifting to the left(revised EKC) whereas those criticizing it argues that even if certain pollutants are reduced as income increases, industrial society continuously creates new, unregulated and potentially toxic pollutants.

Enhancing quality and safety clinical practice in wards Thesis

Enhancing quality and safety clinical practice in wards - Thesis Example The expertise as well as experience of the nurse is also essential in dealing with the difficult situation and cases demanding critical care and preclusion of accidents. The safety of the patient is of utmost significance and therefore it becomes essential for the hospital management not to suffer with the downturn of experience and efficient nursing staff. Health care is the key to high-quality life, beneath the health care facilities safety of the patient dwells. Health care results portray the kind of care that has been provided and the extent of professional understanding for the quality care. According to Institute of Medicine (IOM), "patient safety is indistinguishable from the delivery of quality health care" (Aspden, 2004). Further, the level of health services in a given condition is directly proportional to the health outcomes. Harteloh (2003), revealed that "Quality [is] an optimal balance between possibilities realized and a framework of norms and values." The positive outcomes of quality health care encompass attainment of apposite personal care, manifestation or expression of health-supporting approach, health-associated eminence of living, judgment of the individual being appropriately cared for along with managing symptoms properly (Mitchell, 2004). In the present scenario, conceptual components of quality are given privilege as compared to other deliberate markers indicating that a profound safety in quality care, success of the care, patient focused approach, well-timed, proficient, unbiased and reasonable predisposition. Safety in health care is the underpinning parameter that leads to the assembly of all other aspect of quality care (Committee on the Quality of Health Care in America). Quality care is the most essential component of the health care. Quality care encompass the patient safety which is the most imperative of all the components of the health care facility. Considering the

Applying Standardized Terminologies in Practice - Informatics Essay

Applying Standardized Terminologies in Practice - Informatics - Essay Example The defining characteristic in stroke treatment and management is neck-artery blockage which could be either symptomatic or asymptomatic. Individuals without any stroke symptoms are also likely to suffer from the disease. However, those who have shown stroke symptoms face a higher risk. Factors related to stroke management include micro-clots in the carotid arteries’ bloodstream, asymptomatic carotid disease, amarousis fugax (a TIA affecting the eye), cognitive impairment, brain stroke and ischemic stroke (Lovrencic-Huzjan, Rundek, & Katsnelson, 2012). Other related factors are symptomatic carotid stenosis and plaque instability. When a plaque is ulcerated or has irregular morphology, the risk of a clinical event increases. NOC outcomes suggested in the management of stroke using medical intervention include improved muscular and brain functioning. The main indicator showing improved status of a stroke patient with medical intervention is elimination of clots in the carotid blood stream. The elimination of neck artery blockage reduces the likelihood of suffering from stroke. Inherently, the use of standardized language in nursing profession is becoming prevalent in education and practice Suggested NIC interventions for stroke patients include use of surgery such as carotid endarterectomy (CEA) for the prevention of secondary stroke. A more recent and less invasive surgical alternative is carotid stenting. The nurse could also advise patients to stop smoking and limit intake of cholesterol for stroke prevention and management. Emboli monitoring is also recommended in order to minimize the risk of later developing stroke. Between the 1980s to early 2000s, aspirin was the only anti-platelet therapy for treatment of stroke. Since the start of the new millennium, medical interventions have increased to include statins, new

Public policy problem statement Essay Example | Topics and Well Written Essays - 2000 words

Public policy problem statement - Essay Example ance and lack of concern for the lives of others has turned urban squares into crime dens where criminals with sadistic motives target innocent civilians. As a corollary, the main objective of this document is to establish the most significant factors of enhancing safety in urban squares and to devise a plan for resolving the safety problems. This will be achieved by making a comparative analysis on three outstanding theorists’ perspectives concerning the area under discussion. An urban square should be able to host strangers from different backgrounds and at the same time ensure the safety of the individuals and property within its precincts (Jacobs, 1961, 30). The Pleasance of a place is contingent to its ability to protect the inhabitants from menaces and physical harm as well as psychological protection from insecurity, fear becoming a victim of crime (Gehl, 2008, 162). The concept of a safe urban square can be best defined in contrast with the concept of an unsafe urban square. Insecurity can be looked at from two different perspectives: i.e. the objective and subjective perspectives. From an objective perspective, Insecurity take account of all factors that impedes the safety of an individual, such as aggravated burglary, murder, violent assaults, sexual harassment among others. On the other hand insecurity from a subjective point of view requires a broad-spectrum judgment of an incident in terms of regional safety and space. Insecurity and poverty are two phenomena that are very interrelated. This is because leads to social disorders such as robbery, violence, assault and the like (Salehi, 2008, 107). A plan aimed at ensuring a safe and secure urban square should include elements of both safety (protection against arson, environmental pollutions, car accidents and other unanticipated natural events) and security (prevention against crime targeting individuals and their properties e.g. sexual harassment, robbery with violence among others (Salehi, 2008,

Information Systems in Banks Coursework Example | Topics and Well Written Essays - 7500 words

Information Systems in Banks - Coursework Example The failure of the projects is only due to mismanagement of information systems. They recommended revising the system for companies' betterment. This research has been carried out as a project management task that mostly concentrates on information systems primarily focusing on banks. After going through the literature it has been noticed out that, though whole process is getting segmented in some of the approach for making the project more efficient but, due to inadequate flow between the sections and improper mapping total outcome is not coming satisfactory. Here, one business process model is proposed that can be implemented in finance companies for transactions easiness, efficient account handling and providing a common framework worldwide. One flow chart is also provided stating how simple transaction can take place with the proposed model. Finally, it is concluded with the theme, let information system can be maximally utilized into industries and we are in a position to cross another milestone. The future scope of this research can be developing another model which will incorporate many other constraints that have not been used here only due to tool unavailability. The main purpose of this research is to seek for the barriers that usage of Information System (IS) in industry like bank, construction etc are facing and analyze the applicability of project management approach to them. Land (2004) defined information system as system which aims to store and manage information. Informatization is a process of minimizing cultural and economic barriers by information and communication technology after proper transforming its economic and social relationships (Kluver, 2000). Informatization of a company results into reduction of total cost and this key knowledge has increased the possibility of organizations to use IT. Back and Moreau (2000) showed that the potential benefits of information management only can be fully maximized by making possible the information exchange throughout the organization and also across all its boundaries if it has any. For this reason, integration and preservation of project information is a vital thing. Due to the rapid change in business to make the company more flexible, a methodology is needed which can permit planning, analysis and redesign of a process after taking into account of the available technology and resources. In this report, role of IT in industry and their effectiveness in the growth of an organization are described. As Price System noticed that

Societal Influences on Nursing as a Profession Research Paper

Societal Influences on Nursing as a Profession - Research Paper Example This essay highlights that  wars have been noted to as major contributor to development of the nursing profession, since more services were required to cater for the casualties. Just like in the times of Florence Nightingale, there has been a public outcry for inadequate care for soldiers in war-stricken areas. The makeshift hospitals that have been established to offer services in the affected population have been effective since sanitary services fundamental in caring for the sick are provided by nurses. Moreover, nursing practices have helped in reduction of immorality cases in military barracks because they offer guiding and counseling services apart from medical services. This is mostly evidenced by reduction in cases of sexually transmitted diseases.According to the study findings  Ccivil wars in countries like United States shaped the public perception of professional nursing since it formed its foundation (Jamieson, 1959). Many women became involved in health-care service s by providing sanitary services in military camps. The value of education in health-care provision for the sick was realized through the voluntary services women offered during civil wars. It is proposed that these women pioneered the construction of the first training schools in nursing after the completion of the war. As a result, the president of American Medical Association, Samuel Gross, endorsed nursing schools in 1868.  Throughout the 19th century, the number of community and hospitals continued to expand rapidly. Conflicts emerged because of religious resurgence during this time, especially among Anglican convent. The surgeons and physicians opposed to the roles of the nurses who claimed they were more concerned in spiritual demands of their patients rather than physical needs. Some religious orders were created for lay people who wanted a chance to share in charitable work. The female nurses were called sisters while male ones were regarded as brothers, even though they belonged to a religious group. Nursing has been dominated by religious values such as devotion to duty, spiritual calling, hard work, and self-denial. It is purported that commitment to these values resulted in exploitation rather than professionalism and the monetary rewards. This was affirmed by

Information Systems in Banks Coursework Example | Topics and Well Written Essays - 7500 words

Information Systems in Banks - Coursework Example The failure of the projects is only due to mismanagement of information systems. They recommended revising the system for companies' betterment. This research has been carried out as a project management task that mostly concentrates on information systems primarily focusing on banks. After going through the literature it has been noticed out that, though whole process is getting segmented in some of the approach for making the project more efficient but, due to inadequate flow between the sections and improper mapping total outcome is not coming satisfactory. Here, one business process model is proposed that can be implemented in finance companies for transactions easiness, efficient account handling and providing a common framework worldwide. One flow chart is also provided stating how simple transaction can take place with the proposed model. Finally, it is concluded with the theme, let information system can be maximally utilized into industries and we are in a position to cross another milestone. The future scope of this research can be developing another model which will incorporate many other constraints that have not been used here only due to tool unavailability. The main purpose of this research is to seek for the barriers that usage of Information System (IS) in industry like bank, construction etc are facing and analyze the applicability of project management approach to them. Land (2004) defined information system as system which aims to store and manage information. Informatization is a process of minimizing cultural and economic barriers by information and communication technology after proper transforming its economic and social relationships (Kluver, 2000). Informatization of a company results into reduction of total cost and this key knowledge has increased the possibility of organizations to use IT. Back and Moreau (2000) showed that the potential benefits of information management only can be fully maximized by making possible the information exchange throughout the organization and also across all its boundaries if it has any. For this reason, integration and preservation of project information is a vital thing. Due to the rapid change in business to make the company more flexible, a methodology is needed which can permit planning, analysis and redesign of a process after taking into account of the available technology and resources. In this report, role of IT in industry and their effectiveness in the growth of an organization are described. As Price System noticed that

Federal Republic Essay Example for Free

Federal Republic Essay First , there was a â€Å" Indias Ninth Five-Year Plan† projects generation of 54 million new jobs during the Plan period (1997-2002). But performance has always fallen short of target in the past, and few believe that the current Plan will be able to meet its target. The Indian youth also get problems in finding job: â€Å" If the unemployment rate observed during 1993-94 continues, the number of unemployed youth in terms of usual status was of 6. 2 million in 2001 . † ( Pravin Visaria 2000:n. p. ) Indias labor force is growing at a rate of 2. 5 percent annually, but employment is growing at only 2. 3 per cent. Thus, the country is faced with the challenge of not only absorbing new entrants to the job market (estimated at seven million people every year), but also clearing the backlog. Sixty percent of Indias workforce is self-employed, many of whom remain very poor. Nearly 30 per cent are casual workers (i. e. they work only when they are able to get jobs and remain unpaid for the rest of the days). Only about 10 per cent are regular employees, of which two-fifths are employed by the public sector. Now, the Indian economy starts recovering but the it’s hard to say that unemployment will be eliminated soon. In the table below the expected level of employment till 2012 is given(which is a very low one). Population and Labour Force: 1997 – 2012 (million 1st April) 1997 2002 2007 2012 Population 951. 18 1028. 93 1112. 86 1196. 41 Labor Force 397. 22 449. 62 507. 94 562. 91 The growing unemployment in India caused a lot of trouble what has been worsening the economical situation since 1980s. It produces the hole in the turnover of the goods as people can’t buy the necessary quantity of products not having enough earnings. Political instability in the late 1980s and oil price shocks resulting from the Persian Gulf War (1991) led to an economic crisis in early 1991, but swift reform measures taken by the newly elected government proved highly successful. Inflation declined from 13.1% in 1991 and 1992 to 8. 6% in 1993 and 1994. However, inflation stood at 14% in 1998. So, as we see, such concern as unemployment influences a lot the whole economical picture of the country. Besides, person that is out of working can’t develop himself and that reflects in a considerable way in the demographic structure of the country. All over the world history the notion of unemployment is associated with the crisis in the economy of any country. Biblioghraphy. 1. No author. 2005. Of economies policies http://www.ilo.org

Accident Causation of Neglect of Worker Well Being

Accident Causation of Neglect of Worker Well Being Accident Causation Workplace safety is of the utmost importance. Understanding events and conditions that may ultimately result in an accidental workplace death or injury is key in maintaining this safety. To prevent or prepare for the occurrence of an accident, precautions must be made for all parties involved. Ensuring that all safeguards are in place, should result in a low likelihood of an accident occurring. However, in instances where overall safety is neglected, dangerous conditions and accidents are far more likely, and typically have disastrous outcomes. One such instance of gross neglect of worker well-being is evident in the 1931 disaster in Gauley Bridge, WV stemming from the construction of the Hawks Nest Tunnel. The task at hand was to construct a dam and tunnel system as to divert and carry water of the New River to boost the ability of power generation. In the midst of construction, workers stumbled upon silica in the area. After this discovery, laborers were asked to mine and collect the silica for future use in steel workings. Silica, in such conditions, was in dust form and easily inhalable. No masks, respirators, or equipment of these sorts was provided to the workers resulting in silicosis, but were worn by supervisors in times of inspection. This proved to be definitively deadly to over 475 workers, but hundreds or thousands of other deaths were likely a direct result of the incident. Simple measures could have been taken to lessen or eliminate the deaths that resulted from the neglectful ways of the companies involved. Providing masks or respirators to the men working to extract the silica would have greatly reduced the amount of dust inhaled by the individuals. Today, regulations by OSHA and other organizations protects workers in situations such as these requiring proper equipment be dispersed and used [1]. The 1984 Bhopal gas tragedy is an example of heightened disastrous aftermaths resulting from a lack of precautionary measures and poor emergency protocols surrounding the events. Though there are differing theories on how the leak happened, workers insist that the poor working facilities, little regard for safety, and undertrained employees ultimately led to poor operations of the tanks resulting in the leak. Immediately after the accident, there seemed to be little to no urgency in notifying residents and other workers of the possible consequences, inducing a greater risk to the overall well-being of everyone within or near the incident. Thousands of lives were lost as a result of the leak. In any case, several tactics could have been implemented as to reduce the possibility of a leak occurring. Better maintenance of the equipment and facility, an improved sense of worker safety, and proper training of all workers could have all made a significant difference in the outcome of this d isaster. Since this time, regulations have been put into place and organizations and activist groups are working to help those that were involved, including the passing of The Environmental Protection Act in 1986 [2]. A number of incidents such as these are very preventable. With sufficient precautions and procedures in place, careless accidents and wrongful deaths and injuries would be greatly downsized. In general, if people, especially companies and supervisors, cared as much for the well-being of individuals in the workplace as much as they cared for a successful job, occurrences or neglect may be eliminated and the task could still be executed properly. In time, regulations and organizations such as OSHA have worked to stabilize the workplace, but it is evident that more work still needs to be done. Phillips disaster of 1989: During routine maintenance of polyethylene reactors, extremely flammable gases escaped through an open valve. When checking the reactors, valves are closed and compressed hoses disconnected. The hoses look identical and had been reversed and wrongly installed after the last inspection. Now when closing the valve, it was being opened and released the gas killing over 20 people. OSHA investigated, citing multiple violations including inadequate standard operating procedures. A settlement was reached, but since this disaster, two other fatal instances have occurred. Kader Toy Factory fire: A 1993 fire in the factory (building 1) killed 188 and injured more than 500. A small fire broke out on the first floor, but workers on upper floors were instructed to continue work. The fire alarm did not sound and the exit doors were locked. The structural integrity and design of the building was also poor and causing a quick collapse. This led to the government addressing the major flaws in fire safety measures. References [1] Gauley Bridge. http://cstl-hcb.semo.edu/pgershuny/Gauley%20Bridge.htm [2] Broughton, E. (2005). The Bhopal disaster and its aftermath: a review. Environmental Health, 4, 6. http://doi.org/10.1186/1476-069X-4-6

Thomson Highways The Rez Sisters Essay -- Thomson Highway Rez Sisters

Thomson Highway's The Rez Sisters Works Cited Not Included The play The Rez Sisters is written by one of Canada's most celebrated playwrights, Tomson Highway. Highway was born in 1951 in northwestern Manitoba. He went on to study at the University of Manitoba and graduated from the University of Western Ontario, with honors in Music and English. Native Literature is inspired by 'contemporary social problems facing native Canadians today; alcohol and drug abuse, suicide, wife battering, family violence, the racism of the justice system, loneliness, rejection, youth awareness, as well as modern-day environmental issues.';(P. 172 Native Literature in Canada.) Highway once said, 'We grew up with myths. They're the core of our identity as people.';(P. 172 Native Literature in Canada.) I am going to focus on the image and identity of Native people as seen through the play The Rez Sisters. Identity is 'how you view yourself and your life.'; (p. 12 Knots in a String.) Your identity helps you determine where you think you fit in, in your life. It is 'a rich complexity of images, ideas and associations.';(p. 12 Knots in a String.) It is given that as we go through our lives and encounter different experiences our identity of yourselves and where we belong may change. As this happens we may gain or relinquish new values and from this identity and image our influenced. 'A bad self-image and low self-esteem may form part of identity?but often the cause is not a loss of identity itself so much as a loss of belonging.'; Social psychologists suggest that identity is closely related to our culture. Native people today have been faced with this challenge against their identity as they are increasingly faced with a non-native society. I will prove that the play The Rez Sisters showed this loss of identity and loss of belonging. When a native person leaves the reservation to go and start a new life in a city they are forced to adapt to a lifestyle they are not accustomed to. They do not feel as though they fit in or belong to any particular culture. They are faced with extreme racism and stereotypes from other people in the nonreservational society. 'The Rez Sisters won the Dora Mavor Moore award for the best play in 1986-87 and later went on to earn extravagant praise at the Edinburgh Festival.'; (P. 172 Native Literature in Canada.) The play is full of comedy, trag... ...rs, '?was one of the most toughing exuberant, cleverly crafted and utterly entrancing plays?';(Cover The Rez Sisters.) Tomson Highway did a great job at giving the reader an idea of what reserve life is about. He gave us the opportunity to experience the hardships of native people and some insight to how they form their identity.   Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   After reading this wonderfully written play I do believe that our culture plays a very important role in how we as people form our identity and determines where we feel we belong. Nanabush had a great deal to do with the women keeping their current identities and since of belonging. I feel that if we believe in a spirit and surrender or lives to them they will take care of us just as Nanabush did in this play. We all need to belong somewhere and feel comfort in our lives. We as human beings need to open our eyes and see we can all belong together and live in one society without dropping our culture but before this can happen we need to end racism and stereotyping. These are the two main factors that push people, more commonly native people, into the loss of belonging the loss of their culture and the loss of the core of their identity.

Human is a fallen God who remembers Heaven :: Personal Narrative Writing

Human is a fallen God who remembers Heaven "Rafal, why don't you participate in the contest that I was talking about. I think you have a chance to win" my teacher proposed. When I was in fifth grade in elementary school I had my first chance to participate in an art contest. The name of the contest was "spring," so kids had to draw or paint a picture that represents the landscape in the spring season. In school there were many kids who could draw and paint well. My friend Marcin really made better pictures then I did, so when I went home from school I didn't have enough faith to even try. I didn’t do anything about that whole day. The next day, I told my teacher that I was not going to participate because I did not feel like I had a chance to win. At the end of the class, the teacher asked me to wait because she had something for me. That day I was really surprised; she gave me brand new paint and a couple of brushes from the school supplies and told me that I could borrow these tools to do the artwork for the contest. She also added that if I won I could keep these. She really empowered me to participate, and I realized that I had nothing to lose. Running, I took the shortest way home. I just couldn't wait to get to my room and open the jars of paint. It wasn't difficult that I thought it would be. I really enjoyed painting and that was actually my first time I painted something. It seemed like I was painting before. The idea of the design came fast; I visualized one of the artworks that hung on the wall in our art classroom. I don't remember the name of the artist, but the well-composed picture showed trees and a river in bright and natural colors. So, I tried to do a similar painting. My idea was to make the river flow from one side of the paper to the other, with trees in front of the river and behind, and I added a house in the middle. It took me almost the whole afternoon and evening to finish this artwork and no one helped me. That was one of the happiest days of my life. I was very surprised what I had done.

Clinical Decision Support

A state of irritability, exhaustion, or bewilderment triggered in clinicians who have been exposed to too many alerts which cause the user to ignore some or all the alerts. American National Standards Institute (ANSI) ; coordinates for the development of Health bevel Seven's Arden Syntax Standard. Bar Code Medication Administration (ABACA) ; An inpatient CADS to assist nurses with the five rights of medication administration. ; Provides warnings if any of the five rights are violated. ; It also requires the nurses to enter an override reason if he/she chooses to proceed.Bar Code Medication Administration Health Level Seven (HAL) ; A standards development organization for health information technology (HIT) Look-Alike, Sound-Alike (ALAS) ; Drugs with similar spelling or pronunciation. ; Refers to providing clinicians or patients with clinical knowledge and patient-related information, intelligently filtered or presented to appropriate times, to enhance patient care. ; Integrate patie nt-specific data with an available knowledge base in order to assist the clinician in selecting and delivering the safest and most effective therapies.Clinical Decision Support System A system intended to provide CDC to clinicians, caregivers and health care consumers. ; An Automated CADS includes: 1. A Knowledge base 2. An Event monitor 3. A Communication system Take Note: ; CADS may be a stand alone system ; CADS may be integrated into other technology solutions (ex. Bar code scanning technology and e-Prescribing) General Attributes of CADS 1. Designed for three purposes: Improve the quality of clinical decisions Notify of potential change in patient status ;. Prevent errant action at the point of care a.Error of commission b. Error of omission 2. Patient specificity 3. Context sensitive- relates directly to the work at hand 4. Integrated into workflow- convenient to use. 5. Timely- executes in real time 6. Pushes information to the clinician, care-giver or health care consumer 7. Intelligently filtered clinical information ; Information, advice or warning is relevant and meaningful ; CADS uses patient data to infer that the message is actually needed. ; CADS is customizable to clinical preferences. Types of Clinical Decision Support A. Patient-specific CADS B.Non-patient specific CADS ; This type of CADS consist of three types f alerts 1 . Commercial drug-interaction alerting system 2. Commercial dose and dose-range checking alerts 3. Commercial clinical rules engine Commercial drug-interaction alerting system ; Most common in COPE and Pharmacy Information systems. ; Provides alerts for drug-allergy, drug-drug, drug-pregnancy and other interactions. ; Limitation is that severity levels Of drug interaction is pre-assigned by the vendor based on the anticipated adverse reaction and cannot be customized.Four Possible Results from deterioration alerting system Alert Result Produces alert? Relevant? Clinician deeds to see? True Positive Yes True Negative NO No P ositive False Yes but never gets the chance Commercial dose and dose-range checking alerts ; Currently, this is rudimentary using few patient data, usually only age. Therefore this systems only loosely fit paternalistic category. Commercial clinical rules engine ; These allow local development or customization of clinical content and programming logic. 2. 3. 4.Data mining Informational notice Order sets Knowledge retrieval systems ; Provides population specific relationships and information. ; Encompasses numerous methods used to identify patterns and relationships in data. ; Usually just-in-time, product specific information. ; Examples: 1 . Provides alert for possible ALAS 2. In COPE, it might be order specific information such as the cost off lab test, or formula status of a drug. ; An organized set of patient care orders that are usually population, procedure or disease specific. It may be evidence-based such as clinical guideline. ; The KIRKS ; It could be: 1. Primary KIRKS ex. Google and 2. Secondary KIRKS (Harridan's online) 3. Tertiary KIRKS (ASAP, Thomson Health care and How to maximize the benefits Of CADS? Maximizing the benefits 1. Ensure that the data available for decision-making is as comprehensive as possible. Data should be current and urge Larry updated. 2. Optimize the method by which the decision support information is delivered to the health care provider values of CADS ; Application of CADS in different current medical technologies available: 1.COPE 2. OMAR(Getronics Medication Administration 3. Smart Pumps 4. Automated distribution cabinets CADS in COPE CADS integrated in COPE can: ; Reduce medication errors (any preventable event that may lead to inappropriate medication use or cause harm to he patient while the medication is in the control of a health care professional, patient or consumer) ; Improve compliance with recommended monitoring or adjunctive therapies. ; Improve efficiency by reducing the time spent clarifying incomplete ord ers. Screen for a variety or risks on the point of entry (ex. Duplicate therapy, drug-drug, allergic cross sensitivities) ; can reduced mathematical errors by automating weight-based and similar dosing calculations. ; can identify possible ALAS medications. Computerized Provider Order Entry CADS in Omar ; OMAR (Electronic Medication Administration Record) CADS integrated in Omar can: ; Can provide real time confirmation of the 5 rights of medication administration: 1. Right medication 2. Right dose 3. Right route 4. Right patient 5.Right time ; Can screen for recent changes in laboratory parameters, vital signs, or allergy status which may interact with a scheduled medication and alert the nurse prior to administration. ; Ex: laboratory shows critical level of potassium thereby alerting the nurse before administering dioxin to patient. CADS in Smart Pumps ; Smart pump- a computerized infusion device that can be programmed to include specific set of data. CADS integrated in Smart Pum ps can: ; Provide real time confirmation of the volume, rate and concentration of the solution being administered.Smart Pumps CADS in Automated Dispensing Cabinets ; ADS- secure storage cabinets typically located decennially on patient care units capable of handling most unit-dose and multiple dose medications. ; CADS integrated in ADS can: ; Notify nurses of potential hypersensitivity or ADAIR when certain trigger medications are withdrawn for a patient. ; In pharmacy, can provide alerts when medication is withdrawn too early or too ate based on scheduled administration time. Automated Dispensing Cabinets Unintended consequences in CADS ; A. Alert fatigue ; 8. Delay in care ; C. System performance A.Alert fatigue ; Tendency users to become overwhelmed and begin to ignore CDC messages due to a high quantity of alerts or a perception that the alerts have little perceived value. B. Delay in care ; The risk that interruptions in the workflow caused by clinical decision support alerts o r system limitations may lead to a delay in delivery of patient care. C. System Performance ; The risk that the processor resources seed by the CADS will cause the hospital information system software to perform slowly. Arden syntax standard ; A programming language designed for clinicians to build clinical rules. Streamlined computer language based on Pascal. ; Developed in Columbia University Arden Homestead in 1989. ; This standard provides a method to construct clinical rules, such as alerts, reminders and recommendations, known as Ml. ; Provides a flexible and clinically way to develop Ml. What is Ml? Ml ; Means Medical Logical Modules ; Offers a suggestion or warning (alert, recommendation or reminder) regarding a alnico decision or action, or an informational notice to report a change in a patient's clinical status.

Use Source A and your knowledge of the period to explain why people supported Roosevelt in the 1932 election

By 1932 unemployment in the USA had reached 13 million and was rising rapidly. The poor were without food and eating in soup kitchens. The depression was causing public disorder and when a group of 22,000 First World War veterans (The Bonus Army) marched to Washington because, like many other people, these veterans were poor and demanded to be given an immediate bonus which the government had promised to give them in 1945, tanks were sent in to disperse them. People were shocked by the violence and critical of the government's response. The Republicans, lead by President Hoover did not believe in interfering in business to promote prosperity, he claimed that it was the government's job to encourage rather than to spend. As a result he refused to set up relief programmes to help the unemployed and he argued that it was up to the individuals to turn around the economy. The people were unhappy as they had been promised ‘the final triumph over poverty' in 1928, but the Republicans had been unable to offer any solution to the collapse of the economy. Roosevelt was a good campaigner showing himself to be cheerful, optimistic and caring, whereas Hoover was plodding, drab and defeated throughout the election campaign. The speech in Source A is in terms of waging war on poverty, Roosevelt talks of a ‘call to arms', a ‘crusade' and ‘waging war'. This is very active and energetic in contrast to Hoover's defensiveness. The people had been hurt by poverty and were being given a chance to fight back by voting for the Democrats. Roosevelt appeals to patriotism in his ‘crusade to restore America' and gives hope when using the word ‘restore' that prosperity can return. The phrasing ‘Destruction, Delay, Deceit and Despair' is full of energy and shows that Roosevelt means business. People supported Roosevelt in the 1932 election because they were disillusioned with Hoover who had been unable to bring them out of the depression and because Roosevelt was positive, forceful and able to give hope. A ‘New Deal' appealed to them because the old deal had failed and they were being called to take action against poverty along with their government as Roosevelt says ‘Give me your help†¦ to win in this crusade'

Advertising Victoria’s Secret Essay

Victoria’s Secret is a retail seller of women’s clothing and beauty goods, but is most familiar as a dealer of lingerie. Victoria’s Secret had retailing of more than US$ 2.6 billion through their over 900 retail stores in the U.S. in 2005. In Joseph Jaffe’s â€Å"Life After the 30-Second Spot,† he looks at how the mode that most companies and organizations believe is the best way to get their point crosswise to customers and projection – television advertisements. It is significant to note that it’s not that the ads aren’t imaginative, inventive, or are not talking the verbal communication of the spectator – no less than for the most part – that has sourced the need for a â€Å"life after† this type of marketing, it’s the empowerment of all of us in the marketplace, letting the people â€Å"call the shots† for maybe the first time in a long, long while. Victoria’s Secret was six money losing lingerie stores and a successful catalog when Wexner bought the company in 1982. It was a business aimed at making men comfortable buying lingerie. But what Wexner saw was an essential appeal to women. From its inception, Victoria’s Secret’s telephone operators were trained to be soothingly supportive when embarrassed males called. You don’t know your lady’s bra size? No problem. Do you know where she keeps them? Okay, look on the edge of the strap and it will tell you the size. Today almost exclusively women for women who are mainly buying to please themselves run Victoria’s Secret. Doing only $7 million when Wexner bought it, the business grossed nearly $1.8 billion in 2003, two-thirds from the stores. Wexner was at his best, grasping the potential of Victoria’s Secret and then realizing that potential. He created stores that enhanced a mood: pretty but not overtly sexy, with satin nightgowns hung on the walls, a color-coordinated spread of undergarments on tables and plenty of room to mill about on thick carpeting. Thus coddled, the Victoria’s Secret customer buys eight to ten bras a year; the typical American woman buys two. â€Å"We’ve made women consider the bra and panty part of their fashion wardrobe,† says Grace Nichols, 48, chief executive of Victoria’s Secret stores. A woman buys an aqua satin bra from Victoria’s Secret in the same way she buys a new lipstick color, to cheer up, to feel better or to indulge herself. â€Å"Narcissism is real,† says Wexner. â€Å"It’s the key to the business.† The stores and catalog arc now run separately and carry mostly different goods, with only about 5% overlap. But they reinforce each other. FORBES estimates between 200 million and 240 million catalogs are mailed to 10 million people–with some getting as many as 45 catalogs a year. As much as generating mail-order and 800-number business, the catalogs stimulate women to visit the stores. â€Å"We’re in the customer’s face on a regular basis,† Nichols says. She has plans to go from 600 Victoria’s Secret stores to as many as 1,000 stores, adding 50 a year, even without expanding abroad. Six years ago Victoria’s Secret introduced a line of scented bath gels, soaps and lotions. â€Å"These products are indulgence-oriented, so we saw a great emotional marriage between the two products,† says Nichols. The line now constitutes $180 million in revenues and 15% of sales, with better than 50% gross margins. Not rock music but Vivaldi and Beethoven pour softly from the loud-speakers in Victoria’s Secret stores. Customers started requesting tapes and CDs. Why not? Since 1989 the stores have sold more than 10 million tapes and CDs, recorded by the London Symphony Orchestra for the Victoria’s Secret label. Cynthia Fedus, chief executive of the catalog operation since 1988, also made major changes. Out went the steamy shots of scantily dad males and females grappling, ogling or embracing each other that were common under her male predecessor. In came a mannered, aristocratic look with British affectations. Though headquartered in New York, the catalog first listed a London address on the cover. But when people started showing up at that address, an administrative office, it was dropped. The catalog still states a price in pounds. â€Å"It became aspirational, with older models posing in rich-looking, lovely settings,† she says. Sales doubled her first year, to more than $100 million. Fedus also added to the lingerie a line of sportswear and evening wear, which has become 60% of sales. A supplemental swimwear issue debuted, bringing in $12 million in sales. There followed a country issue with rustic clothing and Timberland shoes. Leslie Wexner has always understood that retailing and show business are first cousins. Victoria’s Secret has become a powerful mainstream retailing brand image. Why. Those with a taste for pop psychology speculate that professional women, denied highly feminine clothes at the office, want to wear ultra-feminine garments underneath. Such talk bores pragmatic Nichols. â€Å"I could tell you any bullshit you want to hear,† she snaps, â€Å"but you’ll find the [lingerie] category hasn’t grown; we’ve just grabbed market share.† Victoria’s Secret has aided; perchance more than any other product attract notice to the lingerie industry. Their advertising operations, together with the Victoria’s Secret Lingerie Catalog and Victoria’s Secret Fashion Show are visually attractive and contentious. The notice received by Victoria’s Secret for their violent advertising campaigns has produced invaluable rumor and media bytes to further augment the Victoria’s Secret brand. References Joseph Jaffe, 2005, Life After the 30-Second Spot: Energize Your Brand With a Bold Mix of Alternatives to Traditional, Publisher: John Wiley ; Sons Inc

Choose a global business and critically analyse the organisational Essay

Choose a global business and critically analyse the organisational structure adopted by the company since 2008. Investigate the - Essay Example Some of the key products of the company are pointer telegraph, electric train, electron microscope, automation system, the most powerful gas turbine of the world as well as cardiac pacemaker. Siemens has been named the largest electronics company in the Europe by Bloomberg (Thiel, 2007). Strong labour resource acts as one of the major strengths for the company and it heavily depends on its workforce. The structure of the organization has undergone a major change in the last decade. Initially, the company was segmented into five primary divisions, such as Industry, Energy, Infrastructure and Cities, Healthcare and Siemens Financial Services (SFS) (Siemens, 2013b). All these divisions were administered by the CEO of the company. Each of the primary divisions has a large number of subsidiaries operating in nearly 190 countries in the world, both developed nations and underdeveloped nations. The global presence of the company is the basis of its competitiveness in the industry (Siemens, 2013c). Siemens has maintained organizational value on the grounds of quality standard of the products offered by the company, technological excellence of the production process, reliability and trust on the employees and its undeviating focus on international expansion. With expansion of business organizational structure had become complex due to long hierarchies and large number of corporate units under each of the five segments of the company. In the last decade, the company has come across a rough business terrain. During 2007 Siemens was accused of a huge bribery case. Corruption was rooted deep into the transactions of the company. This has given rise to considerable public scrutiny on the company and drew the company into controversies. It hampered the smooth functioning of the company which led the organizational leaders to adopt a major structural change in the organization. The new organizational structure has been aimed at making the organizational framework lean and flex ible. This paper presents a detailed study of the new organizational structure of the company and the positive and negative impacts this change has cast on the company’s strategic management, its corporate culture and functional aspects. Methodology This paper looks into the effects of organizational structural change on the management of the company and its long term performance. The study has focussed on the structural change made by Germany based multinational Siemens. This is a qualitative study made on information collected through review of existing literature as well as information available on company website. Only secondary sources of information have been used for this study. Sources of information include books, articles published in journals and working papers and online sources of information. The changes made in the organizational structure have been presented at first followed by the investigation of positive and negative aspects of these changes on different f actors affecting organizational performance. Main Findings Siemens has brought about major changes in the company and has adopted an altogether new structure. The management of the company has decided to maintain prime focus on three sectors. These are the industrial sector, the energy sector and the healthcare sector (Siemens, 2007). The company aims at staying close to the customers and acknowledge customers’ feedback at all levels of decision making of the company. The strategy focuses on

Appointing vs. Electing Judges to the Supreme Court Essay

Appointing vs. Electing Judges to the Supreme Court - Essay Example Supreme Court Justices should be appointed and not elected despite arguments against the practice. Supreme Court Justices are appointed by the President and approved by the Senate. This view is not approved by all of the American public. Some see it as just a game between the President and Senate. The president â€Å"shall nominate, and by and with the Advice and Consent of the Senate, shall appoint" various high-level executive and judicial officers† which includes Supreme Court Justices (Amar and Amar). It could be speculated that the President and Senate make and approves appointments for personal reasons such as individual politics. For example, conservatives appoint conservatives, like Bush’s appointment of Clarence Thomas. Another argument is too much power comes to the nine Supreme Court Justices, since these judges are not elected. Bork suggests â€Å"The nations of the West are increasingly governed not by law or elected representatives, but by unelected, unrepresentative, unaccountable committees of lawyers applying no law other than their own will† (13). Many major decisions have been made by nine Justices. An example would be when the Supreme Court ordered schools to be desegregated. This decision still affects children today. For years students were bussed from one end of the town to another just to integrate schools on the Supreme Court Justices’ ruling. The appointments of Supreme Court Justices are a vote of the people, even though they are not direct elections. The President and Senate are both elected by the people. This allows the people a voice, but in a narrower way. The safeguard is once the Justice has their appointment, the President or Senate no longer has any power over them. Founding Fathers of the United States put this checks and balance system into place. â€Å"Presidents and Senators are free to base their decisions on the likely voting patterns of nominees, but may not extract pledges or promises†

Sexuality in Todays Society Essay Example | Topics and Well Written Essays - 1750 words

Sexuality in Todays Society - Essay Example This report stresses that today many teens are engaging in sexual promiscuity thus resulting to many of them falling for unwanted pregnancies. This has been encouraged by the many writings on sex, sex films and plays which depict sexual matters without a distinct coverage. For instance today pornography is being watched by people across all ages, young children who cannot even define their sexuality included. Thus the openness of sex may be said as having positive impact but it is largely negative. In today’s society parents have also been reluctant to control their children sexual habits thus worsening the situation. This is partly due to the increasing number of working class parents who end up having less time with their children. Therefore it is a high time that parents realized their role in teaching their children in relation to their sexual habits. This paper makes a conclusion that the society today is obsessed with sex and the question that comes to the fore relates to how the society should behave in relation to the issue of sexuality. In this aspect religion is an important tool for fighting unfavorable sexuality issues. This is because religious groups mostly advocate for sexual purity which ought to be of great importance in the society today. However it has proved difficult to maintain sexual purity today considering that many cultures are obsessed with sex and permissiveness in all types of sexual expressions.

The rights and obligations of parties involved in marine salvage under Essay

The rights and obligations of parties involved in marine salvage under the admiralty law - Essay Example The oil ship Rusty Floater was moored alongside Old Bucket in the process of feeding oil to the latter when a gale blew and,though moderate,was enough to break the forward quay moorings of Old Bucket.It came so sudden that there was no time to disconnect the oil supply pipeline. Old Bucket broke free from the oil feeder ship and proceeded to drift into port, threatening to collide with other vessels anchored at the marina. At this, the crew of a tugboat in the area sprung into action. The tugboat master, who is experienced in oil spill control at sea, concentrated on Rusty Floater and helped disconnect its oil pipeline properly, while his crew cast tow ropes at Old Bucket to hold her steady. The operation succeeded such that Old Bucket did not harm other vessels and the oil feeder ship Rusty Floater was prevented from spilling bunker oil into the sea. When the danger was over, the tug towed Old Bucket to another berth, while the master of Rusty Floater signed an LOF 2000 agreement wi th a SCOPIC clause with the tugboat owner.In signing the LOF (Lloyd's Open Forum) 2000 contract with a SCOPIC clause, the owners of Rusty Floater basically signified their agreement to provide an award to the tug for the salvage of their vessel. As a form of salvage contract, LOF 2000 defines the services rendered by the rescuer and the rights and obligations of the parties, such as what proportion of the salved values of the vessel would be awarded. In the instant case, the LOF 2000 contract probably specified the parties' agreement that the salvage operation was a low-value case that nonetheless became critical because of the threat to the environment (Bishop, 2000). The addition of the SCOPIC clause in the contract indicates the parties' agreement to an amount of award appropriate to this "low-value" threat. The SCOPIC clause in the LOF 2000 contract also means that the parties agreed to a two-tier remuneration system: full tariff rates if all the tug's salvage equipment were rea sonably engaged or used at some stage of the operation, but only 50 percent if these equipment were mobilised but not used. In effect, the signing of LOF 2000 with a SCOPIC clause between the masters of Rusty Floater and the tug guarantees a successful salvage claim against the oil feeder ship. There was no mention if the owners of Old Bucket signed the same agreement but if they did, the tug owner is due for two potentially successful salvage claims against both Rusty Floater and Old Bucket. The salvage claim against Old Bucket derives its strength from admiralty law provisions dictating that there is such a claim if a vessel requires assistance as result of an incident to try to minimize the extent of its losses and, in this case, prevent a possible collision with other moored vessels. From the oil carrier Rusty Floater, the tug owner deserves an even higher salvage award because his action served to prevent pollution and damage to the

MARKETING PROFESSIONAL Practice Essay Example | Topics and Well Written Essays - 1500 words

MARKETING PROFESSIONAL Practice - Essay Example At the next level, the people who will work on this plan’s realization need to be identified and appropriately trained. The research for the staff required for the completion of an organizational plan begins within the organization. If specific competencies are involved in the particular project, then individuals with the required skills need to be identified. At this point, there is the following problem: is the organization involved able to respond to the financial needs of such initiative? In current case, the financial status of the particular (non – profit) organization is rather satisfactory – at least for now. However, the organization is not able of hiring staff; for this reason, volunteers will be asked to participate in the particular project – supporting the organization’s permanent staff. The various aspects of the specific scheme – of attracting volunteers – need to be carefully reviewed: a) volunteers will be treated like the permanent staff, b) the tasks allocated to volunteers will be checked – in accordance with the skills and the competencies of each individual, c) the time period of the volunteers’ participation in the project will be strictly defined – each volunteer will be asked to participate in the project for a short period – not more than a month – in order to guarantee the quality of the work provided but also the availability of volunteers, d) the performance of volunteers will be monitored – ensuring that volunteers who highly perform will be rewarded for their efforts; non-financial rewards could be provided to volunteers aiming to enforce their motivation. When the financial and the non-financial resources required for the specific project have been allocated – in the context described above – then the practical implications and challenges of the project should be identified and evaluated. First, the phases of the project need to be presented: a) in terms of location, the project will be

Computer Technology Essay Example for Free

Computer Technology Essay Charles Njogu, the name does not ring a bell does it? That is my name. Why should my name matter to you? It should matter because I am one of the biggest success stories to come out of my native country, Kenya. I come from a third world country and nothing I have ever achieved or have in life came on a silver platter. I worked hard to reach my status in my life now and I am working even harder to make sure that I do not waste any of the opportunities lady luck has thrown my way. Completing my education has always been my personal battle. There were some real times in the past when I thought that I would do better to throw in the towel and just give up. But I have a dream, a dream to help my countrymen realize a better life and for the future generation of Kenyans to have a better chance in life than my generation did. This is why I strive to reach even greater heights in my educational accomplishments. I want to be the example every Kenyan will look up to and realize that there is a brighter future ahead of them. All they have to do is keep moving towards the goal. No matter how impossible it seems. Though life was rough for me back home, I never let anyone derail me from achieving my goals. That character trait of mine was built up over the years of failure and hindrances that I had to overcome. Looking back on my educational achievements in Kenya, I amaze myself because I never believe I could all that and much more. I have always had a fascination with Computer Technology. This is why my earliest educational achievements were in this field. The Computer Training Center in Nairobi awarded me an ACP certificate in Computer programming back in 1993. This was quickly followed by an ACP Advance Diploma in Computer Studies as well as another ACP Diploma in Systems Analysis and Design. My interest in computers helped me understand that Management plays an important role in the way any office works. All the best computers and databases in the world will be rendered useless if efficient office management is not firmly established by the office right from the start. So I toyed with the idea of taking some management courses. After all, it has always been a personal dream of mine to own my own business someday and, hopefully, be able to teach my fellow Kenyans all about business management in order to help their business skills. Three years later, in 1996, graduated with a National Diploma in Business Management with an Advanced Certificate in Business Administration from the Kenya Institute of Management. For most people, that would be enough of an achievement to make them feel accomplished in life, but not me. I knew there was more to learn and that Kenya based educational institutions had probably taught me all that I they had to offer me. So I set my sights higher. This time, I was eyeing further advanced education in the United States of America. It was with great pride and joy that I was accepted into Brandeis University in Massachusetts. I attended the school as a masteral student of International Finance and Economics. My major was in International Finance and International Economics. I completed these studies back in 2003. Now, in 2007, am expecting to complete my Master of Science degree in Management and Systems with a major in Leadership and knowledge from New York University. You might ask yourself, with all these accomplishments, why would I still want to complete a Ph. D. in Management at Rutger University? The answer is really part of a very logical process of educating myself that is deeply rooted in my sense of self-accomplishment. I want to be a results oriented businessman with vast experience in business administration, financial management, information technology, knowledge and organizational management. I believe that in order to properly manage a business, I must be highly skilled in strategic planning, implementation and information systems auditing as well as knowing how to properly increase productivity while keeping a streamlined business operational. It is my intention to complete my Masteral Degree in Management because in the future, I wish to see a challenging career as a Business Systems Analyst, project manager, as well as a network engineer / person. These positions will require me to fully utilize all my extensive skills, analytical and leadership abilities in order to realize my potential for future growth. Why should Rutger University even bother to consider me for a student slot in the system? The answer to this lies in my soon to be published thesis entitled Managing Knowledge Capital: How Organizations Measure Knowledge Capital and How the Make It Grow. It was recently reviewed with much praise by Lydia Rich and should be published in the short-term future. In this thesis, I am reminding everyone that computers do not do the managing of businesses although they are an integral part of the management system. I proposed that what really keeps the business running is a thoroughly new, yet proven to be accurate method of determining the value of businesses today through proper management ideas. Lastly, I am sure you will want to know why I want to attend Rutger University. The answer, simply put is that I believe that your university will provide me with fertile ground where in I can learn even higher levels of academic theory and practice based on one of the most admirable Ph. D. curriculums this nation has to offer.

Benefits of using Cost Volume Profit analysis

Benefits of using Cost Volume Profit analysis Cost Volume Profit Analysis Table of Contents Introduction CVP analysis and decision making Relationship between revenues, costs, profits and volume Fixed vs. variable costs Break even analysis: Margin of safety 1.Non- Linear CVP analysis: 2.Linear CVP analysis: Operating Leverage Income Tax benefits: Future forecasting Preparation of Budgets: Cost Control: Price Determination: Profit Planning: Risk Assessment: Decision Making: Conclusion References Describe the benefits of using cost volume profit analysis for management decision making Introduction Every organization needs to calculate future revenues in order to help the managers carry out their operations effectively. Cost volume is the approach used for this purpose. Cost Volume Profit analysis or CVP analysis helps in identifying the operating activity levels with a purpose to avoid any kind of losses and achieve profits. Moreover, it also helps the companies to plan their future operations and see whether their organizational performance is going on the right track or not (Lewis). While conducting a business, the companies also have to face various risks and in order to counter those risks, CVP analysis is an effective tool. The following project tends to analyze the fundamental concepts regarding cost volume profit analysis along with an illustration of how these concepts can be useful in carrying out organizational operations. CVP analysis and decision making Cost Volume Profit analysis helps organizations to examine their profits, costs and prices with respect to any changed that occur in sales volume. CVP is an effective tool that helps accountants to engage in decision making regarding future operations (Breakeven analysis (CVP analysis)). Moreover, it also helps in making the following decisions for the company: It helps to analyze which products and services are beneficial and how can company use these products and services to generate the maximum amount of revenue. It also explains what sales volume will be needed by the company in order to achieve a fixed level of profits Moreover, it tells how much revenue should the company target so as to make sure that no losses occur It also highlights what would be expected budget of the company It also helps to calculate company’s fixed costs and measure the amount of risk associated with any investment Relationship between revenues, costs, profits and volume CVP analysis helps to find out the relationship between the above mentioned elements in a graphical format. For example: if a company has contribution margin of 300, 400 and 500 units respectively on its income statements, then the CVP graph can be represented as follows: The contribution margin ratio used for this purpose can be calculated as follows: CM ratio = Total CM Total Sales This ratio can be used to calculate unit contribution margin and the total contribution margin (MAAW, 2011). The unit contribution margin helps us to calculate the difference between total revenues and unit costs of the company whereas the total contribution margin is related to the difference between total revenues and the total costs of a company. In other words, the total can be calculated by multiplying the unit cost with the total number of units. So, this shows can CVP is an effective tool for calculating the contribution margin. Fixed vs. variable costs Another benefit that organizations get by using the cost volume profit analysis is the decision making about different types of costs. This is important because while carrying out a business, the company is not concerned with the total amount rather it is concerned with the actual cost behavior. This is so because cost behavior helps us to classify the costs into various categories such as fixed, variable, administrative and so on. For example: Let’s take a company with fixed costs F, variable costs V and the total number of units equal to X, its contribution margin will be equal to (P-V)X and profit can be calculated as follows: Profit = (P-V) X F Break even analysis: Cost volume profit analysis can also help the organizations in calculating the breakeven point which is the point at which the profits become equal to zero. This can be done by finding the break even volume and then using it to make graphical representations. The break even volume can either be expressed in dollars or in units depending upon the nature and type of the organization (Cafferky, 2010). For instance: if the organization makes a large amounts of products, then the company must prefer to calculate the breakeven volume in the form of sales dollars while in case of one product company, the unit method might be a more effective calculation of sales volume. Presented below are the calculation method and the graphical representation in both cases: Break even volume in unit method = Fixed costs Unit contribution margin Break even volume in sales dollar method = Fixed costs Contribution margin ratio This chart illustrated that at the breakeven point, the profits of the company become zero and below this point, the company begins to incur losses. So, it is a beneficial tool for the organizations which help them to analyze what should be the target ad how this target can be achieved by managing the fixed as well as variable costs and also by preparing a plan for the future operations. Margin of safety A new element introduced in this chart is the margin of safety which refers to the amount by which the sales revenues of a company might decrease because it begins to incur any losses. It is also called as the cushion of loss which provides a deeper insight into the company’s profits, losses and revenues. It can be calculated as follows: Margin of Safety = Sales – Breakeven sales Marin of safety ratio = Margin of safety Sales Larger ratios are preferred because they indicate that there is a lower risk that the company would reach breakeven point of even below it. This is the simplest method of calculating the breakeven point. However, it is not the only one. There are two types of methods used by different companies in order to benefit from the CVP approach (Yunkera Yunker, 2003). 1. Non- Linear CVP analysis: This approach is used mostly for the purpose of economics in order to calculate various elements such as productivity and returns in the long run. However, this has not proved to be a really good approach because it has unreliable input parameters. Since it is designed specifically for the long term transactions, therefore; it is not really credible and reliable approach for making short term business calculations. Moreover, it has been found to be more complex as compared to the simple breakeven calculation. 2. Linear CVP analysis: This is more realistic, practical and reliable approach to find the relationship between costs and revenues. It is the breakeven method that presents the things in a rather simple and â€Å"easy to understand† way. However, in order to make this approach a more effective one, the following 5 things need to be followed: Keeping the sale price constant Keeping the variable cost per unit also constant The total fixed costs must also remain the same In case of more than one product lines, the company should try to keep the sales volume constant The number of units sold must be equal to the number of units produced. Operating Leverage Another benefit that companies gain by using the CVP approach is the operating leverage benefit which explains how the cost structure of an organization is made up of fixed cost processes. This is a huge benefit because the cost structure is directly related to the level of growth and profit a company has (Phillips, 1994). Operating leverage can vary greatly from one company to another. In the firms that have a high ratio of fixed costs as compared to the variable costs, the operating leverage is good because it produces a high contribution margin. Similarly, higher fixed sales also mean that the company has a higher breakeven point. A higher breakeven point is directly related to the financial success of the company because at this point, the company can claim high profits at a much higher rate (Raichura, 2007). Income Tax benefits: Similarly, the simple CVP model can be extended to other issues such as the calculation of incorporate taxes of multiple products within a company. This is done by modifying the profit equation of the chart to include taxes as well. This analysis can also be extended to those firms that offer more than one product or service rather than a simple product. This can be calculated as follows: After tax profit = [(P-V) X – F] x (1 – t) Future forecasting By using the above mentioned models, approaches and graphs, managers can analyze the direction in which their company is moving and this analysis might help them to better understand the different operations and activities within the organizations. By getting beforehand knowledge of profits and costs, the company can manage them in a more efficient way to increase productivity. Preparation of Budgets: Since the cost profit volume analysis helps in determining the level of sales and thus helps organizations to achieve their desired targets. This approach would help the managers to prepare their budgets which consist of the costs as well as the revenues at any level of production within the organization. Cost Control: The biggest benefit of CVP analysis is to evaluate the cost volume changes within an organization and the impact of these changes on revenue generation. For instance: there is a dental hospital that wants to purchase a new dental machine so that the patient’s level of satisfaction can be increased by reducing the time required for dental treatment. The purchase of this new machine will tend to increase fixed costs of an organization. So, at such complex situations, the cost volume analysis can be the most effective tool to help in simplifying the company’s decision. If this dental hospital uses CVP analysis, it can manage to decrease its variable costs by maintain the profit at the same desired level. Price Determination: It is another benefit of using this approach. For example: taking the above example again, if any competitor within the dental industry has set the price at AED 50,000 for a single dental operation and the business cannot provide this operation at any cost lower than AED 20,000, then the company can use cost profit volume analysis to compare the competitor’s price with the fixed and variable costs of its own operations and thus it can manage to come up with a price that is in the best interest of the company. Profit Planning: The aim of any business is to create value for the customers and to get profits for the company. However, managing all operations and costs in such a way that can maximize profits is not an easy task. Therefore, organizations have to consider a lot of things in order to engage in proper profit planning techniques. The CVP analysis can help the companies to create the best and most profitable combination of cost, price and sales volume. Thus, it can help managers to calculate and estimate their profit at different levels and for different range of products. Risk Assessment: The business world is changing and due to several internal s well as external threats associated with any industry, businesses have to face too many risks. Although the calculation of risk and return through measuring a constant (beta) is a method in finance but managerial accounting is also concerned with this. Managing risk is too significant for any business because it tends to define all the procedures and practices involved within an organization. Therefore, CVP is a tool which helps to calculate risk particularly in terms of costs and volumes. After analyzing this risk, the companies can come up with efficient solutions to reduce this risk. Decision Making: All the above mentioned benefits re directly or indirectly related to the decision making processes of a company. Any business organization has to make a lot of decisions regarding their price, their costs, and products, fixed and variable unit costs and so on. The CVP approach simplifies this process by providing the companies with a breakeven point and by helping them to engage in better decision making and planning for the future. Conclusion So, the project has presented a detailed analysis of how is CVP calculated and how can it be used to benefit an organization. Out of the two types of CVP approaches, linear approach is the simple one and it provides companies with easy ways to make estimates regarding costs, prices and sales volumes. The calculation of breakeven pint helps in decision making for a company by providing it a better future forecasting, risk assessment,, price estimation and so on. In other word, the cost volume profit approach has a direct impact on improving the organizational performance and productivity. References Breakeven analysis (CVP analysis). (n.d.). Retrieved 4 9, 2014, from http://www.acornlive.com/demos/pdf/P2_PM_Chapter_5.pdf Cafferky, M. (2010). Breakeven Analysis: The Definitive Guide to Cost-Volume-Profit Analysis. Business Expert Press. Lewis, J. (n.d.). Advantages Disadvantages of Cost-Volume-Profit Analysis. Retrieved 4 9, 2014, from http://smallbusiness.chron.com/advantages-disadvantages-costvolumeprofit-analysis-35135.html MAAW. (2011). The controversy over contribution margin approach. Phillips, P. A. (1994). Welsh Hotel: Cost-Volume-Profit Analysis and Uncertainty. International Journal of Contemporary Hospitality Management, 31-36. Raichura, K. (2007). C-V-P Analysis Operating Leverage. Retrieved 4 9, 2014, from http://www.managementparadise.com/forums/financial-management/20603-c-v-p-analysis-operating-leverage.html Yunkera, J. A., Yunker, P. J. (2003). Stochastic CVP analysis as a gateway to decision-making under uncertainty. Journal of accounting Education, 339-365.