Business Environment Assignment Example | Topics and Well Written Essays - 1500 words

Business Environment - Assignment Example Fred Smith was the founder of the company. Recently it has been converted into Public Limited Company. The subsequent part of the project would be dealing with the changes that have taken place in the business environment of the computer industry in the form of an informational report. Purpose The main purpose of the organizations like Smith Electronics is offering quality products to the customers so that they can assemble the computer according to their own wish. The company facilitates the customers by offering them a wide range of quality products. These products are manufactured by taking into consideration three main factors: a) Cost Effectiveness, b) Modularity and c) Maximum Reliability. The company aims at achieving customer satisfaction by means of efficient and proficient personnel. The company’s team of professionals has good understanding of the industrial necessities which would help them in upholding the managerial works in an excellent manner. The purpose of th e organization is making consistent performance by manufacturing quality products so that it supports Smith Electronics in having huge acceptance throughout the UK market and European Union. The company plans to perform its functions along with maintenance of smooth cooperation with the valued customers. The latest technologies which are user friendly are implemented within the products in order to increase the demand as well as the customer satisfaction. The goal of the organization is to make the experience of the customers highly satisfactory and convenient. This enables making long term relationship with them. The professionals in the company are employed after proper testing of their skills. In order to provide excellent experience to the customers, the employees are trained specially about how to interact with the customers. The success of an organization depends to a great extent upon the demand of its products and services in the operational market. Smith Electronics focuses on increasing the annual demand of its products which might help it in achieving a global recognition. The organization is committed towards bringing excellent computing experience to the customers in United Kingdom and European Union. The goal of the company would stimulate its performance by guiding the operational activities. However, Smith Electronics holds good position in the computer industry of United Kingdom and European Union in aspects of the customer service, product quality and the store’s design. The extent to which Smith Electronics meets the objectives of the stakeholders The business objectives are those ends which the organizations set out for achieving. The organizations plan for strategies in order to achieve these objectives. The stakeholders are important part of the organization (Phillips 6). The objectives of Smith Electronics are set by balancing the demands of the stakeholders in the organization as maintenance of cordial relationship with them is v ery important (Svendsen 2). The objectives of the organization have been established after blending the interests of all the stakeholders. The stakeholders of Smith Electronics always have an influence in its actions or operations. The major stakeholders include the shareholders, employees, creditors, bondholders and customers (â€Å"American Institutes for Research Capstone Project†

Terrorist Techniques - Strategy Assignment Example | Topics and Well Written Essays - 500 words

Terrorist Techniques - Strategy - Assignment Example Therefore, based on the terrorist scenarios, the most applicable and relevant objectives are attrition and threat elimination. Terrorist groups use attrition against a state in an attempt to destroy its resources, leaving the government weak and ineffective. Specifically, this motive is aimed at liberating a territory from the control of the state or acquiring a particular position within the society either politically or geographically (Kydd & Walter,  2006). In particular, attrition is a war based on longevity and the team with the most resources to assume the costs of attacks wins. The conflict between Sri Lanka and the terror group Liberation Tigers of Tamil Eelam (LTTE) utilized this strategy. Specifically, throughout the year 2000, the LTTE employed the attrition war model to suppress and weaken the government with a series of attack on the government, the public, and the military (Kydd & Walter,  2006). However, the application of this strategy by the Tamil Tigers was due to their financial disability that curtails them from a direct involvement in the war with the government. In their attacks, t he terrorists aim at persuading the enemy that it has the financial strength to inflict high-cost tests in order to achieve its desires. As argued by Robert Pape, terrorists use bombing as an attrition strategy due to their financial constraints. Terrorist groups success lies in their ability to influence the behavior of their target group. Specifically, the success of their actions is embedded in threat elimination by attacking the government and any other relevant authority or individual whose influence will aid in the realization of their objectives (Kydd & Walter,  2006). Risk avoidance is a form of intimidation that suppresses target group. According to Drake (1998), the psychological fear or threat created by a terror group helps in the

Improving Eye Care In Rural India Communications Essay

Improving Eye Care In Rural India Communications Essay CATARACT refers to the clouding of the lens in the human eye, affecting vision. In the developing world, cataract is the cause for blindness in nearly half the blind population i.e. 50% of the recorded number of blindness cases. While problems of inaccessibility continue to plague many parts of the developing world nearly two-thirds of the population in many developing countries are unable to access quality medical resources infrastructure primarily because quality medical care or eye care in this case is still urban-centric all hope is not lost yet. In India too, where 90% of the cases are treatable, most Indians lack access to quality eye care. In the early 1990s, the country was home to a third of the worlds blind people and here too cataract blindness was the major cause in most cases. The World Bank decided to step in and help the Indian government deal with the problem, spending $144.8 million between 1994 and 2002 on the Cataract Blindness Control Project under which 15.3 million eye surgeries were performed. The World Bank-funded project was largely implemented in northern India and it helped reduce the incidence of cataract, in the states that were covered under this project, by half. But India is a very big country and it definitely needs a more sustainable approach to dealing with cataract blindness given that it has a sizeable ageing population. One such approach is the Aravind Eye Care System, a three-decade old campaign that has been fighting cataract blindness predominantly in the southern Indian state of Tamil Nad u. Working in the same direction is the L V Prasdad Eye Institue, operating from the neighbouring state of Andhra Pradesh. Both Aravind and LVPEI, setup in the mid 1970s and the mid 1980s respectively, have been focused on taking quality eye care to the rural masses from the very beginning, most of it free of cost. In the larger context, this paper discusses how private entrepreneurship is taking quality Eye Care to the rural masses in India. This paper will discuss the Eye Care delivery model aimed at fighting Cataract Blindness in the context of the Culture-Centered Approach (CCA). The Culture-Centered Approach advoates greater engagment with the local culture, â€Å"through dialogues with community members†, to ensure â€Å"equitable† and â€Å"accessible† healthcare across communities (Dutta-Bergman, 2004a, 2004b; Dutta and Basu 2007 as quoted in Dutta, 2008). Furthermore, this paper will use the Extended Technology-Community-Management (TCM) model (Chib Komathi, 2008) to explain the intersections between technology, community and the management of information communication technologies (ICT) in the context of the CCA and the Eye Care delivery model adopted by the private healthcare players i.e. the non-governmental organisations (NGOs). According to the TCM model (Lee Chib, 2008), the intersection of ICT characteristics of technology, along with the dimensions of software and hardware, project management dimensions of financial requirements, the regulatory environment, and stakeholder involvement, along with local community participation â€Å"will ultimately lead to sustainable ICTD interventions.† Culture-Centered Approach Globalisation has led to an increasing realisation that the Biomedical[6] model of healthcare is limited in scope when engaging in issues of global health (Dutta, 2008). Furthermore, Dutta (2008) says that many societies now feel the need to â€Å"open up the spaces of health communication to the voices of cultural communities† i.e. there is now greater awarness of the need for better engagement with marginalised communities. Culture is dynamic. That culture has an important role to play in health communication is better understood today. But this concept began attracting widespread attention only in the early 1980s, especially in the U.S. when healthcare practitioners felt a need to adopt multiple strategies to address the health-related issues of a multicultural population (Dutta, 208). â€Å"This helped question the universalist assumptions of various health communication programs† aimed at the developing nations and the so called third-world nations   (Dutta, 2008). The Culture-Centered Approach was born out of the need to oppose the dominant approach of health communication, located within the Biomedical model, where health is treated as a â€Å"universal concept based on Eurocentric[7] understandings of health-related issues, disease and the treatment of diseases† (Dutta, 2008). According to Dutta (2008), the CCA is a better alternative to understanding health communication because it is a â€Å"value-centered† approach. The CCA is built on the notion that the â€Å"meanings of health† cannot be universal because they are ingrained within cultural contextsm, he argues.  Ã‚   The CCA has its roots in three key concepts i.e. ‘structure, ‘agency and ‘culture. The term ‘culture refers to the local context within which so called health meanings are created and dealt with. ‘Structure encompasses food, shelter, medical services and transportational services that are all vital to the overall healthcare of various members of a community. ‘Agency points to the â€Å"capacity of cultural members† to negotiate the structures within which they live. It must be noted that ‘structure, ‘agency and ‘culture and entwined and they do not operate in isolation. Dutta (2008), in his book Communicating Health, further elaborates that the CCA throws light on how the dominant healthcare ideology serves the needs of those in power. Powerful members of society create conditions of marginalistaion. Therefore the focus of the CCA lies in the study of the intersections between ‘structure, ‘agency and ‘culture in the context of marginalised communities. To understand better the problems faced by the marginalised, the CCA advocates the healthcare practitioners engage in dialogues with members of the concerned community. Each community has its own set of stories to share and this is vital to understanding the local culture. The CCA also aims to document resistance, of any kind, to dominant ideologies as this helps strengthen the case of the CCA against the dominant healthcare model. The CCA, according to Dutta (2008), provides sufficient scope to study physician-patient relationships, in a bid to ultimately improve the healthcare deli very model. Adopting the CCA is just half your problem solved; the integration of the CCA with the Extended TCM model completes the picture.   The Extended TCM Model The TCM model (Lee Chib, 2008) argues that the larger question of social sustainability depends on both local relevance and institutional support. The TCM Model proposes that the intersection of ICT characteristics of technology, along with the dimensions of software and hardware, project management dimensions of financial requirements, the regulatory environment, and stakeholder involvement, along with local community participation, will ultimately lead to sustainable ICTD interventions (See Figure 1.1). The TCM model was further revised. Community was subdivided to include: modes of ownership of ICT investments and profits; training of community users both in the use and in technology management; and the basic needs of the community. Furthermore, Sustainability was also subdivided into financial and social (see Figure 1.2). Chib Komathi (2009) found that the TCM Model was inadequate as it could not examine the critical issue of vulnerability. Therefore, their study improved on this inadequacy by adding crucial factors and variables relating to vulnerability. They extended the TCM model, and called it the Extended Technology-Community-Management (Extended TCM) model (see Figure1.3).  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This new framework on ICT planning accounts for community involvement, the management components, the overall design of technologies such as telemedicine or tele-consultation, and evaluation of existing vulnerabilities in the community where these technologies are implemented. It identifies four dimensions of vulnerabilities influencing technology implementation among the rural poor: economic vulnerability, informational vulnerability, physiological/psychological vulnerability, and socio-cultural vulnerability. Chib Komathi (2009) further explain each dimension of vulnerability: Physiological and psychological vulnerabilities refer to the physical and mental well-being of an affected person, or a specific community. Informational vulnerability deals with the access to and availability of information within affected communities. Informational resources include personal documents, books and critical data, opinion leaders and professional experts,. The lack of such resources affects the capabilities of people who are dependent on them. In a rural setting, informational vulnerability is further augmented by the low literacy levels and lack of pertinent â€Å"technological skills necessary to enable the learning and processing of information.† The economic vulnerability is sparked off by the loss of livelihood i.e. a loss of activities that otherwise financially support households and sustain economic growth in a rural setting. The socio-cultural vulnerability of communities is determine d by â€Å"the structure and values of a given society that define human relationships in communities.† Hierarchies in any society (gender, race, religion, caste, age and class egalitarianism within communities) or a community often dictate access to resources and assets, and the decision-making power of people. Cataract Blindness in India At the outset, one has to understand the sufferings of the blind in India, in a rural setting blindness, irrespective of the cause, results in a loss of livelihood for an individual. In rural India, like elsewhere, this would translate into one less earning member in the family, making the blind person a burden to his/her family. This leads to a loss of dignity and status in the family. In effect, blind people in rural India, like in many other societies, are marginalized. Enter Aravind and LVPEI, who continue to strive to help blind people in rural India and empower them by giving them back their sight. There are many causes of blindness, like Diabetes for instance. But Cataract is one of the leading causes of blindness in the developing world. Records in India show that Cataract is the most significant cause of blindness in the country (Nirmalan et al. 2002 Murthy et al. 2001).Cataract, reports say, is responsible for 50 to 80 per cent of the bilaterally blind (Thulsiraj et al. 2003 Thulsiraj et al. 2002).The elderly are more at risk of developing Cataract. India aims to eliminate needless blindness by 2020 in line with ‘Vision 2020: the right to sight initiative, launched jointly by the World Health Organisation (WHO) and the International Agency for Prevention of Blindness (IAPB). Many organisations worldwide are also working in the direction of eliminating needless blindness (Foster, 2001). The government in India and the World Bank launched the Cataract Blindness Control Project in seven states across India in 1994.From close to 1.2 million cataract surgeries a year in the 1980s (Minassian Mehra 1990), Cataract surgical output tripled to 3.9 million per year by 2003 (Jose, 2003). In 2004, World Health Organization (WHO) data showed that there was a 25 per cent decrease in blindness prevalence in India (Resnikoff et al. 2004) the reason(s) could be the increase in Cataract surgeries countrywide. But there is a larger problem here, that of population growth. The aged population in India (those aged over 60 years) population which stood at 56 million people in the year 1991 is expected to double by the year 2016 (Kumar, 1997). This ‘greying of Indias population only suggests that the number of people ‘at-risk of developing Cataract is constantly on the rises. In the larger sense, this paper aims to show how private entrepreneurship in India is taking quality eye care to the rural masses in that country. This paper aimed to discuss the same through two case studies, that of the Aravind Eye Care system as well as the L V Prasad Eye Institute (LVPEI). Unfortunately, email correspondence with LVPEI failed to elicit responses from this organization. Given the limitations of this study, including time constraints, this paper will explain the Aravind Eye Care system in the context of rural Eye Care in India and the fight against Cataract Blindness all this within the framework of the CCA. Furthermore, this paper will critique the business model of NGOs like Aravind in the context of the Extended TCM model, including whether for-profit organisations are using the rural masses to support their business model. In particular, what is the role of the healthcare provider in this case disseminate knowledge to the grass-roots or live-off their healthcare delivery model? Aravind Eye Care Dr. G. Venkataswamy had a very simple vision when he first setup Aravind Eye Care in 1976: â€Å"Eradicate needless blindness at least in Tamil Nadu, his home state, if not in the entire nation of India.† Aravind began as an 11-bed private clinic in the founders brothers house in the southern Indian city of Madurai. Today, the Aravind Eye Hospital (AEH) at Madurai is a 1,500 bed hospital.   In addition to Madurai, there are four more AEHs in Tamil Nadu (Aravind.org) with a combined total of over 3,500 beds. By 2003 the Aravind Eye Care System as we know it today was up and running. The System continues to operate under the aegis of a nonprofit trust named the Govel Trust it comprises of a manufacturing facility (for manufacturing synthetic lenses, sutures, and pharmaceuticals related to eye care); eye hospitals; education and training (graduate institute of ophthalmology); research facilities (complete with an eye bank);) and a center for community outreach programs (Prahlad, 2004). A typical day at Aravind now has doctors performing about 1,000 surgeries including free surgeries; 5-6 outreach camps in rural areas where about 1,500 people are examined and close to 300 people are brought to an AEH for eye surgery (TED, 2009). How does Aravind do it? The organisation has setup ‘vision centers or clinics in remote villages, fitted with basic eye care equipment. Each clinic is manned by an ophthalmic assistant and â€Å"these clinics perform basic examinations; prescribe corrective lenses and treat minor ailments.† If an eye ailment can be cured by the application of eye drops, these clinics are equipped to do so.   For more complicated cases, such as Cataract Blindness, the patient consults an ophthalmologist based at an AEH in a nearby city via the videoconferencing route. If the patient needs corrective surgery, he/she is asked to hop onto a bus waiting outside the ‘vision centre that takes them to the nearest Aravind base hospital. The patients are operated upon the following day; they spend a day in post-operative care and then take a bus back to their villages all free of cost (Laks, 2009).[8] But it wasnt all gung-ho in the beginning; more hard work than anything else. There was no specific Outreach team. Everyone in the pool was asked to participate in Outreach programme. â€Å"In the beginning (in 1976-77) Dr. V and a small team would visit villages and conduct eye screening camps. Those who required Cataract surgery would then be advised to visit the base hospital for surgery. But Dr .V found that a majority of those advised to undergo surgery would dropout, owing to socio-economic factors like fear of surgery; lack of trust on restoration of sight; no money to spend for transport, food and post operative medical care and (their) resistance to western medicine,† according to the head of Outreach activities at Aravind, R. Meenakshi Sundaram in his email response to my queries. These barriers were gradually addressed through various strategies. â€Å"We decided to involve village chiefs and local organizations to take ownership of the Outreach programmes, in terms of identifying the right location for the Eye Camp and providing the required support facilities. Their help was key to community mobilization. We organized a team to standardize the quality in Eye Care service delivery. Furthermore, Dr. V focussed his attention on building hospitals like ones home where we normally expect basic culture and values,† said Mr. Sundaram. â€Å"Fear of surgery was a common barrier in addition to other factors. Perhaps the acceptance for surgery was low in the beginning. But it was constantly explained at the community level whenever camps were organized as the programme aims to serve people at large. Particularly, in the year 1992 the Intra Ocular Lens (IOL) was introduced and the rural community did not believe in having a ‘foreign particle in their eyes. We came across a lot of myths. Those issues were addressed thru counselling,† added Mr. Sundaram. Realizing the impact of counselling, a cadre was developed within the System in 1992 and seven counsellors were trained in the first batch of counsellors training. They were given a basic orientation about common eye problems with a special focus on IEC. ‘Patient counsellors i.e. patients who had undergone eye surgery were asked to help the Outreach team. â€Å"They played their role in explaining eye problems in the local language and tried to help others realize the consequences of failing to accept surgery. Considering the myths, a real IOL was used as education material to help the rural folk understand the concept of the IOL,† Mr Sundaram said. The number of counsellors has steadily risen ever since and stands at 179 at present. How is the Aravind Eye Care System possible? Financial self-sustainability was the primary focus from day one at Aravind. Initially, the organization was given a grant by the government to help subsidize the treatment costs for eye camp patients (Prahlad, 2004) and the Govel Trust also pledged properties to raise money from banks in the early days. Prahlad (2004) states that the Madurai AEH, the first, was always self-supporting as far as recurring expenditures were concerned. Within the first five years of operation, the Madurai AEH had accumulated surplus revenues for further development and for the construction of four other hospitals in the Tamil Nadu state. He adds that over the years, the patient revenues generated from its five hospitals located in five cities finance the Aravind Eye Care System to a great extent. Furthermore, Aravind has also taken to the management-contract route and it manages two hospitals outside of its home-state. While city folk are charged market rates for each consultancy and for surgery, patients in remote villages pay just Rs. 20 for three consultancies or SGD 0.60. (TED, 2009). Those who can afford to pay, the urban folk who visit Aravinds hospitals in urban locations on their own, do not get discounted rates. Such a system of cross-subsidies ensures that only 45 percent pay while the rest are not charged at all i.e. about five out of every 10 patients examined at Aravind can be provided free eye care, including eye surgery (TED, 2009). A cross-subsidising financial model is not the only mantra[9] to Aravinds success. Having been in the business of delivering quality Eye Care for over three decades now, the System is well-positioned to leverage on the Aravind brand-name to attract donations. Over the years, the organization has received international recognition for its work and this includes the 2008 Gates Award for Global Health, and this years Conrad N. Hilton Humanitarian Prize that carries a US$1.5 million cash award. Last but not the least is the money that flows into Aravind in the form of specific project-funding. One such sponsor is the London-based ‘Seeing Is Believing (SiB) Trust, a collaboration between Standard Chartered Bank and the International Agency for Prevention of Blindness (IAPB). Since 2003, ‘Seeing is Believing has grown from a staff initiative to raise enough money to fund a cataract operation for each member of the Bank to a US$40 million global community initiative. I wrote to Standard Chartered Bank (SCB) asking them why they decided to partner with Aravind and LVPEI. â€Å"LV Prasad Eye Institute, Hyderabad, as well as Aravind Eye Hospital are premier eye care institutes in the country.   India has a vast geographic spread and both these institutions work in different geographic zones of the country.   LVPEI is prominent in the south-eastern states of the country while Aravind is prominent in the southern states of India,† said Pratima Harite, Manager (Sustainability), Corporate Affairs- India in her email response to my queries. The rationale behind the India Consortium Project is the ‘vision centre concept that a significant proportion of eye problems corrected or detected at the primary care level has substantial savings to the individual and to the communities.   â€Å"Based on the success of LVPEIs Vision Centre model, the India Consortium Project proposed scaling up the development of Vision Centres in a co-ordinated matter in six states across the country.   For this, LVPEI sought support from four key implementing partners premier eye care institutions themselves across the country,† added Ms. Harite. Singapores Temasek Foundation (TF) part-funds SiB activities in India, particularly in capacity building i.e. in enhancing the training component of the SiB programme. Is this a viable business model? Aravind has perfected the model over the last three decades. They have the technology, behind the video consultation, in place â€Å"a low-cost wireless long-distance network (WiLDNet)† put together by the Technology and Infrastructure for Emerging Regions (TIER) research group at the University of California, Berkeley, California, USA.[10] This was done to overcome the issue of zero internet connectivity or slow connections that do not support video consultations in remote villages (Laks, 2009). In 2004, a mobile van with satellite connectivity was introduced to facilitate Tele-Consultations. The Indian Space Research Organisations (ISRO)[11] help was sought to this extent. The ‘vision centres can easily communicate with the base hospital (some 30 to 40 kms.) via satellite. These ‘vision centres effectively address the issue of accessibility, affordability and availability of quality Eye Care. â€Å"A series of centres were started across the Tamil Nadu state. Each base hospital is connected with a group of vision centres. At present, we have 10 ‘vision centres that operate on WiFi. The rest run on BSNL[12] broadband connections,† Mr Sundaram said. Aravind has the delivery system in place. A sound understanding of the local culture that in many cases is averse to western medicine and where modern-day medicine is not the first and only option to treat any disease or ailment. Why would a villager trust a doctor who drives down one fine morning and says he would like to operate upon them? Aravind begins by appointing a volunteer group for each community; some of these volunteers are further trained to serve as ophthalmic assistants and even as nurses in Aravinds hospitals. In a rural setting, rural folk trust their friends, neighbors, and their own people first. It is about creating ownership to the problem, like Mr. Sundaram said, and then partnering with the community to solve the problem. Aravinds financial results for the year 2008-09 were healthy. It raked in (income) US$22 million and spent (expenditure and depreciation) US$ 13 million.[13] Discussion That Aravind and other NGOs working in a similar direction, like LVPEI for instance, use the Culture-Centered Approach, as elaborated by Dutta (2008), in delivering quality eye care to rural India is quite clear. Aravind, in particular, has successfully integrated the CCA with the Technology-Communication-Management (TCM) model, as elaborated by Lee Chib (2008) to create a sustainable model for Eye Care delivery. ‘Accessibility and ‘affordability are the key factors in such healthcare models. In taking this route, one has to ensure that the technologies chosen for the job are cost-effective and easy to implement because capital expenditure and operational expenditure do play a vital role in determining the cost of healthcare services. Aravind has been able to keep the cost of Eye Care delivery considerable low consistently for many years now. Critics argue that organizations like Aravind are feeding-off their model. At this point, it is important to understand the ground-realities. In India, the divide between the urban ‘haves, and the rural ‘have-nots is only getting wider with each passing year. According to UN projections released 2008, India would urbanize at a much slower rate than China and have, by 2050, 45% of its population still living in rural areas (Lederer, 2008). The Government in India is not doing enough to address the plethora of health issues that plague [the various regions and communities in] the country. The flagship scheme to improve healthcare services in rural India, the National Rural Health Mission    launched in 2005 as a seven-year programme has many of its goals yet to be achieved, and the government is now considering extending it to 2015, according to recent media reports. Despite many a government claims and many a government schemes several villages in states across India co ntinue to depend on the private sector for quality healthcare or in this case Eye Care. Given this situation, Aravind and LVPEIs work in the direction of providing affordable Eye Care and free eye surgeries to five out of every ten patients they examine is a commendable feat.   A second question raised in this study is, what is the role of the healthcare provider in this case disseminate knowledge to the grass-roots or live-off their healthcare delivery model? Aravind is doing its part in disseminating knowledge to the grass-roots. Most ophthalmic assistants who man the ‘vision centers are community members trained by Aravind. But one has to understand that the act of knowledge dissemination in a remote rural setting has its challenges i.e. tackling illiteracy, basic awareness among others and these challenges cannot be addressed in just a few years. The India Consortium Project, sponsored by SCB and Temasek Foundation, set a target to set up 40 ‘vision centres by 2010. So far, 32 ‘vision centres are operational and the remaining will be operational this year, according to Ms. Harite.   On the flip side, a study by Murthy et al. (2008) argues that the goals of the ‘Vision 2020: the right to sight initiative to eliminate Cataract blindness in India by the year 2020 may not be achieved. But this should not deter those working in this direction. Both the public and the private sector must continue to fight Cataract Blindness because that is the only way to tackle the problem at hand. Last but not the least, this study recommends that NGOs operating in the healthcare space look at both the CCA and the TCM model to ensure better service delivery. References Chib, A. Komathi, A.L.E. (2009). Extending the Technology-Community-Management Model to Disaster Recovery: Assessing Vulnerability in Rural Asia. Submitted to ICTD 2009. Dutta, M. J. (2008). Communicating Health. Polity Press, Cambridge, U.K. Foster A. (2001).Cataract and Vision 2020 the right to sight initiative. British Journal Ophthalmology, 85, 635-639. Jose R, Bachani D. (2003). Performance of cataract surgery between April 2002 and March 2003. NPCB-India;2:2. Kumar S. (1997). Alarm sounded over Greying of Indias population. Lancet, 350, 271 Lee, S., Chib, A. (2008). Wireless initiatives for connecting rural areas: Developing a framework. In N. Carpentier B. De Cleen (Eds.), Participationand media production. Critical reflections on content creation. ICA 2007Conference Theme Book (pp. 113-128). Newcastle, UK: Cambridge Scholars Publishing. Lederer, E.M. (2008). Mint. Retrieved April 16, 2010, from http://www.livemint.com/2008/02/27231012/Half-the-world8217s-populat.html Laks, R. (2009). Videoconferencing and Low-cost Wireless Networks Improve Vision in Rural India. Comminit.com. Retrieved April16, 2010, from http://www.comminit.com/en/node/301452/307 Minassian DC, Mehra V. (1990). 3.8 Million blinded by cataract each year: Projections from the first epidemiological study of incidence of cataract blindness in India. Br J Ophthalmol, 4, 341-3. Murthy GV, Gupta S, Ellwein LB, Munoz SR, Bachani D, Dada VK. (2001). A Population-based Eye Survey of Older Adults in a Rural District of Rajasthan: I, Central Vision Impairment, Blindness and Cataract Surgery. Ophthalmology, 108,679-85. Nirmalan PK, Thulasiraj RD, Maneksha V, Rahmathullah R, Ramakrishnan R, Padmavathi A,et al. (2002). A population based eye survey of older adults in Tirunelveli district of south India: Blindness, cataract surgery and visual outcomes. Br J Ophthalmol, 86, 505-12. Prahlad, C. K. (2004). The Fortune at the Bottom of the Pyramid. Wharton School Publishing, Pennsylvanial, U.S. Resnikoff S, Pascolini D, Etyaale D, Kocur I, Pararajasegaram R, Pokharel GP,et al. (2004). Global data on visual impairment in the year 2002. Bull WHO, 82, 844-51. TED. (2009). Thulasiraj Ravilla: How low cost eye care can be world class. Retrieved April 16, 2010, from http://www.ted.com/talks/lang/eng/thulasiraj_ravilla_how_low_cost_eye_care_can_be_worl

Black And White Women Of The Old South Essay -- essays research papers

Minrose Gwin‘s book, Black and White Women of the Old South, argues that history has problems with objectiveness. Her book brings to life interesting interpretations on the view of the women of the old south and chattel slavery in historical American fiction and autobiography. Gwin’s main arguments discussed how the white women of the south in no way wanted to display any kind of compassion for a fellow woman of African descent. Gwin described the "sisterhood" between black and white women as a "violent connection"(pg 4). Not only that, Gwin’s book discusses the idea that for most of the eighteenth and nineteenth century, a black woman usually got subjected to displacement of sexual and mental frustration of white women. Gwin discusses how these black women, because of the sexual and mental abuse, felt looked down on more by whites and therefore reduced to even a lower level than that of white women‘s status of being a woman. . A southern white female slave owner only saw black women as another slave, or worse. White women needed to do this in order to keep themselves from feeling that they were of higher status than every one else except for their husband. White women as, Gwin describes, always proved that they had complete control and black women needed to bow to them. Gwin’s book discusses that the white male slave owners brought this onto the black women on the plantation. They would rape black women, and then instead of the white women dealing with their husbands. They would go after the black women only since the wives had no power over the husbands, but they maintained total control of the slaves, the white women would attack the black women and make their lives very diffucult. The white women would make sure that the black women understood that the white women completely hated the black women for being raped and wanted only pain for the them. This is how the black women of that time got t he stereotypes of being very sexual beings and hated by there oppressors. You can see evidence of this when Gwin discussed the realities of such hatred in the book Absalom, Absalom by William Faulkner. The main character, Clytie, sexual assaults by her male master upsets her because she doesn’t desire to be involved with him, but her female master feels that she should be punished for it. So the white female slave owner... ...man keeps her from ever getting past the dark skin, and makes the white women feel more like the Africans were more of an animal then an actual person. The white women always feels that the slave must understand that the man may rank higher than her but even if her husband wants to mess around then fault goes to the slave not the husbands. And the slave will never be to her level, because the black slave will never be a lady. And in the book you can see how the white women lost there power in the house and that their system of life that they received didn’t prove to work out anymore for them so they had to attempt to adjust to a way life took would take them. I feel that Gwin argues that the main reason for the confrontations for the struggle of power became evident in that it had gotten to point that certain black women would not let their own female owners hit them. This is an example of how not only how the whites women challenged the system, but also how the slave women started to make changes in how they willed to be treated. Bibliographical citation Gwin, Minrose. Black And White Women Of The Old South. Knoxville: Tennessee Press, 1985.

Final Exam Acc/291

————————————————- 1) The Sarbanes-Oxley Act requires that all publicly traded companies maintain a system of internal controls. Internal controls can be defined as a plan to A. safeguard assets B. monitor balance sheets C. control liabilities D. evaluate capital stock ————————————————- 2) The purchase of treasury stock A. decreases common stock authorized B. decreases common stock issued C. decreases common stock outstanding D. has no effect on common stock outstanding ————————————————- ) Marsh Company has other operating expenses of $240,000. There has been an increase in prepaid expenses of $16,000 during the year, and accrued liabilities are $24,000 l ower than in the prior period. Using the direct method of reporting cash flows from operating activities, what were Marsh's cash payments for operating expenses? A. $228,000 B. $232,000 C. $200,000 D. $280,000 ————————————————- 4) Where would the event purchased land for cash appear, if at all, on the indirect statement of cash flows? A. Operating activities sectionB. Investing activities section C. Financing activities section D. Does not represent a cash flow ————————————————- 5) In performing a vertical analysis, the base for cost of goods sold is A. total selling expenses B. net sales C. total revenues D. total expense ————————————————- 6) Blanco, I nc. has the following income statement (in millions): BLANCO, INC. Income Statement For the Year Ended December 31, 2011 Net  Sales †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ $200 Cost of Goods Sold †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 20 Gross Profit †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 80 Operating Expenses †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 44 Net Income †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ $ 36 Using vertical analysis, what percentage is assigned to Net Income? A. 100% B. 82% C. 18% D. 25% ————————————————- 7) Dawson Company issued 500 shares of no-par common stock for $4,500. Which of the following journal entries would be made if the stock has a stated value of $2 per share? A. Cash †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. $4,500   Common Stock 4,500 B. Feature Article Fin 486 Final ExamCash †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ $4,500 Common Stock 1,000 Paid-In Capital in Excess of Par 3,500 C. Cash †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. $4,500 Common Stock 1,000 Paid-In Capital in Excess of Stated Value 3,500 D. Common Stock †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. $4,500   Cash 4,500 ————————————————- 8) Andrews, Inc. paid $45,000 to buy back 9,000 shares of its $1 par value common stock. This stock was sold later at a selling price of $6 per share. The entry to record the sale includes a A. credit to Paid-In Capital fromTreasury Stock for $9,000 B. credit  to Retained Earnings for $9,000 C. debit to Pain-In Capital from Treasury Stock for $45,000 D. debit to Retai ned Earnings for $45,000 ————————————————- 9) Which of the following is a fundamental factor in having an effective, ethical corporate culture? A. Efficient  oversight by the company’s Board of Directors B. Workplace ethics C. Code of conduct D. Ethics management programs ————————————————- 10) Two individuals at a retail store work the same cash register. You evaluate this situation as A. violation of establishment of responsibility B. a violation of segregation of duties C. supporting the establishment of responsibility D. supporting internal independent verification ————————————————- 11) The Sarbanes-Oxley Act imposed which new penalty for ex ecutives? A. Fines B. Suspension C. Criminal prosecution for executives D. Return of ill-gotten gains ————————————————- 12) Hahn Company uses the percentage of sales method for recording bad debts expense. For the year, cash sales are $300,000 and credit sales are $1,200,000.Management estimates that 1% is the sales percentage to use. What adjusting entry will Hahn Company make to record the bad debts expense? A. Bad Debts Expense †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. $15,000   Allowances for Doubtful  Accounts †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. $15,000 B. Bad Debts Expense †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. $12,000   Allowances for Doubtful Accounts †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. $12,000 C. Bad Debts Expense â⠂¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. $12,000   Accounts Receivable †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. $12,000 D. Bad Debts Expense †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 15,000   Accounts Receivable †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. $15,000 ————————————————- 13) Using the percentage of receivables method for recording bad debts expense, estimated uncollectible accounts are $15,000. If the balance of the Allowance for Doubtful Accounts is $3,000 credit before adjustment, what is the amount of bad debts expense for that period? A. $15,000 B. $12,000 C. $18,000 D. $8,000 ——————————â €”—————- 14) Intangible assets A. should be reported under the heading Property, Plant, and Equipment B. hould be reported as a separate classification on the balance sheet C. should be reported as Current Assets on the balance sheet D. are not reported on the balance sheet because they lack physical substance ————————————————- 15) Intangible assets are the rights and privileges that result from ownership of long-lived assets that A. must be generated internally B. are depletable natural resources C. do not have physical substance D. have been exchanged at a gain ————————————————- 16) The book value of an asset is equal to theA. asset’s market value less its historic  cost B. blue book value relied on by secondary m arkets C. replacement cost of the asset D. asset’s cost less accumulated depreciation ————————————————- 17) Gains on an exchange of plant assets that has commercial substance are A. deducted from the  cost  of the new asset acquired B. deferred C. not possible D. recognized immediately ————————————————- 18) Ordinary repairs are expenditures to maintain the operating efficiency of a plant asset and are referred to as A. capital expendituresB. expense expenditures C. improvements D. revenue expenditures ————————————————- 19) When an interest-bearing note matures, the balance in the Notes Payable account is A. less than the total amount repaid b y the borrower B. the difference between the maturity value of the note and the face value of the note C. equal to the total amount repaid by the owner D. greater than the total amount repaid by the owner ————————————————- 20) The interest charged on a $200,000 note payable, at a rate of 6%, on a 2-month note would be A. 12,000 B. $6,000 C. $3,000 D. $2,000 ————————————————- 21) Costs incurred to increase the operating efficiency or useful life of a plant asset are referred to as A. capital expenditures B. expense expenditures C. ordinary repairs D. revenue expenditures ————————————————- 22) If a corporation issued $3,000,000 in bonds which pay 10% annu al interest, what is the annual net cash cost of this borrowing if the income tax rate is 30%? A. $3,000,000 B. $90,000 C. $300,000 D. $210,000 ————————————————- 3) Hilton Company issued a four-year interest-bearing note payable for $300,000 on January 1, 2011. Each January the company is required to pay $75,000 on the note. How will this note be reported on the December 31, 2012 balance sheet? A. Long-term  debt, $300,000. B. Long-term debt, $225,000. C. Long-term debt, $150,000; Long-term debt due within one year, $75,000. D. Long-term debt, $225,000; Long-term debt due within one year, $75,000. ————————————————- 24) A corporation issued $600,000, 10%, 5-year bonds on January 1, 2011 for 648,666, which reflects an effective-interest rate of 8%.Interest is pai d semiannually on January 1 and July 1. If the corporation uses the effective-interest method of amortization of bond premium, the amount of bond interest expense to be recognized on July 1, 2011, is A. $30,000 B. $24,000 C. $32,434 D. $25,946 ————————————————- 25) When the effective-interest method of bond discount amortization is used A. the applicable  interest rate  used to compute interest expense is the prevailing market interest rate on the date of each interest payment date B. the carrying value of the bonds will decrease each period C. nterest expense will not be a constant dollar amount over the life of the bond D. interest paid to bondholders will be a function of the effective-interest rate on the date the bonds were issued ————————————————- 26) I f a corporation has only one class of stock, it is referred to as A. classless stock B. preferred stock C. solitary stock D. common stock ————————————————- 27) Capital stock to which the charter has assigned a value per share is called A. par value stock B. no-par value stock C. stated value stockD. assigned value stock ————————————————- 28) ABC, Inc. has 1,000 shares of 5%, $100 par value, cumulative preferred stock and 50,000 shares of $1 par value common stock outstanding at December 31, 2011. What is the annual dividend on the preferred stock? A. $50 per share B. $5,000 in total C. $500 in total D. $. 50 per share ————————————————- 29) Manner, Inc. has 5,000 shares of 5%, $100 par value, noncumulative preferred stock and 20,000 shares of $1 par value common stock outstanding at December 31, 2011.There were no dividends declared in 2010. The board of directors declares and pays a $45,000 dividend in 2011. What is the amount of dividends received by the common stockholders in 2011? A. $0 B. $25,000 C. $45,000 D. $20,000 ————————————————- 30) When the selling price of treasury stock is greater than its cost, the company credits the difference to A. Gain on Sale of Treasury Stock B. Paid-in Capital from Treasury Stock C. Paid-in Capital in Excess of Par Value D. Treasury Stock

White Sharks

In your own words explain the demerit point system and give 10 infractions and how many demerit points it will cost the driver for each. Ans: Demerit points are added to your driver’s licence, if you are convicted of breaking certain driving laws. The rules are different depending on if you are a new driver or have a full licence. The demerit-point system encourages drivers to improve their behaviour and protects people from drivers who abuse the privilege of driving. Drivers convicted of driving-related offences have demerit points recorded on their records.Demerit points stay on your record for two years from the date of the offence. If you accumulate too many demerit points, your driver’s licence can be suspended. The person or office in charge of demerit points is the Ministry of transportation of Ontario. The Ministry of Transportation office controls the Ontario drivers by adding a system of demerit points to traffic tickets for such things as speeding and nearly all other traffic violation tickets. Demerit points are issued from the Ministry of Transportation office in order to reprimand drivers who collect more than their fair share of driving offenses.Consequences of demerit points include the removal of driving privileges by the Ministry of Transportation office. Ontario drivers who are considered probationary drivers can accrue up to six demerit points with fully licensed Ontario drivers being allowed to accumulate 15 demerit points before their licenses are suspended. The Ministry of transportation office will suspend a driver’s license for 30 days upon the first offense of 15 accumulated demerit points. They have the power to suspend the license for up to six months for successive collected demerit points.Additionally, once a person has accumulated nine demerit points the Ministry of Transportation office may request the driver to attend an interview. This interview is a chance for the driver to plead their case against having their license suspended. Besides the possible suspension of one’s license, traffic tickets that contain demerit points have a direct impact on one’s financial situation because the demerit points directly affect insurance rates. Seven demerit points are the highest amount of one time demerit points received for a single incident and these are given for racing and failing to remain at the scene of an accident.Demerit points can be given in a combination, for example someone can leave the scene of an accident which carries a penalty of seven demerit points in addition to being ticketed for failing to stop for a school bus which carries six demerit points making the total demerit points for one single incident 13 demerit points. This single incident will land a person an interview with the Ministry of Transportation office for possible license suspension. Demerit points from the Ministry of transportation office stay on someone's driving record for two years from the offe nsive date before they fall away.The following are 10 infractions and the demerit points given. 1. failing to remain at the scene of a collision 2. failing to stop when signaled or asked by a police officer 7 demerit points each 3. careless driving 4. racing 5. exceeding the speed limit by 50 km/hour or more 6. failing to stop for a school bus 6 demerit points each 7. Failing to stop at an unprotected railway crossing (for bus drivers only) 5 demerit points 8. exceeding the speed limit by 30 to 49 km/hour 9 following too closely 4 demerit points each 10 exceeding the speed limit by 16 to 29 km/hourDriving through, around or under a railway crossing barrier 3 demerit points each Q2Explain briefly what is safety standard certificate and emission testing? Ans: According to the Ontario Ministry of Transportation, â€Å"A Safety Standards Certificate is a document that certifies a vehicle’s fitness. † A Safety Standards Certificate is valid for 36 days after the inspection. However, the certificate is not a guarantee or warranty that the vehicle will stay fit for any period. The Certificate process was designed to ensure that any car changing hands must possess the minimum safety requirements to drive on the road.A safety certificate states that a car meets all legal safety standards and is fit to be driven. Emissions testing is to make sure that a vehicle does not produce more emissions than is allowable by law, for that particular vehicle. If it is failing emissions that means some of your emission equipment is failing and needs to be fixed. These are tests the state use to make sure the cars that are on the road are safe and non-polluting. A safety test will check things like brakes, headlights, alignment, tires. Emissions test will check the exhaust for smog or pollution levels.A safety standards certificate is a document that certifies a vehicle’s fitness. You can buy and register a vehicle without a safety certificate, but you cannot put your own plates on the vehicle or drive it without one. Any inspection station in Ontario licensed by the Ministry of Transportation can issue a safety standards certificate, provided your vehicle passes an inspection. Many garages are licensed — look for a sign saying it is a Motor Vehicle Inspection Station. A safety standards certificate is valid for 36 days after the inspection. However, the certificate is not a guarantee or warranty that the will stay fit for any period.A Safety Standards Certificate is required in the case of any vehicle changing hands to a new owner. This step is required before the new owner’s licence plate can be attached. The car must receive a Certificate before it can be â€Å"plated† (receive new plates from the Ministry of Transportation). Q3Explain the legal consequences of driving under the influence of alcohol? Ans: There are different laws for learner drivers and fully licensed drivers when it comes to drinking before driving. If you have a provisional license you cannot have any alcohol in system, no matter your age.Many drivers with a provisional license mistakenly think that they can have a drink before driving if they are old enough to drink. This is not true. If you have a learner’s license make sure that you have a blood alcohol level of 0% before you get behind the wheel of the car. You don’t have to be driving to get in trouble The car you are in doesn’t have to be moving to get an impaired driving violation? If you are sitting behind the wheel of a vehicle, moving or not, and have too much alcohol in your system you canget a fine, lose your license and face other penalties.Don’t ever sit in the driver’s seat unless you are physically able to drive. Make sure that you understand side effects. Driving under the influence of alcohol or drugs is a serious crime in Ontario. Make sure that you read the information about side effects before driving if you have taken an y prescription or over the counter medications. Never drive after using illegal drugs. You should also know that mixing drugs and alcohol can make side effects and impairment worse. Anything that impairs your ability to drive safely is illegal, even if you are under the legal blood alcohol limit.There are serious consequences to drinking and driving. Ontario takes impaired driving very seriously. In fact they are known for having one of the strictest laws in all of North America. Drivers under 21 or with a provisional license can immediately have their license suspended if they have any alcohol in their blood. Fully licensed drivers over 21 must have a blood alcohol level that is lower than . 05% or they risk a 24 hour road side suspension. In addition to facing suspension you can also get a fine of $60-$500 if convicted and a 30 day suspension.If your blood alcohol level is more than . 08% you face more serious charges. Charges will remain on your Ontario driver’s license fo r at least 10 years. Getting a citation for drinking and driving is very serious and the consequences can remain with you for a long time. Many drivers have to take alcohol education courses, others have to have ignition interlock devices installed and you can face serious fines. Any convictions will remain on your license for at least 10 years. Breath analysis is mandatory if requested. If you are asked to take a breath analysis test, you must comply.Refusing to do so can result in an immediate suspension of your license, even if you are not intoxicated. Never let anyone drive your vehicle unless you know they have a license. If you are caught drinking and driving you may be required to get an ignition interlock device on your vehicle. This applies to any car that you will drive. If you drive a vehicle without this device the vehicle will be impounded. Make sure that if you are loaning your car to someone else that you first verify their license or you may be without a car for 7 da ys while it is in impound.The consequences for drinking and driving in Ontario get more serious with each offense. While each drinking and driving conviction is serious, you will find that the penalties get worse with each offense. For example if you are caught in what is called the â€Å"warn range† (blood alcohol level between . 05% and . 08%) you will face a $150 fine and a 3 day suspension on the first offense. The second offense you will have the $150 fine, a 7 day suspension and an alcohol education course. The third time you will face the $150 fine, a 30 suspension, a 6 month mandatory interlock device and a mandatory alcohol treatment program.As you can see the consequences get worse each time and these are just the roadside consequences. Others may apply if you are convicted. These cannot be disputed, appealed or overturned. Drinking and driving is expensive. You can face some severe fines and financial charges if you choose to do this. Estimated court costs can be a nywhere between $2,000 and $10,000. If you violate the criminal code your fine will be $1,000. A treatment program costs $578. Your insurance will go up, sometimes as much as $4,500 additionally per year.Plus if you have to get an ignition interlock device it can cost $1,300. As you can see, it is much less expensive to avoid drinking before driving. If you are planning on drinking, don’t take the risk of losing your license. Instead ask someone else to drive. This is by far the easiest way to avoid drinking and driving convictions and problems. If you never drink and drive you will never have to worry about any of these potential consequences. If you have an Ontario driver’s license, make sure that you don’t risk it by drinking and driving.This is a serious offense and isn’t worth the risk. In addition to the financial and legal problems that you can face you can also find yourself seriously injuring or killing others or yourself. Next time you get ready to drink, make sure that you find someone else to drive you home. The Ontario Highway Traffic Act (HTA) creates punishments that are in addition to the Criminal Code fines and periods of imprisonment for drunk driving offences, including licence suspensions between 1 year for a first offence to a lifetime for a third offence.In addition to being subject to the suspensions, these drivers have to complete a remedial measures assessment and education or treatment program (for approximately 10 months), and also have to install an Ignition Interlock Device on their vehicles for between 1 year for a first offence to lifetime for a third offence (if the suspension period is reduced to 10 years). The Ignition Interlock Device is a leased breath alcohol monitoring machine wired into your vehicle’s ignition.However, the HTA is now also allowing for early reinstatement of the suspended licence with the installation of the Ignition Interlock Device – if you meet certain condition s. This program is available for persons convicted of a first impaired or over 80 driving or refuse breath sample offence that did not cause bodily harm or death and did not involve drug impairment. You must have a car and valid insurance to be eligible. Additionally, you must not be under another suspension (such as for dangerous driving or a novice driver disqualification) and you must have your fines fully paid. There are 2 â€Å"streams†: Stream A3 months minimum driver’s licence suspension Followed by a minimum Ignition Interlock Installation Period of 9 months *Stream ‘A’ is only available if you plead guilty and are sentenced within 90 days of being charged* Stream B 6 months minimum driver’s licence suspension Followed by a minimum Ignition Interlock Installation Period of 12 months Q4Explain the different types of car insurance in Ontario. Indicate which one of these is mandatory? Ans: Ontario law requires that all motorists have auto insur ance. Fines for vehicle owners, lessees and drivers who do not carry valid auto insurance can range from $5,000 to $50,000.If you are found driving without valid auto insurance, you can have your driver's licence suspended and your vehicle impounded. If you live in Ontario then there are a number of mandatory and optional car insurance coverage types available to you. Here are the coverage types that are mandatory for all drivers in Ontario. Liability Every vehicle in Ontario must carry at least $200,000 in third party liability coverage but most people choose to increase that amount to $1 million or $2 million in coverage. Third party liability insurance protects you in the event you damage someone else’s property or if you injure or kill someone.Accident Benefits Accident Benefits is another mandatory coverage in Canada. It will help cover income replacement, medical needs, rehabilitation, non-earner benefits, and caregiver costs if you are injured or killed in a motor vehi cle accident. In 2010, Ontario changed their insurance laws to give you more options when it comes to your accident benefits coverage. Uninsured/Underinsured Driver Protection This coverage will protect you (and a member of your family) if you are injured or killed by an uninsured driver. It also applies to a driver that is unidentified, such as the case in many hit-and-run incidents.This coverage also protects your vehicle if the driver is identified. Direct Compensation Property Damage This coverage is included in your car insurance premiums. It pays for damage that your vehicle might sustain in an automobile accident that is not entirely your fault. Optional Insurance Coverage The following coverage types are optional in Ontario but you should at least consider them when you go to renew your auto insurance. They will increase your overall insurance premiums but they could also save you a lot of money in the long run. Comprehensive CoverIf you want to have your car protected again st vandalism, fire, floods, windstorms, lightening, and theft then you should consider comprehensive coverage. It will protect you against damages or loss caused by those things. Collision Cover This optional coverage will pay for damages to your own vehicle. It is not required by law, but it is recommended, especially if your vehicle would be expensive to replace. Collision coverage will also pay for damages to your vehicle when you roll the automobile or if you hit another object – be it a car, a tree, or a building etc.If you don’t have this coverage and you are entirely at-fault in an accident then you will not be covered. Almost all car leasing and financing companies will require that you purchase collision protection if are to lease or finance a vehicle. Transportation Replacement Coverage This additional coverage will reimburse you for the money you spend on renting a car, while your vehicle is being repaired or replaced. Depending on the coverage you get it ma y pay for car rentals, taxis, and public transportation while your car is being fixed, or while you seek out a new vehicle. Depreciation CoverageThis coverage allows you to replace your vehicle with a brand new one, should your car be stolen or deemed a total loss. If you are convicted of driving without valid auto insurance, your insurance company may consider you a â€Å"high-risk† driver and charge you higher premiums or refuse to sell you insurance altogether. If you are injured in an accident while driving or occupying an uninsured vehicle: you may not be entitled to receive income replacement and/or non-earner benefits; and you may not be allowed to sue the at-fault driver for compensation as a result of injuries received in the accident.More  importantly, if you are found to be at fault for an accident causing injury or death to another person, you may be held personally responsible for his/her medical costs and other losses. Homework Day 2 Q. 1Explain in no more tha n 200 words how the knowledge of vehicle components leads to safe driving. Ans: Knowing your car and its various parts can be a life saver. The more you know about your car, the better equipped you are to handle problems, and the more likely you are to notice when something is wrong. Taking the time to familiarize yourself with your car will make driving it that much more enjoyable.One of the main benefits of knowing your car is being able to tell when your mechanic is trying to scam you. Even the most reputable mechanics have employees who will try to sell you parts and labor that aren't necessary. Each time you take your car into the shop — whether for a routine oil change or a minor repair — the mechanic is going to look for other problems that can be repaired during that same trip. Sometimes they'll tell you that something needs to be replaced, such as an air filter, when you've still got another 3,000 miles before you need a new one.Not only that, but even when yo u do need a new part or a repair, the mark-up for what the mechanic will charge you (versus what you would pay retail) is ridiculous. Another benefit to knowing your car is that the more familiar you are with the way your car operates, the more likely you'll be to notice when something is wrong. For example, I can usually tell just by driving my car when the air in the tires is low. When you pay attention to the way your car is supposed to feel, you'll feel even the slightest difference when something is amiss.A difference in the hum of the engine or a strange lop-sidedness can make all the difference. The longer you wait to repair your car, the more damage it might sustain. To get to know your car, start by studying your owner's manual. It's that thick book you keep in the glove compartment — you might have never even looked at it before. Take it inside with you after work and look through it. Study the diagrams and text in each chapter and learn about the different aspects of your car. If you aren't sure what something is, take the book outside and examine that part on your vehicle so you'll know what it is.If you find that you enjoy knowing about your car, you may be able to learn how to conduct simple repairs on your own. For example, having the brake pads on your car replaced by a mechanic could cost you up to $500. Replacing them yourself, however, will only cost about $50 plus a few hours of your time. The same goes for oil changes, fuse replacements, bulb replacements, your spark plugs and other parts. Once you know how to replace them, you'll get better and faster each time your car needs a repair. The most important thing is to know when you can do something yourself and when your car needs to be taken to a mechanic.Know your strengths and weaknesses and if you have doubts, haul your vehicle in. It's far less expensive to have a mechanic do it the first time than to pay someone to fix the damage you caused yourself. If you have friends or rela tives that are experienced with cars, you might ask them to assist with DIY repairs until you get the hang of it. It's also a good idea to know the tools you might need to fix your car. Keeping a small tool box in your trunk or under the seat will save you if you happen to break down by the side of the road. Make sure you always have a spare tire as well as the equipment needed to change it.You should also keep spare bulbs in your car in case a headlight winks out while you're on the road. Knowing your car is a good practice regardless of who you are and what kind of car you drive. It isn't always about saving money, but also about protecting yourself. You wouldn't want to continue driving your car, completely ignorant to a problem, so learn how your car smells, sounds, feels and looks so you can identify problems immediately. It helps to know how your vehicle works in order to best be able to understand how it will react in certain situations. For instance front versus rear drive.O ne can â€Å"power out† of a skid on pavement with compromised traction with front drive where rear drive will cause the rear wheels to loose traction and thus control. Other examples are; is the parking brake connected to the front or rear wheels? Saabs and Subarus use the front wheels for the parking brake. In an the event of brake failure it is safer to use it in these vehicles rather a parking brake that works off the rear wheels as that can cause the vehicle to spin. It also important to be able to recognize signs that a catastrophic failure is imminent such as the symptoms of failing tires, badly worn ball joints or tie rod ends.Q. 2Briefly explain how highway driving differs from city driving. Give 3 points of difference? Ans:Once on the freeway, a safe driver travels at a steady speed, looking forward and anticipating what’s going to happen on the road ahead. Traffic should keep to the right, using the left lanes for passing. As in city driving, your eyes shoul d be constantly moving, scanning the road ahead, to each side and behind. Look ahead to where you are going to be in the next 15 to 20 seconds, or as far ahead as you can see, when you travel at faster speeds. Remember to keep scanning and check your mirrors frequently.Stay clear of large vehicles. Because of their size, they block your view more than other vehicles. Leave space around your vehicle. This will let you see clearly in every direction and will give you time and space to react. Click here for following distances. Be careful not to cut off any vehicle, large or small, when making a lane change or joining the flow of traffic. It is dangerous and illegal for a slower moving vehicle to cut in front of a faster moving vehicle. Use the far left lane of a multi-lane freeway to pass traffic moving slower than the speed limit, but don’t stay there.Drive in the right-hand lane when possible. On many freeways with three or more lanes in each direction, large trucks cannot tr avel in the far left lane and must use the lane to the right for passing. Get into the habit of driving in the right lane, leaving the other lanes clear for passing. Q. 3List and briefly explain different warning gauges in a vehicle. Ans: Oil Pressure Light. This light refers to possible low oil levels, a worn or broken oil pump or excessive main bearing wear. Ignoring it could result in a seized engine or major engine damage. Brake Warning Light.This could refer to driving with the handbrake engaged, low brake fluid level or worn out brake pads. Brakes are the most important part of your vehicle; they affect the safety of the driver and all occupants. Don’t ignore this light! Air Bag SRS. If this warning light comes on, your air bag is not going to inflate on impact, which could jeopardize your safety. Malfunction is usually caused by a crash sensor fault, bad electrical connection or air bag module malfunction. Engine Temperature Light. This means the coolant level is low, the cooling fan isn’t working or the thermostat is failing to open.If this light flashes on, stop driving immediately, turn off the engine, and seek mechanical assistance. Driving while the temperature light is on can do serious and expensive engine damage. Battery Charging System Warning Light. This usually refers to an alternator failure, loose or torn alternator belt, faulty battery or a broken wire. The light indicates a problem with the charging system; get it repaired at your earliest convenience. Tire Pressure Warning Light. This light could be triggered by a flat tire, low tire pressure, tire pressure light not reset or bad air pressure sensor.Excessively worn tires or insufficient tire pressure not only affects fuel economy, it poses a risk. Q. 4 What is ABS and what kind of situations does it prevent? Ans:Anti-lock braking system (ABS) is an automobile safety system that allows the wheels on a motor vehicle to maintain tractive contact with the road surface accordin g to driver inputs while braking, preventing the wheels from locking up (ceasing rotation) and avoiding uncontrolled skidding. It is an automated system that uses the principles of threshold braking and cadence braking which were practiced by skillful drivers with previous generation braking systems.It does this at a much faster rate and with better control than a driver could manage. ABS generally offers improved vehicle control and decreases stopping distances on dry and slippery surfaces for many drivers; however, on loose surfaces like gravel or snow-covered pavement, ABS can significantly increase braking distance, although still improving vehicle control. Since initial widespread use in production cars, anti-lock braking systems have evolved considerably. Recent versions not only prevent wheel lock under braking, but also electronically control the front-to-rear brake bias.This function, depending on its specific capabilities and implementation, is known as electronic brake fo rce distribution (EBD), traction control system, emergency brake assist, or electronic stability control (ESC). There are many different variations and control algorithms for use in ABS. One of the simpler systems works as follows:[17] 1. The controller monitors the speed sensors at all times. It is looking for decelerations in the wheel that are out of the ordinary. Right before a wheel locks up, it will experience a rapid deceleration.If left unchecked, the wheel would stop much more quickly than any car could. It might take a car five seconds to stop from 60 mph (96. 6 km/h) under ideal conditions, but a wheel that locks up could stop spinning in less than a second. 2. The ABS controller knows that such a rapid deceleration is impossible, so it reduces the pressure to that brake until it sees an acceleration, then it increases the pressure until it sees the deceleration again. It can do this very quickly, before the tire can actually significantly change speed.The result is that the tire slows down at the same rate as the car, with the brakes keeping the tires very near the point at which they will start to lock up. This gives the system maximum braking power. 3. When the ABS is in operation the driver will feel a pulsing in the brake pedal; this comes from the rapid opening and closing of the valves. This pulsing also tells the driver that the ABS has been triggered. Some ABS systems can cycle up to 16 times per second. Q. 5Give examples of three safety devices and how they contribute to passenger safety? Ans:Top 10 Vehicle Safety Devices AirbagsSome people think that these are actually dangerous, but they have in fact saved many, many lives. There are two main types of air bags, dual stage airbags and side airbags. If needed, the dual stage airbags will go off at different times, one in a minor accident and both in a more serious crash. Side airbags help to prevent drivers and passengers from getting head injuries. Small children should be in their car se ats, in the back seat of your vehicle, where there are no airbags that can actually injure them rather than save their lives. On/Off Switches Many vehicles are equipped with on/off switches for airbags.This is for the times when children are going to be sitting near them. There have been many instances of airbags injuring children, and you can eliminate this risk by using the switch. There have been many incidents of injuries and even death in small children because of airbags, and this switch will eliminate that problem. Passenger Sensing System This has been created to reduce injuries or death to smaller children. This is an advanced airbag system that can tell the size of the person in the seat, with sensors that get information about the front-seat passenger’s weight and the pressure on the seat.This information tells the airbags whether or not to go off in the event of a frontal crash. Energy-Absorbing Steering System This is designed so that it will compress upon impact , lessening the risk of rib injuries to drivers. This has been proven to work in many instances, and it has reduced the risk of driver fatalities by 12%, and serious injuries and death risks have been reduced by 38%. When there is a crash, drivers are often thrown forward, and the steering wheel can cause serious injuries, making this feature one that you should look for in your next vehicle.Back Up Sensing System This is a wonderful little invention that makes it so that when you are backing up, you will be warned if you get too close to another vehicle or other object. This is now an option on a number of larger vehicles, such as RV’s and SUV’s, and it has greatly reduced the number of collisions caused by backing up, and a lot of bicycles in driveways have been saved because of this feature. Electrochromatic Mirror/Auto Dimming Mirrors One thing that can really be annoying when you are driving at night is the reflection of headlights in your mirrors.This feature wil l automatically darken the mirrors, which in turn reduces the glare. Today, approximately 10% of all vehicles are equipped with this feature, and many more vehicles are expected to have this technology in the near future. This not only helps to prevent accidents, it also helps people who are extremely light sensitive, and bothered by lights in their mirrors. Head Restraints Two of the most common injuries that occur due to automobile accidents are head injuries and whiplash.These head restraints, which are on the top of the front seats, will help to hold the head in place, and they reduce these types of injuries. New and more advanced systems make it so the seat will move down and back in the event of a collision, so there will not be as much forward motion, which of course will lessen the risk of head and neck injuries. Heads Up Display One should never take their eyes off the road while they are driving, but we all do. We must look down to check our speed and other things, and it can only take a split second for an accident to occur.A heads up display (HUD) will put the information you need right across your windshield, so your eyes never have to look anywhere but at the road. You will still be able to watch what you are doing, while being able to find the information you need quickly and easily. Padded Knee Bolster Knee injuries are a common result of automobile accidents, and this device can greatly reduce the risk of this type of injury. This is another feature that can keep the driver or passengers in the proper position to lessen their chances of being injured.It will also help to keep passengers from sliding beneath the instrument panel and risking becoming trapped or injured even further. Seatbelts These may have been around for many years, but many advancements have been made so that they will protect automobile occupants even more than the older versions. Unlike in the past, where seatbelts just went around your waist, today’s vehicles are eq uipped with front and rear seatbelts for both the lap and shoulders, and the locking system insures that those wearing the seatbelts (which is the law in Canada and the US) will not be thrown forward if an accident occurs.

Free Essays on Effects on Colored Musical Notes on Learning

Color is an important element in many people’s lives. A reaserch article entitled â€Å"Effect of Colored Rhythmic Notation on Music-Reading Skills of Elementary Students† analyzes the use of color in music. George L. Rogers researched how the use of color affected the learning abilities of young children to read and interpret music symbols. Rogers found that the use of color did not only improve the skills of the children, but they also found the material more fun and enjoyable when the notes were in color. Rogers stated that there is a â€Å" considerable body of educational research outside music suggesting that the use of color in instrumental materials can improve student performance and retention† (15). Rogers presents a number of examples from subjects outside of music that exemplify the benefit of color in educational materials. One of these tests involved students watching instructional videos in class. One group of students viewed the colored version of the video, while another group viewed the black and white version of the film. It was found that â€Å"students who viewed a colored version†¦ scored significantly higher on both immediate and delayed tests than did students who viewed a monochrome version. This study also found that students of different ability levels were affected differently by the presence or absence of color in the instructional materials† (16). There have been other studies that have â€Å"investigated† the effect of color-coded instructional materials in printed form. A reasercher named Lamberski found that â€Å"color-coded instructional materials were more effective than were black-and-white materials† (16). The use of color-coding had a more positive effect on tests of visual memory as compared to verbal memory (16). Rogers also discusses the use of color in math. The use of color in graphs and charts to teach numerical relationships has proven useful in teaching math to low-achieving a... Free Essays on Effects on Colored Musical Notes on Learning Free Essays on Effects on Colored Musical Notes on Learning Color is an important element in many people’s lives. A reaserch article entitled â€Å"Effect of Colored Rhythmic Notation on Music-Reading Skills of Elementary Students† analyzes the use of color in music. George L. Rogers researched how the use of color affected the learning abilities of young children to read and interpret music symbols. Rogers found that the use of color did not only improve the skills of the children, but they also found the material more fun and enjoyable when the notes were in color. Rogers stated that there is a â€Å" considerable body of educational research outside music suggesting that the use of color in instrumental materials can improve student performance and retention† (15). Rogers presents a number of examples from subjects outside of music that exemplify the benefit of color in educational materials. One of these tests involved students watching instructional videos in class. One group of students viewed the colored version of the video, while another group viewed the black and white version of the film. It was found that â€Å"students who viewed a colored version†¦ scored significantly higher on both immediate and delayed tests than did students who viewed a monochrome version. This study also found that students of different ability levels were affected differently by the presence or absence of color in the instructional materials† (16). There have been other studies that have â€Å"investigated† the effect of color-coded instructional materials in printed form. A reasercher named Lamberski found that â€Å"color-coded instructional materials were more effective than were black-and-white materials† (16). The use of color-coding had a more positive effect on tests of visual memory as compared to verbal memory (16). Rogers also discusses the use of color in math. The use of color in graphs and charts to teach numerical relationships has proven useful in teaching math to low-achieving a...

How to Use i.e. and e.g. Correctly in Business Writing

How to Use i.e. and e.g. Correctly in Business Writing A client in a business writing course asked if the abbreviations i.e. and e.g. were interchangeable. They are not. Each has a specific meaning and use. Example: There are standard abbreviations to use when writing a business document (e.g., an email, memo, or text message) and you need to add clarifying information (i.e., grammar rules and tips): i.e. is the customary abbreviation for "that is." It is derived from the Latin term "id est." e.g. is the customary abbreviation for "for example." It is derived from the Latin phrase "exempli gratia." (So I don't have to worry about remembering the Latin derivations, I simply remember that example and e.g. both start with the letter e. E=example=e.g. Therefore, examples use e.g. while clarifications use i.e.) hbspt.cta._relativeUrls=true;hbspt.cta.load(41482, 'bf4ee473-8e6b-46bf-b9e3-368d74d60b44', {}); e.g. in a sentence: The marketing team will require only the basic presentation materials for the Atlanta trip (e.g., Product Benefits PowerPoint, Competitor Comparison Checklist). Be sure everyone receives full travel itineraries by tomorrow. i.e. in a sentence: We eliminated the Alexa shoe from our upcoming catalog after customer complaints alerted us of quality issues (i.e., the red ink was not colorfast). When you meet with department store managers, I recommend substituting the similar Daniella shoe. CLARIFICATIONS Only use these abbreviated forms e.g. and i.e. in more informal or expedient documents. It is always correct to simply write out, "for example," or "that is." Since these are abbreviations, they do require a period after each letter. All but one main style guide recommends a comma after use: i.e., and e.g., If you are looking for more tips and tricks check out our full list of business writing tips.

Angina Pectoris Care Plan

Care Plan For Angina Pectoris Angina Pectoris Chief Complaint: Patient complains of having tightness and pain in his chest that seems to move down the left arm. Patient describes the pain as being sharp and can be sometimes a mild pain or an immobilizing pain. Medical Diagnosis: Coronary Artery Disease Pathophysiology of: Angina Pectoris Angina Pectoris develops when coronary blood flow becomes inadequate to meet myocardial oxygen demand. This causes myocardial cells to switch from aerobic to anaerobic metabolism, with a progressive impairment of metabolic, mechanical, and electrical functions. Angina pectoris is the most common clinical manifestation of myocardial ischemia. It is caused by chemical and mechanical stimulation of sensory afferent nerve endings in the coronary vessels and myocardium. These nerve fibers extend from the first to fourth thoracic spinal nerves, ascending via the spinal cord to the thalamus, and from there to the cerebral cortex. (http:// emedicine. medscape. com/article/15021 5-overview, 6/1 5/10 12:30 pm) Medical Interventions: Diagnostic Tests: 1. Coronary intravascular ultrasonography A coronary intravascular ultasonography is an invasive ultrasound performed rom a transducer within the lumen of the coronary arteries. (Laboratory test and diagnostic procedures, By: Cynthia Chernicky, 5th Edition 2008). Electrocardiography is a noninvasive acoustic imaging procedure that determines the size, shape, position, thickness and movements of the heart valves, walls, and chambers during each cardiac cycle. (Laboratory test and diagnostic procedures, By: Cynthia Chernicky, 5th Edition 2008). Lipid Profile; Blood 3. Lipid profile; blood is a test to check the units of each of the following: Total lipids, A. Triglycerides B. HDL Cholesterol C. LDL Cholesterol D. E. Total HDL Cholesterol ratio. 4. Stress Exercise Test Stress exercise test measures the efficiency of the heart during a period of physical stress on a treadmill or on a stationary bicycle. Medications: 1. Nitroglycerin Tablets: Classification: Vasodilator, antihypertensive. Action: Reduces preload and afterload, decreasing myocardial workload and oxygen demand. Uses: To prevent or treat angina pectoris, hypertension, and heart failure. Contraindications: Acute Myocardial Infarction, angle- closure glaucoma, cerebral hemorrhage, concurrent use of phosphodiesterase inhibitors, constrictive ericarditis. Route and Dosage: Adults: PO 1 mg. tablet every 5 hours while awake. (Buccal) 0. 1 To 0. 8 mg. hr. worn 12 to 14 hours at a time. (Transdermal Patch) Adverse Reactions: Some side effects of this drug that should be reported to a healthcare provider if they become severe are as follows: headaches dizziness flushing lightheadedness reported to a healthcare provider immediately. The adverse effects of nitroglycerin are: Nausea vomiting Weakness blurred vision fainting spell abdominal pain sweating chest pain pale skin rashes Ђ peeling of the skin blisters on the skin hives itching difficulty breathing Surgery: 1 Transluminal coronary angioplasty Your hearts arteries can become clogged from a buildup of cholesterol, cells or other substances. This can reduce blood flow to your heart and cause chest discomfort. Sometimes a blood clot can suddenly form or get worse and completely block blood flow, leading to a heart attack. Angioplasty opens blocked arteries and restores normal blood flow to your heart muscle. Angioplasty, a type of percutaneous coronary intervention (PCI), is not major surgery. It is done through a small puncture in a leg or arm artery and opens a clogged heart artery by inflating a tiny balloon in it. Assessment: Subjective: Patient is a 68 year old male with a history of coronary artery disease, and hypertension. Vital Signs as follows: -r: 986 R: 25 p: 102 Objective: Patient seemed to be crying and in severe pain. Skin was flushed, and clammy. Right hand was over left shoulder as if he were trying to relieve the pressure of the pain. Nursing Diagnosis: 1 Physical: 1. Acute pain related to decreased oxygen supply to the myocardium. Nursing Intervention: . Patient will remain on oxygen as ordered for the next 12 hours. 2. Give Nitroglycerin Tablets sublingually every 5 minutes for the next 1 5 minutes. . Patient will sleep for at least 30 minutes every 2 hours for the next 8 hour shift. Nursing Evaluation/Outcome: 1. Patient was able to be taken off of oxygen after the first 12 hours. 2. Patients pain had stopped after 1 5 minutes of administration of the nitroglycerin tablets. 3. Patient was able to sleep for 30 minutes every 2 hours with no interruptions in the last 8 hour shift. Nursing Diagnosis: 2 Psychosocial: 1. Anxiety related to change in lifestyle. Nursing Interventions: 1. Patient will be informed of the importance of taking the nitroglycerin at first sign of pain within an 8 hour shift. 2. Patient will learn how to decrease personal activities within 30 days. 3. Patient will Join a stress management course within the next month. 1. Patient was able to better understand the use of the nitroglycerin tablets after an 8 hour shift. 2. Patient was able to decrease physical activities in the last 30 days. 3. Patient was able to Join a stress management course in last month. Potential/ Risk: 1. Deflecient Knowledge related to coronary artery disease. . Patient will learn the causes of angina pectoris within an 8 hour shift. 2. Patient will learn the importance of side effects to medications within 8 hours. 3. Patient will make sure to get all information of medications before leaving the hospital. 1. Patient was better able to understand what caused the angina pectori by the time he left the hospital. References 1. Laboratory test and diagnostic procedures, By: Cynthia Chernicky, 5th Edition 2008. 2. http://emedicine. medscape. com/article/1 5021 5-overview, 6/1 5/10 12:30 pm

Building Stakeholder Management and Culture Essay

Building Stakeholder Management and Culture - Essay Example The paper tells that the value of building a sustainable, goal-oriented corporate culture has been identified as a path towards a thriving venture. Corporate culture talks about practical guiding principle, commonplace values, practices, interests, and beliefs integral to managers. Building a stable stakeholder culture is a key force reinforcing firm stakeholder management. One of the prevalent descriptions of stakeholder culture is that it holds the traditions, beliefs, ideals, and objectives that organisations have built for dealing with stakeholder relationships and concerns. Successful stakeholder management involves the formation of a corporate culture that most largely envisions and considers responsibilities to stakeholders (e.g. individuals, employees, communities, etc). Corporate stakeholders nowadays are confronted with policy and public demands, corporate social responsibility (CSR), and business ethics. Many of such issues are alongside a boost in government ruling and th e enlarged position of subordinate stakeholders in reaction to the economic disorders. Organisations are looking for new code of ethics that will originate from traditional norms as well as from moral codes. Policymakers and government stakeholders have recently acted to implement more accountability and transparency from CEOs to guarantee ethical business conducts and the rights of shareholders. Organisations will discover means to financially support CSR programmes with the assistance of the government, community advocates, and humanitarians. (Polonsky 2005). Ultimately, according to Lamb and Mckee (2005), for the demands of public policy, it is important for numerous stakeholders, especially employees, employers, labour unions, and the government to work in partnership to promote ethical corporate conduct and stakeholder management. Current studies have emphasised the notion of ‘stakeholder culture’ as an influential force when organisations are attempting to evaluat e the value of different stakeholder demands. Although some businesses manage to survive an economic setback, they would be in a better position if they will evaluate their stakeholder culture, rooted in ethical conduct, and characterised as the â€Å"shared beliefs, values, and evolved practices regarding the solution of recurring stakeholder-related problems† (Global Economics Crisis Resource Centre 2009, 34). Recognition of an organisation’s stakeholder culture can contribute to the growth of cooperation among stakeholders. The Stakeholder Theory In the 1970s, extraordinary intensities of environmental crisis and development, such as oil crisis, occurred. Because of this predicament the ‘stakeholder theory’ emerged as an ingenious global perspective of the corporate world (Lorca & Garcia-Diez 2004). Nevertheless, the concept upon which it was grounded was an already widely known field, because the concept ‘stakeholder’ had been applied in t he 1960s. However, some scholars trace back the origin of ‘stakeholder’ way earlier than the 1960s; Preston (1990 as cited in Lorca & Garcia-Diez 2004) claims that the concept surfaced when the General Electric Company classified primary stakeholders during the Great Depression, namely, the general public, customers, employees, and owners. But it was Freeman (1984) who formally established the stakeholder theory. Today, according to Carroll and Buchholtz (2011), the stakeholder theory is recognised far and wide and has gained the official approval of numerous academic disciplines, and professional groups. Nowadays, success no longer relies simply on the customer, but also on the attainment of a stable equilibrium that pleases a company’s stakeholders: employees, owners, customers, suppliers, and