Tuesday, August 25, 2020

Spain’s Golden Age Essay

Spain was at its most brilliant impressive topographic point in the seventeenth Century. at the clasp when Miguel de Cervantes composed his definitive novel. â€Å"com/english-4-b-calpac/>Don Quixote† . The state had set up its settlements everywhere throughout the universe. ordering Mexico. Peru. Cuba. the Americas. also, in any event, voyaging each piece far as Asia. in the Philippines. Silver and gold poured in to launch Spain in monetary and political brilliance. doing it the world’s politically influential nation at that cut. Students of history consider this period the aureate time of Spain. Be that as it may. it was other than during this magnificent age that Spain had mercilessly endured its unavoidable licking. the most mainstream of which is the pulverization of the Spanish naval force in 1588. by English powers. Along these lines. the state wound up in an untypical. clashing period. a period wherein another age was lifting to the surface. a period wherein the state was suspended among grandness and corruption. While the reason for Spain’s lessening is dangerous. one thing is verifiably sure: its male rulers were holding issue with pull offing the immense regions. what's more, army counter occasions. like the epidemic in Castille that asserted numerous Spanish lives. added to the country’s disheartening predetermination. Catholicism. Spain’s predominant confidence was other than on the decrease. prodding battles against different religions like Islam and Protestantism. originating from the battles in prior history. These striking chronicled happenings are clear in â€Å"Don Quixote† . since the novel represents the amazingly various Spanish sociological and political involvement with that cut. In any case. it is Cervantes’ individual experience. sociological and political. that fills in as the most impressive start of the novel. It contains components in simple with the novelist’s ain life ; for case. the Algerian literary thieves looking on the Spanish beach. the Moors being banished. the Spanish hostages fail to escape are comparable occasions in Cervantes’ ain life. Spain: The seventeenth Century Superpower Page 04 The sociological and political development of seventeenth Century Spain had a direct. amazing impact in the initiation of Spain’s definitive aureate novel. The Romances: Spain’s seventeenth Century Literary Tradition The prevailing abstract custom in this â€Å"golden age† was the chivalrous relationships. Spain’s Arts and Humanities were stacked with well known Hagiographas of knights proceeding with heroism. The main characters of these stories and verses were knights who set out ensuring and rescuing the individuals who are frail. who move between various topographic points to make great workss. The relationships contained exaggerated tones and exaggerated brave endeavors that the feelings outlined appeared to be too much wistful. what's more, the occasions depicted appeared to be too much courageously outlandish. The central character of the new â€Å"Don Quixote. † was other than a knight who set out to rescue individuals. yet, he was depicted in a humourous obvious radiation. what's more, his adventures were happened in such a lamentable way, that it was clear the novel is a parody. a sneer of the noble relationships so famous in Cervantes’ cut. The tale. in this specific situation. was a vituperative editorial of the abstract custom of the relationships. The maintaining of gallant goals in the novel. by and by. delivered another critique on Spain’s seventeenth century scholarly custom. this one being somewhat positive. Cervantes was cautious non to ambush the codification of heroism since he himself had confidence in it. The beliefs might be imparted in a humourous mode. furthermore, through a humourous character. yet, the message was very clear: the faith in noble beliefs is ne'er wrong. â€Å"Don Quixote† was a novel that informed its perusers at the clasp when they most required such a bearing. The lessening of Spain was apparent. but its literati supported sentimental writing which bought in to incomprehensible endeavors and exaggerated Spain’s Golden Age Page 05 characters. The expansive belief and extraordinary achievement of â€Å"Don Quixote† just demonstrated that Spain’s abstract market really valued the illumination gave by Cervantes. Springboard for the Novel. â€Å"Don Quixote† The authentic setting and the scholarly human advancement of Spain in the seventeenth century filled in as significant guides for the initiation of â€Å"Don Quixote. † We can unmistakably observe that Miguel de Cervantes was incredibly impacted by the sociological. political and abstract conditions in his clasp that he consolidated and utilized these genuine components in his novel. Cervantes depended on his cultural and political experience to deliver an artistic work that resounds with sociological and political subjects. subjects which are in ideal consonant rhyme with his genuine scene. Spain’s twofold status of radiance and degradation in his clasp incited Cervantes to explore the subjects of human singularity and ethical quality. providing a critique on the cultural mores. All the more altogether. the novel is rich with recorded impacts. of occasions that truly occurred in seventeenth century Spain. The artistic human progress of seventeenth century Spain. on the different manus. played a cardinal capacity in the origin of â€Å"Don Quixote. † for extremely clear grounds. The gallant relationships well known at that clasp made the novel an intriguing. fanatic read since it leaves from its appearance. The characters. Wear Quixote and his devoted assistant Sancho Panza. exemplify the noble beliefs maintained by the relationships. be that as it may, they other than pulverize the picture of the outlandishly courageous knight by being humourous impersonations of valor. Besides. their terrible ventures put forth a sneer of the exaggerated courageous attempts depicted in the relationships. These impacts are firmly articulated in the content of â€Å"Don Quixote† in this manner turn excursion that Miguel de Cervantes was a creator who utilized his aureate age understanding to make an aureate novel. Spain’s Golden Age Page 06 References Barrio. J. F. ( 2007 ) . The aureate century. Si. Spain. Recovered November 17. 2007 from SiSpain. organization. & lt ;/http:/www. sispain. organization/english/language/brilliant. html/& gt ; Phillips. B. what's more, Davidson. S. ( 2007 ) . SparkNote on Don Quixote. Recovered November 17. 2007 from cgi. sparknotes. com. & lt ;/http:/www. sparknotes. com/lit/donquixote/& gt ; .

Saturday, August 22, 2020

W3,DQ-4 Essay Example | Topics and Well Written Essays - 250 words

W3,DQ-4 - Essay Example Logical advancement is the combined development of an information framework after some time where valuable components are held, and non-helpful components are abandoned established in the confirmation or dismissal of testable information (Zwick and Cayla, 2011). Social advancement is inseparably associated with both innovative and logical advancement. Culture normally concerns considerably more than just science and innovation, yet for Merck to be dynamic, it needs to meet the above clarification of total development through expressing gratitude toward the past (Zwick and Cayla, 2011). In science, helpful components are held, and non-valuable components are disposed of through the check or excusal of testable information. Merck, hence, ought to think about that logical strategies, along these lines, are made to be dynamic (Gilbert and Sarkar, 2005). In innovation, then again, helpful components are saved and non-valuable components are disposed of established in the market’s d ismissal or endorsement of the advancements. The market for science is chiefly the network of researchers, yet for innovation, the market is primarily Merck’s stuff. With the end goal for Merck to be fruitful, they have to embrace science and innovation deeply to maintain a strategic distance from such wrangles (Zwick and Cayla, 2011). Most importantly, the enterprise is based on a firm logical drove culture; consequently, they should work to guarantee that this goal is

Saturday, August 8, 2020

Business Continuity Plan For Boots Pharmacy Example

Business Continuity Plan For Boots Pharmacy Example Business Continuity Plan For Boots Pharmacy â€" Assignment Example > @2010Table of ContentsIntroduction Business continuity is categorically one of the essential management processes that deal with the identification of threats that may affect an organization and the impacts of the identified threats on the normal operations of a business organization. The identification of threats that may impact an organization, form a fundamental framework that can be used to develop reliance which is the ability of an organization to effectively respond to threats and protect the key stakeholders within the organization. In addition to adding reliance, the other contributions of the development of a business continuity plan to an organization include aspects such as restoring the ability of an organization to supply essential services, increasing the capacity to manage disruptions that may affect the business and assisting in complimenting of the process of risk management (Doughty 2001). Aims of the Report The aim of the report is to devise a business continui ty plan for one of the biggest Pharmaceutical companies in the U. K known as the Boots Pharmaceuticals which is ranked under the category two of the 2005 civil contingencies Act. It is very much necessary for well established organization like the Boots organization to formulate business continuity plans that can assist the organization handle threats or even disruptions that may affect the organizations normal functioning. The documented procedures of the plan are collected and the information is compiled in readiness for use to enable an organization carry out its operations as usual in despite of disruption. The purpose of the document will therefore focus creating a well developed business continuity that will assist Boots Pharmaceutical Company to be well prepared for any incoming threats and also ensure that the organization is safe at all times. The Scope of the Report The report will cover several aspects such as understanding the organization this is through an evaluation of the history of the organization and the evaluation of the main activities undertaken by the organization. The plan will also involve the aspect of risk assessment which mainly entails the evaluation for the critical dependencies within the organization. In order to come up with a business continuity plan that useful for the pharmacy it is vital that the plan has to undergo verification and validation by the organization’s management. Boots Pharmacy Operating Environment Boots limited is one of the top pharmaceutical companies in the U. K. presently the organization has 2,600 stores which are mainly health and beauty stores. The business has outlets in many regions in the U. K. In addition the organization has extended its operations outside to other countries in Europe such as the Republic of Island and Norway. The Boots Company can be categorized under a privately owned company; therefore its shares are not listed or traded on the stock exchange market. The business has for many years operated under transfer of ownership every since its initiation. The Pharmacy can be stated as an organization with a long history. It was first started by John Boots in 1849. The company was restructured to a pure drug store in with a number of subsidiary firms such the Lancs Cash boots chemists were founded, in 1988. In 1920 the business was later sold to the United Drug Company located in America by Jesse Boot. However due to the weakening economic situation in North America, the company was sold back in 1933 to British management and Edinburgh (Britton 1988). The organization managed to establish 180 shops by the end of the 19th Centaury. In the 1990s the company expanded its operations further by opening a drug manufacturing plant in Cramlington, it also begun to diversify its operations by operating a car and bicycle parts business.

Saturday, May 23, 2020

Essay on Huck Finn Appearance Versus Reality - 1157 Words

Many people in this world will believe in the first impression they get. The appearance people see will usually satisfy them without further investigating into the reality of a situation. The difference between appearance and reality can be quite different. This also applies to literature. There are many instances where an author will describes a character as kind, but is actually deceptive and mean. In the novel The Adventures of Huckleberry Finn, there are characters and situations that show how appearances can differ from reality. The three main instances are the Grangerford and Shepherdson feud, through the Duke and the Dauphin, and Miss Watson. The difference between appearance and reality is easily seen through the Grangerford†¦show more content†¦The Duke and the Dauphin are two men who fake their appearance for a living. As con-men, they rely on people to believe in their appearance. The episode of the Royal Nonesuch illustrates how the Duke and the Dauphin swindle people. They put up posters around the town stating that there would be a performance of the Royal Nonesuch for three nights. The tricksters’ plan was to charge the villagers to get in to the performance, and then the Dauphin would cut the performance extremely short. They achieved this and made a large sum of money. They also use their ability to fake their appearance to gain special treatment from people. This was seen when the Duke said, â€Å"I will reveal it to you, for I feel I may have confidence in you. By rights I am a duke† (163)! The Dauphin quickly followed the Duke’s lead and said, â€Å"You ain’t the only person that’s ben snaked down wrongfully out’n a high place/ Bilgewater (the duke), I am the late Dauphin† (164/165)! By claiming that they are people of high stature Huck and Jim believe that they should be treated like royalty. However, Huck was smart enough to be able to identify the men as fakes and see past their appearance. That prevented Huck from completely following the men as a servant. The Duke and the Dauphin also show that if we just accept people for whom they appear to be, we could get hurt. The episodeShow MoreRelatedThe Adventures Of Huckleberry Finn By Mark Twain1854 Words   |  8 PagesThe Adventures of Huckleberry Finn by Mark Twain is a one of a kind novel. The novel has been debated as controversial since it has been published in 1986. It has been considered racist, due to the â€Å"n† word. In its earlier days, racist people felt this book was a disgrace, because of the mingling of the two main characters. Among all of t he negative comments, this book is truly a masterpiece. It is an unforgettable and enjoyable book for everyone to learn and scrutinize; it contains a multitude ofRead More Evils of Monarchy and Society in the Works of Mark Twain Essay2338 Words   |  10 Pages   Twains criticism for society appeared in many of his works, growing stronger and stronger as time passed.   Hand in hand with his distaste for society went his hatred for the upper class.   In each of his works, Twain creates a theme of appearance versus reality and ultimately brings out his harsh criticism of monarchies.   Through such royal criticism, Twain comments on American civilization, attacks societys ideals, and assaults commonly held beliefs.      Ã‚  Ã‚   The Prince and the Pauper has

Tuesday, May 12, 2020

Stem Cell Research- Reaction Paper - 1543 Words

RUNNING HEAD: Stem Cell Research- Reaction Paper Reaction Paper: Stem Cell Research Heather A. Lail Liberty University Stem cell research has bought about heated debate since the time it was reviled. Many different debates have been raised to justify and unjustified the use of stem cells for research throughout the years. The two most enduring debates that have stood the test of time have been the legal and ethical issues. The has been documented in countless research studies the advantages of the use of stem cells for research regarding the two issues stated above. There are also countless articles documenting the disadvantages regarding the stated issues. I will discuss what a stem cell is, the different types†¦show more content†¦The above federal laws have been put in place in an attempt to alleviate some of the legal issues involved in the use of stem cells for the use of research purposes. The ethical issues debated by the masses regarding stem cell research include evaluating the benefits and harms of embryonic research and the value of the embryo. The benefits of stem cell research are the advances made in medicine in the aspects of somatic gene therapy for genetic disorders and the generation of replacement organs and tissues for transplant. The benefits of stem cell research are vast in the potential of curing certain ailments, disorders, and disease afflicting people. On the other hand of the ethical issue is the value of the embryo. Heated debate on this issue alone has been the mainstream since the first stem cell study was preformed. At one end of the spectrum is the belief that the embryo from the moment of conception is a person in its own right with the same moral status as an adult. On the other end of the spectrum there is an alternative stance that the embryo acquires full personhood and the moral rights by gradual stages during the process of devel opment between conception and birth. (Rickard; Corrigan, Liddell, McMillan, Stewart, and Wallace) I personal hold to theShow MoreRelatedThe Debate Over Embryonic Stem Cell Research1652 Words   |  7 PagesEmbryonic stem cell research could one day hold the key to many new scientific discoveries if it is continuously funded in the years to come. I chose to base my research around the question, Should embryonic stem cell research be government funded? When I finish highschool I hope to pursue a career in the medical field. Although I wish to become a doctor and may not be directly researching stem cells, they may one day be a treatment that I will have to administer to patients. To answer this questionRead MoreBranching Out With Stem Cells1400 Words   |  6 Pagesby Branching Out With Stem Cells Imagine a child, no more than six years old, with a failing liver. There is no way for that child to receive a functional liver because of the waiting list for organs. That child will almost certainly die waiting for that liver, and never get close to the top of the list. The main reason for this is quite simple: there are not nearly enough organs available for transplant to save the people that need them. Because the research of stem cells isn’t developed or fundedRead MoreStem Cell Research : Ethics, Cloning And Curing The Disease1220 Words   |  5 Pages Research Paper Outline Stem Cell Research - Ethics, Cloning and Curing the Disease Introduction According to former Speaker of the House, John Boehner, †Stem cell research must be carried out in an ethical manner in a way that respects the sanctity of human life.† In recent events, stem cell research has caught the attention of the nation and stirred up controversy about the research and ethics along with it. Ethically, stem cell research has caught more attention than the research behindRead MoreStem Cell Research in America: A Perfect Storm of Ideology, Politics, Science, and Religion1818 Words   |  7 Pagesï » ¿Stem Cell Research in America: A Perfect Storm of Ideology, Politics, Science, and Religion By: Me March 30, 2012 Abstract This paper discusses the recent history of stem cell research in the United States, tracking the controversies, politics, and promise of new technology that comes with a moral price. Starting in August of 2001, with President Bushs request that Stem Cell Research not be paid for with federal funding, the battle of science against religion began. (Rosenburg, 2001) DespiteRead MoreStem Cells And Regenerative Medicine : Cord Blood Banking And Its Therapeutic Application1636 Words   |  7 Pages7001HSV Applied Research Methods Tutor: Jennifer Boddy Due Date: 14th September 2015 Date Submitted: 14th September 2015 Word Count: 1671 words STEM CELLS AND REGENERATIVE MEDICINE : CORD BLOOD BANKING AND ITS THERAPEUTIC APPLICATION Abstract : Stem cells can give rise to any tissue found in the body and thus provide nearly limitless potential for medical applications . Stem cells have the great potential to develop into many different cell types in the bodyRead MorePrenatal Alcohol During Pregnancy Results Of Fetal Alcohol Syndrome ( Fas )1497 Words   |  6 PagesLiterature Critique Carnahan M, Veazey K, Muller d, Tingling J, Miranda R, Golding M. Identification of cell-specific patterns of reference gene stability in quantitative reverse-transcriptase polymerase chain reaction studies of embryonic, placental and neural stem models of prenatal ethanol exposure. Alcohol. 2013; 47 (2): 109-120. Introduction Consuming alcohol during pregnancy results in Fetal Alcohol Syndrome (FAS). The spectrum of FAS ranges from barely detectable to severe functional and cognitiveRead MoreA Comparison Of Dna Methylation Between Infants Delivered Vaginally And By Caesarian Section1714 Words   |  7 PagesUGent – Coupure Links 653 – 9000 Gent Paper epigenetics A comparison of DNA-methylation between infants delivered vaginally and by caesarian section 1 Introduction This paper, written for the course ‘Molecular microbiology and epigenetics’ is a summary of two existing articles: ‘Epigenetic modulation at birth - altered DNA-methylation in white blood cells after Caesarean section’ (Schlinzing et al., 2009) and ‘Caesarean delivery and hematopoietic stem cells epigenetics in the newborn infant: implicationsRead MoreStem Cell Research And Vitro Fertilization1476 Words   |  6 PagesIntroduction Writing on Embryonic Stem Cell Research and In-Vitro Fertilization is a very difficult subject. Can it better mankind or is it an abomination against God. Religion plays a big part to the devout and their beliefs that they put in God. Science has its findings and personal beliefs on this subject that it’s not against God. The two have compelling arguments about the subject matter and pulls you into a spiritual and logical tug of war. It involves a political point of view and a banRead MoreThree Important Findings From This Study1414 Words   |  6 PagesBIOCHEM 2B03 Inquiry Paper Group 30 1.Provide a summary of three important findings from this study (3 marks). Also discuss the importance/novelty of the major finding as it pertains to the field (3 marks). Use a maximum of half a page for your answer.(6 marks total) The authors of this study found that leukemia stem cell (LSC) self-renewal can be prevented through the inhibition of JAK2 and BCR-ABL1 which reduces ADAR1 expression. Furthermore, the addition of JAK2 expression further enhanced potentiatedRead MoreEssay on Res/351945 Words   |  4 PagesUnethical Business Research RES/351 April 18, 2012 Unethical Business Research Research is important in any business to interpret data being collected to improve or make new discoveries. The article read was about Dr. Woo Suk Hwang who used unethical research to enhance his career in the world of science. Hwang hurt everyone who was involved in his work. Leading people to believe that his research was real he provided false hope into his new discoveries. Trying to figure out why he would

Wednesday, May 6, 2020

Would You Recommend a Friend to Our Hospital Free Essays

Running head: WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 1 David M. Dowling Operations Management I Southwestern College 20 January 2011 Week 3 – The Culture Quality at Arnold Palmer Hospital Running head: WOULD YOU RECOMMENT A FRIEND TO OUR HOSPITAL? 2 Abstract In this paper I will demonstrate the importance of instilling a culture of quality in employees and why it’s essential to establish a concise mission statement, code of ethics, procedures and processes that employees can utilize in order to carry out the hospitals philosophy and mission. I will also show what systems and processes I would set up in a new hospital to achieve a culture of quality in a hospital. We will write a custom essay sample on Would You Recommend a Friend to Our Hospital or any similar topic only for you Order Now The paper will also show some of the processes that the Arnold Palmer Hospital in Orlando, Florida uses to achieve such a high success rate in customer satisfaction. The bottom line of this paper is that it’s easy to claim or make the statement that a hospital provides a quality service. It’s another thing to deliver. Learned and established techniques from this text will help an operations manager achieve the desired goal for establishing an environment of quality, excellence and profitability. Running head: WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 3 INTRODUCTION My Name is Dave Dowling and I am a new employee at the Arnold Palmer Hospital in Orlando, Florida. After graduating from Southwestern College I was looking for a company that I could exercise my new talents as an Operations Management graduate. I was drawn to Arnold Palmer Hospital because of their dynamic structure and their compassion and care for children. First I would like to give you a little background on the Arnold Palmer Hospital and why it is such an appealing place to work. It was founded in 1989, the Arnold Palmer Hospital (A. P. H. is sanctuary of hope and healing for many sick children. It has grown to be one of the largest women’s and children’s hospitals in the United States. A. P. H. is a top level 1 children’s trauma facility. The hospital provides tangible services such as neonatal and pediatric intensive care services, pediatric oncology and cardiology. It also provides specialized service such as care for high risk pregnancies and maternal intensive care. The hospital is very proud of its new multi building facility that covers 676,000 square feet and houses some of the finest advanced state of the art medical equipment on the market today. This awesome facility houses 2,000 of the most compassionate and dedicated doctors, nurses and administrators found in any hospital in the United States. WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 4 As part of the management team I was introduced to many of the processes that have been put into place at A. P. H. They have built a culture of quality that is focused on the patient and their family. The mantra at A. P. H. is â€Å"Quality is not just taking care of the patient, but also taking care of the family†. Why is it important for Arnold Palmer Hospital to get patient assessment of health care quality. Does the patient have the expertise to judge the health care he or she receives? In order to feel the pulse of the hospital and truly be able to assess what services need to be added, deleted or modified. Administrators need to know how patients truly feel about the experience they had at the Arnold Palmer Hospital. A powerful tool that A. P. H. has been using is the comprehensive survey that captures a patient’s honest assessment on their experience. Administrators review the assessments on a daily basis. This tool will allow administrators, doctors, nurses and employees adjust processes to provide patients better services. If patients and families are unhappy about treatment, facilities, parking, finding their way around the hospital, the management and hospital administrators need to know. They need to know on a daily basis. The executive staff level at A. P. H. review assessments as they are loaded into the executive dash board on a daily basis. They look at four quadrants of the hospital operation. Services, Quality, Human Resources and Finances. The results of the survey’s allow corporate officers to move assets, resources , personnel and changes to that functional areas that need the change. The results can help hospitals learn how to treat patients the way they expect to be treated. WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 5 Addressing the question, Do patients have the expertise to judge the health care he or she receives. According to (Drain, 2010) â€Å"Patients do judge the quality of clinical care they receive. However, they base their judgments on far more than the technical interventions, many of which they are unaware. The sweeping overhaul of the U. S. health care system likely will result in increased patient volumes for hospitals and medical practices. As the nation moves toward value-based purchasing, patient satisfaction will become an increasingly important measure of quality. In a 2009 HealthLeaders Media survey, nearly a third of health care executives said that the patient experience was their top priority; another 55% said that it was in their top five. All reported that patient experience would be a priority in five years. In a 2004 study of five clinical conditions, two dimensions of patient-centered care stood out: emotional support and respect for patients’ values, preferences and expressed needs. Simply, put, providing support and involving patients in decision making are associated with better outcomes. Good communication between patients and care providers drives positive patient experiences and compliance, which lead to positive outcomes. Patient satisfaction is not about making patients â€Å"happy†; it is about improving the patient’s experience to facilitate health and medical outcomes. When patients are satisfied, trust is enhanced. When patients trust their physician, they are more likely to disclose information, follow advice and adhere to treatment plans†. It is very difficult to answer this question, regardless if you feel that people have the expertise to judge physicians and hospital on the care they receive or not. One must keep in mind that most people just want to feel that they are receiving the best medical care possible and they want to be informed and feel that they are cared for and have a clear roadmap on what is going on with their treatment. WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 6 How would you build a culture of quality in an organization such as Arnold Palmer Hospital? As an operations manager I would break down my plan to develop a culture of quality into three categories, management, personnel and facilities. In order to properly take an organization to â€Å"A Culture of Quality† It is important develop a plan at the management level first. The first step is to establish a code of ethics, mission statement and leadership philosophy for management and first line supervisors. Although Arnold Palmer Hospital empowers all employees to make decisions. A foundation of standards needs to be established in writing as a source document for all employees from the top down. This will make it very clear that there is specific behavior that is expected from every employee from the CEO to food service. The next step I would take is to establish a mission for the hospital. The goal is to provide quality health care and make the patient experience as pleasant and comfortable as possible. Establish with every employee that each patient is an individual and must be respected as a person. People and families tend to not be themselves when they are sick. Every employee needs to rise above their own feelings and focus on why they are in the health care business. Establish in the minds of employees that every patient has the right to comprehensive, compassionate family centered health care service. Every patient and family has a right to be heard with the concerns they have about the care they or their family member is receiving. I would establish a patient bill of rights in order to serve as a guideline for employees to follow and understand. Once rules and policy is established I would then implement and put into place the following processes in order to give our employees the means and tools to carry out the desired missions of the hospital board of directors and administrators. WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 7 The first step is to establish a department that will construct a comprehensive survey the patients can fill out in order to capture what their experience was like at the hospital. I would then have the department establish an executive web site that this department can post reports, flowcharts, checksheets, Scatter Diagrams, cause and effect diagrams and various statistical reports. This will allow leaders at all levels see what patients like and dislike about their experience. This will allow top levels of management properly direct what processes need improvement and change and what assets need to be re-directed to those weak functional areas or processes. In order to ensure that your employees are on board with the hospital philosophy rules and policy must be established to empower employees to make decisions without being promoted to act. And work everyday with the goal of continually striving to improve processes and their specific job duties. I would also establish process improvement teams by department. These are the teams that ensure that data is being captured as problems arise with processes or employees and also reacting to customer surveys and tackle what patients see as a problem. And finally I would establish some type of awards program that would reward employees for making the effort of making our hospital a better place to work and a place the patients feel at ease with getting well. As mentioned in the prior paragraphs, I would establish a training program that will instill the culture of quality in every employee. Encourage them to own it and live it. To continually strive to improve processes and that there is always room for improvement. I would also instill that communication is key. Ensure that employees understand that keeping customers informed WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 8 is the number one priority. If you don’t have the answer, you will find someone who has the answer. The facility and equipement is also a very important concern when establishing a culture of quality within your hospital. As an operations manager you must ensure that the hospital has the best quality and up to date state of the art facilities and equipment that you budget will allow. Continually work with doctors, nurses, technicians and staff to ensure that operations is doing everything it can to ensure that processes are properly equipped and that patient rooms, surgical rooms and all facets of the facility are properly supplied, illuminated, marked, and safe. The bottom line is that you need facilities that are state of the art facilities, processes that provide quality healthcare, programs and measures that capture the patients like and dislike about your hospital. But most of all you need to mentor your employees about all the task that need to be accomplished in order to achieve â€Å"a culture of quality†. Constant analysis and caring employees is what make this happen. What techniques does Arnold Palmer Hospital practice in its drive for quality and continuous improvement? The number one technique that A. P. H. utilizes is their comprehensive surveys. Patient survey capture the customer’s assessment’s of there experience in the hospital. These survey’s will assess customers expectations of the medical services that the hospital is offering. This survey will be in-depth and will ask a wide variety of questions from the quality of food, staff, accommodations and medical treatment. The most important question is â€Å"Would you recommend A. P. H. to your friends? † Once the surveys are done they are posted they are posted on the WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 9 executive Dash Board which allows continuous monitoring of the problems and the measures the hospital staff are taking to correct the problems. It is important for key leadership and senior administrators to review survey each and every day in order to keep their pulse on the climate of the hospital and its patients. The survey asks specific questions such as respect, access, quality of care and medical staff, was the care coordinated, were you given a thorough explanation of your condition and follow on care. This information will assist employee, supervisors and administrators refine processes to improve the quality that is provided to patients. The new measure are pushed down to the individual department levels to ensure changes are made were the problems exist. A. P. H. management will also take these assessments and compare the against a national benchmark comparison in order to provide the best health care possible. Data is available on how other hospital might handle a similar issue or chanllenge. As mentioned prior, The A. P. H. executive dashboard is a crucial tool in assessing customers opinions about their experience at A. P. H. In order to truly know were we really stand with customers we must capture extremely accurate information on how our patients and their families fell about the care that we have provided. It doesn’t matter what we think, The only opionion that truly counts is the patients and their family. Another method is benchmarking. Benchmarking in order to ensure that standards are set in order to establish and maintain specific standards in the specific medical services that it will offer its customers. The specific services that they focus on are pediatric and neonatal intensive care, pediatric oncology, labor and delivery and care for high risk pregnancies. As mentioned prior, the business of caring for people is the business of having highly trained physicians and WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 10 state of the art equipment. This is your service. If you fail to contiunually update processes and benchmark. You will not survive, patients will simply go to better hospitals. Without benchmarking quality of service could slip causing customer dissatisfaction. Another interesting and unique technique that A. P. H. uses is giving senior leadership cell phone and they can monitor and get directly involved with patients and families if there are significant challenges or patients are unhappy or concerned about the service they are receiving. The senior management has taken call on the most trivial issues. The unique part of this story is they don’t see these small issues as trivial. This is probably why they rank so high nationwide in customer satisfaction. The hospital also uses various charts. I will briefly discuss the uses of each. The flow charts Pareto charts are used to give staff and personnel a quick overview of what is happening in the hospital and nationwide. The Pareto charts also focus on critical items and leave less important issues off. This is a good chart to find out what the major problems are. Benchmarking is critical in showing where opportunities exist for improvement. Develop a fish-bone diagram illustrating the quality variables for a patient who just gave birth at A. P. H. Another tool that can be used by operations managers is cause and affect diagram or fish-bone chart. This can assist department heads such as those who are in charge of a post natal unit in a hospital. This chart can help doctors, pediatricians and pediatric nurses take care of mom and baby in a more efficient manner. It chart will identify potential causes to problems that that may have occurred in the past. Knowing what causes problems will give employees the ability to WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 11 identify these problems. These charts should be updated as new problems arise and new equipment is introduced to the post labor or neo natal units. Charts like these help us document mistakes and learn from others . Below is a chart I developed to help the nurses and doctors identify potential causes of the most common post natal problems that hinder quality care for mom and baby. Material: Quality rooms designed for post natal patients PATIENTS HAVING TO ENDURE CRAMPED ROOMS COMPLAINTS ABOUT OLD EQUIPMENT AND SUPPLIES Method: Processes classes to prepare parents to go home SPECIAL DESIGNED ROOMS ROOMS THAT ACCOMMODATE MOM BABY WELL LIGHTED ROOMSBASIC INFANT CARE CLASSE POOR PARENTING SKILLS ACCOMODATIONS FOR LONG TERM STAYSMOMS MEETING MOMS CLASSENO SUPPORT QUALITY MEDICAL SUPPLIESBIG BROTHER BIG SISTER CLASSESKIDS NOT COPINGPARENTAL BREASTFEEDING CLASS NOT UNDERSTANDING EDUCATED PARENT PREPARED TO TAKE BABY HOME Hospital cant provide care because lack of state of the art equipment NEONATOLOGISTINEXPERIENCEDPEDIATRIC EMERGENCY UNIT PEDIATRIC NURSESLACK OF SPECIAL SKILLSPEDIATRICS INENSIVE CARE UNIT PEDIATRIC SPECIALISTSNICU CANT DEAL WITH NICU UNITS Manpower: Quality Doctors, Nurses and specialists Machine: State of the art equipment Services EMERGENCIESPEDIATRIC INPATIENT UNIT WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 12 REFERENCES 1. Drain, M. , MA. (2010). How patient satifaction correlates with clinical quality, Retrieved from http://www. pressganey. com/improvinghealthcare /improvingHCBlog/blogPost/10-04-12/How_Patient_Satisfaction_Correlates_With_ Clinical_Quality. aspx How to cite Would You Recommend a Friend to Our Hospital, Essay examples

Saturday, May 2, 2020

Competition and Entrepreneurship Monopolistic Competition

Question: Discuss about the Competition and Entrepreneurship Monopolistic Competition. Answer: Introduction: In the opinion of Assenza et al., (2015), it can be stated that there are larger number of producers under the monopolistically competitive market. The seller sale differentiated products under this type of market structure. Hence, it can be mentioned that the products are not identically substitutes to each other. On the other hand, the producers can charge the price and it is charged by the competitors. Therefore, product differentiation is the key factor, which can effectively define the market structure of monopolistic competition. According to Balistreri Rutherford (2013), it can be stated that monopolistic competitive market is the grouping of perfect competition and the monopoly. A number of firms can freely enter into the market under this type of market structure. On the other hand, it can be added that each firm is treated like a monopolist in the aggregate market, where the products are differentiated and closely substitutes. The demand curve for the products will be downward sloping. Moreover, this demand curve would reflect the price of the products. In the words of Baumol Blinder (2015), each of the organisations under monopolistic competition focused to maximise the profitability statement. In this context, it can be mentioned that each of the organisation would like to set their output level in such a way, for which marginal revenue is equivalent to marginal cost. As a result, the first order condition of profit maximisation can be explained as MR=MC and this condition is equivalent to the monopolistic competitive market. The major difference between these two types of market can be identified as marginal revenue curve relies on the residual demand curve in the place of market demand curve in the monopolisticallycompetitive market structure. On the other hand, Bertoletti Etro (2015) opined that residual demand curve under the monopolistic competition is nothing but the aggregate market demand of the net productivity of other sellers. Therefore, it can be inferred that monopolistic competition is a special type of market where there are a large number of producers. They are mainly aimed to sale differentiated products. Nonetheless, the products are these goods are not homogeneous in characteristics. In the points of Calvo Prez (2016), the demand curve of these goods is assumed to be elastic in nature. The reason behind the elastic demand curve can be explained as the sellers in the market sale differentiated goods. Moreover, it can be mentioned that the organisations are closely substitute to each other. Hence, it can be inferred that if one organisation increase the price of the goods, then most of the customers will get the opportunity to switch other products for purchasing. On the other hand, it can be stated that the demand elasticity of the products are not perfectly elastic. In this connection, it can be mentioned that there are small number of competitors under the monopolistically competitive market stru cture. The above diagram highlighted that the suppliers of the monopolistic competition are acted such as a price makers. This diagram explains that the organisation will produce at the level of Q. In this level, the marginal revenue would be equal to the marginal cost. This price level would be evaluated under a specific circumstance where the average revenue curve touches the estimated quantity. Moreover, Collier Venables (2014) highlighted that this situation under monopolistic competition would be occurred as the firms have the market power. This would reflect to gain the social dead weight loss of the firm. In the above diagram, the orange coloured shaded region can effectively highlight the amount of profits of the firm, and this is the short run earning of the organisation. The above figure shows that in the long run, the monopolistically competitive firms would be capable to produce up to a certain level, where the marginal cost curve would be able to touch the marginal revenue curve. On the other hand, the price of the goods can be identified as the quantity produced by the organisations would touch the average revenue curve. As a result, Collier Venables (2014) opined that in the long run competitive market, the organisations will break even. In addition, it can be observed that the monopolistically competitive firms would be efficient to earn profitability statement in the short run market. This would in turn make an impact on the long run. In the long run, the monopolistically competitive firms consider the monopoly like pricing and it can reduce the demand. This can increase the necessities average total cost. As per the statement of Erku?-ztrk Terhorst (2016), it can be mentioned that for the decrease in the demand of the goods and the rise in the cost of the products the average cost curve would be tangent at the level of profit maximising price of the goods and services. As a result, in this point there would occur two specific cases under monopolistic competition. Initially, the organisations under this type of market would be able to produce a surplus in the long run. In the next situation, the firms can break even, however, would not be able to earn organisational profits. From the above diagram it can be observed that the shift of demand curve under the monopolistically competitive firm would tend to move to long run. According to Feenstra (2016), it can be mentioned that if the organisations would be able to earn positive as well as higher economic profitability under this type of market structure, other organisations would get the opportunity to enter into the industry. As a result, it can be observed that each of the organisations would get lower amount of market share. More specifically, it can be mentioned that the market demand curve would shift towards the leftward. This shifting of the demand curve would be continuous when the break even situation would rise in the industry. On the other hand, Feng, Wang Zhang (2014) stated that other organisations outside of the market would not be capable to enter into this type of organisational competition. As per the concept of economic efficiency, the firms under the monopolistically competitive industry are performed similarly the firms under the monopolistic firms. In this purpose, it can be stated that the firms have the supremacy to determine the price of the goods. Hence, it can be inferred that the organisations are capable to set the prices what they have estimated for their goods without the influence of the market forces. This price of the goods can be identified at the level where the profit maximising level crosses the demand curve. This pricing level would be higher in the comparison with marginal cost of the firm. As a result, the customers need to compensate the price, which is higher than the pricing structure in the perfectly competitive type market structure. On the other hand, this would reduce the consumer surplus. Moreover, Kirzner (2015) opined that the producers of the monopolistically competitive market can produce lower quantity of products compared to the quan tity of production under the perfectly competitive type market. Therefore, it can be inferred that the profitability statement would be offset and the firms can earn higher profitability by charging larger prices. Therefore, the producer surplus would be reduced. This above diagram emphasizes that the monopolistically competitive firms create the social deadweight loss as well as the inefficiency, which can be represented by the orange coloured shaded region. In this context, it can be mentioned that the productive effectiveness arises when a firm utilise all of the resources in the effective manner. As per the statement of Lucas (2016), this situation occurs when the commodity price is identified with the help of the level of marginal cost. The marginal cost of the product is equal to the average cost of the goods. On the other hand, Nikaido (2015) opined that the firms also focused to control the entire process as the price of the goods is more compared to the marginal cost under monopolistic competition. This would in turn highlight the ineffectiveness of the market. This quantity can be produced if QM and the marginal cost curve touch each other. Similarly, it can be observed that the allocative efficiency would take place if the producti on level of the goods can maximises the social well being. This situation arises when the price of the goods is similar to the marginal benefits and also similar to the marginal cost. However, the price of the products under the monopolistically competitive market would be larger compared to the marginal cost. In addition, it can be stated that the market is not the allocative efficient. Industry where the monopolistic competition prevails In the points of Olabi (2016), it can be stated that restaurant industry can be an appropriate example, where monopolistic competition prevails effectively. In this connection, it can be mentioned that there are a large number of restaurants under this type of market structure and in addition, it can be added that there is no barriers to entry and exit. On the other hand, it can be mentioned that each of the restaurant are closely substitute to each other under monopolistically competitive market structure. Profit maximisation condition: As per the statement of Parenti, Ushchev Thisse (2017), it can be stated that the restaurants increase the price up to a specific level above in the comparison with the other restaurants with which it compete in the market. Moreover, it can be added that all of the restaurants are different from the others, and some of the individuals are willing to support in continuously. Under this condition, the restaurants would be able to charge the individuals and the specific price. Short run condition: A restaurant makes a competition with the other restaurants within the market and there are no barriers to entry or barriers to exit. As a result, it can be stated that the demand curve of the products of the market is downward sloping. In addition, it can be mentioned that the restaurant would increase the price in the comparison with the other competitors. Therefore, the visitors would visit to the other restaurants where the price of the products is usually lower. Therefore, the marginal revenue curve of the restaurants would lie below the demand curve is downward sloping. In addition, the marginal revenue of the additional food substances of the restaurant will be relatively lesser compared to the overall market price. Long run condition: According to Park et al., (2015), it can be mentioned that with the entry of new companies in the market, the availability of getting foods in the restaurants can be increased. If the demand for the food substances would reduce, then the demand curve for the restaurant would be more elastic. Therefore, the demand curve for the restaurants would move to the left. As a result, new restaurants would aim to enter into the market and they will enter into the market up to a certain limit where the restaurants will be able to make economic profitability. On the other hand, it can be observed that the zero solution will be observed when the demand curve for the restaurant will be tangent to the average total cost curve. Therefore, it can be inferred that the pricing structure of the restaurants would be reduced and the output level will also be reduced. The nature of the restaurants under the monopolistic competition can be explained as the following way: Each of the restaurants under the monopolistic competition would be able to take greater decision about the price and the level of output, which is based upon the foods and the cost of production. Knowledge regarding the market structure is widely spread within the participants. Nevertheless, it is unlikely to be perfect. Moreover, the customers have the opportunity to make a review regarding the food substances, which can be obtainable in the restaurants before the selecting the menus. Nevertheless, they would not be capable to value the taste and the quality of the restaurant. In the opinion of Phelan et al., (2017), it can be stated that the risks in the monopolistic competition is related with the decision making process, the entrepreneur has an essential role than the other competitors in the market. On the other hand, it can be mentioned that the participants in the market can freely enter or leave into the market. As a result, it can be mentioned that there would be no barriers to entry or barriers to exit. It can be noticed that there are four types of product differentiation under monopolistic competition. The first product differentiation is related with the physical product differentiation. In this case, the size, design, shape and the performance of the goods are related with the differentiated products. Second differentiation is associated with the packaging and the other promotional process. Next, human capital differentiation is depending upon the skills and the knowledge of the subordinates of the restaurants. Lastly, Roberts (2014) opined that the product differentiation is based upon the distribution process and in this process mailing order and the internet shopping will be considered. In the points of Roper, Love Bonner (2017), it can be mentioned that the firms under the monopolistic competition require to take the help of advertisements. Therefore, the customers or the visitors would get the clear information regarding the product specification and can recognise the differences among the products. Negative externalities In this study, it can be observed that Adani groups Carmichael coal mine is located in Queenslands Galilee Basin. Due to the performance of the organisation, the organisation has released harmful gases; therefore, third parties have been suffering from the negative externalities. In this connection, it can be stated that the first and the second parties are recognised as the producers and the consumers respectively. According to Schweinberger Suedekum (2015), it can be stated that negative externality is related with the cost or the benefits. This will in turn make an impact on the third party. They are not incurred cost or the benefit. Moreover, it can be added that negative externality is connected with the external cost. The above diagram highlights the effect of the negative externality. The optimal production quality has estimated by the Q2, here negative externality would reflect the output level. In this diagram, the shaded region would explain the deadweight loss of the society. On the other hand, the negative externalities, which are associated with the mentioned coal mine company, can be discussed in the following manner: It can decrease the life expectancy as the company release several harmful gases. These gases are such as ozone, sulphur dioxide, heavy metals. These gases are very harmful for individuals health. This would make an effect on the respiratory system and they would be admitted in the hospitals. Apart from this, the individuals would suffer from serious diseases such as lungs cancer, ataxia, renal dysfunction etc. These harmful gases also reduce the cultivation of crops of this place. Therefore, the fertility of the land would be decreased. Moreover, Stiglitz Rosengard (2015) cited that the ecosystem and the balance of the environment would be degraded. Apart from this, it can be added that Adani groups operation also raise the pollution in the air and this is identified as the negative externality. On the other hand, it can be mentioned that individuals, who live outside of the surroundings, are forced to pay for the pollution. Negative externalities also increase the medical bills and the quality of life would be decreased. Hence, the coal mining of this organisation would lead to the negative cost on the individuals. Furthermore, Zhelobodko et al., (2012) opined that Adani Groups has released green house gas and it would make an issue in the environment. As per the review of the report, it can be identified that Adani group has released sulphur near about 145 million tons. As a result, it can be inferred that due to the emissions of gravely toxic, the water would be polluted. As per the statement of Roberts (2014), negative externality has adverse impact on the expansion of the economic function. Hence, external diseconomy would reflect the environment by increasing the level of pollution. The above figure shows the effect of the negative externality. The coal industry is operated in the competitive market. In this connection, it can be noticed that marginal social cost is larger than the marginal private cost. Marginal social cost is higher due to the amount of external cost. Moreover, it can be added that the marginal benefits is related with the function of coal mining. Hence, the marginal social cost would similar to the marginal private benefit. The above figure depicted that if the individuals would consider their own private cost, then it will end with the price level P1 and quantity Q1. In this purpose, individual would not consider the higher effectual price P2 and the effective quantity Q2. The social cost is larger than social benefit. Individuals would be better off between the quantity of Q1 and The government can improve the operational function of Adani groups. In this study, importance of development of the environmental recompense mechanism has described, which can reduce the negative externality. On the other hand, ecological services have a specific economic valuation. Therefore, it would exchange the perfectly competitive market. Moreover, market failure is also associated with the operation of coal mining. It can optimally supervise the performance of resource developers to restore the locality. Therefore, the relationship between the ecological as well as environmental balances would be improved. References Assenza, T., Grazzini, J., Hommes, C., Massaro, D. (2015). PQ strategies in monopolistic competition: Some insights from the lab.Journal of Economic Dynamics and Control,50, 62-77. Balistreri, E. J., Rutherford, T. F. (2013). Computing general equilibrium theories of monopolistic competition and heterogeneous firms.Handbook of Computable General Equilibrium Modeling,1, 1513-1570. Baumol, W. J., Blinder, A. S. (2015).Microeconomics: Principles and policy. Cengage Learning. Bertoletti, P., Etro, F. (2015). Monopolistic competition when income matters.The Economic Journal. Calvo, J. A. P., Prez, A. M. J. (2016). Optimal extraction policy when the environmental and social costs of the opencast coal mining activity are internalized: Mining District of the Department of El Cesar (Colombia) case study.Energy Economics,59, 159-166. Collier, P., Venables, A. J. (2014). Closing coal: economic and moral incentives.Oxford Review of Economic Policy,30(3), 492-512. Erku?-ztrk, H., Terhorst, P. (2016). Innovative restaurants in a mass-tourism city: Evidence from Antalya.Tourism Management,54, 477-489. Feenstra, R. C. (2016). Gains from Trade Under Monopolistic Competition.Pacific Economic Review,21(1), 35-44. Feng, S., Wang, D., Zhang, X. (2014). Study on Ecological Compensation for Coal Mining Activities Based on Economic Externalities.Journal of Geoscience and Environment Protection,2(02), 151. Kirzner, I. M. (2015).Competition and entrepreneurship. University of Chicago press. Lucas, A. (2016). Stranded assets, externalities and carbon risk in the Australian coal industry: The case for contraction in a carbon-constrained world.Energy Research Social Science,11, 53-66. Nikaido, H. (2015).Monopolistic Competition and Effective Demand.(PSME-6). Princeton University Press. Olabi, A. G. (2016). Energy quadrilemma and the future of renewable energy.Energy,108, 1-6. Parenti, M., Ushchev, P., Thisse, J. F. (2017). Toward a theory of monopolistic competition.Journal of Economic Theory,167, 86-115. Park, S. J., Cachon, G. P., Lai, G., Seshadri, S. (2015). Supply chain design and carbon penalty: monopoly vs. monopolistic competition.Production and Operations Management,24(9), 1494-1508. Phelan, A. A., Dawes, L., Costanza, R., Kubiszewski, I. (2017). Evaluation of social externalities in regional communities affected by coal seam gas projects: A case study from Southeast Queensland.Ecological Economics,131, 300-311. Roberts, K. (2014). The limit points of monopolistic competition.Noncooperative Approaches to the Theory of Perfect Competition,3, 141. Roper, S., Love, J. H., Bonner, K. (2017). Firms knowledge search and local knowledge externalities in innovation performance.Research Policy,46(1), 43-56. Schweinberger, A. G., Suedekum, J. (2015). De-industrialization and entrepreneurship under monopolistic competition.Oxford Economic Papers,67(4), 1174-1185. Stiglitz, J. E., Rosengard, J. K. (2015).Economics of the Public Sector: Fourth International Student Edition. WW Norton Company. Zhelobodko, E., Kokovin, S., Parenti, M., Thisse, J. F. (2012). Monopolistic competition: Beyond the constant elasticity of substitution.Econometrica,80(6), 2765-2784.

Sunday, March 22, 2020

BACKGROUND Essays (822 words) - Retailing, Marketing,

BACKGROUND Civil Mall standing nine stories tall (excluding two levels of basement parking) - located centrally in the heart of the city, Sundhara is an ultra modern mall with great ambience and amenities. The 3G facilities- Great Location, Great Ambiance and Great Amenities at Civil Mall has opening hours from 9 A.M TO 4 P.M. The mall is aided with an extensive security system, power backup, 14 escalators, 2 capsule lifts, 2 elevators and 3 stairways access on each floor. AVAILABLE SERVICES Civil mall aims to provide customers with a greater experience than mere shopping and retailers with various drivers to generate maximum sales. It has a magnificent atrium that ensures the highest visibil ity of all the retail outlets. T he central atrium consists of widely-popular Himalayan Java coffeehouse. The mall houses approximately 175 stores, multiplex and has a sizable are transformed into playground for children with 10,000 sq ft of multi-cuisine food court. The first five floors of the mall are designated for general shopping. In the first floor, you can find electronic shops like FutureWorld, an authorized Apple reseller, Samsung Plaza, and HP Concept Store, which is the first of its kind here, as well as other stores selling leading brands of mobile phones, home appliances and other gadgets . The next few consecutive floors contain lots of aesthetically-pleasing stores selling mainly apparel that follows the latest trends in fashio n in KTM or in the world. One of Civil M all's main attractions is QFX Central, the "premium Cinema experience in town". OBSERVATION Civil Mall with its tagline something for everyone' has people of various social groups coming there for the purpose of sho pping as well as entertainment and sometimes just to kill time. At the plaza outside, stalls selling street food, finger food and drinks line up, selling at a more affordable rate than what you may find inside, has been found to catering to passers-by who may not have been thinking of spending too much Shops there remain crowded almost every day, and on Saturday and other public holidays even the pedestrians passing in front of the Mall find it difficult to move along. This kind of thing has found to lure customers even more. There is play zone named Balsansar for kids of age group 5-13. The socially interactive spaces include the central atrium which contains Himalayan Java Coffee where one ca n stop by to grab cup of coffee. T he gaming arcade which is mostly cramped by kids and teenagers can be found t here . Als o the four tr ack bowling track can be played by contributing nominal amount of fee. ANALYSIS With its tagline as "There is something for everyone", Civil Mall by Civil Group doesn't disappoint in providing the modern Nepali with a splendid shopping mall experience. And of course, the price of several goodies and clothing cannot be afforded by all the people but one can just spend his whole day just by observing the movement of people out there and would not get bored. QFX at seventh manages to attract the customers of different movies' taste and mostly been occupied by youngsters. The plaza outside remain crowded with people and provides platform for social interaction. Due to the architectural treatment given to the building and the standard it has maintained, population entering the mall are filtered giving limited access to certain social groups , civil mall seems to impede the social relations creating the false social atmosphere . What justifies it in case of civil mall is the entrance steps to plaza which act as barrier. Also what distinguishes civil mall or any other shopping malls from ancient marketplaces like Bishalbazar is that it the limited number of access to the building . And not only civil malls but S hopping malls as a whole are in the business of limiting access to their spaces They limit it by class (those who can afford to shop there) shopping centers are designed to encourage material consumption and discourage certain social behaviors . Like certain symbols and signs on boards can be seen inside the mall. Few number of beggars can also be found just outside the mall. T

Thursday, March 5, 2020

Guarantee of Republican for of Government

Guarantee of Republican for of Government The Constitution places several obligations on the National Government for the benefit of the States. Most of them are to be found in Article Four. The Constitution requires the National Government to guarantee to every State in the Union a republican form of government (Article four). The Constitution does not define republican form of government, and the Supreme Court has regularly refused to do so. The term generally understood to mean a representative government, however. The Supreme Court has held that the question of whether or not a States has republican form of government is political question(www.TheAmericanGovernment.com). That is, it is one to be decided by the political branches of the government- the President and Congress- and not by the courts. The leading case here is Luther v Borden, 1849. It grew out of Dorrs Rebellion, a revolt led by Thomas W. Dorr against the State of Rhode Island in 1841-1842. Dorr and his followers had written and proclaimed a new constitution for the State. When they tried to put the new document into operation, however, the governor in office under the original constitution declared martial law- temporary rule by military authorities. The governor also called on the Federal Government for help. President John Tyler then took steps to put down the revolt, and it quickly collapsed. The question of which of the competing governments was the legitimate one was a major issue in Luther v Borden. But, again, the Supreme Court refused to decide the matter(Fox 32). The only extensive use ever made of the republican-form guarantee came in the years immediately following the Civil War. Congress declared that several southern States did not have governments of a republican form(Pollard). It refused to admit Senators and Representatives from those States until the States had ratified...

Tuesday, February 18, 2020

MHE513 - Risk Assessment and Epidemiology Module 2 - Case Essay

MHE513 - Risk Assessment and Epidemiology Module 2 - Case - Essay Example The Public Health Statement of Agency for Toxic Substances and Disease Registry (ATSDR, 2005) provides information about zinc, including the hazards associated with excessive exposure to the otherwise essential element. Zinc is a ubiquitous element of the earth’s crust, occurring in small amounts in almost all igneous rocks. It is widely distributed in air, water, soil, and all living matter. Zinc enters the environment both through natural processes and human activities, in particular activities such as mining, purification of zinc, lead and cadmium-containing ores, steel production, and coal and waste burning. Increased levels of zinc in the soil can occur through disposal of wastes from metal manufacturing industries and electrical utilities producing coal ash, and fertilizer application. Industrial and domestic sewage and run-off from soil containing zinc can release zinc into waterways and ground water. Zinc, present as fine dust particles in the air, is washed down by rain and snow into the lakes and rivers where it mostly settles on the bottom. A small amount of zinc may occur dissolved in water. The concentration of dissolved zinc increases with increasing acidity of water. Zinc and its compounds have many industrial uses including galvanization of iron and steel to prevent rusting and corrosion; preparation of alloys such as brass and copper; manufacturing of dry cell batteries, white paints, ceramics, rubber, fabric dyes and wood preserving compounds. Zinc is also an important constituent of cosmetics, hair-care and health-care products such as sunblock lotions, talcum powder, anti-dandruff shampoos, diaper rash ointments, deodorants etc. Zinc chloride is used to make smoke bombs. Zinc carbamates are used as pesticides (World Health Organization WHO, 1996). Exposure of humans to metals is generally inevitable as metals are ubiquitous in the environment. Chemicals including zinc are released into the environment (air, water

Monday, February 3, 2020

Freedom movement Essay Example | Topics and Well Written Essays - 1000 words

Freedom movement - Essay Example It also marked an important moment for the Black American society who continuously fought for equal rights within the American society (Smith & Wynn, 2009. The act ended the application of the Jim Crow laws that upheld segregation under the principles of â€Å"separate but equal.† It is important to note that prior to the passage of the Civil Rights Act of 1964, African-Americans faced serious discrimination in nearly all important sectors of the economy including employment, transport, property ownership, education and even politics. The passage of the law has since shaped the American society and that is still undergoing transformation. The consequences of the passage of the Civil Rights Act 1964 have seen significant diversity in the employment sector in America. Currently, Blacks face limited if any discrimination in employment. This has seen significant growth of the American economy as every individual struggles to involve in any income generating activity. Since the pas sage of the Act that led to increase in employment of the African-Americans, the economy of the USA has witnessed significant stability considering fair distribution of income and reduced overreliance of the economy on the White population. Additional consequence of passage of the Civil Rights Act of 1964 relates to significant integration of people from different races, religion and ethnicity, which is working to liquidate some of the native culture of the various American communities. In politics, the passage of the act has seen significant involvement of Blacks in the daily politics of USA. It is due to the strict provisions of the Act that America is currently under the Presidency of Barrack Obama who is a Black American. Furthermore, it is due to the Act that African-Americans like Condoleezza Rice managed to occupy powerful government office during administration of President George Bush. Montgomery Bus Boycott (1955-1956) The cause of the boycott related to the arrest of Rose Parka who was a civil rights activist for failing to empty a bus seat in Montgomery. The Black community responded to the arrest by boycotting transport by bus until in 1956 when court overruled the segregation laws in Montgomery as unconstitutional. This even revolutionized social structure and has led to free interaction between Whites and the Blacks (Phibbs, 2009). The law has seen free movement of people across the states by same transport means. This has worked to alienate fears of discrimination alongside enhancing trade and economic development in the USA. The event and the accompanying ruling transformed the political policies created by states and local governments. Currently, many states abide by the principles of equality and fairness that has help in political stability in America. Role of Black women in the Freedom Movement Despite being subject to gender discrimination within their own race, Black women proved an essential part of the whole Freedom Movement. Black wom en assumed the roles of bridge leaders to support their male counterparts in advancing their fight for freedom. The women assumed the roles of bridge leaders because it was only area that they could occupy since men held the formal leadership positions. In that line, the Black women practiced four main types of bridge leadership that included mainstream, community, indigenous and

Sunday, January 26, 2020

Sound In Casablanca | Analysis

Sound In Casablanca | Analysis One of the first known movies, Casablanca, was acted by Humphrey Bogart, Ingrid Bergman and Paul Henreid, directed by Michael Curtiz. The music of this movie was made by Max Steiner. The sound is one of the important components in the movie because it shows the emotions of the actors as it also shows the importance of the scene. Moreover, the spoken language must be one important thing that the editor must focus on because it shows the culture of the country where the story-plot of the movie is happening. This movie tells a story of a man, Humphrey Bogart, who is trying to help the woman that he loved before by making her escape from Casablanca with her husband and continue the fight against the Nazis oppression. This movie has different sound effects, dialogues and musical tones. Firstly, sound effects in movie are some effects like rain and crashes that are added to complete the sense that is created by the camera, so the audience will be able to understand the scene in detail. In this movie, there are a lot of sound effects that are added. The producer used the rain in the scene where Ingrid was leaving with her husband and he used also in the beginning where she and Humphrey were running from the guards. The rain in these scenes gives a sense to the audience about the sadness and torture that the actors are feeling. Moreover, some scenes of this movie have some fastened dialogues. The fastened dialogues are usually used to give the sense to the dialogue how much it is important and urgent. Also, there are many tones used in this movie used by different characters. For example, in the end of the movie, we see that Humphrey and the police man are using a quiet and slow tone. This means that both of them are comfortable and happy with what just happened. In t he scene before, we can see that the police man had other feelings by his tone. It was faster and with high volumes which show the anger of the police man. Another example, Humphrey was using the low tone during the whole movie which shows his real personality. He is kind of calm and doesnt show his emotions to the people surrounding him. On the other hand, Ingrid is the kind of women who gets stressed after a serious action happens. All of this is known from the tones that differ from a low to a high pitch. From here, we would have covered the sound effects that are included in the movie with different characters. Secondly, one of the most important effects that is used in every movie and gives it more creativity, the music; is used many times in the movie with many different types of songs that differ according to the type of the scene. In the introduction of the movie, we see that the music producer was using the low tone music according to the simple life that he was describing, and suddenly, he changed to high tone music when the police started making the chase. After finishing the chase, he changed it back to a low tone pitch. This means that he was making the music according to the importance of the scene and what it is describing. Basically, he wants to emphasize the importance of the scene as to how serious the Nazis are with the unconditional assistance of the French when they are to apprehend suspicious characters in the movie. A particular song, that has been played in the movie which is Knock on Wood by M.K. Jerome symbolizes a group chore song, where everyone takes part in singing . The owner of the Cafà ©, whom is played by Humphrey Bogart stage name as Rick, chose the right time and place to hide the transit letters under the song notes on the piano table, while Sam and the customers were singing in sync. In addition, Rick believed that Sams piano, is the only safe place to put the transit documents as he knows that the French and the Nazis are going to do whatever it takes to locate these transit documents. One important scene, that spurred a wait in many characters in the film, as they await the coming of Victor Laszlo Paul Henreid and his wife Ilsa Lund Ingrid Bergman, as they pass by Sams Piano, Sam plays in a low tune as he remembers the face of Ilsa whom is an ex-lover to Rick , the owner of the Cafà ©. This tells the audience that there might be a clash of old memories between Rick and Elsa, thus Sam looks the other way and gets back to the high toned music that he usually plays. One of the best scenes, that I admired is when Ilsa, called Sam the p ianist; to come to the table and play for her one of the oldest love songs of all time which is known as As Time Goes By by Frank Sinatra. This song triggered great memories between Rick and Ilsa while they were together in Paris. This tells the audience, what a sentimental moment this is and this song fits right in as the lyrics provide an overview of their relationship while they were in Paris. In between the love scene memories that Rick and Ilsa are in, we can see that the only driver that broke apart those two lovers was the rumor that Victor Laszlo is alive. This important figure turns out to be Ilsas husband whom was sentenced to a German concentration camp while she was in love with Rick in Paris. The sound effects in this scene, alerts us as to how the German war mechanisms are rushing towards their target as they are coming to take over France starting with the capitol and expanding abroad. This shows the audience how fearsome the Germans are. Another example, at the end o f the movie, he used high volume music with the fast kinetics of the characters. This shows how they are worried and want to arrive as fast as they can. After that, when Ingrid and her husband escaped by the airplane and Humphrey started talking with the police man, he used a romantic song. This song shows us how they are happy by this end and hoping for the best in the future. Furthermore, in the scene where the couples were having a cup of coffee, there was no music at all, and then suddenly, a medium level song started with the scene that showed the reaction of the people. This song actually shows how the people are shocked by the air plane hovering Casablanca and its importance for them as to find exit visas to get out of Casablanca and get to America. The editor also used another type of music, the music that he used was sung by the actors. This kind of music gives the movie more reality. He used this type of music in the scene where the French and Nazi soldiers were singing th eir national anthem. Through this scene, the audience understands what at stake, hope, love and fight for our country against the Nazi Oppression. Furthermore, in the scene, you see how the Germans were silenced as the crowd grew larger for the French cause and Victor Laszlos stage figure made the Germans more angry as they felt intimidated by his patriotic actions and gathering a number of people to stand against the Nazis. In this case, we can see that this type of music shows the emotions of the actors and how they are devoted towards their cause. Finally, at the last moments before the ending the film, when Victor and his wife Ilsa were fleeing to Lisbon via the transit documents provided by Rick, we can hear a high pitch volume, showing the intensity of the situation as the German Major Strasser is speeding to reach the airport to stop the plane from going airborne. In addition, while the couple was heading to the plane we can hear in the background As Time Goes By in a low ton e. By this, we would have discussed the music of this movie with its different tones that made it more interesting. Thirdly, every movie has its own language that represents the culture of that place. Some movies use different languages according to mixture of the cultures in the movie. In this movie the editor used only English which is one of disadvantages in this movie. He was supposed to use some French when the French soldiers are talking with each other. Furthermore, the spoken language that is used in the street must be Arab because the original people are Arab and most of them are working in the coffee shops and markets. There was only one scene where we have seen the people using their native language. This scene is when the two parts started singing their own anthem. In this case, it is logical to use those languages because a national anthem must be sung in this way or it will destroy the culture of that country. From these examples, we can see that the editor was not able to achieve the goal of using the languages in their place. Finally, we can that the movie was able to describe the emotions of the people in many scenes with different types of sounds. He used sound effects to add them to the scenes, so it will be able to show the emotions and feelings without making any disturbance to the audience. Moreover, he used music that is more important because it make the audience expect what is going to happen next and also describe the importance of that scene in the movie. Also, there is the spoken language that was not used by the writer in an appropriate way because he used only English which is not used in that place at that time. By this, we can see that Casablanca can be classified as one of greatest movies of all time due to its sound effects, spoken dialogue and musical features that made it one of the best movies of all times.

Saturday, January 18, 2020

Were the 1920’s the “Golden Twenties” as Often Portrayed?

From the point of view of farmers, minorities and labor, were the 1920’s the â€Å"Golden Twenties† as often portrayed? BY: ROBERT TANNER U. S. History 101. 5 Jim Blackwood 11/25/2009 Bibliography Allen, Frederick L. Only Yesterday: An informal history of the 1920s. New York: Harper and Brothers, 1931. Drowne, Kathleen, and Huber, Patrick. The 1920’s. Connecticut: Greenwood Press, 2004. Irving L. Bernstein. The Lean Years: A History of the American Worker 1920-1933. Boston: Houghton Mifflin, 1960. Sage, Henry J. The Roaring Twenties. October 11, 2006): Internet. http://www. sagehistory. net/twenties/Twenties. htm. November 25, 2009. Williams, Betty. The 1920’s. London: Batsford, 1989 The 1920’s or the â€Å"Roaring Twenties† were a time in U. S. History of great change. This period could be described as the â€Å"Golden Twenties†, where many discoveries and inventions of great importance were made, prosperous industrial growth, increas e in the standard of living, rise of consumerism, and significant changes in people’s lifestyles. But were the 1920’s â€Å"Golden† for everyone? In my essay I will first take a look at the â€Å"Golden† aspects of the twenties, highlighted by some of the inventions and discoveries that took place during the era, which helped define and shape the twenties, and follow that up with the farmers’ point of view on the twenties. First off, let’s take a look at some of the stuff that defined the 1920’s. The 1920s, or the â€Å"Roaring Twenties† were a decade in which nothing big happened, no major catastrophes of large events, at least until the stock market crash of 1929, yet it is one of the most significant decades in U. S. history because of the great changes that came about in American society. The Twenties were known by various images and names: the Jazz Age, the age of the Lost Generation, flaming youth, flappers, radio and movies, bathtub gin, the speakeasy, organized crime, confession magazines, Hemingway and Fitzgerald, Lindbergh, Babe Ruth, Bobby Jones, the Great Crash, Sacco and Vanzetti, AL Smith, cosmetics, Freud, the â€Å"New† woman, the Harlem Renaissance, consumerism, all these images and more are part of the â€Å"Golden† Twenties. In fact, the 1920s may have been the decade of the greatest social change in American history. Reacting perhaps to both the disillusionment from the First World War and against the strictures of Victorian culture, Americans abandoned old ideas with a vengeance and adopted new concepts wholesale. It was also a time of deep divisions: wets (for repeal of prohibition) against dries, town against country, natives versus foreigners, Catholics against Protestants; the decade also saw a resurgence of the Ku Klux Klan and an American sense of alienation from the rest of the world. The decade began amidst the ashes of the Great War, blossomed into a riotous age of spending and profit making, cheap automobiles and new consumer products. Everybody seemed to be on a roll. Then in 1929 the Crash hit the stock market, and for many complicated reasons the Great Depression followed. It was a decade of huge figures, heroes of the kind we don’t see any more, or not often: Charles Lindbergh, Babe Ruth, Bobby Jones and others. Americans started going to the movies and listening to the radio in enormous numbers, and they found themselves becoming more affluent as the markets rose, seemingly without end. It was a time of new awakening for African-Americans, many of whom had fought in France, and the Harlem Renaissance opened Americans to Black literature, poetry, music and other arts of a quality never seen before. Literary figures like Fitzgerald, Hemingway and Thomas Wolfe brought white American literature to a new plane as well. The Progressive movement was not dead in the twenties, a Progressive Presidential candidate got almost 5 million votes in 1924, but it was not an activist decade. Everybody knew what Harding meant when he called for a return to â€Å"normalcy,† even hough there was no such word in the dictionary. The Twenties began on a somber note, rose to great heights of excitement. Then on Black Tuesday, October 29, 1929, it all came crashing down, and things were never the same again, but then again, they never are. â€Å"1† A â€Å"Golden Age†, Americans in the 1920s had discovered many things. They had more leisure time, and they discovered radi o and movies. The first â€Å"talkie,† â€Å"The Jazz Singer† was produced in 1927; color pictures followed a few years later. Americans of that era loved film stars like Charlie Chaplin, and they honored heroes like Charles Lindbergh. They had more time to participate in and watch sporting events, and Babe Ruth became the first athlete to earn a salary of $100,000 for a season. When reminded that that was more than President Hoover made, the Babe replied, â€Å"I had a better year. † It was also a golden age of literature as well. Scott Fitzgerald, Ernest Hemingway, Thomas Wolfe, Marjorie Rawlings, the Black writers mentioned above and many others brought American literature to new heights. â€Å"2† As for Business in the 1920s: It was the Age of the Consumer. During the 1920s everybody seemed to be buying everything. Cars, radios, appliances, ready-made clothes, gadgets and other consumer products found their ways into more and more American homes and garages. Americans also started buying stocks in greater numbers, providing capital to already booming businesses. All the signs pointed upwards, and starry-eyed men and women began to believe that it was going to be a one-way trip, possibly forever. Henry Ford’s assembly line not only revolutionized production, it democratized the ownership of the automobile. Ford showed that handsome profits could be made on small margin and high volumes. By 1925 his famous Model-T sold for under $300, a modest price by the standards of the 1920s. Americans had never had it so good. Thanks to pioneers like Charles Lindbergh, the airplane began to come of age in the 1920s. Although used for various purposes in the World War, airplanes were still exotic gadgets until after Lindbergh’s flight, when planes began to carry mail as well as passengers for travel rather than just for thrills. Regularly scheduled flights began, and airports were constructed to handle passengers and small amounts of cargo. The end was in sight for railroad domination of the transportation industry. â€Å"2† Not everyone prospered in the 1920s. Farmers, becoming increasingly more skillful and efficient in producing food, found that laws of supply and demand still plague them. The more they produced, the lower prices tended to fall. In the early 1920s bread was at its lowest price in 500 years relatively to other necessities. It was still tough to make a living down on the farm. The 1920s afforded unprecedented economic opportunities for many Americans, but not for the nation's farmers. They had enjoyed unusual prosperity during World War I, owing to the increased demand for American agricultural products in war-torn Europe, but in the 1920s they were plagued by low prices for agricultural products, high costs for producing these goods, and heavy debt. Increases in the American farmers' productivity created surpluses that drove commodity prices down and lowered their income. While prices for agricultural products remained low, costs for land, machinery, equipment, labor, transportation, and taxes were rising, creating greater disparity between a farmer's costs and income. The pervasive â€Å"farm problem† of the 1920s was complex. The market compensated a farmer's increased productivity and efficiency with a lower standard of living. Collectively, Americans devoted too many resources: land, labor, and capital, to agriculture. Consequently, the supply of agricultural products far outstripped the demand for them. The problem, however, is much easier to diagnose in retrospect than it was during the 1920s. Arguing that the problem with American agriculture was overproduction seemed paradoxical to contemporaries who closely associated the independent farmer with the essence of American virtue and character, someone to be emulated, not discouraged, from increasing his crop yields. Instead of realizing the link between low prices and overproduction, farmers blamed their adversity on insufficient credit, high interest rates, inadequate tariffs, and declining world trade. Overwhelmed by the seriousness of their problems, farmers looked to the federal government for assistance. Farmers' demands for federal help ran against the popular political mood of the 1920s, which demanded a reduction in government involvement in business. Moreover, the growing urban character of the nation weakened farmers' political influence. Yet agriculture had powerful allies in Congress. In 1921 two Republican legislators from Iowa, Sen. William Kenyon and Congressman L. J. Dickinson, organized the â€Å"farm bloc,† a bipartisan group of congressmen that exerted political pressure for legislation to alleviate the farmers' economic misery. During President Harding's administration this legislative caucus advocated generous credit, higher tariffs, and cooperative marketing, all proposals that treated symptoms rather than the core problems, production surpluses and price disparities. From 1920 to 1921, farm prices fell at a catastrophic rate. The price of wheat, the staple crop of the Great Plains, fell by almost half; the price of cotton, still the lifeblood of the South, fell by three-quarters. Farmers, many of whom had taken out loans to increase acreage and buy efficient new agricultural machines like tractors, suddenly could not make their payments; throughout the decade, farm foreclosures and rural bank failures increased at an alarming rate. Agricultural incomes remained flat, with rural Americans' wealth falling far behind their urban counterparts. Rural electrification increased at a snail's pace, with more than 90 percent of American farms still lacking power into the 1930s. The proportion of farms with access to a telephone actually fell during the Roaring Twenties. So, it’s no great exaggeration to say that for rural America, the Great Depression began not in 1929 but in 1920, and it continued for an entire generation. The roaring prosperity of America's cities during the 1920s made the privation of rural life all the more painful, by contrast. The divide between Haves and Have Nots in the 1920s was the divide between city and country. â€Å"3† In Conclusion, the 1920s, â€Å"Roaring† Twenties, or â€Å"Golden† Twenties, can be viewed as two distinct points of views. That of the urban society, which experienced an increase in the standard of living, rises of consumerism, and significant changes in their lifestyles. Times were good, and era of the 20s could truly be viewed and defined as the â€Å"Golden† Twenties. On the other hand, there was the farmers’ point of view, which could be described as the exact opposite. By becoming increasingly more skillful and efficient in producing food, the farmers had found that the laws of supply and demand were not working in their favor. The more they produced, the lower prices tended to fall. Hence, times were tough, and it was hard for them to make ends meet. Overall, one would almost have to reword the 20s, maybe by calling them the â€Å"Golden† twenties for some but not all. Endnotes ( Henry J. Sage, The Roaring Twenties. (October 11, 2006): Internet. http://www. sagehistory. net/twenties/Twenties. htm. 1 2 Kathleen Drowne, and Patrick Huber. The 1920’s. Connecticut: Greenwood Press, 2004. 3-29 3 Irving L. Bernstein. The Lean Years: A History of the American Worker 1920-1933. Boston: Houghton Mifflin, 1960. 216-350

Friday, January 10, 2020

Digital Equity

Running head: Digital Age Grand Canyon University: With the increase of internet usage and the use of the digital technology consumers have impacted the way we look at health services and the health care delivery system. Because consumers are seeking health information online it makes use reevaluate the way we think of the medical information we receive from our primary care provider and the relationship between that provider and his patients. Many consumers seek information for themselves, for friends and family.Consumers seek health information via the web, phone, fax, email system, discussion boards, social networks, forums, and bulletin boards. The anticipated shifts in service are secondary to the lack of education, literacy skills, and mistrust of providers, poverty, and the lack of health coverage. â€Å"Consumers across all categories of age, education, income, race, ethnicity and health status increased their information seeking significantly, but education level remained t he key factor in explaining how likely people are to seek health information† (Tu, Cohen, 2008).A second reason for a change in service utilization is the high cost of medical treatment and the insurance premiums that patients must pay. With the increase of financial responsibility patients have an increase motivation to obtain health information and weigh in on their options for treatment and payment. By using the internet consumers have a valuable tool that empowers them, reduces social isolation, and helps consumers identify medical issues. One of the most critical ways in which the power of information can influence consumers is by finding ways to support the consumer emotionally.The District of Columbia and their federal government has released a new regional health information organization (RHIO) designed to improve the way health care is delivered. By encouraging the use of the Health information technology (HIT) they are improving care. The mission for the District of Columbia Primary Care Association (DCPCA) is to promote health care reform. The DCPCA accomplishes its mission by promoting the health equity of the poor, uninsured, and the underserved residents of the community. Through the mplementation of health reform the District of Columbia has worked to improve health care services through patient shared records, and clinical outcomes across the organization. â€Å"In 2009 health care reform asked us to do three things: (1) Improve the health of the population at large; (2) enhance the patient experience; and (3) reduce the per capita cost of care† (Baskerville ,S, 2011). With the recent improvement and emerging trends of advanced digital technology our older patients have the ability to research health information via the internet and web based technology.The web itself has changed the way our elderly population views diseases and conditions secondary to the way the information is displayed. By increasing what we view and how we view it, we as consumers turn to three major websites to seek medical information, Medline Plus, Health Finder, CAPHIS. Patients seek trust worthy health information for solutions and providing them with additional data in which to ask their medical provider. Medical websites are designed to enhance the ability of the disabled and the elderly through communication, social emotional support, and enhancing the patient provider relationship.The similarities of community health information network (CHIN) and health information network (HIN) is that they concentrate on helping services for a single community, while (RHIN) regional health information network concentrates on the social community. CHIN looks to improve efficiency, reduce care cost and enhance health care delivery. RHIN is considered a multi-stake holder organization. RHINO consist of hospitals, employers and payers, and small clinics. RHINO’s purpose is to encourage the adoption of health information technology.RHINOSâ⠂¬â„¢s main objective in the health administration is to improve quality of delivery patient care, network health information, patient customer service and reduce delivery care cost. References McGarth, N. (2010). Under pressure: The changing role of healthcare CIO. Retrieved from http://www. necelevateperformance. com/pdf/Healthcare/EIU_NEC_Whitepaper. pdf Tan, J. (2010). Adaptive health management info system. (3rd ed. ). Sudbury MA: Jones and Bartlett. Baskerville, S. (2011). Status of Health Care Reform Implementation in the District of Columbia. Retrieved May 13, 2012 from online article source: