Tuesday, November 26, 2019

Is Silas Marner a Moral Tale Essays

Is Silas Marner a Moral Tale Essays Is Silas Marner a Moral Tale Paper Is Silas Marner a Moral Tale Paper and need to work harder for their food. But in Raveloe, there is a sharp contrast. Raveloe is a secular town, and the church plays a minor role in the town and its residents. There is also plenty of food, there were several chiefs in Raveloe who could farm badly quite at their ease, drawing enough money in those war times, to live in a rollicking fashion, and keep a jolly Christmas, Whitsun and Eastertide, meaning Raveloe was a thriving economy, where you didnt have to work hard to make a good bit of money, and that everyone was well off and well fed too. In the second chapter, The Groove Made by Fifteen Years in Raveloe, the mood is set that Silas is unhinged from his old-faith, and the past becomes dreamy because its symbols have all vanished, and the present too is dreamy because it is linked with no memories. What Mary Ann Evans is trying to say is that when you are in a new space, a new environment, everything becomes blurred, and dreamy, because you do not know this place and have no memories of it. And that memories are what make a place, for example, home is not home, unless you have memories of that place, and you know people there. But for Silas, Raveloe is like a new world, and it is all dreamy to him, because he has no memories of that place. The towns people in Raveloe, because they dont understand him, do not trust him either and keep their distance. Silas after his exile from Lantern Yard, doesnt trust God or people and they do not trust him back. He rarely leaves his cottage, except to get essentials, and doesnt talk to anyone. So they think he is a bit mysterious, and therefore dont trust him. His first movement after the shock had been to work in his loom; and he went on with this unremittingly, never asking himself why, now he was come to Raveloe, and this extract, tells us Silas reaction to moving into Raveloe, and his instinct almost tells him to work. But at first, he doesnt care for the money, only to work: but it was pleasant to him to feel them in his palm, the five gold guineas he held. And this is when his motives for weaving change, from an instinct, too a greed for gold. But it doesnt start of as greed, at first it is a fascination, because in Lantern Yard, he probably would never have seen this much money before. And it was another element of life, like the weaving and the satisfaction of hunger and this gives us an insight, that Silas loves his weaving as much as satisfying a hunger, and he now has this new element of life, and that is gold. There is a lot of moral comment through each character. And they all get their just deserts in the end. Many are either punished, or rewarded, and that is why I think this book is a moral tale, but a very complex one with more than one message. For instance, Dunstan, Godfreys brother, is really hated in Raveloe because he is rude, dishonest, and disrespectful to them. Then he does the worst, and steals Silas Marners gold, and the description of Dunstan when he stepped forward into the darkness has a double meaning. One, it is a descriptive sentence, and it describes how dark it is, and him stepping into that darkness. The second, is an abstract account, of Dunstan doing something much worse than he ever has before, and stepping forward to a new evil. And the moral message in Dunstans story, is that the truth will always come out, because at the end of Silas Marner it is discovered that Dunstan has drowned, and silas money is returned to him; but because of his new love in Eppie, it cannot hold him like it did before. Another character with a moral comment within him is Dunstans brother, Godfrey Cass, who lies for many years about a secret marriage he has with a drug-addict, and who is a victim to the demon opium and a secret child to that wife. That child later becomes Eppie, and while Godfreys wife goes to see him and tell the truth to his family and friends, she dies in the snow where she does not feel the bed was cold, and this two has another meaning, that she was cold and heartless. While her child wanders into Silas house, and he believes it to be a present from God. But when Godfrey learns of his wifes death, he is pleased, and wishes to propose to Nancy Lammeter, and care for his child. But he cannot bring himself to tell the truth to his wife, and so keeps it from her, and lets Silas Marner look after her instead. But sixteen years later, Godfrey tells Nancy all about Eppie, and she says to Godfrey, Godfrey, if you had but told me this six years ago, we could have done some of our duty by the child. Do you think Id have refused to take her in, if Id known she was yours? And you feel great sympathy for Godfrey, for if he had told Nancy all that time ago, he may now be the father of Eppie. They do go to Silas but she has known only Silas to be her father, and stays with him. He is almost, the tragic hero of the story, but for one secret, one lie, he been punished for the rest of his life. But Eppie does bring happiness to Silas, who, after losing his gold, falls into a sort of numbness, but when he finds Eppie on the floor, in her golden hair and his short eyesight, he sees his gold. And this is symbolism, because he sees the only thing he had loved in Raveloe, in this little girl, and a new, warmer love starts to fill him. So in Silas story, he gets what he deserves, happiness. He was a good man, who was unfortunately thrown out of Lantern Yard, but he finally found happiness in Eppie. Nancy, was just unfortunate to get caught up in it all. A sort of innocence almost, and she shares her sorrow with Godfrey. When Eppie does come to Silas, it is like a message from God. For all these years, he had been exiled from Lantern Yard, and no friends, relatives, or just people he knew in Raveloe. But when Eppie comes, it is redemption and forgiveness from God. Eppie is innocence from an evil background. A background of her mother and opium. In the end, the truth is always revealed, and I think this is the main moral in Silas Marner. The truth about Godfrey being Eppies father and about Dunstan stealing Silas money. When Nancy and Godfrey, tell Eppie if she comes with them she can become a proper lady, but Eppie doesnt want this. She has realized she does not need riches and money to be happy and loved, all because of Silas. This is almost Godfreys punishment, if he had told the truth, he could have had Nancy and Eppie, but because he didnt, he paid the price of not being Eppies father. Dunstan dies in a river, and after taking the choice of stepping forward into the darkness, he is punished for it, he steals money, and for what? He doesnt get a chance to spend it, a chance to be evil. Near the end when Eppie marries Aaron, they are happy, yet do not have much money. And I believe what the author is trying to tell us is that you dont need great amounts of wealth and money, in the case of Eppie and Silas. Silas found love and happiness in Eppie even though he had lost his money, and Eppie and Aaron found love in each other, without having much money and riches. Their garden is a symbol of their simple happiness, and I think the author has put this in deliberately. And to say that you only need a simple life to have simple pleasures, and this is the same with Silas. I do think Silas Marner is a moral tale. But not just about the way we behave. I think it is trying to tell us that we dont need great wealth to be happy, that happiness cannot be bought with money, and this moral is repeated in Silas and Eppies stories. Also, that the truth always comes out sometime, and you cant keep a secret or lie forever. Dunstans secret about him stealing the money comes out in the end, it takes sixteen years for the truth to come out but it does come out, and I think that is what the author has tried to emphasis; it may take a while, but the truth does come out eventually. I think a very old moral also appears, treat your neighbor has you would like to be treated and I think this is the case with Silas and Dunstan. They both either disrespect people, or try to isolate themselves from them, and they both got the same treatment back. But Dunstan, among other things was just disrespectful, and he was punished for that. Silas though, he did have an almost plausible reason for his actions, and at least he never did any wrong. I think what the main moral within the book that the author is trying to get across is to try to be kind, honest, truthful, and respectful, and the same will happen to you. And I think this story has come from many of the authors own imagination, but also from her own experiences with religion, society, and also social life and differences.

Saturday, November 23, 2019

Hand Over Hand Prompting in Special Education

Hand Over Hand Prompting in Special Education Prompting is an important tool in teaching children with disabilities, especially children with disabilities that significantly effect their ability to learn functional or life skills. Prompting happens across a continuum, from the most invasive, physical prompts, to the least invasive, gestural prompts. What Is Hand Over Hand Prompting? Hand over hand prompting is the most invasive of all prompting strategies. Also known as a full physical prompt, it can often involve actually doing the activity with the student. The person teaching the skill places his hand over the hand of the student, and may actually manipulate the hand of the child. Hand over hand prompting may help a young child learn how to manipulate a pair of scissor, either regular student scissors or special spring scissors. The goal of the teacher/practitioner is to begin to fade the hand over hand prompt, perhaps pairing it with a verbal prompt as the physical prompt is faded. Sometimes the hand over prompt can be faded to a less invasive prompt, such as a finger tap on the back of childs hand, to remind them of the hand formation. Example of Hand Over Hand Prompting Emily, a six-year-old with multiple disabilities, requires a very high level of support to learn life skills. Her aide, Ms. Ramona, places her hand over Emilys to provide hand over hand support as she learns to brush her teeth. Ms. Ramona shapes Emilys hand into a brush grip and then holds that grip as she moves the brush back and forth in her mouth.

Thursday, November 21, 2019

Operatins Management - Cruise Inc. - Case Study

Operatins Management - Cruise Inc. - - Case Study Example NCL generates revenue from every section of the cruise in each and every tour from the company. Every section of the cruise is productive for the firm either through direct or indirect way of generating revenue. This productivity of the firm can be measured from the earning from each activities carried out on the cruise by analyzing the travel partner performances, analyzing cost of sale for the firm and also analyzing the trend of the ticket booking. Analyzing these sections of the firm gives a better understanding of the financial condition of the company. The EBITDA of NCL improved a lot from $6.6 million to $37.4 million in the fourth quarter and a huge increment of over the year from $228.1 million to $324.1 million in the year 2009 (NCL, 2011). Since EBITDA don’t include interest expenses, income taxes and amortization it can also be a good addition if the additional elements are calculated for more accurate productivity measurement. Question 2: Describe the service pack age offered by NCL to its customers. Visit the â€Å"Life Onboard† section of several cruise line websites and the insight provided by the film, â€Å"Cruise Inc† to gain a better understanding of service packages offered by cruise lines. ... The resort vacation experience of the customer on the cruise is the major attraction for the customers. The cabin rates of NCL Pearl ranges from $35 to $2000 per day for each person on the cruise depicts the strategy from the company how they implemented the competitive advantage to grab the market from low to high market segment. The seven specialty restaurants provide foods for every need of the customers with variety of food habits and taste. The company provides over 100 plus activities and services like casino, spa, and art gallery, medical center, laundry and bar to entertain and meet the demand of each and every customer on the cruise (NCL-a, 2011). Question 3: What are NCL’s competitive priorities and why do you believe they follow these priorities? Describe what should be in the service package so that it aligns with the company’s emphasized competitive priorities. The unique services provided by the company to the customers with wide range of services packages are target towards every customer on the cruise. The quality services induce the customers to get familiar with their services and avail a lifetime experience for the entertainment provided by the company. This diversified service provided by the company for every need of the customers and for every customer on the cruise is the major advantage for NCL to attract wide customer base. The competitive price of the cruise and the best buy technique to offer customers guaranteed low price for travelling on the cruise provides a great advantage for the company to attract customers to avail their services (NCL-b, 2011). The club of the company with travel agents for excursion and recommendation of the company for several

Tuesday, November 19, 2019

Exclusionary Rule Research Paper Example | Topics and Well Written Essays - 1000 words

Exclusionary Rule - Research Paper Example This aims to safeguard people from being prosecuted if at all the due process of evidence collection was not followed. It is also true that this principle is there to prevent prosecutors and law enforcement agencies from admitting evidence into court after the search and seizure of evidence is complete (Maclin, 2012). This paper shall inspect the application of the exclusionary rule, and how it affects the daily lives of both citizens and law enforcement agencies. The principle behind the exclusionary rule prevents police officers from violating an individual’s constitutional rights. This is because; it is not possible for police officers to ignore the basic rule that governs their responsibilities as law enforcers. Their duty is to ensure that the constitution and all its principles are upheld. The exclusionary rule may not be embedded in the constitution, but it is one principle that the Supreme Court thought would work toward protecting an individual’s right as constituted in the Fourth Amendment (Maclin, 2012). The Fourth Amendment is there to protect against the illegal search and seizure of an individual, or their property. This means that even suspects cannot be searched until a legal document forces them to do so, if they were not willing to oblige to an arbitrary search. It is the belief of countless individuals that the rule must not be enforced at all times. This is because, at times, there might be instances where lives are at stake when it comes down to searching a suspect and their property. In such instances, it is considered unnecessary to wait for a warrant to search and save any lives that may be at risk. However, police officers who do this might need to prove that there were no doubts as to the suspect’s intentions, and thus; their actions as law enforcers were legitimate. Unfortunately, if police officers intentionally violate an individual’s fundamental right against arbitrary search and seizure, then the rule must apply.

Sunday, November 17, 2019

Coco Fusco Cultural Commentary Essay Example for Free

Coco Fusco Cultural Commentary Essay This performance was intended to mock Western concepts of the exotic but instead took on a different facade when most audiences did not realize it was a performance piece. Their cage became â€Å"a metaphor for [their] condition, linking the racism implicit in the ethnographic paradigms of discovery†[1]. Reactions and commentary received throughout a span of two years allowed Coco Fusco to gage an even stronger sense of â€Å"otherness† where she was looked upon as a specimen instead of a human being. Being dehumanized in such a form cannot be easy to handle even when taking into account the fictional situation she and Gomez-Pena were in. However, the prevalent â€Å"otherness† for Coco Fusco wasn’t exclusive to the performance piece; as a Cuban-American she had already encountered that denial of one’s actual presence within society. As a young child her family hid the reasons for and meaning of comments/looks made as a way of protecting her from the harsh realities. Even in later years when Coco Fusco returned from her study abroad trip to Paris, her family was exuberant by the thought of her speaking French. She anecdotes thinking that her â€Å"newly acquired French impressed everyone much more than [her] English ever had†[2]. This inadvertently established that languages of the Western world were superior to her vernacular Spanish. The implication was that if she relinquished the use of Spanish or even the hybrid Spanglish she would be more successful in life. In a reading covered by Professor Alba-Salas the author reaffirms this notion by saying that â€Å"those who achieve success have done so within social and educational systems that favor the use of English over Spanish†[3]. Coco Fusco’s family was consumed by the same fear most immigrant families have; the fear of being marginalized as the â€Å"other† and never really reaching the viable potential one can have. Soon after Coco Fusco comes to realize the immense â€Å"culture clash† she had been living. She realizes the implications of those stares and the thoughts brought upon by her speech. It is then when she takes in upon herself to at least attempt to dispel or even clarify the misconceptions of the population through her performances. In the Two Undiscovered Amerindians performance it is clearly seen how two conflicting cultures create animosity where the privileged, in this case the audience, attempt set the standard for the normative. Coco Fusco notes that as she and Gomez-Pena assume their â€Å"stereotypical role of domesticated savage[s] and many audience members [feel] entitled to assume the role of the colonizer†[4] where as to continue the already rampant cycle of discrimination. After a particular performance one young woman came back to share her discontent, claiming that Gomez-Pena was â€Å"ungrateful for all the benefits he had received thanks to multiculturalism†¦ Gomez-Pena responded that multiculturalism was not a gift from the white but a result of decades of struggle by people of color†[5]. In this discourse Gomez-Pena reinforces the idea of this â€Å"culture clash† in America and how the privileged still see themselves as that standard that enables them to pass judgment. Nevertheless both â€Å"culture clash† and this sense of â€Å"otherness† within communities creates a harmful effect in society but equally harmful is the alienation that appears as an outcome of their presence. The other tends to feel this alienation most when realizing there is disengagement between them and their society, work, and even at times themselves.

Thursday, November 14, 2019

Why Was There Relative Stability in the Balkans, In the Period 1890-1908? :: European Europe History

Why Was There Relative Stability in the Balkans, In the Period 1890-1908? Between the years of 1890 and 1908 there was a period of relative stability in the Balkan area. Whilst, in this essay, it is my primary objective to look at what factors caused this, it is first important to understand that the climate was only stable in comparison to the years before it - when there was great tension, argument and conflict. It would be naà ¯ve to assume that after 1890 there was none of the aforementioned; the importance of the word 'relative' should not be overlooked. Take, for example, the infamous Armenian massacres of 1894 and 1896. At that time there were about a million Armenians under Turkish rule. They were a badly oppressed minority, discriminated against in just about every conceivable way. When the Armenian people began to press for improved rights and independence, the Turkish reaction was to silence them through acts of murder. This is clearly not an act usually associated with stability. Another prime example that the stability in the Balkans was only ever relative is the crisis of 1903. The Serbian King was assassinated in a military coup and replaced by King Peter, who belonged to a different dynasty. He was pro-Russian which angered Austria-Hungary, who had been allied with Serbia. Austria-Hungary placed economic sanctions on the Serbs in the hope of forcing them back into an alliance, but this only succeeded in worsening relations between the two and pushing Serbia into Russian hands. That said, there is no doubt that the climate surrounding the Balkans was far more relaxed and stable between 1890 and 1908 than it had been for many decades beforehand. There were several factors that contributed to this, the primary reason being (in my opinion) the change in Russian foreign policy. Before 1890, Russian was often the root cause of tension and conflict, because of her foreign policy objectives - she had two principle objectives: to unite the Slav people of the Balkans, in order to create a 'Greater Motherland', and also to gain greater access to The Straits. This was most evident in the Russian-Turkish war of 1877, where Russia had emerged victorious, and attempted to create a 'Bigger Bulgaria' of Slav people in the (eventually) abortive treaty of San Stefano. After 1890 Russia felt that if they continued to pursue their interests in the Balkans, it was a lot of trouble for possibly no gain, so instead she began looking to the East and the far greater opportunities for expansion in China, Japan and Manchuria.

Tuesday, November 12, 2019

Analysis Of Nigel Driffield Research Study Essay

Nigel Driffield has made a research on the impact in indirect employment due to inflow of foreign direct investments [FDI] in U. K. In his research paper, the author has examined the effect of local employment associated with foreign inward investment in UK. According to author, a foreign manufacturer who has entered into UK will naturally have a slight edge over the existing manufacturers as they may have enhanced productivity technology as compared to domestic sector. Further, in his study, the author revealed that FDI not only created market disequilibrium in the UK’s domestic sector but also created an employment substitution of 20 percent of all the jobs generated due to FDI. It is to be noted that since 1980, UK is the largest recipient of FDI in European Union. [EU]. Between 1984 and 1991, it attracted about 42 percent of total Japanese investment in EU and about 21 percent of all US FDI since 1987. FDI comprises about one fifth of total investment in UK industry. For instance, since 1987, UK received about 220 billion by way of inflow as FDI. According to Nigel Driffield, FDI has created about 15% of all employment in UK manufacturing sector and it has appended over 23 per cent of all value –added. (Driffield 1999) Since there is a decline in employment in UK manufacturing sector from 1980, UK has encouraged FDI flow into its country. It is to be noted that FDI flow will be advantageous to a country’s economy as it will create employment , technology transfer , increase in productivity and increase in exports and as a result ,an overall increase in country’s gross domestic product [GDP] . Thus, free flow of FDI will create both direct and indirect employment opportunities in a country. It is to be observed that empirical studies carried over by Young et al [1994] , Neven and Siotis [1993], Dunning [1988] on the impact of FDI has found out that FDI flow has its impact on employment generation and regional development. Further, it enhanced allocative efficiency in the economy and also improved the balance of trade and exports of the recipient country . Dunning [1988] in his eclectic theory, Dunning have observed that FDI will bring new or superior product or some firm specific advantage. David Lyons [1991] has concluded that FDI brings productivity advantage and he estimated that productivity advantage is at least 20 percent more than that of domestic sector. Further, Blomstrorm [1989] and Haddad and Harrison [1993] found that FDI has resulted in operation of new plant and thus resulted in advanced technology transfer to the host country. [Dunning, J. H. & Narula, R 1996). However, Nigel Driffield has pondered that as far as UK is concerned, no empirical study has attempted to find out the extent to which flow of inward investment may have a detrimental impact on U. K industry especially in the manufacturing firms with a distinct productivity advantage. The author is of the opinion that it is pertinent to study how FDI in UK has affected the employment position of UK-owned manufacturing companies. Since the foreign manufacturer in UK has productivity advantage, it is claimed by Davies and Lyons[1992 ]that such foreign manufacturing companies will normally pay wages above the industry standard and according to Driffield [1996], there was wage differential up to 7 per cent in UK. (Driffield 1999) According to Nigel Driffield, if there is penetration by foreign manufacturers in a country, it will result in prevalence of high-wage paying, high-productivity firms and hence, ex ante, it will increase wages in domestic sector. To avoid a rise in employee turnover, local firms are compelled to pay more wages to keep employees in high spirit. This will have cyclic effect of increase in wage cost and reduction in employment opportunities. Hence, Nigel comes to a conclusion that a foreign investor with productive advantage will be prepared to pay above-average salary and hence there will be a reduction in domestic employment. According to Nigel, FDI flow in UK will have the following impact: o A decline in employment in the UK-owned sector. o An increase in domestic wage. Thus, UK firms which are compelled to pay increased wages may initiate labour / capital substitution in an effort to enhance productivity factor. However, these initiatives may result in reduction in employment and again, ex ante raises labour productivity. It is to be noted that degree of increase in labour productivity may negate any loss in UK employment over the long run. Nigel Driffield is of the view to study impact of FDI in UK, variables like employment, labour productivity and wages in the domestic sector of UK economy has to be taken into account. According to Marginson [1984], Blanch flower [1986] and Stewart [1991], to arrive at the rate of change of wage equation, one has to include industry specific variables like the proportion of women employees in an industry, monopoly power of the product, research & development expenses and five-firm concentration ratio. (Driffield 1999) According to Nigel Driffield, if FDI directly causes a decline in domestic sales and in domestic employment, then it will be referred by variable [SALE]. In case, if there is employment substitution, then it will be picked by negative coefficient on the foreign employment. [EMPF]. If there is factor substitution, then it will be measured by coefficient on capital investment. [CAPITAL] variables. On the basis of above assumption, Nigel Driffield has developed equation to test these hypotheses. With the help of these equations, it is easy to study the following. ? The degree to which manufacturing jobs generated by foreign companies in UK is able to create changes in the labour market for manual labour. ? To find out how FDI will increase the industry –level wages and minimize employment. Nigel Driffield has tested these hypotheses in two separate time periods from 1986 to 1989 and from 1989 to 1992. It is to be noted that the first period i. e. 1986 to 1989 observeed a key growth in manufacturing immediately following recession of the early part of the 1980’s. The second period, i. e. 1989 to 1992 witnessed a continued decline in employment and manufacturing output. Further, in these above periods, there had been a major increase in the foreign share of manufacturing in UK. Nigel Driffield has revealed in his research that during first period the FDI has pushed up the domestic wage and also caused employment substitution away from the domestic sector. (Driffield 1999) Nigel Driffield study also reveals that there is correlation between flow of FDI and decrease in employment and it also creates an employment substitution of 20 per cent which is equivalent to roughly 5 per cent of the net fall in UK manufacturing employment over the period. Nigel also tired to prove that FDI flow will enhance productivity through factor substitution. He finally concludes that it is not probable to recognize any material deviation between the sales / employment ratio changes for the above mentioned time periods and hence flow of FDI has little effect on domestic capital intensity. He also finds that though there was a slight fall in employment in the above mentioned periods due to flow of FDI in UK, this cannot be attributed to factor substitution.

Saturday, November 9, 2019

Improving Quality of Health Care Services

Improving Quality of Health Care Services The U. S. leads the way in many areas into the future of economy, wealth and civilization. America spends more on heath care than any other nation with quality and safety being a key focus. Nevertheless, evidence of improvement of decreased errors is limited. We lack answers to financial stability and providing quality health care to all (Becher & Chassin, 2001). Nationally, everyone is engaged in improving the quality and safety of healthcare.We need to be awakened to preventing errors and providing safer care (Laureate, 2009). The purpose of this paper is to discuss the initiative to improve quality and safety of health care with the â€Å"Six Dimensions of Goodness in Healthcare. † A quality and/or safety initiative Healthcare facilities are engaging in the prevention of medical errors and providing better care. Many institutions are implementing process improvement focused on six key dimensions to enhance the quality and safety in their healthcare setting (Laureate, 2009).The six dimensions are: Safety-to avoid injury to patients from the care that is intended to help them; Timeliness-to reduce waits and harmful delays; Effectiveness-to provide services based on scientific knowledge to all who could benefit and refrain from providing services to those not likely to benefit (avoiding overuse and underuse, respectively); Efficiency-to avoid waste; Equitability-to provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographical location, and socioeconomic status; and Patient centeredness-to provide care that is respectful of and responsive to individual patient preferences, needs, and values (Madhok, 2002). Reasons for the initiative The Institute of Medicine (IOM) has a growing concern about medical errors. The IOM report â€Å"Crossing the Quality Chasm,† asked for a basis change, recommending that the delivery of health care be based on six key dime nsions. We have an interaction between the errors of individuals and system flaws that need to be prevented. We need to strengthen our defense systems (Madhok, 2002). The report, â€Å"To Err is Human† estimated that 44,000 Americans die per year as a result of medical errors.More deaths occur in a given year from medical errors than from motor vehicle accidents, breast cancer, or AIDS. National costs of preventable medical errors were estimated between $17 billion – $29 billion (Madhok, 2002). Healthcare institutions are embracing new initiatives for safer care based on the six dimensions. Healthcare systems are implementing the six dimensions as a basic initiative to improve quality. The IOM states that American healthcare must make vast changes to have clinically safe and quality care (Madhok, 2002). The six dimensions can influence and direct the overall process of improvement (Laureate, 2009). Payment systems such as Pay for Performance are causing facilities to i ncorporate the six dimensions.Pay for Performance initiatives advocate financial rewards to hospitals demonstrating outstanding preventative and care giving practices (Sultz & Young, 2011). Poor outcomes with medication errors, skin breakdown, patient falls, isolation procedures, and drug protocols can effect payment to hospitals (Laureate Education Inc, 2009). High quality medical care at an affordable cost is a growing goal for healthcare institutions. Effective, safe, and affordable health care leads to higher patient satisfaction (Quality Initiatives, 2004). Strengths and limitations of the initiative The six dimensions encourage a strong focus on health care quality and error prevention.They encourage policymakers, purchasers, regulators, health professionals, health care trustees, management, and consumers to commit to a national system level of process improvement for quality health care. They encourage a shared agenda to pursue safer care (Madhok, 2002). This can cause facil ities wanting independence limitations. Overuse of fee-for-service has been associated with higher rates of variety of health services. Americans are fascinated with technology and often want something done whether it is the best choice of care. Health care providers accommodate consumers. A more unified system could provide better care. It could decrease spending and limit the freedom to choose any type of care one desires (Becher, & Chassin, 2001).A fragmented healthcare system needs to come together to provide equal access and care to all U. S. citizens (Laureate, 2009). The six dimensions promote a high level of performance leading to better quality performance and a process of care measures. Healthcare is â€Å"raising the bar† for better care with enhanced collaboration, benchmarking, and facility board goals to support the dimensions (Jiang, 2010). Quality goals such as Zero central line infections & zero sepsis is encouraging a higher level of care instead of being sa tisfied with average outcomes of care (Jiang, 2010). Role of nursing Health care is a team sport. Nursing needs to be part of the team and be actively involved in preventing harm to patients (Laureate, 2009).Effective leadership with health care change needs to come from those engaged in providing health care to patients (Becher & Chassi, 2001). Nursing should be a part of identifying the error cause, gathering data, and making goals to prevent subsequent errors (NCC MERP, 2002). Nursing can be more aware and involved in prevention. Nursing can adopt higher standards and have an attitude of prevention concerning errors. Patients should not ever leave a health care facility in a condition worse than they arrived. U. S. health care must improve their standards of care (Laureate, 2009). Nursing can be a part of better communication and handoff’s. The patient has often been the communication link to give report to the next caregiver (Becher, E. & Chassin, M. , 2001).Bedside nurse s need empowerment to provide care and be involved in creating policies for better care. Nurses need more education, to get more involved in National groups that can affect policy, and to participate in research. Nurses have a great responsibility for safe healthcare. They have an opportunity to make a difference (Laureate, 2009). Nursing should be a part of identifying the error cause, gathering data, and making goals to prevent subsequent errors (NCC MERP, 2002). Summary – 10 point The second IOM report â€Å"Crossing the Quality Chasm,† asked for a fundamental change, recommending that the delivery of health care in the 21st century be based on six key dimensions (Madhok, 2002).The key dimensions are safety, effectiveness, patient centeredness, timeliness, efficiency, and equitability (Laureate, 2009). Healthcare systems are implementing the six dimensions as a basic initiative to improve quality and safety and direct the overall process of improvement of care (Laur eate, 2009). We have an interaction between the errors of individuals and system flaws that need to be prevented. We need to strengthen our defense systems (Madhok, 2002). A fragmented healthcare system needs to come together to provide equal access and care to all U. S. citizens (Laureate, 2009). Nurses can be a large part of implementing the six dimensions. Nurses have a great responsibility for safe healthcare.They have an opportunity to make a difference (Laureate, 2009). The six dimensions of goodness can assist the U. S. to improve quality and safety in the healthcare system. References Becher, E. & Chassin, M. (2001) Improving quality, minimizing error: Making it happen. Health Affair(20)3 68-81. Retrieved on February 5, 2011 from http://content. healthaffairs. org/content/20/3/68. full. pdf Becher, E. & Chassin, M. (2001). Improving the quality of health care: Who will lead? Health Affairs, 20(5), 1-6. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Jiang, H. (2010). Enhancing quality oversight.Healthcare Executive (3) 80-83. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Laureate Education, Inc. (Executive Producer). (2009). The context of healthcare delivery. Baltimore: Author. Madhok, R. ( 2002). Crossing the quality chasm: lessons from health care quality improvement efforts in England. PubmedCentral – Baylor University Medical Center Proceedings. Retrieved on February 6, 2011 from http://www. ncbi. nlm. nih. gov/pmc/articles/PMC1276338/ NCC MERP. National Coordinating Council for Medication Error Reporting and Prevention. (2002). Retrieved on February 2, 2011 from http://www. nccmerp. rg/council/council2002-06-11. htm Quality initiatives in healthcare management, (2004, March). Healthcare Management. Retrieved on February 4, 2011 from http://www. expresshealthcaremgmt. com/20040331/qualitymanagement01. shtml Redman, R. (2008). Expe rience and expertise: how do they relate to quality and safety? Research and Theory for Nursing practice: An International Journal, 22 (4), 222-224. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Sultz, H. A. , & Young, K. M. (2011). Health care USA: Understanding its organization and delivery (7th ed. ). Sudbury, MA: Jones and Bartlett Publishers.

Thursday, November 7, 2019

Example of Molar Mass Calculation

Example of Molar Mass Calculation You can calculate the molar mass or the mass of one mole of an element or molecule if you know the formula for the substance and have a periodic table or table of atomic masses. Here are some worked examples of the molar mass calculation. How to Calculate Molar Mass The molar mass is the mass of one mole of a sample. To find the molar mass, add the atomic masses (atomic weights) of all of the atoms in the molecule. Find the atomic mass for each element by using the mass given in the Periodic Table or table of atomic weights. Multiply the subscript (number of atoms) times the atomic mass of that element and add the masses of all of the elements in the molecule to get the molecular mass. Molar mass usually is expressed in grams (g) or kilograms (kg). Molar Mass of an Element The molar mass of sodium metal is the mass of one mole of Na. You can look up that answer from the table: 22.99 g. You may be wondering why the molar mass of sodium isnt just twice its atomic number, the sum of the protons and neutrons in the atom, which would be 22. This is because the atomic weights given in the periodic table are an average of the weights of the isotopes of an element. Basically, the number of protons and neutrons in an element may not be the same. The molar mass of oxygen is the mass of one mole of oxygen. Oxygen forms a divalent molecule, so this is the mass of one mole of O2. When you look up the atomic weight of oxygen, you find it is 16.00 g. Therefore, the molar mass of oxygen is: 2 x 16.00 g 32.00 g Molar Mass of a Molecule Apply the same principles to calculate the molar mass of a molecule. The molar mass of water is the mass of one mole of H2O. Add together the atomic masses of all of the atoms of hydrogen and water in a molecule of water: 2 x 1.008 g (hydrogen) 1 x 16.00 g (oxygen) 18.02 g For more practice, download or print these molar mass worksheets: Formula or Molar Mass Worksheet (pdf)Formula or Molas Mass Worksheet Answers (pdf)

Tuesday, November 5, 2019

Converting Cubic Centimeters to Liters Example Problem

Converting Cubic Centimeters to Liters Example Problem This example problem demonstrates how to convert cubic centimeters to liters (cm3 to l). Cubic centimeters and liters are two metric units of volume. Cubic Centimeters To Liters Problem What is the volume in liters of a cube with sides of 25 centimeters? Solution First, find the volume of the cube.**Note** Volume of a cube (length of side)3Volume in cm3 (25 cm)3Volume in cm3 15625 cm3 Second, convert cm3 to ml1 cm3 1 mlVolume in ml Volume in cm3Volume in ml 15625 ml Third, convert ml to L1 L 1000 ml Set up the conversion to cancel out the desired unit. In this case, we want L to be the remaining unit. volume in L (volume in ml) x (1 L/1000 ml)volume in L (15625/1000) Lvolume in L 15.625 L Answer ï » ¿A cube with 25 cm sides contains 15.625 L of volume. Simple cm3 to L Conversion Example If youre lucky enough to have the original value already in cubic centimeters, conversion to liters is easy. Convert 442.5 cubic centimeters into liters. From the previous example, you should realize a cubic centimeter is the same volume as a milliliter, so: 442.5 cm3 442.5 ml From there, you just need to convert cm3 to liters. 1000 ml 1 L Finally, convert the units. The trick is to check the set-up of the conversion to make sure the ml units cancel out, leaving you with liters for the answer: volume in L (volume in ml) x (1 L/1000 ml)volume in L 442.5 ml x (1 L/1000 ml)volume in L 0.4425 L Note: Whenever a volume (or any reported value) is less than 1, always add the leading zero before the decimal point to make the answer easier to read.

Sunday, November 3, 2019

Report Essay Example | Topics and Well Written Essays - 1000 words - 3

Report - Essay Example The relevant costs of computing for Machine A in this scenario are therefore, purchasing price, less the discount allowed, then adding the delivery charge, installation charge and testing charge. Minor spare parts and service contract quotations are irrelevant in computation of the cost of the machinery. ii. IAS 16 provides for methods of depreciation on fixed assets. Under the straight line method, Machine B has an annual depreciation of 60,000 per year since it had an expected or useful life of 10 years. Since its acquisition date on June 2009 through to its revaluation in 2012, it had a carrying amount of 420,000 which is gained after deducting the accumulated depreciation through the first 3 years of its expected life. On a straight line basis and a remaining expected life of 4 years, the depreciation for Machine B is expected to be at 105,000 per year. The scope provides for a revision of the asset’s depreciation method, if the expected economic benefit to be consumed off it by the entity changes appropriately. iii. IAS 40 sets out the guidelines under which assets should be treated and the criterion for the treatment of investment property and also disclosures requirement in their reporting. Investment property is that which is held not for resale but for an economic benefit of the organization. It is that where future economic benefit is expected from. Under IAS 40, the company or organization is allowed to either use the fair or the cost model policy of accounting for these items. In fair value representation, the property (investment) is revalued where it is recognized as â€Å"an asset that could be exchanged between knowledgeable and willing parties in an arm’s length transaction† (Willey, 2011).   Since Building Y is an investment property, the revalued amount of 2million as at 31st December is the actual cost of the building at the end of this year. The increment in its value of 1 million should be treated as an income in the income statement for year 2011. Additionally, the buildings were revalued again and the investment property increased to 2.5 million. This should be treated by taking it as an income in the income statement at the value of 500,000, while reflecting the value of Building Y as 2.5 million at the end of year 2012. In the case of building Y, the scope provides the value of a fixed asset (such as Building X) to be treated on the fair value. In this case, the value should therefore be expressed on the current value less the depreciation. Revaluation amount should be computed and the current value is the amount shown on the balance sheet as the current value, while the gain in revaluation is shown on the credit of the balance sheet as a revaluation reserve. The revalued amount was done on the last day of the financial year and therefore be reflected on the following year 2012 as 2.5million. (b) Certain criteria should be followed when reporting these compilations of the costs of the asset s, their depreciation amounts and their revaluation treatments. The scope provides for a detailed schedule that should be followed in the presentation of these analyses and as well, their reporting should be detailed and reported accordingly. The relevance in comparing the costing of Machine A and Machine B, as well as the treatment of Building X an Building Y best explains the financial reporting of these different circumstances of each of the two different genres of fixed assets of an entity. i. Machine A is purchased at a discounted