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.