How Effective Are Integrated Working and Multi-Agency Working?

Integrated working is when different services join together to offer more effective care for babies and young children, where multi-agency working is when different services work together to meet particular needs of babies and young children, along with their parents and/or carers. Multi-agency teams are made up of members of the children’s workforce drawn from a range of different disciplines who met for specific reasons on a regular basis; all the professionals will have joint aims and goals.It is a way that ensures that those children and young people that need additional support will have exactly the right professionals in place for them to be supported in the correct way. The benefits of integrated and multi-agency work are that it enables early identification and intervention of any needs that the children may have, as well as ways to better support their parents and carers. It allows children and their parents to have easier and quicker access to professional’s e xpertise and the services that they offer.With the services all working together it provides a better quality of service and means that children and their parents do not need to repeat themselves to each of the professionals that they work with, instead the professionals will already have the information. Multi-agency work also allows children and their families’ needs to be addressed more appropriately. As the child’s needs are addressed sooner and the correct support is given to them to help with their needs, the child will have an improved achievement and better engagement within education.The use the Common Assessment Framework which allows an early and initial assessment of the child’s needs for any extra services and support, and once this is carried out it will be available for all the services. In practice the professionals will put the needs of the child or young person before those of any one service, and also ensure that the service is inclusive and t hat all children’s basic needs are met. Sutton Hill Children’s Centre ensures that all the professionals within the centre identify children with additional needs at an early stage.They also need to ensure that all the information that they have is shared with all the other professionals and that they work together to provide early intervention and that the child receives the necessary support from specialist services as soon as they are identified as needing it. In the Camden Children’s Fund primary school project the school gets access to additional services which go beyond what is normally available and offers preventive and early intervention approaches to children and their families.The have a best practice approaches in place regarding the identifying and assessing of the child’s needs and then designing interventions for the particular child which will help them to improve. Within the practice at Camden Children’s Fund they are currently fin ding it difficult to allocate enough time to be able to carry out the best practice approach, and are trying to resolve this issue through all the agencies coming together and discussing what the best course of action will be.In conclusion integrated and multi-agency work is very beneficial to the child and their family at identifying any needs that the child may have early and providing appropriate and sufficient support to the child and their family that will help them to deal with any needs and support them with any help they may need in the future. It also brings together a wide range of specialist services that can work together with the family so that nothing needs to be repeated, and the child and their family will get the best out of each of the services that are provided.

Preferred language style Essay

Hypoglycemia is a condition in which the glucose level present in the blood drops to a level below the normal range. It can develop both in type 1 diabetes mellitus and type II diabetes mellitus. Frequently, this is a very severe health issue in diabetics and has severe effects. The physician may be able to identify and treat diabetic ketoacidosis and diabetic non-ketotic coma early, but hypoglycemia turns out to be a serious problem as it is often not recognized in diabetes. In certain cases, hypoglycemia occurs suddenly, and by the time one recognizes that they are hypoglycemic; it may be too late to take control of the situation. If hypoglycemia is left untreated for a long time, especially in a diabetic, the chances of permanent brain damage are very high. Hypoglycemia is also associated with several cardiovascular disorders such as heart attacks, stroke, cardiac failure and arrhythmias, myocardial ischemia, etc. In elders, the risk of losing consciousness and developing seizures is especially high. Associated injuries that develop during the hypoglycemic-associated complications such fractures, injuries to the legs, etc, may be especially problematic to heal in diabetics. Hypoglycemia in elders is responsible for causing visual and coordination problems. In elders, hypoglycemic symptoms are often perceived as symptoms of ischemia, both by the relatives and the healthcare professionals. This difficulty in recognizing the symptoms worsens the outcome of the disorder. As age increases, the symptoms of hypoglycemia become less severe, and are often altered by the addition of certain atypical symptoms and the absence of the regular ones. In younger individuals, physical symptoms of hypoglycemia develop earlier than that compared to loss of cognitive functions. Hence, the individual may have sufficient time to treat the condition. Besides, if the glucose levels in the blood fall to a very low level, it cannot be restored to normal by administering glucose orally. Usually a close relative or the spouse can recognize the symptoms of hypoglycemia by noting that the patient looks at a distance or demonstrates several other symptoms such as repeated blinking, loss of speaking skills, deep breathing, aggressiveness, etc. It may be considered that individuals with greater control over their diabetes are also in good control of hypoglycemia. Hypoglycemia can occur during fasting and even after consumption of food (as a reactionary mechanism). Hypoglycemia can occur following several drug therapies such as along with steroids, beta-blockers, ethanol, insulin, disopyramide, etc. Hypoglycemia can evidently lead to neuroglycemia. Although, 50 mg/dl of blood is considered to be hypoglycemia, symptoms are produced at 40 mg/dl, and coma and seizures frequently occur at 20 mg/dl. As hypoglycemia can occur frequently and has a high rate of mortality as well as morbidity, the importance of identifying and treating it should be explained to the patient and his/her relatives. The individual should be warned of the symptoms that could develop during the mild (confusion, light-headedness, etc), moderate (headache, behavior alternations, etc) and serious (seizures, coma, unconsciousness) stages of hypoglycemia. The individual should also be told of the situations in which hypoglycemia can commonly develop such as excessive consumption of anti-diabetic medications, excessive use of insulin, reduced consumption of foods, additional exercises or physical activity, alcohol consumption, etc. The individual should be advsied of the hypoglycemic symptoms that can develop during sleep (such as sweating, nightmare, hunger, etc). Thus it can be seen that hypoglycemia is a frequent complication especially in diabetes. It should be adequately controlled utilizing some simple precautions. In case the individual develops hypoglycemia, immediate recognition and emergency treatment is essential in order to prevent the development of neuroglycemia and serious complications like permanent brain damage. References: Boyle, P. J. (2000). Hypoglycemia, In. Leahy, N. L. , Clark, N. G. , and Cefalu, W. T. (Ed. ), Medical Management of Diabetes Mellitus, New York: Marcel-Dekher. Mangione, R. A. (1996). Recognition and Management of Hypoglycemia, Retrieved 14 Janaury, 2007, from US Pharmcist Web site: http://care.diabetesjournals.org/cgi/content/full/28/12/2948

Fusion or no Fusion of Equity and the Common Law at a Substantive Level

Since the administrative fusion of the Common Law and Equity Courts after the 1873 and 1875 Acts, there has been a lot of controversy over whether to fuse both equity and common law. There are valid arguments both for and against fusion. Those arguing for the fusion of Equity and Common Law at a substantive level often comment on the inconsistency created by equity’s intervention in law.‘There would sometimes be arbitrary gaps in the common law, that is situations where the common law refused a claim despite allowing claims in other situations which were materially similar.1 With both Common Law and Equity offering different solutions to the same legal issues, it is argued that for justice there must be consistency with judicial rulings.2 The current system means that in certain cases the right to an equitable remedy is more valuable.An example of inconsistencies between case verdicts due to Equity and Common Law having different principles is that of having legal and eq uitable title to property. If a person has the legal beneficial title to a house and the deeds are stolen and sold to a third party they can only claim the value of the house back. Whilst with equitable title the person could use Equity to get the house back. Examples like this reinforce the argument for fusion because everybody would get the same remedies.Some might also argue that rather than the facts of the cases being used to determine the outcome of a case, with Equity the fact that different people made the decisions at different times had an influence on the rulings. Using Equity to bypass the Common Law rather than amending the Common Law. Another reason for fusion is that Equity allows judges to depart from common law and statutes in order to create new law. With Parliament being sovereign the idea of unelected judges creating law is undemocratic.Without the power to use Equity to depart from Common Law judges would be more accountable to parliament. If Equity and Common L aw were both fused then the discrepancies between cases would disappear. A mix of Equity and Common Law principles would be applied and the same conclusion would be found in each case. Although Equity and Common Law have already fused the courts in which they apply the substantive law has not been fused yet. There is a good case against the fusion of the two on a substantive level.Many argue that the purpose of the Judicature Acts was only to fuse the administrative aspects of Equity and Common Law. Those who argue for a substantive merger are often accused of committing a ‘fusion fallacy’.3. Equity has often supplemented Common Law where the interests of justice and of social and economic change arose. Equity’s trust concept and the modern law of mortgages would not exist if it was not for the intervention of equity. Although it may seem that the day of equity establishing legal principles before their time has passed, one day equity may be needed again.However ‘there is a danger that we will have elevated equity to the status of free-standing moral guardian of society’4.If equity is still allowed to have the power of extending the boundaries of the law. This is dangerous because there would be no legislative body to check the power of equity. Despite all this it would be extremely difficult to actually integrate the two, let alone compare them because they are entirely different. ‘Equity accordingly gives the common law a much needed injection of morality.’If Equity was merged with Common Law it wouldn’t be able to express its identity and intervene in cases of unconscionability, due to the rigidness of common law. The two are so ideologically distinct that one of the two would be dominant over the other. They ‘are working in different ways towards the same ends, and it is therefore as wrong to assert the independence of one from the other as it is to assert that there is no difference between them.6 However it would be wrong to say that the two have not mingled. Many believe it is better to view the two as distinct and mutual dependent of each other.With the fusion of Equity and Common Law would come the destruction of equitable concepts; ‘Equitable concepts like trusts, equitable estates and consequent equitable remedies must continue to exist apart, if not in isolation, from common law rules.8 These concepts have been formed in areas where Common Law would not allow suitable solutions to be created. Equity and common law might well be merged one day but the harmonization process required to allow them to integrate with one another would probably change the two so much that they are no longer as they started as.This would mean one would likely become dominant over the other. I believe that the two should be kept distinct and separate from one another, Equity’s sole purpose is to supplement the Common Law where it would operate harshly. If the two became fused tog ether Equity would no longer be able to deviate from the strict rules of law to deliver an equitable solution for those in need. It is said that Equity works on discretion, though some might believe the common law now works on a degree of discretion, and so the need for them to be fused together is not even necessary never mind more desirable.

Accounts in the Balance Sheet and Income Statement of the Bank of Abu Assignment

Accounts in the Balance Sheet and Income Statement of the Bank of Abu Dhabi - Assignment Example Overall the bank’s statements reflect the quality of the bank's operations. Although there can be a few improvements in the operations of the bank and its customer base, however, the bank has performed remarkably well showing high revenues and net profits. The National Bank of Abu Dhabi was founded in 1968 in the United Arab Emirates. It is the market leader amongst lending banks in the Emirate of Abu Dhabi and the second largest player in the United Arab Emirate lending market. The bank has a presence in various regions including Hong Kong, Shanghai and Kuala Lumpur. The National Bank of Abu Dhabi is a premier bank offering the complete range of financial services in 18 countries. It is ranked in the Worlds 50 Safest Banks and the Safest Bank in emerging banks. This is a testament to the quality of the services and the operations of the bank. This assignment aims to analyze the balance sheet and income statements of the bank for the year 2012 and 2011. All accounts under assets, liabilities, equity, expenses and revenue will be defined and analyzed in this report. An asset on a balance sheet represents what a firm owns. They can be categorized as current assets and fixed assets. Current assets are ones that are consumed in a years’ time and the fixed assets are those that provide benefit over a certain period of time. I will now be defining the assets that are in the financial statements of the National Bank of Abu Dhabi. This account includes all the cash that is currently with the bank, the balances with the central bank and the dues from other banks (maturing within 3 months). Cash is the most liquid of all the current assets. The balance at the central bank is a percentage of the total customer deposits given to the central bank as a measure of avoiding bank runs. These are identified as financial assets which are held for the purpose of trading them in the market. are assets measured at fair value and the gains and losses are recorded in the income statements under the subheading of â€Å"Gains or Losses on Derivative Financial Instrument Transactions†.

Structure Of The Larynx Essay Example | Topics and Well Written Essays - 500 words

Structure Of The Larynx - Essay Example The cricoid cartilage in turn is the connecting cartilage that attaches the larynx to the trachea or the air passage. The epiglottis on the other hand, is connected to the thyroid cartilage at its notch. Because of its leaf like shape and position, it "helps to direct food and liquid into the esophagus and to protect the vocal cords and trachea during swallowing" (Milton J. Dance, Jr. Head & Neck Rehabilitation Center, 1999). The skeletal frame of the larynx is systematically supported by the attaching muscles. According to John Hopkins Medicine (n.d.), "the control over these muscles is provided by two branches of the vagus nerve: the recurrent laryngeal nerve and the superior laryngeal nerve". These are the extrinsic and intrinsic laryngeal muscles, which are called accordingly because of the position of its attachments. "The extrinsic muscles are described as such because they attach to a site within the larynx and to a site outside of the larynx (such as the hyoid bone jaw, etc.)" (Milton J. Dance, Jr. Head & Neck Rehabilitation Center, 1999). These extrinsic laryngeal muscles are further grouped into the suprahyoid group (above the hyoid bone) and the infrahyoid group (below the hyoid bone).

Health Essay Example | Topics and Well Written Essays - 1000 words - 2

Health - Essay Example But the definition of health, as defined by WHO is perhaps the most accurate because it primarily focuses on the holistic approach of well being. I prefer this definition because holistic approach to health emphasizes at healthcare delivery system that accessible, affordable and quality driven. This approach ensures that the preventive actions and awareness greatly facilitates the overall well-being of persons. Illnesses are mainly caused due to improper diet, unhygienic conditions and lack of awareness regarding healthcare issues and healthy lifestyle. Proper diet and nutrition is essential for a healthy life. A good and balanced food reduces the risk of diseases, especially the lifestyle diseases like obesity, diabetes, blood pressure etc that may prove fatal. Adopting holistic approach through the use of alternative medicines hugely promotes all round welfare of the person because it is based on the principle tat the person needs to ‘feel’ good to become healthy. In the contemporary environment of pluralistic society, holistic approach has increasingly become important in the changing socio-cultural environment and takes into consideration the wider implication of the environment in which the people live. In the recent times, the market driven health components are increasingly driving the common man towards alternative health medicines which provide them with more holistic healthcare modules at lesser cost. The alternative health medicines incorporate physical, mental and social well-being of the people. They can broadly be defined as a group of diversified medical and healthcare system and practices that uses non conventional methods of medicines. Ernst et al. have defined as ‘diagnosis, treatment and/or prevention which complements mainstream medicine by contributing to a common whole, by satisfying a demand not met by orthodoxy or by diversifying the conceptual frameworks of medicine’ (Ernst, 2004). The efficacy of the healing is

IBM Assignment Example | Topics and Well Written Essays - 500 words

IBM - Assignment Example Additionally, the change of design will increase the company’s market relevance. This is based on that the company has spent many years practicing in technology and hardware production. Regardless of the fact that it has become the company trademark, it would be beneficial for the organization to create make their customers have a new interest in it. However, this quest may be disastrous for the organization (Kerzner 44). The transition to switch its business operations may not be well perceived in the market. This is based on that the company has been in the hardware industry for numerous years thus making it a reliable practice in the industry. The market acceptance of a new venture may not be positive. Additionally, technology and hardware creation industry is developing significantly. Exiting from the industry may not be a great strategy considering the high consumer consumption level. On an internal basis, the transition may require major internal changes to ensure effect ive and comfortable move to a new business design plan (Kerzner 49). Outsourcing refers to the ability of seeking an external source for partaking of company practices. For instance, a company may seek marketing services from another company. In regards to IBM, provision of outsourcing services would change the organization’s exposure and approach to risk. When an organization seeks outsourcing services, they seek to minimize their exposure to risk as well as means by which they share the risk (Kerzner 66). For an organization providing the services, they would be required to share the risks presented to them. In addition, risks experienced when conducting business on behalf of the organization may not be shared by the customer. This would be the same in IBM. The organization will be exposed to numerous risks on business it does not own. However,

Relationship Marketing Individual Assignment Essay

Relationship Marketing Individual Assignment - Essay Example For many theorists, relationship marketing appears to be a new concept, but a few others have been keen to identify that relationship marketing has always existed as a critical part of many traditional marketing theories. The main objective of adopting the relationship marketing is to ensure that an organization has a well-established and long-term relationship with its stakeholders. Most importantly, organizations focus on the most critical stakeholders who are the customers. This is because a business cannot exist without customers who are the consumers of the products and services the business provides. With the global business front becoming highly competitive, there is a salient need for businesses to adopt the relationship marketing as one of the outstanding strategies of maintaining the customer loyalty. Traditional marketing theories focus on convincing customers for the first time. On the contrary, relationship marketing intents to maintain an esteemed relationship between the customer and the business. The Starbucks Company has exhibited its commitment to using relationship marketing in an effort to develop meaningful relationships with different stakeholders. This explains why the company prides itself with a remarkable number of loyal customers. This paper will focus on describing the theoretical frameworks that define relationship marketing and how the Starbucks Company has been applying these theoretical concepts in an effort to develop meaningful relationships with stakeholders. The Starbucks Company began as a small coffee house in Seattle in 1971. However, over the decades, Starbucks Company has risen to become a giant coffee company exerting its impact across the globe. The company has received recognition as a leading company and has appeared in the top 100 Forbes companies several times (Angrisani 2013, p. 12). Over the years, Starbucks Company has

Miranda Rights Essay Example | Topics and Well Written Essays - 500 words

Miranda Rights - Essay Example proven guilty, are no different than any other criminals, and have the Fifth and Sixth Amendments backing them up, they should be guaranteed the rights enumerated in the Miranda warnings. Innocent until proven guilty is the phrase that is used to describe someone who has not been found guilty of a crime, such as a suspect, who must await trails until that decision can be made. Terrorist suspects are in the same boat as robbery suspects in that they have yet to be found to be completely guilty. Many people who are suspects often end up not being guilty of the crime for which they are being accused. As every suspect is considered to be innocent until they are proven guilty, they should be entitled to the rights that are drawn out in the Miranda warning. A suspected terrorist is as innocent as any suspected criminal until decided otherwise before a court. Terrorist suspects are just like any other criminal suspects. They have committed a crime, they have done something wrong against another person, organization, or something larger, such as the United States, and they have been caught. Someone who is suspected of terrorist activity should get the same treatment and rights as a person who is suspected of robbing a store or murdering a family member. Indeed, it seems that people who have committed a heinous crime such as murder or rape are entitled to more rights than someone who is suspected of engaging in terrorist activity. In reality, there is no difference between the different types of criminals. If one criminal is entitled to the laws that are displayed in the Miranda warnings, than those that are accused of terrorist activity should get the same benefits. As was the case in Miranda versus Arizona, the U.S. Supreme Court case that birthed the Miranda rights (Sonneborn, 2003), the criminal suspects that are denied their Miranda rights are essentially denied their Fifth and Sixth Amendment rights. The Fifth Amendment protects criminals from abuse of government

Texting While Driving Essay Example for Free

Texting While Driving Essay Sitting on the highway in traffic and the cell phone goes off. Hearing the recognizable text message ringtone a person starts to think, â€Å"Maybe it’s my friend telling me about the update on the party tonight, or my mother, what if something is wrong? † It does look like traffic is going to be moving anytime soon, and knowing that it would only take a min, if that, to respond, they do. Before they know it the car in front of them stops too fast and there in an accident. Texting while behind the wheel takes your eyes off the road, you lose your focus, and it has a high risk factor. Texting while driving is very dangerous and can cause serious harm. Texting while driving takes away the one thing that absolutely everyone counts on while behind the wheel, vision. No matter where the phone is placed, whether it is on the dash board or on the steering wheel, one’s eyes are not where they need to be. People’s eyes are suppose to be one the road at all times. Texting takes that away and it doesn’t matter how quick someone thinks they are, there is always a possibility. Just for that split second of reading a message that is o so important, a crash could happen. Eyes are the most important thing needed when driving and when not on the road a lot of harm can be caused. Yes some people are able to text without looking at their phones, and they might think it is safe, but it isn’t. Just because someone’s eyes aren’t on the phone doesn’t mean their focus isn’t. There is a saying that goes, â€Å"Just because your hear me, doesn’t mean you’re listening to me. † This can also be said about sight. Just because someone is looking at the road, doesn’t mean they are paying attention to what’s going on. That is exactly how it is with texting. A persons eyes might be on the road, but their focus is on what they are saying in that message. While they are trying to make sure they hit the right key on their phone their not noticing what’s going on around them. This can be dangerous because people don’t only have to worry about how they are driving but concentrate on the drivers around them. With their focus on the phone a car could easily dart out in front of them before they notice it and cause a accident. The element of surprise also makes texting while driving dangerous. People never know what is going to be in a message. It could be something so surprising that a person completely forgets that their driving to celebrate. It could be something so sad that someone could break down in tears and lose control of the wheel. Not knowing what one is going to read or how they are going to react is a good reason not to even take the risk. Mostly everyone in their own way is guilty of texting while driving. Even though someone might think they’re the fastest person at texting, there is always a chance. They may not believe that it can be that damaging but in reality it can. A life is more important and is worth waiting until not driving anymore.

Interventions to Prevent Fall Research Results

Interventions to Prevent Fall Research Results Data Analysis and Findings Part 1 Demographic Profile Table1. Age Distribution Age Range F % 26-30 3 30 31-35 3 30 36-40 1 10 41-45 0 0 46-50 2 20 51-55 1 10 Total n = 10 n = 100 Graph Interpretation Majority of the respondents were between 26-30 and 31-35 age groups. 20% respondents were of 46-50 years of age and 10% respondents were of 36-40 and rest 10% belongs to 51-55 years of age. Table 2. Sex Sex F % Female 10 100 Male 0 0 Total n = 10 n = 100 Graph Interpretation All the participants (healthcare assistants) were female working at CHT Royal Oak Rest Home. Table.3 Ethnicity Ethnicity F % Indian 7 70 Fijian 1 10 Japanese 1 10 Kiwi 1 10 Total n = 10 n = 100 Graph Interpretation Majority of the participants were Indian (70%). Rest 30% of the participants were Fijian, Japanese and Kiwi respectively. Table 3. Work Status Work Status F % Permanent Full time 7 70 Permanent Part time 1 10 Casual Part time 2 20 Total n = 10 n = 100 Graph Interpretation 70% of the participants (Healthcare Assistants) were permanent full time employees whereas 20% of the participants were casual part time and 10% participants were permanent part time employees. Part II. Data Analysis and findings This research finding indicated that the best practices for fall prevention used by Healthcare Assistants were use of aids such as wheelchair and stick (50%), hazard identification (40%), signs for wet floor (30%), care plans and monitoring (30%), clutter free environment (30%), bell ring (10%) and sensor mat (10%). The immediate interventions used by healthcare assistants if they encountered fall incidence were injury risk assessment (50%), fill the ACC incident form (50%), ask help from others (50%), first aid (40%), inform nurse (40%), call ambulance (30%), give reassurance to the residents (20%) and use hoist (20%). This research indicated that CHT Royal Oak rest home provides ongoing training to all the staff of the organisation about moving and handling the residents. Furthermore, the fall incidence was being reported and documented by healthcare assistants by filling ACC incidence/Accident forms (100%), informing manager, Register Nurse and family (50%) and using progress notes (20%). Implication The use of best practices to prevent fall at rest home engaged the healthcare assistants to increase confidence, knowledge, skills and abilities in the identification of residents within health care facilities at risk of falling and to define interventions for the prevention of falling in order to achieve the vision of the organisation. Recommendation Although, CHT Royal Oak is competent enough to practice best interventions to prevent fall, there is always room for continuous improvement. It is hereby recommended that manager should assess and document all resident for intrinsic risk factors to fall such as history of a recent fall, specific co-morbidities: dementia, hip fracture, type 2 diabetes, Parkinsons disease, arthritis, and depression and any functional disability or use of assistive device. Furthermore, patient care environment should also be assessed routinely for extrinsic risk factors to fall such as floor surfaces for spills, wet areas, unevenness, proper level of illumination and functioning of lights (night light works), table tops, furniture, beds should be sturdy and are in good repair and if needed, institute corrective actions. It is recommended to use standardized environmental checklists to document findings and re-evaluate environment for safety. Moreover, the healthcare staff should promote early mobility and incorporate measures to increase mobility, such as daily walking, balance training, strengthening and weight bearing exercise, if medically stable and not otherwise contraindicated. General safety precaution and fall prevention strategies such as medication review; use of proper footwear, proper continence management should be implemented. Multidisciplinary plan of care for prevention and follow up monitoring should be done to prevent falls in healthcare organisation. In addition to that, education regarding procedures to follow in the event of a fall should be provided to the staff as well as to the residents. The goal of education among residents is to increase the awareness of falls risks and preventative strategies, thus decreasing the number and severity of falls. Education may improve the residents self-confidence therefore reducing the fear of falling.The most up to date information needs to be available and provided in order to educate residents effectively. All staff should be involved in this process, as each one is an important member of the health care team. Lastly, health care workers should be given training to increase their awareness of residents who are at risk of falling by giving them staff education brochure for fall, through visual aids and posters etc. Conclusion This study involved the healthcare assistants of CHT Royal Oak Ret Home to know the best practices among them to prevent fall in this facility. To sum up, the healthcare assistant showed quite good knowledge and awareness regarding best interventions they are using for fall prevention. Regular ongoing training for fall prevention was provided to all the staffs of CHT Royal Oak Home. Furthermore, fall prevention practices constitute the basics of patient safety. They apply across all rest home areas and help safeguard not only residents, but also visitors and staff in many cases. By this way, this research helps to improve and to better understand the best interventions that are used by healthcare staff and to implement the best policy to prevent fall worldwide. References CHT. (2015). About us. Retrieved from http://www.cht.co.nz/about-us-2/ Creswell, J. W. (2003). Research design: Qualitative, quantitative, and mixed method approaches. Thousand Oaks, CA: Sage Publications. Retrieved from http://isites.harvard.edu/fs/docs/icb.topic1334586.files/2003_Creswell_A%20F ramework%20for%20Design.pdf Gama, Z. A., Medina-Mirapeix, F., Saturno, P. J. (2011). Ensuring Evidence-Based Practices for Falls Prevention in a Nursing Home Setting. Journal of the American Medical Directors Association, 12(6), 398-402. doi:10.1016/j.jamda.2011.01.008 Health Quality Safety Commission New Zealand. (2014). Falls in older people: the impacts. Retrieved from http://www.hqsc.govt.nz/assets/Falls/10- Topics/topic1-falls-in-older-people-15-April-2014.pdf Ministry of Health. (2016). What is an interventions. Retrieved from health.mo.gov/data/interventionmica/index_4.html Nass, S. J., Levit, L. A., Gostin, L. O., Institute of Medicine (U.S.). (2009). Beyond the HIPAA privacy rule: Enhancing privacy, improving health through research. Washington, DC: National Academies Press. Phelan, E. A., Aerts, S., Dowler, D., Eckstrom, E., Casey, C. M. (2016). Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls. Frontiers in Public Health, 4. doi:10.3389/fpubh.2016.00190 Shever, L. L., Titler, M. G., Mackin, M. L., Kueny, A. (2010). Fall Prevention Practices in Adult Medical-Surgical Nursing Units Described by Nurse Managers. Western Journal of Nursing Research, 33(3), 385-397. doi:10.1177/0193945910379217 World Health Organisation. (2016). Falls. Retrieved from http://www.who.int/mediacentre/factsheets/fs344/en/

The Salem Witch Trials History Essay

The Salem Witch Trials History Essay Introduction The Salem witch trials of 1692 took place in Salem, Massachusetts. Overall, 141 people were arrested as 19 were hanged and one person crushed to death. Researchers describe the Salem witch trials as a series of court trials that were aimed at prosecuting persons who had been accused of witchcraft. The trials took place between 1692 and 1693  [1]  . Prior hearings of the Salem witch trials were carried out in several different towns. The major trial was conducted by the Court of Oyer and Terminer situated in Salem town  [2]  . Several people were rounded up and charged with witchcraft. Some of those arrested died in prison. Of the accused, 14 women and 5 men were hanged. There were fears about religious extremists as many critics perceived witchcraft as being counterproductive. Many problems within the society were attributed to the witches living in the town of Salem. At the time of their arrest, most of them were found with things believed to be used to propagate their activities. Causes of the trials There were about 600 residents in Salem town that conflicted with one group arguing that they had the right to remain in the town as farming families and the other to settle on the eastern side of the rich suburban town of Salem. The thriving economy of Salem town that was mainly a farming community made it to be perceived as being individualistic. The individualism was clashing with the communal nature of Puritanism. The Putnams felt that the large farming families were completely isolated from the rest of the town and amassed a large quantity of wealth. The Putnams were acknowledged leaders of a separatist group. This separatist group owned most of the farming land in Salem village. The Putnams felt the need to form a congregation that would indeed unite them within Salem. In 1689, the religious congregation was formed under the lead of Reverend Parris  [3]  . This religious congregation only represented a small group of the populace in Salem as most of the members were Putnams. Two factions had emerged within the religious congregation. These factions were basically divided on the basis of the contract under which Reverend Parris was employed to conduct the church affairs. Ministers in the religious groups at the time were often granted lots of fringe benefits to go along with their heavy salaries, such as free houses and use of firewood  [4]  . It is believed that Reverend Parris received this and much more, hence creating questions as to why he was being accorded such kind of treatment. Reverend Parris salary was paid by the local tax payers. Critics who did not support this, often mumbled in silence hence creating and deepening the already existing crevice with the religious organization in which Reverend Parris was the main leader. Most Puritans believed in witchcraft as the source of power to harm others. They further believed that the witchcraft was entering partnership with the devil in exchange for certain evil powers in order to propagate their evil activities. Therefore, the religious sect who lived in the same town of Salem was against witchcraft as they considered it as a sin  [5]  . It is also believed that most Puritans were against the Church of England and opposed most of their doctrines. As a result, enmity was created between the Puritans and the Church of England at the time. This culminated into frequent conflicts between the Puritans and the church members who often level accuses against each other. The puritans did not buy any of the traditions that the church was conducted. It was this religious divide that fueled the Salem witchcraft trial of 1692 that led to the killing of several witches within the town, most of who were Puritans. There was a huge political divide in Salem between the English settlers in the east and their opponents who were large farming families. They made several attacks on each other with considerable casualties being reported. In 1692 when the new Governor was elected, he had many issues to settle. He initiated the commission of special court known as the court of Oyer and Terminer which was charged with the responsibility of handling the increasing number of people who were accused at the time  [6]  . Farming was often the main cause of dispute between neighbors and families. As families grew in size, so did their farming land. Most of the farming land pushed forward into the wild, thus causing tension to the conflict that was already brewing. Drought or change in weather could easily wipe out a years crop without much consideration. This resulted in tension. Religious tension made this worse as many Puritans believed that God had advanced his wrath on man due to his sinful nature  [7]  . This belief made many people fear the actions of those who were against God. Therefore, many religious groups such as the Church of England advocated for the elimination of witches from the Salem society in order to enjoy a good bumper harvest and experience rain. Moreover, the social status that the Puritans accorded to the women did not help much as the women were believed to be devils servants. The Puritans perception about women increased the tension that had already built within the community leading to conflict in beliefs, one of the foundations that the Salem trials were based upon. Children were discouraged from playing and generally living a social life among the Puritans. They were the least valued. Similarly, girls were restricted from social groupings and activities in the belief that they would be used by the devil at a tender age. Women were generally not allowed to own land and in most cases land reverted to the previous owner if the husband died. Witch-hunting became a sport and a daily norm among the Puritans in order to acquire property. The effects of this on the society were far reaching. Preconceived ideas of witches There were several preconceived ideas about withes in the Salem village. Most people believed that witches were the main cause of crop failure and drought. This was because, witches often performed certain acts which could reverse the nature of climate change and bring about rain  [8]  . The Puritans were revered for their activities involving witch-hunting. Witches were thus believed to poses the power to ill other people and even make their lives difficult. Furthermore, there was a wide belief that the witches were often in contact with the devil and could order any kind of destruction upon their targets with impunity. In fact, most of the illness and attacks during the 17th century were attributed to the powers of the witches  [9]  . In addition, witches were believed to be anti-Christian in nature since they derived their powers from the devil and destroyed other peoples lives. The Salem society believed that witches should be killed. Therefore, the offence of witchcraft carried the death sentence automatically and without the option of appealing. Analysis of the accusers and their motivations of targeting certain people Most of the accusers of witches were mainly the religious organizations which indeed were against the activities of the witches in Salem during the 17th century. The Puritans were increasingly becoming aggressive and threatened the very existence of humanity due to their social beliefs about women and children  [10]  . Moreover, the Puritans were against the traditions practiced by the church. The witches often laid accusations upon the churchs conduct hence creating tension whenever they were illuminated within the Salem village. In addition, most of the large farming families also accused the witches of crop failure and drought. The powers of the witches were believed to cause deaths in children and livestock. Farming was the main economic activity that the people of Salem practiced  [11]  . Therefore, it farming failed then life became subsequently very difficult for them considering that they often had very large families. Reverend Parris who was a church minister was also an accuser of the witches. His daughter and niece had epileptic fits that were beyond any normal comprehension. Following this, three witches were arrested and arraigned in court to be charged with inflicting such evil upon the children. The arrested individuals were Puritans and were charged with witchcraft. On February 1692, Betty Parris, the daughter of the leader of the religious covenant organization, became strangely ill  [12]  . Critics were quick to point out that this was a result of witchcraft that had been directed towards the ministers home. What made the belief worse was the fact that Reverend Parris cousin and niece also fell strangely ill. Strange illness were often attributed to witchcraft and the accusers who were often family members could not compel with the idea that strange diseases were as a result of a combination of stress, trauma and other physiological causes. These strange diseases mainly attacked children. There was a wide belief that witches often targeted children since they were vulnerable to the witches activities  [13]  . This made witches to be accused of any strange disease like symptoms as most households ignored the diagnosis of the doctors. This was fueled by the strange disease that was exhibited by Ann Putnam, Mercy Lewis and Mary Walcott all who were juveniles. The cure to the strange behavior was not understood as the children continued to wriggle on the ground suffering from this strange disease. The accusers were mainly motivated by the need to curb evil within the Salem community by stopping the witches from killing and depressing people in the society. For instance, women and children were accorded the lowest social class in the Salem community among the Puritans  [14]  . This was seen as a counter-development move and was thus fought by the greater farming community as well as the religious Christian society. When the reverends daughter and niece, Elizabeth Parris and Abigail Williams fell ill, they were taken to hospital. Since the doctor could not establish anything physically wrong with the girls, it was concluded that they had been bewitched. Tituba, an Indian witch was accused of bewitching the two girls  [15]  . This saw a number of many other witches arrested in 1691with many people condemning witchcraft. Analysis of the accused The accused witches were predominantly Puritans. Trouble began when Cloyce and Proctor were arrested. These individuals were members of the covenanted church. After days of interrogation and investigation, more arrests were made and the suspects arraigned in court to be charged with witchcraft. Most of those who had been named went into hiding for fear of being arrested and charged in court. The prosecutor found the presentation of evidence to be most challenging since evidence in such cases was merely imaginary. The Court of Oyer and Terminer was responsible for prosecuting and charging the witches. The court convened on June 2, 1692 where Bridget Bishops case was heard first  [16]  . The grand jury indeed acknowledged all the charges made against her. Several other witches who were arrested and totaled 150 were charged before the Court of Oyer and Terminer with witchcraft. Only one accused who refused to enter a plea was crushed to death using stones  [17]  . The Court of Oyer and Terminer handled all formal prosecutions of witchcraft. About 36 people were arrested on July 2, 1692 following the convening of the new Governor, Chief Magistrate and Crowns attorney. Local magistrate presided over the cases where they arrested, examined and charged the witches according to the law. The accused were often individuals who maintained a high social status within the Salem setting. They were individuals who were revered and feared for their evil powers  [18]  . Most of them lived in eastern Salem. The witches of Salem had amassed massive wealth due to witch-hunting. They had been accused at one time of killing innocent people for the benefit of their wealth. Conclusion The Salem witch trials were hence as a result of the beliefs that the witches held within the Salem society. The witches were also accused of causing strange diseases among children. Many of the Salem witches were often wealthy people who enjoyed a high social status within the community. Moreover, they were located on the eastern side of the Salem village just next to the farming communities in the Salem town. The Salem trials led to the arrest and imprisonment of over 150 people, 19 of whom were hanged and one crushed to death. These trials were the most controversial in the history of Salem. The trials were done in such haste in order to clear the large backlog of cases concerning witches in the Court of Oyer and Terminer  [19]  . Concerns about witchcraft were often muffled under the pillow until when Elizabeth Parris became strangely ill. She was the daughter of the Reverend Parris, leader of the religious church. Abigail Williams, a niece to the reverend also fell strangely ill. Tituba, the Indian witch was accused of bewitching the girls. Critics of the trial of Salem suggest that witchcraft should be death with witchcraft instead of convicting of witchcraft and sentenced to death. References Blumberg Jess. A Brief History of the Salem Witch Trials. Accessed from http://www.smithsonianmag.com/history-archaeology/brief-salem.html Giles Cory and the Salem Witch Craft Trials. Salem Witchcraft Trials. Accessed from http://coryfamsoc.com/resources/articles/witch.htm Poole William Frederick. Cotton Mather and Salem witchcraft. Harvard: University press, 1869, p.61. accessed from http://books.google.co.ke/books?id=5DT0mK6JxO4Cpg=PA61dq=The+Salem+Witch+Trialshl=enei=s9nCS6qPEp3AmgPdhbj-Bgsa=Xoi=book_resultct=resultresnum=7ved=0CFUQ6AEwBg#v=onepageq=The%20Salem%20Witch%20Trialsf=false Salem Witch Trials. Accessed from http://www.articlesbase.com/law-articles/salem-witch-trials-67616.html Salem Witch Trials. Accessed from http://www.42explore2.com/salemwitch.htm The Salem Witch Trials, 1692, Eyewitness to History. Accessed from http://www.eyewitnesstohistory.com/salem.htm The Salem witch hunts. Accessed from http://www.essortment.com/all/salemwitchhunt_rkto.htm The Salem Witch Trials of 1692. Accessed from http://www.kidzworld.com/article/2536-the-salem-witch-trials-of-1692 Upham Charles Wentworth. Salem witchcraft and Cotton Mather: a reply. New York: Historical magazine, 1869, p.16. accessed from http://books.google.co.ke/books?id=qdmvN-fB5xYCpg=PA10dq=The+Salem+Witch+Trialshl=enei=s9nCS6qPEp3AmgPdhbj-Bgsa=Xoi=book_resultct=resultresnum=3ved=0CEEQ6AEwAg#v=onepageq=The%20Salem%20Witch%20Trialsf=false What Were the Salem Witch Trials? accessed from http://www.wisegeek.com/what-were-the-salem-witch-trials.htm

Managing People :: essays research papers

Managing People Task One Discuss how you would approach the task initially. I would initially approach the task slowly and carefully. I would carefully read the brief for the task, underlining or highlighting the important parts of the brief that concern the jobs and roles performed by Mrs. Pane. I would also try to gather information about the tasks and roles she performed. The brief describes how Mrs. Pane performed the jobs of a Receptionist/Telephonist and also that of a personal assistant. After gathering information on these jobs I would then try to break down each different aspect of the job i.e. Receptionist- fluent in typing. After I have broke down each job aspect I could then start to write the person specification element of the assignment. To write the person specification properly I would have to decide what the aspects of the job were desirable and what aspects were essential to the job. To successfully produce my own job advertisement I would need to look at job advertisements that are already in local newspapers and local job papers. I believe that the advertisement needs to contain all relevant information on the job vacancy but must also give a brief history of the company and maybe also an indication of how the company wants to grow or expand in the future. The advert could also include the mission statement of the company. Task four I would approach by considering what companies look for in potential employees i.e. personal qualities not just purely on qualifications. All the tasks have to be looked at carefully to make sure that no law or legislation is broken. Task Four Outline how you would select a candidate from the 27 applicants, including the main elements of documentation. Before selecting a candidate, the applications would have to go through many different filtering and screening processes. I would have the applicants send their c.v’s to the company because a c.v can contain a lot more information about someone than an application form because of its limited questions. One of the first filters in my selection would be age. I believe that someone under thirty would not have the experience or the relevant knowledge to perform the job of personal assistant and receptionist. However I also believe that someone over fifty would struggle to keep on top of such a heavy workload. I believe that employing someone over fifty does not show that you are thinking long term about the future success of a company.

Coping with Peer Pressure Essay -- Peer Pressure Essays

Adolescence is a time when peers play an increasingly important role in the lives of youth. Teens begin to develop friendships that are more intimate, exclusive, and more constant than in earlier years. In many ways, these friendships are an essential component of development. They provide safe venues where youth can explore their identities, where they can feel accepted and where they can develop a sense of belongingness. Friendships also allow youth to practice and foster social skills necessary for future success. Nonetheless, parents and other adults can become concerned when they see their teens becoming preoccupied with their friends. Many parents worry that their teens might fall under negative peer influence or reject their families’ values and beliefs, as well as be pressured to engage in high-risk and other negative behaviors. In actuality, peer influence is more complex than our stereotype of the negative influences from friends. First, peer influence can be both positive and negative. While we tend to think that peer influence leads teens to engage in unhealthy and unsafe behaviors, it can actually motivate youth to study harder in school, volunteer for community and social services, and participate in sports and other productive endeavors. In fact, most teens report that their peers pressure them not to engage in drug use and sexual activity. Second, peer influence is not a simple process where youth are passive recipients of influence from others. In fact, peers who become friends tend to already have a lot of things in common. Peers with similar interests, similar academic standing, and enjoy doing the same things tend to gravitate towards each other. So while it seems that teens and their friends become ve... ...relationships, and deflect negative peer pressures and influences. Selected References Brown, B. B. (2004). Adolescents’ relationships with peers. In R. M. Lerner & L. Steinberg (Eds.), Handbook of Adolescent Psychology, 2nd edition (pp. 363-394). New York: Wiley. Brown, B. B. (1990). Peer groups and peer cultures. In S. S. Feldman & G. R. Elliott (Eds). At the threshold: The developing adolescent (pp. 171-198). Cambridge, MA: Harvard University Press. Brown, B. B. & Klute, C. (2006). Friendships, cliques, and crowds. In G. R. Adams & M. D. Berzonsky (Eds.). Blackwell Handbook of Adolescence (pp. 330-348). Malden, MA: Blackwell Publishing. Steinberg, L. (2005). Adolescence. New York, NY: McGraw-Hill. Acknowledgment This publication is partly based on NebFact 211, â€Å"Adolescence and Peer Pressure† by Herbert G. Lingren, Extension Family Specialist.

Subway Is the Better Fast Food Restaurant.

COM155 Subway Is The Better Fast Food Restaurant. Living in this crazy world that is today, where family dinners consist of whatever fast food restaurant is on the way home from work. According to the Center for Disease Control and Prevention, it is no wonder why 33% of American adults and 17% of American children are obese. Subway and McDonald’s are the two giants in the fast food world. They have both fans and boycotters. However Subway is a better fast food restaurant than McDonalds, due to Subway’s children’s meals choices, advertising, amount of locations and nutrition.Advertising is the way that companies bring in customers. Advertisements can make mouth water and the consumer crave what the advertisement is offering. Subway has an advertising campaign that offers a â€Å"limited time† deal where the consumer can get a certain type of Foot long sandwich for five dollars. The deals last a month long. At the end of the month the sandwich is switched ou t and another one is put in its place. McDonald’s has a similar deal. They come out with specialty sandwiches or burgers every few months for example the McRib which is only three inches and cost four dollars.McDonald’s advertises to the younger consumers while Subway advertises to a â€Å"healthier† consumer. Both ways of advertising are far and legal. However no parent wants to deal with their child, which has just seen an ad for a â€Å"Happy Meal†, throwing a temper tantrum because they do not get to have a â€Å"Happy Meal. † Both companies are bringing in consumers in the masses. McDonald’s and Subway have kid’s meals. This is a meal that has a smaller portion meant for a child. The Subway â€Å"Fresh Fit† kid’s meals have a choice of â€Å"mini sandwich† which is three inches, and the child’s choice of a side and a drink.The choices include: chips, apple slices, or a cookie for the side and three dif ferent kinds of milk, juice, water, or a small soda for the drink. The calories range for these meals is from 150 to 220 calories per meal with the average meal being 208 calories. McDonald’s â€Å"Happy Meal† comes with a burger, or chicken nuggets, a â€Å"kids† fry, apple slices, and a drink. The drink choices are two different types of milk, juice or soda. The calories range for these meals is from 320 to 430 calories per meal with the average meal being 376 calories. That is almost double the amount of calories than the kid’s meal is at Subway.As a parent, McDonald’s â€Å"Happy Meals† have too many calories and are making today’s kids fatter than ever. The amount of locations and sales are important to any company. Heller (2011) noted that Subway is now the largest fast food company in the world. It has 33,749 locations all over the world, while McDonald’s has 32,737 locations. However by the amount of sales McDonald†™s in the largest. McDonald’s has reported that they have 24 billion dollars in sales a year. Subway posts sales reports at 15. 2 billion dollars a year. So why is it that a restaurant that has more location has less reported earnings?The cost of subway’s food is more expensive. When a company buys fresh food versus frozen foods, the earnings go down because the fresh food costs more money. On top of that Subway would rather make a little less profit and get a better product to its consumers that is healthier for them and that cost the same amount of money than a place that is not as nutritious for them, like McDonald’s. The menu options and nutrition are very different at these two places. Subway has choices like sandwiches, salads, and soups as a main course, while McDonald’s has burgers, chicken pieces and salads as a main course.The sides for these two places are similar with things like apples, yogurt and cookies. Nevertheless they can be very diff erent as well with McDonald’s carrying things like fries, ice cream while Subway Choices to carry things like baked chips. As for drinks McDonald’s carries: soda, water, tea, milk, juice, and coffee. Whereas Subway carries soda, water, juice and milk. With all these options the choices are endless, however so are the calories. So let’s look at just the main course. When a consumer orders a meal from Subway they are looking at a range of 230 calories to 600 calories for just the sandwich with an average of 391 per sandwich.At McDonald’s the same consumer ordering a meal is looking at a range of 250 to 800 calories for just the burger with the average of 444 calories per sandwich. Now if this consumer does not just eat a burger or sandwich, which most consumers eat a whole meal, then they are looking at close to 1000 calories per meal at McDonald’s and 600 calories at Subway. Concerning menu options and calories the clear winner is Subway. McDonaldâ €™s or Subway is the million dollar question. McDonald’s with its deep fried and frozen foods can do nothing but add more fat to an already obese country.Subway could help Americans out of their obesity problem, with their fresh healthy foods. After all the talk about children’s meals, advertisement, amount of locations and reported sales, and nutrition it is easy to see why Subway it the healthier and smarter fast food choice that more Americans should be making. References page Center for Disease Control and Prevention at www. cdc. gov Overweight and Obesity, Data and Statistices, U. S. Obesity Trends February 27, 2012 Laura Heller, Subway Is Now Bigger Than McDonald’s, March 08, 2011 www. dailyfinance. com

The Managed Heart: Emotional Management vs Emotional Labor

Can a person†s heart be controlled? Do all people go have some form of emotional management or emotional labor in their lives? In the book, The Managed Heart, written by Arlie Hochschild , discusses the issues of emotional labor and emotional management. In the book, it describes the difference between the two issues and gives Hochschild†s opinion on those issues. The first issue is emotional management. This is where the fight attendants learn how to deal with certain situations that they might encounter. Basically, they are taught to manage their emotions and look at their situation from the other side. By doing this, the flight attendants can create a happy and more comfortable setting for the passengers. On page 113 in the book, it states that the fight attendants should imagine a reason to excuse an obnoxious or unruly passenger. This is what Delta teaches: emotional management. The other issue is emotional labor. The use of emotional management is emotional labor. They flight attendants use surface acting in everyday work life. They are there to make the passenger feel comfortable and happy. This is a cover sheet for the flight attendants emotions. They are in a way bottling up their feelings to produce another feeling. The problem with emotional labor and surface acting are they become a part of that person. Hochschild thinks that this is a bad thing because one will never break away from the emotional labor and in turn have trouble expressing their inner feelings, (deep acting) in their private lives. In summary, emotional management is emotional labor. Emotional management is the learning how to deal with situations. Emotional labor is the actual use of the emotional management. Learning emotional management is helpful, but can affect that person†s lifestyle. When they use emotional labor, they are hiding their inner feelings to create are better atmosphere for others. People using this might never be able to distinguish the difference between their surface acting and deep acting. Hochschild†s sees this as a problem for the people affected by this emotion manipulator. This will affect their friend†s, family, and the rest of society.

Bill Sikes in ‘Oliver Twist’ Essay

This device is important as it helps with the presentation of Bill Sikes, as it emphasises the different actions which he carries out when killing Nancy, it suggests how determined he is on expressing his anger and asserting his authority. One of the last lines which Sikes says to Nancy is â€Å"You know you she-devil†, this illustrates his anger and through the little words which he says, what Sikes does say is of importance, because it is spoken in such a concise manner. Dickens also presents in this extract, as Sikes walks into the room where Nancy is, Nancy who appears to be in a situation where, she is pleading him to spare her life. She says to Sikes â€Å"Then spare my life†¦Ã¢â‚¬  which implies how desperate she is, and how Sikes has the upper hand in this situation, in the text. The use of the word â€Å"cried† from the original extract further suggests the urgency in her voice as she tries to justify her actions to Sikes, who has already gone in to the room, with the intent to kill Nancy. Both the use of few lines and the pleading of Nancy are replicated somewhat in the film adaptation; however Nancy does not have the opportunity to explain and justify her actions in the film adaptation. The film uses various camera angles as a device, for example a low angle shot for Sikes, to make him appear more powerful in the situation, and the high angle shot for Nancy, suggesting she is vulnerable and weak. There is a point of view shot, immediately after Sikes has realised he has killed Nancy to suggest the realisation of his own actions, and it helps to see what has happened from the character’s viewpoint. The use of music is another device within the film adaptation used to present the character of Bill Sikes, which can clearly not be included in the original text. There is no initial audio, as the absence of music, the silence, suggests the great anger which Sikes is feeling. The music is mainly diegetic, quite silent, as it includes sounds of breathing and movement and so on. During the period after Nancy is killed, soft music is played, with no lyrics to suggest it is quite sad, and also implying there is very little to say as Nancy has been killed. Therefore there have been a number of devices which have been used with the character of Bill Sikes in ‘Oliver Twist’, some which have been included in both the original text and film adaptation, such as the choice of giving a small number of lines to Sikes. However there have been some devices, from the filmmaker’s craft, which can only be used in a film, which include the camera angles and music.

Communication Cost Essay

In some cases, the commercial cost of data transmission may be more important the time cost. Commercial organisations often prefer to transmit data over low capacity lines which they own as opposed to using public, high capacity lines that have usage charges. The routing algorithms do not have to use just one metric to determine the optimum route; rather it is possible to choose the optimum route based on multiple metrics. In order for the optimum path to be chosen by the routers between the data source and the data destination, the routers must communicate information about the relevant metrics with other routers. This nature of this communication process is also defined by the routing algorithm and the transmission time is linked to the time required for the routers to have the necessary information about the states of the surrounding routers. The time required for all the routers to agree on the state of the network, the network topology, is known as the convergence time and when all routers are aware of the network topology, the network is said to have converged. Some of the common routing algorithm types can indeed affect the convergence of the network. Some of the different algorithms characteristics that must be chosen when designing are static or dynamic routing, single path or multi-path routing and link state or distance vector routing. Static Routing. Static routing is done by use of a static list of attributes describing the network topology at the initiation of the network. This list, called a routing table, is used by the routers to decide the optimum routes for each type of data transmission and can only be changed manually. Therefore, if anything changes in the network, such as a cable breaking or a router crashing, the viability of the network is likely to be compromised. The advantage is that there is no communication required between routers, thus the network is always converged. Dynamic Routing. In contrast to static routing, dynamic routing continually updates the routing tables according to changes that might occur in the network topology. This type of real time information processing allows the network to adjust to variations in data traffic and component reliability, but does require communication between the routers and thus there is a convergence time cost associated with this solution. Single Path vs Multi-path Routing. Single path and muli-path routing are accurate descriptive terms regarding the use of either a single line to send multiple packets of data from a given source to a given destination as opposed to using multiple paths to send all the data packets from the source to the destination. Multiple path algorithms achieve a much higher transmission rate because of a more efficient utilization of available resources. Link State vs Dynamic Routing Protocols. Link-state algorithms are dynamic routing algorithms which require routers to send routing table information to all the routers in the network, but only that information which describes its own operational state. Distance-vector algorithms, however, require each router to send the whole of its router table, but only to the neighbouring routers. Because the link-state algorithms require small amounts of information to be sent to a large number of routers and the distance vector algorithm requires large amounts of information sent to a small number of routers, the link state algorithm will converge faster. However, link state algorithms require more system resources (CPU time and memory). There is a new type of algorithm developed by CISCO which is a hybrid of the link-state algorithm and the distance vector algorithm [8].. This proprietary algorithm converges faster than the typical distance-vector algorithm but provides more information to the routers than the typical link-state algorithm. This is because the routers are allowed to actively query one another to obtain the necessary information missing from the partial tables communicated by the link-state algorithms. At the same time, this hybrid algorithm avoids communication of any superfluous information exhibited in the router communications of the full tables associated with distance-vector algorithm. Switching. The distance vector, link state or hybrid algorithms all have the same purpose, to insure that all of the routers have an updated table that gives information on all the data transmission paths to a specific destination. Each of these protocols requires that when data is transmitted from a source to a destination, the routers have the ability to ‘switch’ the address on the data transmission. When a router receives a data packet from a source with the destination address, it examines the address of the destination. If the router has a path to that destination in the routing table, then the router determines the address of the next router the data packet will ‘hop’ to and changes the physical address of packet to that of the next hop, and then transmits the packet. This process of physical address change is called ‘switching’. It will be repeated at each hop until the packet reaches the final destination. Although the physical address for the forwarding transmission of the data packet changes as the packet moves across the Internet, the final destination address remains associated with the packet and is a constant. The internet is divided up into hierarchical groups that are useful in the description of the switching process. At the bottom of this hierarchy are network devices without the capability to switch and forward packets between sub-networks, where an AS is a sub-network. These network devices are called end systems (ESs), because if a packet is transmitted there, it cannot be forwarded and has come to the end. At the top of the hierarchy are the network devices that can switch physical addresses are called intermediate systems (ISs). An IS which can only forward packets within a sub-network are referred to as intra-domain ISs while those which communicate either within or between sub-networks are called intra-domain ISs.

Inflation, Unemployment and Growth Essay Example | Topics and Well Written Essays - 500 words

Inflation, Unemployment and Growth - Essay Example One disadvantage is the distortion in weighted averages. It may produce wrongful information on inflation. 3. The current inflation rate is at o.6%. The core rate of inflation is the annual rise in consumer expenditure. This rate was at 3.3%. The inflation rate for health care services was measured at 1.7%. This is with the gradual increase in the consumer price index of urban consumers. 4. A fall in price levels of a commodity over time is termed as deflation. One noteworthy thing brought on by deflation is a consumer’s purchasing power. More goods and services may be bought with little capital. It usually benefits people earning fixed income and consumers with less debt consumption. Japan’s experience with deflation started in the 1990’s. The creation of policies to end it did not assist. It did not create an increase in broad money which presented a problem. This led to an increase in deflation. There are more reasons to worry about deflation than inflation. One is the failure to repay debts. 5. Inflation is caused by the dependency of money-supply growth rate, and its relativity to the growth of the economy. To assist in reducing inflation, prices and wages need adjusting. This is to make other factors have a minimal effect on a trend line. 7. Internal method of valuing money involves the reverse value of prices. Increases in price levels mean that, the amount of goods purchased by a single unit also decrease. The external method of valuing money involves calculating the amount of foreign currency, which is bought from a domestic money unit. 8. The producer price index measures average changes in prices. These are prices expected by resident manufacturers for the total output produced. The use of the PPI is to measure the force being put on manufacturers by the costs of their raw resources. 12. Difference among the measures of unemployment, for example, U1 involves people who

The Impact of Divorce Research Paper Example | Topics and Well Written Essays - 2000 words

The Impact of Divorce - Research Paper Example The status of marriage and the cohabitation of couples, in general, has changed substantially over the past 80 years or so (Saluter & Lugaila, 1996). In 1920, the divorce rate stood at about 12 percent. In 1960, about a quarter of marriages failed and by 1974, the number jumped to a full third of all marriages ending in divorce (Gutierrez, 1988). In 1996, it was reported that almost half (43 percent) of first marriages ended in either divorce or separation by the15th year of the relationship, according to a study conducted by the National Center for Health Statistics (Saluter & Lugaila, 1996). Men responded that inattentiveness of the children and home, mental cruelty, sexual incompatibility, and infidelity were the main reasons for filing divorce papers. Women cited mental and physical cruelty, alcohol abuse and financial difficulties. In general, persons in the economic middle class are concerned with emotional and psychological satisfaction. Lower-class couples are concerned more with physical actions of their husbands and financial difficulties within the relationship. Numerous background elements are associated with higher rates of divorce. For instance, couples who are better educated have a lower risk of divorce than do those who are less well educated. Accordingly, â€Å"divorce is more common among lower socioeconomic groups than among professional groups† (Gutierrez, 1988). A divorce encompasses many variables, all or some may play a role in contributing to difficulties for children. The loss of daily contact with one parent from the family situation, usually the father, results in the children losing the amount of affection they were receiving when both parents were in the same house. The life-skills, knowledge, and financial resources formerly supplied by the missing parent, whether they are out of their lives on a part or full-time basis is forever lost to the children. Divorce usually means that the children are living with one parent now earning just one salary which creates hardships beyond the emotional crisis of the divorce itself. The stress involved in divorce goes beyond the emotions involved as well. Many children are forced to move to a new, usually less desirable neighborhood, possibly put into a daycare for the first time and must make new friends in an unfamiliar environment. Some are moved father away from the familiarity of the extende d family, uncles, aunts, grandmothers, etc. One, some or all of these life-changing events can cause great and lasting amounts of stress for children of all ages. Whether or not the divorce is amicable and the general stability of the parents plays a role in how the children will adjust to the divorce. â€Å"Much of what happens to children in general is related to the skill of parents in helping them develop. The competence of parents following divorce is likely to have considerable influence on how the children are doing† (Kelly and Emery, 2003) Unfortunately for all concerned, conflict between divorcing parents is frequently the rule rather than the exception. The extent to which parents expose their children to

Mentorship program Research Paper Example | Topics and Well Written Essays - 750 words

Mentorship program - Research Paper Example Mentors eventually act as informal partners with previous mentees. To foster continuity of collaborative relationship, educational and skills training are maintained in surgical ward, while specifically indicating the significance of scheduled meetings per week for peer and administrative evaluation--be reduced to quarterly meetings. The direct people involved, mentors, mentees, administrative and support personnel, consistently work up the conducive work conditions and modify identified weaknesses with the entire training process. In the long run, stable interactions with higher-ranked colleagues promote the work empowerment for struggling novice nurses (Laschinger, Purdy, & Almost, 2007). Extended in appeal, the efficacy of nurse mentorship program in work competency frequently carries the project beyond the targeted program elimination. In a mentorship program by a tertiary care institution, the project continued for more than two years, indicating its success in hurdling resistan ce of social work cultures and psychological challenges of novice nurses (Hurst & Koplin-Baucum, 2005). More importantly, its low cost expenditure gives this the advantage compared to more expensive retention pursuits. In the evaluation pattern by Mills and Mullins (2008), the institutional savings by the mentorship program reached to almost $5.8 million, a large amount that can be deviated to support quality improvements in other clinical fields. In both technical and financial aspects, the mentorship program more than adequately meets the expectation of nurses and administration staff in JVHA. In realistic terms, reasonable revision must be performed for a more dynamic mentorship approach. In the instance where nurses are assigned in other clinical wards, a problem in continuity of interactive mentor-mentee associations may occur. Hence, the pilot mentorship program must manifest a more universal approach during education and skills enhancement training, consistently depending on the area of clinical expertise required. Addressing the break in mentorship relationship, long-term social and professional interaction in the surgical ward assures that work satisfaction is met and retention is improved. Project Data Dissemination and Feedback In a given utilization project, it is important to relate the results to key institutional groups. Aside from meeting the objects of the project, the applicability of the research goals may serve as solid foundation in entirely resolving the expensive and taxing problem on low retention rates of nurses in clinical areas, even with newly graduate nurses. In this paper, two practical methods can be performed to aptly communicate the preliminary initiation and concluding outcomes of the project--during annual staff meeting and circulating institutional newsletters. With annual staff meeting, the whole nursing personnel gather together to discuss things related with their practice as professionals, airings discrepancies and areas of improvements. Thus, this is the ideal time for the team involved in the mentorship program to inform them on the outline of the project, zeroing on outcomes

Emerging Disciplines in Analyzing The University Workplace Research Paper

Emerging Disciplines in Analyzing The University Workplace - Research Paper Example The researcher states that industrial engineering and economics play to the nitty-gritty, the practical, the numbers, the devils in the details. They help to quantify how organizations work, what transactions are at play, and what hierarchies are formalized and how that operates. Yet there are emerging disciplines that have begun to change the analysis of organizations irrevocably. Women's studies reminds researchers and analysts of the role of kinship, gender and sexual relations in determining how institutions work: They submit that, without understanding gender roles and inequalities, it is impossible to understand everything from the glass ceiling in corporate America to the mommy track to the second shift. Communications as a discipline informs researchers and analysts that the way that organizations communicate internally and externally, with individuals and with organizations, formally and informally, all are vital to determine how the organization behaves and fares in terms o f survival and managing change. It is impossible, for example, to understand a media institution without knowing how information is communicated up the ladder to the top then disseminated to other institutions like households and businesses. Information systems try to analyze both the usage of computers within institutions and institutions themselves as computational arrangements. And marketing looks at how institutions market their culture internally and externally. Understanding all these disciplines is essential to understanding the operation of the University of Pittsburgh. Psychology of organizations focus on factors like threat rigidity. Threat-rigidity is the tendency of institutions and people like to respond to threats or changes by falling back on established habits that worked in the past. The problem is, like the famous Chinese joke of the farmer who saw a rabbit break its neck on a stump and thereafter waited for another rabbit to do so in order to get a meal again, tha t patterns change and past practice is not always applicable. Sometimes, weathering the storm by sticking to one's guns and using prior effective practices is the right strategy. But other times, rigidity is a problem, and dynamic and creative responses are necessary. Staw et al analyzed, using both sociological and psychological mechanisms, the tendency of institutions to behave like people and freeze up in the face of danger, sticking to the most rigid and subconscious patterns until disaster struck. â€Å"The Penn Central Railroad, for example, continued paying dividends until cash flow dried up completely ...Chrysler Corporation, when faced with the oil crisis and rising gasoline prices, continued large (but efficient) production runs on its largest and most fuel-inefficient cars until inventories overflowed†. Universities like my workplace, the University of Pittsburgh, seem to be particularly vulnerable to this, and the reasons why are helpful to the rigidity hypothesis in general. The university is faced with a major change, say the increasing obsolescence of a particular academic department. It is hard to tell prima facie if this will be a temporary or a permanent phenomenon. Tenure prevents the department from being easily cut or repurposed. In any respect, it makes no sense to remove a vital discipline from the field.

Wave Overtopping on Coastal Structures Essay Example | Topics and Well Written Essays - 3500 words

Wave Overtopping on Coastal Structures - Essay Example Traditionally, laboratory experiments and field observations have been used to study this turbulent oceanographic phenomenon and empirical formulae have been derived from these but severe limitations existed since parameters to which these derivations fitted were local (Shao, 2006). Thus, in recent time, universal derivations that can fit across a wide range of parametric requirements of structure geometry, water conditions and wave dynamics are considered essential and desirable. To this end, fluid dynamics proves a somewhat reliable model generator but traditional Eulerian approaches that discretise governing equations over a computational field divided into a grid system based on local parameters develop problems of numerical diffusion that transcends localised grid patterns and tend to encompass the entire grid so that the discretised development of the equation into an unified whole is seriously affected (Shao, 2006). More recently, to solve this diffusion effect for traditional dynamics, a particle method has been developed wherewith the discretised equation utlises individual particles in the flow as centres of development. The diffusion effect is effectively smoothed by a functional kernel that identifies and utilises the combined functions of the angular and linear momentums of each particle (Shao, 2006). The smoothing out of the diffusion effect generated at each particle location within the flow thus allows the fluid, in this case seawater in wave form, to be accounted for as an incompressible one (Shao, 2006). One such method that utilises this unique strategy is the moving particle semi-implicit method (MPS) applied somewhat successfully by Japanese scientists to wave flow patterns (Shao, 2006). The model that this paper will demonstrate is the smoothed particle hydrodynamic (SPH) method as developed and tested by Shao, 2006. The paper shall now study a little of how this manner of computational strategy developed. Smoothed Particle Hydrodynamics (SPH): The smoothed particle hydrodynamic method was one of the earliest meshfree methods applying Langrangian description of motion. It was primarily proposed by Lucy (1977) and Gingold and Monaghan (1977) (source: Zhang and Batra, 2004) for problems in astrophysics in three-dimensional space (Zhang and Batra, 2004). In the conventional smoothed particle hydrodynamic (SPH) method, for a function f at a point x within a domain , the approximate value of is given as below: = (Eqn. 2.1, p. 137, Zhang and Batra, 2004) In this equation, is the kernel or smoothing function. The approximate value of of f depends upon two parameters - the kernel W and the dilation h, the last providing support for W. It is essential that the kernel W should have the following properties - I) = 0, for , II) , III) , here is the Dirac delta function, IV) , and V) =. (Zhang and Batra, 2004) This conventional SPH method is not even zero-order consistent at the boundaries (Zhang and Batra, 2004). This forced Liu et al, 1995a,b, to introduce a corrective function that is a polynomial of the spatial coordinates, making the method order consistent (Zhang and Batra, 2004). Chen et al, (1999a,b) and Zhang and Batra, 2004, also sought to improve the conventional SPH method consistency in some manner. It is notable that the smoothed particle hydrodynamics method is a macroscopic model but it can be considered both as a continuum and particle method (Meakin et al, 2007). This is in particular context to the fact that the computational efficiency of purely particle methods is low in comparison to purely continuum ones (Meakin

Communication in Social Work Essay Example | Topics and Well Written Essays - 2000 words

Communication in Social Work - Essay Example communication is a reciprocal process among all these factions, some of which are not overly amenable to reciprocal interaction, begins to highlight why effective communication skills must be developed for a social worker to be effective. At the same time, it is important to remember that communication does not refer to just words, but also to a whole body of unspoken language that is depicted in letters, tone of voice over the phone or body language and facial expression in face to face meetings. According to Koprowska (2005: 6), â€Å"The quality of the relationship and the quality of communication are deeply connected with each other †¦ Communication is by definition interactive.† To help foster effective communication skills, it is helpful to both practice and analyse practice as a means of determining what was done well and what could be improved upon. Toward this end, a video recording of one social worker’s encounter with a client will be analysed to determi ne what was effective and what could be improved. The video analysed is available through Facebook, submitted by Gavin Lacey. It depicts the arrival of a social worker at the home of a young woman with two very young boys. The sound quality is poor, making it difficult at times to discern what is being said, particularly at the beginning when the case is introduced, presumably providing the viewer with the same basic information the social worker has been provided as to this particular family situation. The video spans from the social worker’s arrival at the apartment, through the beginning stages of the initial interview with the young woman. Rather than depicting through to the end of the interview, the video cuts off after approximately three minutes of conversation. The scenario presented in the video is that of Sylvia Walker, the social worker, visiting with Lorraine, a young woman with two young boys who has been reported as not properly caring for the boys. The opening segment of

Types of teachers Essay Example | Topics and Well Written Essays - 250 words

Types of teachers - Essay Example They are keen disciplinarians, and will often keep the students on their toes at all times ensuring that they follow instructions to the letter. Furthermore, they hardly ever negotiate with students and often give orders in which they expect to be obeyed unreservedly. Easygoing teachers are the opposite of the strict teachers; they are open to negotiation and will listen and discuss issues with learners before they give make a conclusion. Moreover, easygoing are patient with students; for instance, if a student is late in submitting a paper, they will allow them extra time to work on it and not penalize them. They rarely punish students and only do it as a last resort, are quite lenient in issues pertaining to both discipline and academics and are likely to overlook minor errors to motivate the student. The final group is the moderate teacher; such teachers combine both the characteristics of the authoritarian and easygoing teacher. They negotiate with students but will not hesitant to punish them if they find if fitting, they may allow students extra time to do assignments but will put conditions and will warn the stuns making them aware that they were irresponsible for not doing the work in time. Ultimately, every teacher uses the method he/she believe is best to educate their learners although the method chosen often has a lot to do with the teacher’s personal characteristics. However, the strict teacher model was more characteristic of teachers in the past, and today they are more likely to use a moderate method trying to get the best out of both

Environmental- Economics Case Study Example | Topics and Well Written Essays - 500 words

Environmental- Economics - Case Study Example The solution to the problem was found in china through the creation and implementation of the energy laws that were created by the Central goverment. This is because the government of China has been aware of the environmental problems. There were several policies that were introduced in the effort to find a solution for the energy environment problems. One of these was the Environmental Protection Law for trial Implementation, which was created in 1979. Provisions to protect the environment were also made within the constitution in 1982 in addition to the Article 26 of the constitution which requires that the state provides protection and improvement of the environment where people and other ecological organisms live through the reduction of pollution. These laws and policies were also established to make it possible to practically apply the governmental environmental policies. In addition, this kind of depletion and exhaustion of resources called for the reduction in the used of ene rgy in the production and consumption areas. There was also a need to save the energy and use methods that were friendly to the environment and to promote technological innovations that would reduce the intensity of energy while at the same time increasing its efficiency as illustrated in Shanghai (Fig. 1). This was enabled by the enactment of the conservation laws and the application of economic incentives whereby the used of energy would be regulated and the emission of pollutants limited (Economy & Lieberthal, 2007). At this point, the main people who were affected by the particular policy included the producers and manufacturers who were required to use energy efficient means of production. The consumers would also be affected as either the prices of goods would go up or the number of products made available would reduce (Wheeler, Susmita & Hua, 2003). For the successful

Increasing Rate of Minors Who Engage in Smoking Essay Example for Free

Increasing Rate of Minors Who Engage in Smoking Essay The purpose of this research is to identify the percentage of minors who does engage in smoking, to have this idea of how minors take this unhealthy activities that sabotage their life as well as their future, not only that, we also want to make people realize especially the teenagers that taking and engaging in these activities does not help them to be a better person as well as a healthy human being. The very purpose of our research is to stop minors in engaging into these activities by picturing to them that with these, their life would be nothing because this is not good in their physical body, but also mentally and emotionally. 1.2Context of the Study These minors usually live in a complicated life where they are facing a lot of problems and even things that makes their mind chaotic. Those things that are happening around them, those people who are engaged in smoking can also trigger them to be a smoker. 1.3Problem Statement 1.3.1Main problem Smoking is one of the means of people to channel their depression. It is 1.4Significance of the Study The study will provide guidance to minors for them to be aware of the possible negative effects of the vices that they are in. Especially college students who are always hanging out in clubs, always drinking alcoholic beverages, smoking and even using illegal drugs. This will enable minors to become more conscious about their health and stop engaging in these activities that will make their life miserable. 1.5Delimitation of the Study * College students of Central Philippine University 1.6Definition of Terms Vices – are bad habits that he/she is not aware of it. Smoking – is the act of burning a cigarette and inhaling its smoke to experience stress relief. Alcoholic beverages – are alcoholic drinks that are drunk by people for recreation purposes. Minors – are the respondents of the study. 1.7Assumptions It is assumed in the study that: * Respondents will answer the question honestly and accurately. * That attitudes of respondents are good. 2 CHAPTER 2: LIERATURE REVIEW 2.1 Introduction The commercial vices are gambling, prostitutions, and drugs. The appeals of the commercial vices are so strong and widespread that attempts to prohibit them to western countries have always failed. (http://www.123HelpMe.com/view.asp?id=59394) Social vices are forms of evil, wicked and criminal actions or behaviours in the society. These are social problems and have been thought of as social situations that a large number of observers feel are inappropriate and need remedying. Social vices are those acts and conditions that violate societal norms and values. (http://www.termpaperwarehouse.com/essay-on/Social-Vices-In-Higher-Institutions-In/86198) People start smoking for a variety of different reasons. Some think it looks cool. Others start because their family members or friends smoke. Statistics show that about 9 out of 10 tobacco users’ start before theyre 18 years old. Most adults who started smoking in their teens never expected to become addicted. Thats why people say its just so much easier to not start smoking at all. (http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html) Alcohol or â€Å"booze is widely used by young people. Around 90% of Australian teenagers over the age of 14 years have tried alcohol at least once. Estimates suggest that around half of teenagers over 14 years drink alcohol at least weekly. Binge drinking, drink driving and unsafe sex can also result from the misuse of alcohol.†

The principles of Quick Response Manufacturing

The principles of Quick Response Manufacturing Abstract Quick Response Manufacturing (QRM) is a strategy which needs to applied throughout the company and whose primary goal is the reduction of lead-time in each and every operation of the company while simultaneously reducing costs and improving quality.  [1]  QRM can be defined in two contexts: (i) Externally (Customers point of view): QRM means quickly responding to customer needs by designing and producing goods customized to cater those needs. (ii) Internally, QRM stresses on reducing the lead times throughout the organization, leading to lower inventory, better quality, reduced cost, and greater responsiveness. QRM uses Manufacturing Critical-path Time (MCT) as the metric for measuring the success of QRM processes. MCT is an extension of the concept of lead-time, which is the time from the receipt of order from the customer till the product is delivered to the customer. There are 2 ways of implementing QRM: one is using large breakthrough improvements and the other is through continuous improvements. QRM was developed by Rajan Suri, a Professor at the University of Wisconsin-Madison, who is famous for his works on continuous improvement programs. He not only gave the theory but also the practical ways by which QRM could be successfully applied and integrated in the operations of the company. QRM is basically an extension of Time based Competition (TBC), which was a strategy used by Japanese firms in the 1980s. TBCs philosophy is to use speed to gain competitive advantage. QRM is more particular as it is restricted to manufacturing firms only. QRM finds its first foray in history in 1993 with the foundation of the Center for Quick Response Manufacturing at the University of Wisconsin-Madison.  [2]  In 1995, Rajan Suri published the article Slaying the Beast which put forth some bad policies which were prevalent in manufacturing companies and also offered explanations for the same. This helped QRM gain a lot of recognition and importance.1 The positive response spurred Dr. Suri to continue working on this subject and this further led to his consulting businesses in implementing QRM and successfully applying the same in many companies. Since then, the Center for QRM has helped in applying QRM in nearly 180 companies resulting in reduced lead times and increased market shares.2 QRM Principles Its not necessary to work harder, faster and longer hours to complete job earlier. One can focus on finding new ways to complete a job that takes lower time. Most of the time a job spends in a queue instead of in process and traditional approach only look to reduce processing time (touch time) and in QRM focus is on lead-time (total elapsed time) and not just processing time. Out of total lead-time 34 days only 19.5 hours is a touch time so it makes sense that we should focus on whole 34 days. But generally organizations are not designed to focus on lead-time. Mainly because organizations dont recognize the cost of waiting they mainly focus on processing time like one need to reduce batch sizes to reduce waiting time but it will increase number of setups that will increase their processing time which is mostly opposing to company goals. So, Companies need to change their accounting systems and reward systems so that benefits of reduction in lead-time can be measured and rewarded appropriately. Table 1: Examples of Organizational Waste Due to Long Lead Times Expediting of hot jobs or late orders: Requires Systems, Air Freight, People, even Top Management time à ¢Ã¢â€š ¬Ã‚ ¢ Production Meetings required to change and update priorities à ¢Ã¢â€š ¬Ã‚ ¢ Overtime costs for trying to speed up late jobs à ¢Ã¢â€š ¬Ã‚ ¢ Time spent by Sales, Planning, and other Departments to develop and update forecasts à ¢Ã¢â€š ¬Ã‚ ¢ WIP and Finished Goods holding costs, including space à ¢Ã¢â€š ¬Ã‚ ¢ Obsolescence of parts made to forecast but not used à ¢Ã¢â€š ¬Ã‚ ¢ Quality problems not detected till much later; lots of rework or scrap à ¢Ã¢â€š ¬Ã‚ ¢ Opportunity for: Order changes or even cancellations Feature and scope creep Loss of sales to competition à ¢Ã¢â€š ¬Ã‚ ¢ Sales time devoted to expediting and explaining delays to customer à ¢Ã¢â€š ¬Ã‚ ¢ Complex systems required to manage the dynamic environment There is one major problem with cost based systems that hinders QRM implementation that is functional structure of an organization. Looking the figure one can see how organizations fell into vicious circle by delaying regular jobs because of hot jobs and then again increase in hot jobs due to insertion of safety time due to delay in regular jobs. This is also called response time spiral. And so the spiral grows. QRM focus on reducing system in time like we do in service industry but this will require substantial reorganization of most of the processes. Basically, we will end up with cellular organizations in shop floor and also in offices and each cell will focus on its customers. The POLCA material control system helps coordinate production across multiple cells. Also, new operating methods such as time slicing are described, to help cells share non-cell resources. This principle is hard to digest as we believe that we should utilize capacity to its maximum possible value. Any reduction in the same would mean losing out on productive opportunities, resulting in increasing costs. However, by keeping all the machines busy at tall times does not necessarily transform into higher output or higher productivity. We frequently encounter the problems of growing queues due to the presence of a few bottleneck machines and jobs spending a lot of time waiting for resources due to mismanagement. All this ultimately results in increasing the lead time of the jobs which culminates in the increase of the organizational costs, which have been enlisted in the previous table. In the long run, these costs actually prove to be greater than the opportunity costs of not utilizing the spare capacity. Hence, the spare capacity should be considered as a strategic investment that will pay for itself many times over in increased sales, higher quality, and lower total cost s. This is again a measure which is very hard to digest. We always measure the usefulness of any process through its efficiency and utilization. However, the problem with the traditional belief is not that efficiency is not an important measure, but that most measures of efficiency result in increased lead time which ultimately harms the organization. Large batches are used in a lot of companies in a bid to reduce the setup costs. However this very measure results in increasing the lead time which can culminate in the same problems as enlisted in the previous principle. There are numerous examples to show the scope of reduction of lead time in organizations, a prominent one being the case study in Becker (2001) which showed how lead time for a line of spare parts for the oil drilling industry dropped from 40 days to 5 days using reduction of lead time as the main performance measure in a manufacturing cell. QRM says that the quantities as calculated by EOQ are not appropriate and consistent with the goal of reducing lead time as EOQ doesnt consider many costs of large lots like expediting of late orders, overtime cost for trying to speed up late jobs, WIP holding costs including space. Also quality problems are detected much later than with small lots and the amount of rework and scrap generated is also much larger. At the same time, another important point which is missed in EOQ is the lack of responsiveness which occurs when the process is carried out with large lots. Large lots and planning for the same makes it difficult for the organization to respond quickly to change in customer needs. Nor can good lot sizes for QRM be predicted by the MRP system, since it assumes fixed queue times regardless of workload. Hence, in order to reduce the lead times throughout the organization, it is important for everyone in a manufacturing firm, and especially for senior managers, to understand the dynamics of factory operations. The senior managers need to have a broad outlook and decide on the policies of manufacturing and performance measures only after fully understanding the effects of capacity utilization, efficiency measures, and lot sizing policies on lead time. Figure 3. Traditional Versus QRM Views of Capacity and Lot Sizing Source: QRM and POLCA:A Winning Combination forManufacturing Enterprises in the 21st Century Rajan Suri The differences between the traditional and QRM views can be observed from the figure given above. Traditional performance measures of utilization and efficiency encourage managers to exploit their resources to the maximum possible value. Production is considered infeasible only when the capacity utilization exceeds their maximize resource utilization, and only think about their capacity limit as a boundary between feasible and infeasible production targets. Also the perception is that larger lot sizes lead to increase in efficiency. However, QRMs focus is solely on reducing lead time, and hence the impact of utilization and lot size on the same is studied. Higher utilization leads to increase in lead time, whereas lead time first decreases and then increases with increase in lot size. It is essential to consider all such manufacturing dynamics in order to come up with a process that minimizes the lead time and thereby costs. According to QRM on-time performance is an outcome not a performance measure. Because if on time is considered as performance measure departments will quote longer lead-time to match up with on-time delivery. Again this will result in Response time spiral and results in poor performance of organization. But with QRM, organization will focus on shortening lead-time as a performance measure. In QRM its called QRM Number (measure of lead time reduction). This will eliminates Response Time Spiral and performance of organization will improve. For example see Table 2. MRP systems are of great help in managing material supply and ordering but lead-time cannot be reduced using MRP. MRP should be used on high level planning and coordination not on cell level in a cellular structure implemented by QRM, whereas POLCO can be used to manage material between cells and inside cells. POLCO basically a hybrid of push and pull systems using benefits of both. This phenomena can be again seen as entering in Response Time Spiral in which if company buys in large batches this makes supplier to have longer lead time and company to order even larger batches. Internal and external incentives like discounts motivate ordering in large batches. The results this can be verified in John Deere where implementation of QRM with suppliers reduced cost and also improved quality with shorter lead-time and batches. Not only at the supply side, the small lot concept needs to be applied at the distribution end too. Normally it is the tendency of the sales force to get higher orders by offering quantity discounts. This will again lead to the spiral of increasing lot sizes, both during the process as well as on the procurement side, ultimately leading to lowering of delivery performance. By implementing QRM, a company can reduce its costs manifold which can then be passed on to the customers. There is a need to demonstrate to the customer that the company can deliver high quality at low prices even for small lots, which would be more beneficial both to the company as well as the customer. Thus, the idea of small lots percolates throughout the organization, from top to bottom, as well as throughout the supply chain, from supplier to customer. The traditional approach might result in local quality improvements in the respective departments. However, QRM is more concerned with the overall organization than just one department. The requirement is to cut the overall lead time for manufacturing as well as office operations for which Q-ROCs are more appropriate. Such Q-ROCs result in significant reduction of lead times for jobs such as cost estimating, quoting, and order processing. Closed-loop implies that the team would be self-sufficient in dealing with all the problems related to reducing lead time. This implies cutting across functional boundaries and changing the reporting structures to ensure the success of the process. Needless to say, this team needs to be given power in order to make the decisions as reducing lead time is the primary goal of the organization. The best example would be that of Ingersoll Cutting Tool Company, in Rockford, which reduced its engineering and order processing time for customized cutters fro m 10 days to half a day after implementing QRM principles. However, QRM should not be considered as an application of Reengineering as by using principles of system dynamics in the design of Q-ROCs, providing specific engineering and management principles for manufacturing organizations, plus by changing management principles and performance measures and adopting a company-wide approach, QRM goes much deeper than Reengineering. Charging more for speedy response is sustainable only in the short-term. In the long run, it is quality which differentiates a product from its competitors, and the same purpose is served by QRM. Searching for ways of squeezing time out uncovers quality problems and wasted efforts. Changing policies and adopting measures to rectify the same results in higher quality, lower WIP, less overhead, lower operating costs, and greater sales. The QRM Approach yields even better results than Lean Manufacturing as it ignores the wastes caused by long lead times. QRM takes the goal of waste reduction to the next level, creating an even leaner enterprise that will remain a formidable competitor for years to come. As we have seen in many quality improving methodologies like Six Sigma, House of Quality the most important factor in the success of these initiatives is their acceptance by all the members of the organization; and QRM is no different. Realigning of all employees, from the shop floor to the boardroom, from desk workers to senior managers, to the QRM principles is a pre-requisite for the success of QRM, and hence training gains significance. Normally, performance measurement is tied to the cost accounting system which is an impediment to the successful implementation of QRM. Performance measurement must be aligned with the principles of QRM if the company has to benefit from the same. In a nutshell, the following points can be summarized about Quick Response Manufacturing: It requires measurement and efforts to minimize the metric, Manufacturing Critical-path Time (MCT), which is defined as the typical amount of calendar time from when a customer creates an order, through the critical-path, until the first piece of that order is delivered to the customer. This can be measured using the QRM number. Some changes in the structure of the organization are necessary to ensure the success of QRM. It basically requires the strategy of the organization to change from cost-based to entirely time-based with full emphasis on lead time minimization. Functional to Cellular:  Cellular manufacturing is a pre-requisite of QRM as the cells yield greater flexibility in manufacturing Top-down Control to Team Ownership:  QRM requires the formation of closed-loop, cross-functional teams which need to be given complete power for monitoring the processes. Specialized Workers to a Cross-trained Workforce:  Since the success of the process requires reduction in lead times across all the departments, there is a need to provide proper training to the workers so that they can perform multiple tasks and have a broader outlook. Efficiency/Utilization Goals to Lead Time Reduction:  The evaluation parameters, performance measures have to shift from the traditional accounting measures to the goal of lead time reduction. The following steps need to be implemented in the organization so that QRM is a success: 1. Creating a QRM mindset: The most important part is to make people realise the advantages of QRM over the previous measures i.e. the wastes created due to long lead time which are even ignored in Lean Manufacturing. Thereafter, a high-level QRM Steering Committee needs to be formed to oversee the QRM efforts. Also, like Six Sigma,by providing QRM training, some employees can be made QRM champions who can then be entrusted with the responsibility of the projects on a daily basis. 2. Changing of organizational structure Cross-functional planning team are formed to study feasible projects to which QRM can be applied. This would require the management to indulge in a detailed analysis of various consideration like Manufacturing Critical PathTime, product volumes, needs relating to strategy and other factors. Thereafter, QRM cells are formed and training and cross-training is provided to the operators in these cells by an implementation team which consists of members in the new cell as well as planning team members. Measurement of MCT is done to monitor lead time 3. Including of system dynamics QRM requires going through the policies on utilization and efficiency in order to determine the proper loading of the cells. It also calls for making provisions for spare capacities and reduction in the batch sizes in order to reduce the lead time. 4. Enterprisewide expansion of QRM The process would typically begin with a single project. If the project is a success, its results need to be conveyed to all the members of the organization and more projects need to be undertaken based on QRM principles. QRM should not be restricted to the organization alone but should be extended through the entire supply chain. E.g. the suppliers should also be motivated to inculcate and apply the principles of QRM which would have mutual benefits for both parties POLCA: The Material Control System for QRM POLCO is Paired-cell Overlapping Loops of Cards. To implement this system the company need to create cells of the production process focusing on subsets for similar parts and then it processes a given customer order through differing cells depending on the needs of that order. High Level MRP is used to provide high level planning and coordination of materials from external suppliers and across these internal cells. But cells are managed individually. To explain POLCO we can take an example of a shop floor shown in below figure. Assume P1 focuses on color printing and P2 on black white printing after which we have three Formatting Cells, F1, F2 and F3, which convert the printed sheets into reports with the desired pages. After formatting comes binding operation, which include punching holes and notches, cutting the sheets, and bending, A1 to A4. Finally, all orders go to the Shipping Cell S1, where the packaged plates are placed in shipping containers and then loaded onto carts. The material control system used is POLCA where High Level MRP and a cellular organization is a prerequisite. In this case all Release times are created with the help of High Level MRP. But even after authorization of POLCO work will not begin until all conditions are met. POLCO cards are used to communicate and control the material movement between cells. As Figure shows the POLCA card flows for a particular order at any organization based on initial design. This orders routing takes it from P1 to F2, then to A4 for binding, and finally to S1 to be shipped. This order will therefore proceed through the POLCA card loops with the pairs P1/F2, F2/A4 and A4/S1, as shown in the figure. If cell P1 has a job authorized that is going to F3 next, then a P1/F3 card must be available at P1 in order for it to begin that job. If a P1/F3 card is not available, that means that there is a bottleneck at F3 and working on that job will only add to the work-in-process at F3. Instead, it would be better for P1 to put its resources into a job that is needed by another cell that is not backlogged. So the cell team at P1 skips the P1/F3 job for now, and looks at the next authorized job to see if a card is available for that job, and so on. Differences from KANBAN POLCO cards only control flow between cells not within POLCA cards are not product specific but they are specific to particular pair of cells. POLCO cards are used as capacity signal whereas Kanban is used as inventory signal. As return of POLCA card from a downstream cell signals that the cell has available capacity. Benefits yielded by POLCA: POLCA helps in managing short-term fluctuations in capacity and also assists in reducing congestion on the shop floor. If a POLCA card from a downstream cell is not available, it means that that cell or some other cell further downstream is backlogged with work. Hence it does not make sense allocating further work to that particular job, without replanning of resources, as this will only increase inventory in the system since somewhere downstream there is a lack of capacity to work on this job. A better alternative would be to use this cell for some other job during the time being. POLCA cards flow in longer loops which allows the production to respond to changes in demand or differences in the complexities of jobs. The additional jobs in the loop can act as a buffer to absorb variations in demand and product mix which makes it highly suitable to meet the needs of responsiveness. On the contrary, the pull system stresses on achieving constant takt times throughout the organization, ignoring the fact that a variety of products will require different manufacturing times. Benefits of Quick Response Manufacturing Product Leadership: The main objective of QRM is to minimize lead times. By implementing QRM, a company attains many beneficial and competitive advantages. Benefits of Quick Response Manufacturing Product Leadership: QRM enables a firm to have shorter time to market. Thus a firm can reach out to customers with the latest technology while competitors play catch-up. There are two ways of looking at it. The first is that a given point of time a firms product would be superior to that of its competitor. Another point of view is that since a firm has shorter lead time it can deliver technology that is openly available to the market much earlier. Thus, the firm can skim the market due to its superior product. This can be depicted on a time line as shown below. FIRM USING QRM FIRM NOT USING QRM 2007 2009 2010 FIRM USING QRM FIRM NOT USING QRM 2007 2009 2010 Lower working capital: Lower lead times permit companies to have lower raw material and finished goods inventory. As a result the working capital requirement is decreased. This places the firm in a better strategic position to utilise their resources and capital. Better position to increase market share: The lower lead times increase the firms responsiveness to opportunities in the environment. This increased responsiveness helps the firm attract customers and increase its market share. Increased inventory turns: Since the production system is triggered by demand, smaller batches are produced, inventory decreases, and the number of inventory turns increases. Many inefficient producers have substantial amounts of capital tied up in inventory; therefore, their inventory turns are low. Reducing the cost of quality by minimising rework Cellular manufacturing places more responsibility and accountability on specific production teams. This results in specialization which inherently increases the quality of the product. It is much easier to pinpoint defects since the problems are directly traceable to certain teams or members. This has a positive impact on the quality of products. Cost Reduction: QRM aims at finding opportunities to improve the existing process. This results in lower operating costs. Using QRM, companies are able to save, in some cases, up to 25% of total operating costs by solving problems before they happen. Increasing Long Term competitiveness QRM ultimately aims at enhancing the long term competitiveness of the team. The above mentioned benefits are only the stepping stones in the right direction. The enhanced competitiveness of the firm ensures that is objective of enhancing shareholder value is fulfilled. Issues of Quick Response Manufacturing Increased reliance on suppliers QRM requires a strong relationship with ones raw material suppliers and partners. To react to demand, a manufacturing firm must closely partner with suppliers that will quickly accommodate the firms production schedule. However, if the supplier cannot provide raw materials due to problems such as quality assurance/control, equipment repair or union labour, the manufacturing firm may not be able to meet customer requirements. This could result in stock outs and backorders. Change Management It can be very difficult to implement QRM in a manufacturing environment. QRM is a business enabling philosophy that works top-down and therefore, changes the roles and responsibilities of the employees. Traditional roles, from lower levels through upper management, are drastically modified and the corporate infrastructure is typically altered. Employees can be extremely apathetic to these changes, which is a barrier that could significantly hinder the implementation process and the success of QRM. To implement QRM, companies must have representation from all functions i.e line and support functions (production, planning, purchasing, engineering, manufacturing, quality, finance and human resources) to facilitate the implementation. All functional areas need to buy-in to QRM philosophy to successfully implement such a major change in the way the firm does business. What Differentiates QRM from Lean? First and foremost is the QRM mindset: the driver for all the principles and strategies in QRM is reduction of lead time. This time-based mindset results in many operating policies that are different from traditional ones. In contrast the driver in JIT/Lean is waste reduction. Although the business press has been talking about the importance of lead time reduction, or speed, for over a decade, we find that most companies still lack the knowledge and the tools to effectively reduce their lead times. Worse still, policies are in place that are lengthening, rather than shortening, lead times. QRM devotes a substantial amount of effort in educating management and workers on why these traditional policies result in long lead times, and in showing them the QRM principles that must be put in place instead. QRM is a companywide strategy. While the original implementation of JIT/Lean at Toyota may well have encompassed the whole company, most Western implementations of JIT/Lean have focused on manufacturing and materials management. In many cases, JIT/Lean has been interpreted even more narrowly as merely implementing a pull system with kanban cards. In contrast, QRM clarifies at the outset that it is a companywide strategy with implications far beyond the shop floor, and principles for other company areas, such as, office operations, are clearly presented as part of the QRM philosophy. QRM provides rational principles and tools for lead time reduction. QRM uses an understanding of system dynamics, and exploits this understanding to define the best structures and policies that will reduce lead times. QRM begins by educating employees and giving them insight into these system dynamics. This then helps justify, to management and workers, the need for changes in policies. State-of-the-art analysis tools such as the MPX software package incorporate this analysis of system dynamics and help to derive the specific changes needed and to quantify the benefits that would be achieved. For companies making a large variety of products with variable demand, as well as for companies making highly engineered products, the JIT/Lean strategy of pull is either wasteful or breaks down altogether. For such companies, QRM provides an alternative strategy called POLCA which combines the best features of push and pull without their drawbacks. While the JIT/Lean approach tries to eliminate variability, QRM recognizes that in certain markets responding to this variability may provide competitive advantage. Instead of eliminating variability, QRM creates an effective organization structure to cope with it and serve the market. QRM does this by exploiting its understanding of system dynamics. A specific example of the difference between JIT/Lean and QRM is the issue of delivery of material or components. On-time delivery is a cornerstone of JIT/Lean is implementation. And yet QRM understands of organizational dynamics shows that promoting on-time delivery results in dysfunctional dynamics with longer lead times and higher costs. QRM provides alternative metrics based on lead time reduction that promise greater improvement in the long run. The QRM approach extends to supply management as well, and is called time-based supply management (Ericksen, 2000). Companies such as John Deere are finding that, particularly for smaller suppliers, the time based mindset and QRM principles offer an effective approach to target improvements at the suppliers operation. In addition, rapid results can be achieved, with significant improvements in supplier deliveries and quality, and reduction in supplier cost and lead time (Golden, 1999; Ericksen, 2000; Nelson, 2000). To summarize, QRM pursues the relentless reduction of lead time all QRM principles stem from this singular driving concern. Instead of management announcing dozens of programs and acronyms, QRM enables management to present one unified message to the organization, and all policies follow from this one driving strategy. Examples of implementation of Quick Response Manufacturing: Trans-Coil Inc. The Milwaukee Company is a manufacturer of equipment that supports variable-speed electric drives. Problem: Trans-Coil Inc.s process sometimes dragged longer than couple of weeks they promised to the customers. Improving its record for production time and meeting deadlines was the only way not to risk losing business. Had Trans-Coil built large numbers of components in advance, ready for shipping, it would mean spending loads of money on raw materials, production and handling, without assurances of turnover of the warehoused products. The company would be stuck then with unused, obsolete components in situations when customers made even minor changes to their specifications. Solution: Having quick-response manufacturing, companies can minimize the time it takes for products to flow via their operations. It makes companies nimble, responsive, and lower costs. For changing operations, Trans-Coil commenced with its factory. Production workers were cross-trained to learn all jobs in the plant. That was a huge change from days when employees occasionally stepped out of their work areas. Trans-Coil employees are now separated into work cells which focus on smaller order sizes which includes custom work, with teams responsible for getting products out o