Flaws of Contagion Essay Example

Flaws of Contagion Essay In 2011 , the blockbuster, Contagion, was released, featuring several prominent actors. In summary, the movie is the story of a father who loses his wife and son to a completely brand new virus. This new virus, dubbed MOVE-I, originated from a bat in Hong Kong. The bat bit a fruit then dropped it into a pigpen infecting the pig that consumed the fruit with the bats virus. While pig was prepped to be cooked, the chef touched the pigs mouth, getting virus on his hand and shakes the hands of woman, Beth, making her patient zero for MOVE-I . The disease then spread to others who mom In contact with Beth or Beets belongings. After the CDC realized the existence of this virus, they promptly started researching It. After several days of research, clients were able to determine that the virus was 15 to 19 kielbasas In length and containing six to ten genes, typical of a paramours containing genes from bats and pigs, which attach to receptors found on cells In the respiratory and the central nervous system. The virus is seemingly able to be contracted through the respiratory tract, but kills the host by making its way to the brain and causing encephalitis. The vaccine for the virus was developed by first growing the virus in fetal bat cells in culture, propagating and isolating, and finally inoculating rhesus monkeys with attenuated and dead forms of the virus. Out of desperation for working vaccine, after observing one monkey surviving during the vaccination trials, one of the researchers injected herself with the tested vaccine given to the surviving chimp. By doing so, she skipped the entire clinical trials portion of developing vaccines and had the vaccine abstracted to be mass-produced. We will write a custom essay sample on Flaws of Contagion specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Flaws of Contagion specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Flaws of Contagion specifically for you FOR ONLY $16.38 $13.9/page Hire Writer While this movie was more scientifically accurate then most other movies, there are still several aspects of the movie that seem incorrect. One aspect of the movie that stood out to me as incorrect was what the virus was considered to be. According to one of the researchers, the virus was described to have the physical qualities of a ovoviviparous. This statement itself is already inaccurate since a virus genome should not defer so much between the viruses infects a host. Though there may be a wide range of genomic size across the entire ovoviviparous family, the strain of virus hat Infects a host should not differ as much. In addition, while physically the virus may resemble a ovoviviparous, it seems to have the pathological effects of a ovoviviparous, oblivious, and influenza combined. The virus Is highly contagious (a trait of avariciousness), yet kills the host quickly (common for oblivious), has a short Incubation period (traits of Influenza), and seems to cause encephalitis from entering through the respiratory tract (as seen by Influenza associated encephalitis). It Is extremely unlikely for a virus to exalt pathological effects of three different mammals of viruses at the same time. For a virus to have the traits of three different families viruses, they virus can no longer be considered a paramours. In fact this virus seems to relate more to oblivious because of the high lethality and transmissible of the virus. In addition to the unlikely identity of the virus, the origin of virus seems just as spread to a pig and then to humans, which mimic the transmission route of the Hander virus, which is part of the ovoviviparous family. While the route of transmission seems credible, it is who is infected first that isnt. According to the movie, the first person to be infected is the wife, Beth. However, in reality she would not be the first become infected. If contracting the virus is as simple as touching the pigs mouth, the farmer raising the pigs or the butcher the operators of the slaughterhouse that kills the pig should be infected first. The farmers are dealing with the pigs much more closely and the operators at the slaughterhouse are constantly being exposed to blood and other bodily fluids of the pig and so they should have a bigger change of becoming infected first as opposed to Beth. This is similar to the case of Hander virus, where the farmers were the first ones to become infected. However, if the virus has a high mutation rate, designing a possible vaccine for, it is extremely difficult. For example, designing the yearly flu shots can be somewhat of a guessing game. Scientists look at the global strains of influenza and make a prediction as to which strains will be prevalent the coming winter and then create a vaccine for those strains. Sometimes they are able to predict it well, other time they are not. This vaccine must constantly be updated or changed because the virus itself mutates so past vaccinations are no longer effective. Obtaining the perfect vaccination for highly immutable virus, like in the movie, is nearly impossible. In addition, the researcher would have to test the vaccine that she created more times before even thinking about injecting it in a human. The only basis that the researcher had that the vaccine worked was that one monkey survived with that vaccine. Normally, a vaccine needs to be tested on many more monkeys to see if it is truly viable. In addition, clinical trials are necessary to see how the general populace will react to the vaccination. Just because the vaccine works in animals does not mean that it will work the same in humans. Thus more tests are needed to ensure the quality of the vaccine. Lastly, after the Cutter Laboratories Incident, during which the vaccine made for polio actually caused polio itself, more stringent laws would have passed to require researchers to find the possible side effects of the vaccine. It would be terrible to have a repeat of the Cutter Laboratories incident for a lethal virus like MOVE-I.

Alaska Airlines Essays - Alaska Airlines, Star Air Service

Alaska Airlines Essays - Alaska Airlines, Star Air Service Alaska Airlines Alaska Airlines For nearly 70 years, Alaska Airlines has served the west coast of North America. Alaska Airlines has grown from a small regional airline in 1932 to one today that carries more than 12 million customers per year. Alaskas route system spans more than 40 cities and primarily services four countries: Canada, United States, Mexico, and Russia. Its fleet of 88 Boeing jets is the youngest among all major airlines and it has earned U.S. airline recognition from Travel & Leisure and Cond Nast Traveler magazines. The foundation of Alaska Airlines began in 1932, when Mac McGee started flying his three-seat Stinson between Anchorage and Bristol Bay, Alaska. In 1934, a merger with Star Air Service created the then-largest airline in Alaska. By the late 1940s, using surplus military aircraft, Alaska had branched into worldwide charter work, including the Berlin Airlift in 1948 and Operation Magic Carpet, the airlift of thousands of Yemenite Jews, to Israel in 1949. In the late 1960s, Alaska strengthened its operating base by merging with Alaska Coastal-Ellis and Cordova airlines, legendary Southeast Alaska carriers owned by aviation pioneers Shell Simmons, Bob Ellis and Mudhole Smith. Alaskas world now stretched from Fairbanks south to Ketchikan and down to Seattle. And in some of the coldest days of the Cold War, Alaska made headlines with regular charters to the Soviet Union. In 1972, Alaska Airlines faced severe financial difficulties. Fairbanks businessmen Ron Cosgrave and Bruce Kennedy were hired and they are credited with salvaging the airline, and winning the trust of creditors, employees, and customers by improving time performance and customer service. In addition, construction of the trans-Alaska pipeline brought a surge in business to the airline through the transport of supplies, equipment and workers. Finally, Cosgrave and Kennedy focused on customer service. In 1987, Alaska Airlines merged with Horizon Air and Jet America and increased its fleet five-fold. The following section provides an overview of the history of Alaska Airlines. Alaska Airlines History by Decade 1930s The company that ultimately became Alaska Airlines was born in 1932 when Linious Mac McGee painted McGee Airways on the side of a three-passenger Stinson and started flying out of Anchorage. In 1934, McGee merged with Star Air Service, creating the largest airline in Alaska with 22 aircraft. Flying in those days wasn't scheduled. You typically flew when the plane was full, be it passenger, furs or groceries. Finances were tight, but perseverance ruled the day. Business expanded in 37 with the purchase of Alaska Interior Airlines. Late that year, McGee sold Star to a group led by one of his former pilots, Don Goodman, who renamed the carrier Star Air Lines. The 1938 creation of the Civil Aeronautics Authority to regulate airlines signaled the end of the true bush-flying era. 1940s Star Air Lines received most of the routes it wanted from the CAA but was denied the coveted Alaska/Seattle run. That went to Pan American. Star bought three small Alaskan carriers in 1942, changed its name to Alaska Star Airlines and then Alaska Airlines in 1944. The company grew despite a shortage of workers during the war, feuds with the CAB, and cash troubles that had employees paying for fuel out of their own pockets. In the late 40s, charter operations overshadowed scheduled service, and Alaska became the largest charter operator in the world. Using surplus military aircraft, it flew everywhere, carrying food in the Berlin Airlift and refugees to the settlement of Israel. 1950s The airline expanded in 1950 with the purchase of two more small Alaskan carriers. Under CAB mandate, the far-flung charter business of the 40s was ended. But Alaska's dream came true in 51, when it received authority to fly from Anchorage and Fairbanks to Seattle and Portland. The CAB forced what it considered a business-saving change in management a short time later. As a result, Alaska's financial footing was improved, though still tenuous, when Charlie Willis, a decorated World War II pilot, came aboard as chairman and CEO in 57. A born marketer, he ushered in one of the most colorful eras in company history, and brought in-flight movies to the nation's skies for the first time. 1960s While the jet age was just coming to

Gender Identity Essay Example | Topics and Well Written Essays - 5250 words

Gender Identity - Essay Example This paper stresses that gender identity is the sense of identification whether you are a male or a female. This concept entails appearance, behaviors and several other aspects which are always influenced by society and culture. This report makes a conclusion that psychologists believe that human identities are the composition of separate components. The first involves the child’s orientation towards sex whether he is homosexual, heterosexual or bisexual. Second important aspect is child’s behavior whether a male is a sensitive boy or macho type guy or a female is tomboyish or homemaker type lady. The third aspect involves core gender identity that determines whether a child is according to his or her sex or opposite to it. Still scientists and researchers are quite uncertain to predict when these feelings arise and come forward. Some consider this phenomenon as physical while others believe that it is mental or psychological fact. There is also a great debate that gender identity is shaped by the maturity of hormones mainly estrogens and testosterones. Gender identity comes into view by age of two which is a combination of sociological as well as biological factors. Beside sex differences, mal es and females are quite different from childhood. As girls reach to maturity quicker and faster than boys. Girls are healthier and have abilities to develop written and oral skills quicker as compared to boys.

Biophysical Aspects of Pharmacology Essay Example | Topics and Well Written Essays - 1000 words

Biophysical Aspects of Pharmacology - Essay Example According to the research findings, it can, therefore, be said that the physician may prefer to insert a gastroscope to promote safety in the delivery of food and medications for patients who developed increased difficulty of swallowing. With the insertion of the tube, an assessment must be carefully performed to ensure the correct placement of the tube and prevent accidental dislodgment. Specifically, placement of the tube can be checked by listening to a gurgling sound over the epigastric region of the abdomen while injecting a small amount of air into the tube. In addition, it might also be useful to aspirate a small amount of stomach content and test for pH. An acidic pH provides accurate information that the tube is in the stomach. Furthermore, abnormal breathing patterns suggest that the tube has been dislodged and is possibly blocking the airway. While the presence of any foreign material can be very uncomfortable, the tube should remain in place unless the physician orders fo r its removal. Lastly, the assessment of drug allergies and adverse reactions remains an important part of management. Practically, the healthcare professionals should take the subjective data from the patient as truth aside from considering the objective signs manifested by the patient. Thus, the patient really is experiencing pain at the moment. The patient’s report of pain should be the primary data to assess pain. This data would be further validated using an appropriate pain rating scale. Moreover, the patient’s behavioral manifestations can also be important factors in determining the patient’s pain tolerance. The medication chart should also be consulted to prevent over and under dosage of pain medications.  

MIH512-Demography and Health (Module 3-SLP) Essay

MIH512-Demography and Health (Module 3-SLP) - Essay Example This population increase lead to the societal changes proposed by Durkheim, namely that an increase in population would lead to a more dense society with more specialization. This in turn would then influence future patterns of population growth or decrease. The growth in both countries is very similar. Rapid population growth in the late 18th and early 19th centuries was caused by an influx of emigrants. Neither one of these nations has experienced any significant amount of out-migration. Traditionally they have been the destination for immigrants. Both countries also show aspects of the Theory of Demographic Transition. The projected population shows a leveling of growth over the next few decades. This growth is then shown to decrease indefinitely for some time afterwards. The burning question is can these countries sustain continued growth for the next few decades before an overall decline is realized, or are we already at the threshold of the carrying capacity of our ecosystem. Some neo-Malthusians would argue that the greatest hope for humanity is an increase in the death rate, thus slowing the growth of the population. Canada and Brazil are both countries with vast natural resources and lots of open space. The advanced economy of Canada and the growing economy of Brazil seem to indicate that they will be able to provide growth and a high standard of living for much of their population into the near future. But as Eberstadt points out in his article, population growth or decline is largely determined by culture, so projections of growth or decline are tricky to make (Eberstadt, 2003). According to the Rule of 69, Canada’s population is expected to double in about 68 years. This is calculated based on the current change in population change from 2007-2008 of 1.01%. Brazil is expected to double its population in about 73 years based on an annual growth of .96%. It does not seem likely that this doubling will

Private Hospitals for Undergraduate Medical Training

Private Hospitals for Undergraduate Medical Training Private Hospitals for undergraduate medical training an untapped resource in Ireland. Introduction Undergraduate medical education and training is a subject of considerable importance in relation to the quality of learning and teaching opportunities for students, and the ability of the learning environments to support the development of clinical skills and knowledge, professional practice and patient-focused high quality care delivery. The Irish context presents a particular challenge due to changes in the organisation and delivery of medical care into two distinct sectors, private or public, which alters the opportunities offered for medical student experience and focuses services in different ways. While the acute care sector (public) is the one in which most medical students train, it is apparent that there are opportunities to be gained from utilising private hospital and medical locations as well, in order to expose medical students to the widest possible and available medical expertise. However, the quality of the experience in such locations may be questionable, and the ran ge of experiences available may be severely limited A review of the literature pertaining to the title will demonstrate some of the key issues around this topic, drawing on literature from the UK and internationally, due to the commonalities in medical education structure, form and pedagogy that are found globally, and in particular, referring to the UK model as being the one which dominates still even in the Irish medical education sector. Discussion Due to changes in the healthcare structure in Ireland private, there has been a split in the way that doctors provide acute medical and surgical care services. Within Ireland in the healthcare model which has evolved, there are now public only or private only contracts for consultants, meaning that consultants cannot work across both sectors. Prior to this change, a doctor could work across both sectors, meaning that while they could engage in the public sector work that is the meat and drink of medicine and surgery, most consultants made their money in private hospitals, leaving their NCHD team to do their public work. However, the challenges this change poses for the way in which medical education is delivered in Ireland have not really been picked up on in the literature, and so an exploration of pertinent literature, in the light of the author’s contextual knowledge, is important, to explore this impact and to appreciate the scope and opportunities inherent within the new structure. There is some evidence that the changes to medical education, whilst global, are very real in the Irish context. The issues affecting medical education include â€Å"increasing service demands on clinical teachers, the need for shared teaching among different health-related disciplines, the need to incorporate modern educational principles and technologies, adapting to changing societal views of health and disease and the demand for health professionals to be more accountable.†[1] Issues such as professionalism and widening understanding of diversity are inherent in these issues. What this suggests, among other things, is that in order to make best use of the existing resources, areas still untapped need to be accessed, and at the same time, the way that medical ‘education’ is delivered needs to evolve.[2] Up until the present day, the private hospitals have not really been involved in med education. However, now they are currently making associations with universities who are eager to tap this resource, in order to make use of the private hospital setting for clinical experiences for medical students (and other healthcare students). It could be posited that these hospital present a hitherto untapped resource, full of opportunities, but also as a point of great scope for development of new ways of thinking about and providing more appropriate forms of education. As a public private system becomes more defined we need to start using the private sector to teach medical students. This is particularly important as there have been, recently, significant increases in the numbers of medical students[3], with public sector hospitals overwhelmed by medical student numbers, exacerbated by graduate entry into medicine adding to the larger and more diverse pool.[4] This may be affecting the qualit y of their learning, and also the quality of care provision.[5] There are, however, challenges, because as an unused resource, and an untested learning environemtn, there are not the internal resources, skills, systems and the like already in existence to support the influx of medical students. Similarly, there are lots of new private hospitals opening that are not used for teaching, and these hospitals are not equipped for teaching. This is something to bear in mind, and there is a need to identify the requirements of a hospital being equipped for medical student teaching and learning. Basic needs would be structural, such as the provision of a student centre, student accessible IT services, student support, changing rooms, training laboratories, and the like. Some of the major concerns are that private hospitals not equipped and did not make considerations for medical student education at the design phase, meaning that making them primary locations for medical student clinical experience could be very challenging and costly. There is also the issue private patients may not welcome students, particularly as they have paid for their care and so want complete control over it. This may mean students being excluded from key experiences. However, all patients in public sector healthcare have the option to not have students present, so this may not be insurmountable, but it would require rewriting protocols, mission statements, and the like to include an educational component. Another concern is the fact that private hospitals have not yet got to the same level of provision or range of clinical disciplines as public ones. For example, very few have intensive care departments, full time 24/7 consultant cover, emergency departments or major trauma units. Therefore the casemix of patients is elective, and limited, and students if only placed in private hospitals, will not be exposed to emergency. However, the contrary is also true as public teaching hospitals are now getting less elective patients for routine surgeries such as cholecystectomies and hernias. There is evidence to suggest that the relevance of the training medical students receive is of some importance to the quality of their experience and their future skills.[6] There could, therefore, be an argument for cross-sector placements, on rotation, with students doing different placements in different hospitals. This may have the advantage of exposing students to a wider socio-cultural mix of patient s as well as a wider pool of medical expertise, both of which may be of significance in the requirements of medical staff in the current climate.[7] Certainly, there is an emergence of a need to develop more creative approaches to clinical medical education which address the social and societal issues affecting health and illness as well as the medical knowledge itself.[8] This is evident in the emergence of debate around professionalism and professionalisation/socialisation of medical students into their profession, but also into the wider healthcare workforce. While traditionally, medicine has enjoyed a hegemonic position with near godlike autonomy[9], things have changed and new ways of viewing the medical profession have emerged. This has included a demand for more transparent, ethical practice, for doctors to view patients as individuals within their personal, social context, and the need for doctors to demonstrate respect for others, teamworking skills, and more self-awareness and increased awareness of social responsibility.[10] It also includes the reflexivity and awareness required to underpin the development of clinical decision making and problem solving skills, in general, and in application to particular disciplines and cases.[11] These notions of professionalism and reducing the divide between physician and patient are deemed important fo r the profession, as long as professional standards are also maintained.[12] This is where the challenge seems to reside, in providing medical students in Ireland with the scope to develop their professional knowledge and skills, along with the development of themselves, and their professional role, across two radically different healthcare provision domains.[13] Yet the research shows that it is the quality of the clinical or practical experience that medical students have which affects both aspects of their development, their clinical skills and their professionalism.[14] Medical education has moved away from the didactic forms that have characterised it for centuries towards a more interactive, student-centred type of training, although not as far as the other healthcare professions have.[15] Therefore, developing the private sector provision could serve a number of purposes, not just providing a useful place for the runoff of extra students currently flooding the public sector h ospitals. It could provide the opportunities for students to be assessed in skills and attributes relevant to each sector, as well as each individual case they are addressing. This would represent a more individualised approach to medical education.[16] There is a high likelihood of a considerable amount of resistance to such a reorientation, however, because the traditional, hierarchical and hegemonic structures of the medical profession will not be easily overcome.[17] What changes there are may not be fully bedded down within the Irish healthcare sector.[18] There is also the challenge of ensuring that there are adequate clinical educators available or even employed within this sector.[19] However, it would also be important to consider the impact of a large amount of private sector clinical experience on the professional development and socialisation of medical students, because much of this occurs within the institutional setting and is affecting by that setting, by the organisational culture, and by the behaviours of others within that setting.[20] Therefore, if students are modelling themselves primarily on what they are seeing within the private sector, this exposure could be detrimental, in the long run, to their professionalism, their awareness, and the ways that the work with others.[21] The nature of medical education itself is one which may need to change, to reorient itself to a different model of teaching and learning which is more appropriate to modern day medicine[22]. â€Å"Continued efforts are needed to reduce the factual load of the curriculum.†[23] It is apparent that in the current climate, with rapid developments in science and technology applied to medicine, and the increasing speed of these developments, that delivering a didactic curriculum is not practical, and instead, medical schools need to be able to â€Å"equip students with the skills and attitudes needed to cope with rapid change and lifelong learning.†[24] This includes students learning how to learn in a self-directed, more autonomous way,[25] which would then help to overcome the differences between the sectors and support students in cross-sector working and identifying the learning and development opportunities specific to each. However, the literature shows that in Ireland (as in many other places), the nature of medical education remains quite didactic and offers only limited opportunities for students to work in alternative ways. Yet the requirement for personal and professional development has already begun to be realised in the UK and Ireland, and as such the groundwork has already been laid.[26] Similarly, literature shows that medical student learning differs depending on the clinical environment,[27] which may be related to the culture of the environment and the purpose of the medical provision,[28] and if this is the case, then a great deal of research will be needed, along with ongoing evaluation, in order to assess the impact of the use of private sector hospitals within Ireland. The literature demonstrates that new ways of learning can be developed and implemented, based on more social, interactive, collaborative models[29], such as the development of communities of practice.[30] In this case, such communities would need to span the different sectors effectively, and overcome the differences between them, but these could expand to make better use of and collaborate more effectively with the training of interprofessional colleages[31]. This raises the question of whether there are the skills, capacity and even inclination to develop medical education along such lines, a lthough the ongoing benefits of communities of practice would be exponential.[32],[33]. The need for medical students to emerge as knowledgeable professionalss with the requisite understanding and skills must not be overlooked.[34],[35] Conclusion It would appear that there is a great untapped potential in the use of private sector hospitals in the Republic of Ireland to supplement medical student education by providing clinical locations for practice-based learning. However, this learning may need to be located in a different paradigm to the traditional medical apprenticeship model that has dominated this sector to date. The private sector hospitals would need to be come part of the partnership teams with universities and public sector hospitals. They would need to develop the facilities and infrastructure to support medical students. Medical students would gain a lot from such placements, but it would appear to be best that these form part of a cross-sector rotation of placements, rather than a private setting constituting their dominant clinical learning setting. The ways in which medical students are ‘taught’ would also need to change, to become more focused on personal and professional development, self-directed learning, and on all the elements of being professional in relation to current definitions of the word, and the social expectations placed upon healthcare professionals. Research is required into how private sector hospitals can be used, how medical education is changed by this and will change the nature of these locations, and how different approaches to new pedagogies will benefit medical students overall. The impact of these changes on professionalism, and the resistance from the profession, will also need to be considered. Ultimately, private hospitals can support the current provision, but the nature of the healthcare provision in Ireland would have to be considered also in the light of international models and how it intersects with these. Anything which improves student development and the skills and capabilities of newly qualified doctors must be a positive move, but research is needed to demonstrate that this would be so. References Arnold, L. (2002) Assessing professional behaviour: yesterday, today and tomorrow. Acad Med 77 (6) 58-70. Bligh, J. (2004) More medical students, more stress in the medical education system. Medical Education 38 460-462. Chastonay, P., Brenner, F., Peel, S. and Guilbert, J-J. (1996) The need for more efficiency and relevance in medical education. Medical Education 30 235-248. Cruess, R., Cruess, S. and Johnston, S.E. (1999) Renewing professionalism: an opportunity for medicine. Acad Med 74. (8) 878-884. Currie, G. and Suhomlinova, O. (2006) The impact of institutional forces upon knowledge sharing in the UK NHS: the triumph of professional power and the inconsistency of policy. Public Administration 84 (1) 1-30. Department of Health (2004) Medical Schools: Delivering the Doctors of the Future London: Department of Health. Dogra, N., Conning, S., and Gill, P. (2005) Teaching of cultural diversity in medical schools in the United Kingdom and Republic of Ireland: cross sectional questionnaire survey. BMJ 330 403-404. Dowton, S.B., Stokes, M-L., Rawstrong, E.J. et al (2005) Postgraduate medical education: rethinking and integrating a complex landscape. MJA 182 177-180. Dornan, T., Hadfield, J., Brown, M. et al (2005) How can medical students learn in a self-directed way in the clinical environment? Design-based research. Medical Education 39 356-364. Epstein, R.M. and Hundert, E.M. (2002) 287 (2) 226-235. Defining and assessing professional competence. JAMA 287 (2) 226-235. Finucane, P. and Kellet, J. (2007) A new direction for medical education in Ireland? European Journal of Internal Medicine 18 101-103. General Medical Council (2002) Tomorrow’s doctors: recommendations on undergraduate medical education. London: GMC. Gordon, J. (2003) Fostering students’ personal and professional development in medicine: a new framework for PPD. Medical Education 37 (4) 341-349. Hilton, S.R. and Slotnick, H.B. (2005) Proto-professionalism: how professionalisation occurs across the continuum of medical education. Medical Education 29 58-65. Howe, A., Campion, P., Searle, J. and Smith, H. (2004) New perspectives approaches to medical education at four new UK medical schools. BMJ 329 327-331. Irvine, D. (1999) The performance of doctors: new professionalism. Lancet 353 1174-1177. Littlewood, S., Ypinazar, V., Margolis, S.A. et al (2005) Early practical experience and the social responsiveness of clinical education: systematic review. BMJ331 387-391. Lloyd Jones, M. (2005) Role development and effective practice in specialist and advanced practice roles in acute hospital settings: systematic review and meta-synthesis. Journal of Advanced Nursing 49 (2) 191-209. McMahon, T. (2005) Teaching medicine and allied disciplines in the 21st century lessons for Ireland on the continuing need for reform. Radiography 11 61-65. Medical Council (2001) Review of medical schools in Ireland Dublin: Medical Council. Moercje, A.M. and Elika, B. (2002) What are the clinical skills levels of newly graduated physicians? Self-assessment study of an intended curriculum identified by a Delphi process. Medical Education 36 472-478. Norman, G. (2002) Research in medical education: three decades of progress. BMJ 324 1560-1562. Nuffield Trust (2000) University Clinical Partnership: Harnessing Clinical and Academic Resources London: Nuffield Trust Working Group on NHS/University Relations. Ostler, D.T., (2005) Flexner, apprenticeship and ‘the new medical education.’ Journal of the Royal Society of Medicine 98 91-95. Perkins, G.D., Barrett, H., Bullock, I. et al (2005) The Acute Care Undergraduate Teaching (ACUTE) Initiative: consensus development of core competencies in acute care for undergraduates in the United Kingdom. Intensive Care Medicine 31 1627-1633. Rogers, J.C., Swee, D.E. and Ullian, J.A. (1991) Teaching medical decision making and students’ clinical problem solving skills. Medical Teacher 13 157-164. Satran, L., Harris, I.B., Allen, S. et al (1993) Hospital-based versus community-based clinical education: comparing performances and course evaluations by students in their second-year pediatrics rotation. Acad Med 68 380-382. Sinclair, S. (1997) Making doctors: an institutional apprenticeship Oxford: Berg. Smith, T. and Sime, P. (2001) A survey of clinical academic staffing levels in UK medical and dental schools: a report to the Council for Heads of Medical Schools London: Council for Heads of Medical Schools. Stewart, J., O’Halloran, C., Harrigan, P. et al (1999) Identifying appropriate tasks for the preregistration year: modified Delphi technique. BMJ 224-229. Swick, H. (2000) towards a normative definition of medical professionalism. Acad Med. 75 (6) 77-81. Thakore, H. and McMahon, T. (2006) Sink or swim: the future of medical education in Ireland. The Clinical Teacher 3 129-132. Wenger, E.C. and Snyder, W.M. (2000) Communities of practice: the organisational frontier. Harvard Business Review 78 (1) 139-147. Williams, G. and Lau, A. (2004) Reform of undergraduate medical teaching in the United Kingdom: a triumph of evangelism over common sense. BMJ 329 92-94. Worley, P., Esterman, A. and Prideaux, D. (2004) Cohort study of examination performance of undergraduate medical students learning in community settings. BMJ 328 207-209. Footnotes [1] Finucane, P. and Kellet, J. (2007) [2] Thakore, H. and McMahon, T. (2006) [3] Bligh, J. (2004) [4] Thakore, H. and McMahon, T. (2006) [5] Bligh, J. (2004) [6] Chastonay, P., Brenner, F., Peel, S. and Guilbert, J-J. (1996) [7] Dogra, N., Conning, S., and Gill, P. (2005) [8] Department of Health (2004) [9] Hilton, S.R. and Slotnick, H.B. (2005) [10] Hilton, S.R. and Slotnick, H.B. (2005) [11] Rogers, J.C., Swee, D.E. and Ullian, J.A. (1991) [12] General Medical Council (2002) [13] Arnold, L. (2002) [14] Littlewood, S., Ypinazar, V., Margolis, S.A. et al (2005 [15] Norman, G. (2002) [16] Ostler, D.T., (2005 [17] Williams, G. and Lau, A. (2004) [18] Currie, G. and Suhomlinova, O. (2006) [19] Smith, T. and Sime, P. (2001) [20] Sinclair, S. (1997) [21] Swick, H. (2000) [22] Howe, A., Campion, P., Searle, J. and Smith, H. (2004) [23] Medical Council (2001) [24] Medical Council (ibid) [25] Dornan, T., Hadfield, J., Brown, M. et al (2005) [26] Gordon, J. (2003) [27] Worley, P., Esterman, A. and Prideaux, D. (2004) [28] Satran, L., Harris, I.B., Allen, S. et al (1993) [29] Perkins, G.D., Barrett, H., Bullock, I. et al (2005) [30] Wenger, E.C. and Snyder, W.M. (2000) [31] Lloyd Jones, M. (2005) [32] Wenger, E.C. and Snyder, W.M. (2000) [33] Nuffield Trust (2000) [34] Moercje, A.M. and Elika, B. (2002) [35] Irvine, D. (1999)

Company Analysis: Northwest Airlines :: Essays Papers

Company Analysis: Northwest Airlines Introduction Northwest Airlines is one of the pioneers in the airline transportation industry and is ranked at the fourth largest air carrier in the United States today. The success of the carrier depends on the quality and reliability of the service at a reasonable price. Close competitors force Northwest to innovate their services by increasing efficiency. This essay will try to examine different perspectives in the services needed to successfully complete the company’s objectives. The analysis will explain historical and financial perspectives that may give a better understanding of the current market trend of the organization. Services â€Å"Northwest Airlines is engaged principally in the commercial transportation of passengers and cargo.† (5) NWA is a complete full service air transportation carrier that is the forth-largest air carrier in the world that services over 750 destinations located in 120 different countries on 6 continents. They operate 2,600 flights daily around the world and operate more than 200 nonstop between the United States and Asia each week. Headquarters is based in Minneapolis/St. Paul. The main connecting hubs are located at Detroit, Minneapolis, Memphis, and Tokyo. Northwest employs 50,600 employees nationwide as of Dec. 31, 1998. (6) NWA also has 1269 Stockholders as of Feb. 26, 1999. (6) Northwest continues to improve cargo shipping by proudly dedicating 12 Boeing 747 aircraft and easily becoming one of the largest cargo airlines in the world. (4) Cargo is very profitable for Northwest because â€Å"Northwest has predicted cargo revenue will top the 900 million mark in 2000 †. (3) The enormous fleet of aircraft contains 400 airplanes. (1) Northwest has subsidiaries wholly owned (Unless otherwise indicated by NWA) by Northwest Aircraft, Northwest Aerospace Training corps, MLT Inc, Express Airlines, and Express Airlines I. (6) History Northwest Airlines began service on October 1, 1926, flying mail between Minneapolis / St. Paul and Chicago. (2) They started passenger transportation in July 7, 1927. (2) Throughout the years Northwest has grown steadily by acquiring new system routes in the northwestern region of the USA. The year 1930 was a landmark in history because Northwest moved their home base operation to their present headquarters in St. Paul. The air service grew overnight with the acquisition of Southern Airways in 1936. Northwest’s famous red tail was introduced for the first time on February 1948.

Automotive Industry and Porsche Production Line

Shona L. Thomas- Porsche Case Study 1. ) General Environment Factors for Porsche: A. ) Demographic segment for Porsche is Age and Income distribution. Porsche target age is group is consumers is male over the age of 40 in addition to an average income of 180k a year. That has a positive effect on this segment because they have defined their niche audience that best responds to their line of cars. B. ) Political and Legal segment directly affects the future production of Porsche vehicles with regulatory gas mileage requirements and EPA guidelines.If the 2020 CAFE plan is implemented in North America Porsche will not be able to sell cars in North America. Political issues and governmental decisions affect the development of the local economy as for example the increase of oil prices during the Iraq war and the drop of the dollar compared to other currencies, they can also have an influence on sales in the automotive industry. This is a negative effect as the VW sales group has laid a p lan to exceed GM and Toyota in sells by 2018 but with pending EPA guidelines this may create a definite challenge.C. ) Technological segment for Porsche is leading in product innovation, factory applications and knowledge. Porsche production line has the ability to manufacture two cars seamlessly at the same time without losing any production time or driving cost up. Their technology is a positive and is evident because they offer consulting services to competitive and noncompetitive automobile companies. 2. ) Porsche brand is so strong and unique that the only two forces I can thoroughly support are Threat of new entrants and bargaining power of Buyers. A. Porsche has a threat of new entrants due to automobile manufacturers such as BMW, Nissan and GM. However Porsche has product differentiation and Capital Investments. Porsche is also known for prestige, variety of Porsche emblems and its full line up. Consequently BMW, Nissan and GM have all produced one or two comparable cars. B. ) Bargaining power of Buyers is relevant because due to recent economic recessions internationally the price point of Porsches automobiles they followed suit of other competing luxury brands and released more affordable automobiles such as the Cayenne.The production of the Cayenne set record sales for Porsche. Therefore this is a high force. 3. ) The two major competitors of Porsche are BWW and Audi. BMW as designed models such the Z4 and Audi has designed models such as the R8 to compete with Porsche's Cayman and Boxter. Prices points on both models are within the same range as the aforementioned Porsche brands. These two models (BMW and Audi) both have competitive points in regards to engineering, exclusivity and service.The future actions of BMW and Audi that show evidence competitive activity is both automobile companies are creating a more modern design which is attracting more consumers, more drive power options for an economical price and puts luxury and comfort versus Porsc he sports then luxury. 4. ) The most important Value Chain areas for Porsche are: A. ) Management Information Systems- Joint venture with MHO has led to awards such as Silver Partner service and SAP Channel Partner Gold. The performance and oriented approach allows Porsche to consistently implement new design, technologies and functionalities.Porsche at purchased ownership in MHP and later purchased a controlling share which lead to new business techniques and technologies. The MIS has created sustainable competitive advantage through superior operating performances and the ability to respond with flexibility and quickly to changes in technology. They are superior to each competitor as they do not patent their technological gains but allows others to copy. B. ) Supply Chain Management: Porsche SAP technology Leipzig has created a seamless distribution in logistics. Within the same plant, the two models, Panamera and Cayenne can be built simultaneously.Each model requires a high degr ee of integration and cooperation with other Porsche plants. As parts are delivered every hour, the flows of goods are real-time. No inventories, any waiting times, but the highest degree of precision and flexibility. Even if faced with a change on short notice, production will be able to stay in synch. Porsche is the leading manufacturer in the world and is superior to all other competitors for the aforementioned reasons. C. ) Marketing and Sales: In 2011 VW group inclusive of Porsche and other brands ranked number 3 in the world trailing Toyota and GM.However in Europe the VW group leads sales amongst competitors. Porsche relates their increase in marketing and sales to the CRM processes in SAP. All systems are originated in German but the data is also shared North America as well as Canada. North America and Canada represents the biggest market for the car manufacturer almost 40 percent of all luxury cars are sold there. The second reason is that the orientation of the pilot proj ect toward a non-German market prevented a focus that can be considered too German influenced. 5. The most significant financial and nonfinancial factors for Porsche are: Return on investments. Three Porsche product lines – the 911, the Boxster, and the Cayenne has had high operating margins compared to nearly any other major automobile manufacturer. The two newer product lines, the Boxster and Cayenne, had both been launched with the capital and technology from its other lines of cars. The Porsche Boxster was manufactured by Valmet of Finland under a licensed manufacturing agreement allowed Porsche to use means of financial support.Valmet owns its own factory and tools, and builds the Boxster for Porsche. This reduces the capital Porsche needs to support its own business significantly. The Porsche Cayenne was co-manufactured with Volkswagen. The Cayenne was assembled on the same production line as the Volkswagen Touareg therefore reducing the required capital to support Pors che’s business. 6. ) The strength is that Porsche has a high brand presence and reputation across the globe. Porsche preferred consumers are wage earners in excess of 250k. Few car models are available but it has a wide range of variants.They have built a trust worthy brand that has international recognition in the domestic as well as racing industry. A weakness of Porsche is that it lacks presence in the middle income segment which is the fastest growing of all classes. The cars have very high maintenance and running cost in an extremely luxury car market. The opportunities that Porsche has it that they can capitalize on its exclusivity and increase sales. They also have a sector of the company that has first class technology that will give them a competitive edge on future generation and concept cars.In addition to increased manufacturing facilities and distribution as well as a servicing network. The threats that face Porsche are the Governmental policies in some countries especially North America. The looming recession this may decrease purchasing power and the intense competition from automobile leaders. The top three competitors are BMW, Audi and Mercedes Benz. 7. ) The major competitive advantages of Porsche using VRIN are The most valuable capital this company has is its loyal customers with their sense of Porsche responsibility. The most aluable support for this company is its work force, technology and its tradition of outstanding performance. (Parity producing because other companies can re-evaluate their customer relations and change the scope of employees to gain the loyalty and recognition that Porsche has. ) Porsche is rare because the cars have a virtually untarnished reputation and are considered among the finest performance vehicles in the world. (Temporary competitive advantage because they BMW and Audi have models that compete with Porsche vehicles. ) Porsche technology is costly to imitate.Porsche has become a leader in automobile m anufacturing and advanced technology that has led to winning Performance awards. Therefore allowing Porsche to consistently implement new design, technologies and functionalities. (Sustainable competitive advantage because Porsche provides consulting to automobile manufacturers and have not patent protected their technological advances; therefore companies rely on them for the most up to date technology) Porsche is nonsubstitutable because lineup is quite broad for a specialty automaker and now even includes a luxury super sport sedan, the Panamera.Throughout its history, Porsche has exhibited amazing resilience, weathering changes in consumer tastes and the economic climate. (Competitive Advantage is the brand name. ) 8. ) Porsche uses Corporate Strategy. The overall scope and direction is to diversify business operations, further advance technology and work together to achieve particular goals. As part of its corporate strategy for 2018, Porsche wants to double its vehicle sales a nd increase its presence in the individual markets. This growth strategy is to increase the workforce by 50 % from its present level of 14,000 worldwide.Porsche is creating wide-ranging electric mobility vehicles in Germany and has launched the roll-out of three electric-powered Boxter cars. Electro mobility is one of the central challenges of the coming years. The engineers at Porsche want to contribute something in their usual high-performance way to meet the challenge. 9. ) 7s Implementation factors that are the most important is: 1)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Strategy: plan to gain a sustainable advantage over the competition (BMW and Audi) 2)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Structure: how people and tasks are rganized (Consulting and Automobile division) 3)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Systems: processes and procedures that are currently in place (Manufacturing plants) 4)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Style: leadership style (Brand imaging) 5)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Staff: employees and their gener al capabilities (ongoing training) 6)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Skills: competencies and skills of the employees (ongoing training) 7)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Shared Values: culture, beliefs, values and traditions (Mission statement) 10. ) Two questions:Do you think Porsche will meet the CAFE requirements for 2018 or will they actually stop selling cars in North America? How will that affect the American Porsche consumer? Cadillac has now developed and launched a car that has a Ferrari engine how will that compare or will it compete with the Porsche Panamera? How will new entrants such as American based cars that is adding technology comparable to Porsche affect future market opportunity and ,undecided target consumers?

Free Essays on Sioux Wars

The Sioux and Tribal war War as many people have thought, didn’t start with the white man coming to America. War is a way of life. War has been going on among tribes for, as long as there have been people. Among the American Indians the Sioux were the most feared of all tribes, Probably because the Sioux were the largest tribe. The Sioux consisted of four main branches the Teton, Santee, Yankton, and the Yanktonaj. Those four branches were also broken up into different groups. Unlike modern wars these wars were fought in hand-to-hand combat often resulting in a bloody battle. There were also no rules to follow, so there was nothing ethical about any thing that they did. From the story in the book of The Singing Spirit called, In the Name of His Ancestor. It talks about a story of two tribes, the tribe of the Rock River country and the Sioux. The two tribes had been fighting for a long time then finally the Sioux offered a peace treaty. But when the Rock River elders arrived at the Sioux camp the elders were all brutally murdered and scalped. But one of the sons escaped and returned home. He set up a war party to get revenge and he did. Some of the most famous battles in history were fought by the Sioux. The Grattan affair, the Minnesota uprising, the war for the Bozeman trail, The war for the black hills and the most famous of all was the battle at wounded knee The most famous chiefs or Indian leaders in history were Sioux. The Most famous were Spotted tail, Red cloud, Sitting Bull and Crazy horse. In conclusion the Sioux were great warriors that left a big dent in the history books.... Free Essays on Sioux Wars Free Essays on Sioux Wars The Sioux and Tribal war War as many people have thought, didn’t start with the white man coming to America. War is a way of life. War has been going on among tribes for, as long as there have been people. Among the American Indians the Sioux were the most feared of all tribes, Probably because the Sioux were the largest tribe. The Sioux consisted of four main branches the Teton, Santee, Yankton, and the Yanktonaj. Those four branches were also broken up into different groups. Unlike modern wars these wars were fought in hand-to-hand combat often resulting in a bloody battle. There were also no rules to follow, so there was nothing ethical about any thing that they did. From the story in the book of The Singing Spirit called, In the Name of His Ancestor. It talks about a story of two tribes, the tribe of the Rock River country and the Sioux. The two tribes had been fighting for a long time then finally the Sioux offered a peace treaty. But when the Rock River elders arrived at the Sioux camp the elders were all brutally murdered and scalped. But one of the sons escaped and returned home. He set up a war party to get revenge and he did. Some of the most famous battles in history were fought by the Sioux. The Grattan affair, the Minnesota uprising, the war for the Bozeman trail, The war for the black hills and the most famous of all was the battle at wounded knee The most famous chiefs or Indian leaders in history were Sioux. The Most famous were Spotted tail, Red cloud, Sitting Bull and Crazy horse. In conclusion the Sioux were great warriors that left a big dent in the history books....

Relevance Of Identifying Peoples Needs And Strengths Social Work Essay Essays

Relevance Of Identifying Peoples Needs And Strengths Social Work Essay Essays Relevance Of Identifying Peoples Needs And Strengths Social Work Essay Essay Relevance Of Identifying Peoples Needs And Strengths Social Work Essay Essay Explain the Relevance of placing Peoples demands and strengths, Respecting Diversity and advancing recovery in support of your working pattern. Identifying clients demands and strengths, esteeming diverseness and promoting recovery are portion of my voluntary function, playing an of import portion in the intervention procedure and the service of Addaction. How they are identified, the ground they are used and their function in the client s journey will be incorporated in explanatory statements and brooding transitions utilizing Schons Reflection on Actions ( 1983 as cited in Powell 1989 ) . Identifying a client s demands and strengths is accomplishable through appraisal and working in partnership. Assessment is the chief tool used to place demands and strengths, fiting the type of curative intercession and strength with the demands of the client. Appraisals, though portion of initial showing, are ongoing procedures, demands change and without continual monitoring and reappraisal throughout intervention, support and intercessions can go unengaged to the persons demands. Effective appraisals direct the execution of comprehensive attention and support, bearing relation to the effectivity of intervention and positive results, profiting client s, particularly those with complex demands, . Where appraisal must be done by legion services, partnership across subjects ensures continuity of intervention and support provided. Identifying demands and strengths determines the way of intervention, execution and options available to clients, their suitableness and needed accomplishments inclusive of wrongly focused accomplishments and restrictions. It enables intervention to be client focused and adaptable increasing the prosperity of that procedure. Motivation of current and future actions and purposes can be identified from a client s demands and strengths, authorising the client, giving appropriate support and entree to services. Interventions must be bases on the motives of clients, advancing battle in services at the most appropriate degree to accomplish their ends. The procedure of placing demands and strengths is every bit of import as the execution of the information gained. Inaccurate or omitted information effects subsequent service actions negatively ; this is magnified in intervention results, so competence degrees, engagement and accounts of procedures must be carefully considered and comparative to the client. Using internal frames of mention and sensitiveness are of import, giving penetration into the client state of affairs and demands from a subjective point of view, easing good communicating enables accurate information to be gathered bring forthing effectual service actions. The demands and strengths of a client can impact how attention programs and actions are achieved and the method in which they are delivered. They enable the client to joint their ends ; immediate, short term and long term and set programs into gesture whilst integrating what they need, what they want and what they are good at. It allows prevention/coping methods to be put in topographic point for accomplishments they feel they lack or are unfamiliar with, reappraisal allows feedback of the effectivity of these schemes. Throughout intervention demands and strengths vary, physical and mental demands can impact positive or negative intervention consequences and being cyclic the intervention itself can hold bearing on physical and mental demands of a client. Therefore continual reappraisal both of intervention and demands are of import to keep balance, integrate focal point and guarantee the relevancy of intercessions. Reappraisal of demands and strengths is a valuable tool, enabling clients to supervise their advancement constructively and from both sides of the practitioner/client relationship. This enables accommodations and contemplations on intervention, ends and back up on a regular basis affecting battle and engagement from both sides. In order to accomplish an effectual system that meets the single intervention demands of substance misusers, there needs to be in topographic point a procedure of showing, appraisal, care co-ordination and intervention reappraisal. ( Department of Health, 2002, p8 ) On contemplation, when a client is referred to our service a comprehensive appraisal is done and identifies demands in different ways. Hazard appraisals, attention programs and ends, purposes and nonsubjective exercisings identify demands and strengths and integrate them in intervention intercessions. Clients are encouraged to analyze their demands and reflect on state of affairss on a regular basis, placing missing accomplishments and extra demands utilizing personal ends sheets. This helps measure intervention, enables a better apprehension of purposes and strengths, reassesses demands and strengthens partnerships. Ultimately by understanding the demands and strengths of a client societal inclusion and recovery is promoted. The appraisal and intervention procedure must integrate personal, societal, cultural and religious demands of the client s individuality, the appraisal and the designation of these demands aids in re- affirming forgotten and unacknowledged demands, in their current life style, to the client. Diversity brings profusion of experience, cognition and apprehension of the practician and client, developing and bring forthing common regard and credence. Diverseness enables both growing and development, making flexible positions and consideration of alternate values. Open mindedness, positive respect and non-judgemental patterns heighten the practitioner/client relationship, exciting communicating and penetration, obtaining positive intervention consequences by admiting and esteeming diverseness. Respecting diverseness enables tailored insight into the clients values and rules, intervention respectful of their diversenesss can be incorporated into attention and support, heightening the experience and result. Servicess have an duty to follow with current statute law to advancing diverseness, avoid favoritism and to admit and counterbalance for any troubles or boundaries caused by following a scheme positive to diverseness. All parts of appraisal and attention should embrace the person s demands in relation to diverseness. Issues of cultural diverseness and the development of culturally competent services are indispensable ingredients of effectual intervention systems. ( Department of Health, 2002, p28 ) Social exclusion through bias and favoritism, towards the client, can attest as struggle, verbal confrontation, perceived accusals or incrimination initiated by following patterns disrespectful of diverseness. Social inequalities can be highlighted through diverseness, recognition of difference and the fright of difference can show ambitious and emotional state of affairss. Such state of affairss if respectful of difference can prosecute, confront and offer insight though must let for sensitiveness and active engagement. Respecting diverseness within the work force is particularly relevant for those being treated for substance abuse, due to the scope of services and suppliers, from generic wellness attention, societal attention to condemnable justness. A diverse work force provides a high quality service with specializer accomplishment set and experiences heightening the intervention procedure for clients. ( Department of Health, 2002, P ) Understand and admiting diverseness was portion of my initial voluntary preparation, integrating the diverseness of clients and services. Our service has many different facets to it throughout the condemnable justness system, esteeming the diverseness of environments and clients are indispensable. Diversity preparation helps me acknowledge and understand environments and clients heightening my professional relationships and working patterns, inclusive of the diverseness of the squad that I work with. Within my voluntary arrangement, my two wise mans are from different back evidences, one is ex-police and the other is an ex-substance user. They bring different accomplishments, experiences, point of views and methods to the function but with the same rules and results, this benefits the clients and myself, giving a profusion and diverseness to my arrangement and the clients experience. Recovery is alone to the person, personalised to the client and subjective. To ease recovery it is of import to turn to the values and rules of practicians and clients, enabling apprehension, recognition and supplying a service based on the clients demands. In order for alteration to take topographic point, utilizing The Cycle of Change Model ( 1982 as cited in Davidson, R. 2002 ) , external state of affairss, ends, demands and strengths must be identified, even with the integrating of multiple issues, each must be considered on single virtue. Facilitation of alteration demands to be done by authorization of the client, enabling the apprehension of issues and execution of get bying schemes to be achieved. Recovery is seen to be an result of intervention, though in world it is a sequence of events, inclusive of exposures and dislocations that determine discoveries and accomplishments. Often these reverses are critical chances to turn, learn and alteration, facilitated by the practician, determined by the clients ain picks, actions and ends. Clients are experts in their ain recovery and experiences, engagement must be promoted around this cognition and penetration gained to present trim programmes of attention. To accomplish recovery focussed results, the intervention system needs to go more antiphonal to single demands. ( NTA, 2010, p5 ) Recovery may differ in reading inclusive of decrease, care, stabilization or abstention based ends, each determined by the client and of equality importance. Recovery includes the deduction of wellness instruction, hazard bar and injury decrease methods, drug usage though non desired is possible and recovery though accomplishable may non be lasting. Changeless appraisal, reappraisal and reappraisals are critical during the recovery procedure, turn toing multiple subjects and reexamining intercessions, clip to look into and research is necessary to ease alteration. To facilitated alteration the programme of attention must accommodate and react, advancing and believing in recovery. Hope is critical enabling the client to see that results are accomplishable, hope and belief in the client s possible is critical to alter and the success of implemented attention. There is ever hope of recovery and it is critical to pass on that from the start in all idiosyncrasies. ( Stickley A ; Basset, 2008, p133 ) On contemplation, our intervention programmes have clip restraints and though the foundations of recovery and the rhythm of alteration are implemented full recovery occurs outside our service. Our perceptual experience of recovery within our service is the designation of demands and strengths, the existences of alteration, hope and the belief that a client is get downing on their journey with the tools, ends, the service support required to accomplish their single recovery end. To reason strengths and demands, esteeming diverseness and promoting recovery are all critical parts of the intervention procedure, each facilitating and back uping the recovery procedure. Each is interconnected and interdependent in the execution of attention, intervention and the facilitation of recovery. The successful execution of each of these positively influences the possible intervention results for the client. Strengths and needs require ongoing appraisals and include esteeming diverseness within purposes and intercessions, which is portion of advancing alone recovery, enabling and authorising clients to accomplish their coveted ends. 1584

Protein Essay Example | Topics and Well Written Essays - 1250 words

Protein - Essay Example According to the paper one important part of the nutrient puzzle, and also meets some of your body’s biological needs is proteins. Proteins are important biological molecules for you and your body’s health, and help keep your body working the way it should. One of the reasons proteins are so important is that they are mad up of amino acids, acids that are necessary for life to function as we know it. While it is true that our bodies can make amino acids by itself, it cannot make all of the amino acids that are needed for life, and must get some of them from the food it consumes. These amino acids thus come from proteins, which should be staples in everybody’s diet. Proteins can come from many different varieties of food, such as meat, egg, grains, and other diary products. These foods are essential to our diet as it is vital to our existence to take these proteins into our bodies so we can use the amino acids they are made up of.This discussion outlines that  p roteins are very important molecules. Without these molecules, biologically speaking, life would not be the same as we understand it today. Proteins are organic compounds that are composed of a chain of amino acids. These amino acids are necessary to life, and important to all living organisms. The proteins themselves take part in almost every single biological operation inside the body, and are important to the lively hood of our cellular structure.

Strategic Management Essay Example | Topics and Well Written Essays - 2000 words - 10

Strategic Management - Essay Example New entrants in the market, suppliers outsourcing, and operational competitiveness through adopting new technologies like e-supply chain & efficient inventory management resulted into decrease in market share for JZ Benny. Due to these changes, JZ appointed new CEO from rival company with a view to follow and adopt those policies, which competitors are adopting to succeed in the market. New CEO adopted the policy of reduction of management and other staff & even curtailment in employee’s facilities has not resulted into revival of the company. These steps rather resulted apprehensions about job security among employees’. Though CEO had reorganized the JZ and adopted flatter structure and also invested heavily in RFID (Radio Frequency identification), altered outsourcing agencies and; locations but failed to bailout JZ Benny. This situation created an opportunity for market leader Mr. McQueen for possible acquisition of JZ Benny but competition commission laws prohibited it. In the mean time JZ Benny appointed a new CEO John Hammond to revive the JZ Benny. He noticed that negligible cash reserves; more overdraft and low share prices are the major constraints for the revival of the organization. Strategy development is about ‘fit’; that is identifying opportunities in the environment and building strategy by matching resources capabilities to those opportunities. Other argues that the resources and competences of organizations are what are most important because they explain differences between organizations, potential uniqueness and therefore superior performance. They take a stretch view arguing that strategies should be built on the unique competences and resources of organizations, by seeking out market in which such competences have special value or by trying to create new markets on the basis of such competences. There are other considerations too. Organizations have different stakeholders