Saturday, October 5, 2019

Managing Business Operations Assignment Example | Topics and Well Written Essays - 2000 words

Managing Business Operations - Assignment Example It also suggests strategies that can be applied by the senior management within the organization to reduce and improve on costs. The concept of operations management is mandatory in businesses as it is concerned with the creation of goods and services (Slack, Chambers and Johnston 2010). All organizations are involved in the manufacture of goods or service whether the organization is small- scale or large- scale, public or private profit- making or non- profit making. Most businesses have come to understand the importance of operations. This is owing to the fact that effective operations management enables a company to improve quality and service delivery. Operations management touches on all aspects of the business, not just on ‘operations’ (Slack et al. 2009). It is the centre of changes affecting businesses in the contemporary world including changing supply networks, technology and diverse customer needs. Operations managers should be creative to enable them respond to these changes. They must find solutions to these changes and be socially responsible. Analysis of the current operations management The hospital is regarded as one of the best health care centers in the US and attracts patients all over the world. As a characteristic for quality, its mission is to redefine quality as being the top place to receive and purchase health care. The hospital provides best environment for theirs staff to work and practice medicine. It has also positioned itself as the best organization to associate with. The institution was started nearly 85 years ago by a young Swedish emigrant known as Dr Nils Johanson as a non- profit hospital in Seattle. Fellow Swedish emigrants contributed to buy bonds for the renovation of the building in which the hospital was established. During its first years of operations, the founders paid for the costs of operations out of the pockets. This was the advent of a legacy of humanitarians that transformed the hospital into a glo bal health centre. In order to get an understanding of the current operations management, it is critical to look at the aspects below as expressed by Johnston and Clark (2008). Process- based capabilities The hospital focuses on developing systems that improve and reduce costs. There are innovative surgical pathways that direct the patients from the pre- admission to rehabilitation. They focus on patient education and communication which makes patients feel at control, it also minimizes complications and gives them quick recovery (Johnston and Clark 2008). The hospital has the necessary technology and facilities allowing the doctors to undertake research and new techniques. Resources The hospital has a wide range of resources that aid in delivery of excellent medical care. In the first years of operations, it was established in a renovated apartment building, had twenty for beds and limited staff. This has changed as the hospital is spread across twenty four blocks and two campuses. The number of beds has also increased to 860. The hospital currently has 4000 staff members with 1500 physicians in all medical specialties. The hospital maintains a continuing medical research in its commitment to maintain excellence as suggested by Institute for Operations Research and the Management Sciences (2003). There are more than 350 treatment protocols under investigation at any specific time. Patients who

Friday, October 4, 2019

Homeostasis and Pain Management in Patient with Multisystem Failure Essay

Homeostasis and Pain Management in Patient with Multisystem Failure - Essay Example Consequently, obtaining the blood pressure, respiration rate, pulse rate and temperature will reveal the vital symptoms of whatever ailments that the patient is suffering from. Determining the oxygenation of Mrs. Baker is extremely essential; this can be executed by the use of the pulse oximeter. Place the pulse oximeter on the index finger and observe the patient’s skin color, the beds of the finger nails, and also the skin around the lips (Poitout, 2004). The time intervals for capillary refills should be noted while also assessing the beds of the fingernails. Current level of consciousness should be determined by assessing the reactivity of pupils, orientation to person, time and place; ask the patient questions to estabish the state of the mind. Symptoms and signs of dehydration together with skin turgor, decreased blood pressure, lethargy, sunken eyes, confusion, dizziness, and dry mucous membranes must be investigated (Poitout, 2004). The pain levels of the patient can b e assessed successfully when the patient is in a conscious state and when he/she can still speak; for instance, the pain of the patient can be rated on a scale of 1 to 10. ... Furthermore, there is a standard standing order for intravenous medication in such situations, in this regard it important and a must to start an IV. The lab personnel must be ordered to be drawn off of the IV. Technological tools used, why they are used, and importance of the tools in determining the patient’s status Tools and technology to be used in the diagnosis include, pulse oximeter, stethoscope, glucose meter, Sphygmomanometer, Laryngoscopes, Stylets, and tracheal tubes The pulse oximeter is a medical device essential for measuring or monitoring indirectly the patient’s blood oxygen saturation, and blood volume changes in the skin. The pulse oximeter is also useful as it displays the patient’s pulse rate (Niles, 2010). The pulse oximeter is a vital tool especially in the event where patient’s oxygenation is unstable or compromised like in the intensive care unit, operating, emergency and in ward settings. As already mentioned, the tool helps in ass essing the patient’s need for oxygen and determining if there is any need for supplemental oxygen (Niles, 2010). The oxygenation levels of Mrs. Baker will be evaluated and recorded by the pulse oximeter. A stethoscope is an acoustic device used in hospitals for listening to sounds produced from within a human body or animal (Niles, 2010). In this regard, the instrument is indispensable in listening to sounds produced by lungs, heart, intestines together with blood flow in the veins and arteries. In this case scenario, the stethoscope will be used to determine the heartbeat rate, and the pulse rate of Mrs. Baker. The sphygmomanometer is vital in measuring the blood pressure by

Thursday, October 3, 2019

Proposition 34 Case Essay Example for Free

Proposition 34 Case Essay If the states voters approve it, Proposition 34 will eliminate the death penalty in California and replace it with life in prison without the possibility of parole. Specifically, Proposition 34 will: Repeal the death penalty as maximum punishment for people found guilty of murder and replace it with life imprisonment without the possibility of parole. Apply retroactively to people already sentenced to death. Require people found guilty of murder to work while in prison, with their wages to be applied to any victim restitution fines or orders against them. Create a $100 million fund to be distributed to law enforcement agencies to help solve more homicide and rape cases. California has seven hundred and twenty five people on death row. Seven of the seven hundred and twenty five people currently on death row have exhausted all appeals and are therefore eligible for execution; although a federal judge said that legal challenges to Californias lethal injection procedure must be resolved before any of them could be executed. The last time a prisoner was put to death in California was in 2006. California is one of 33 states that currently authorize the death penalty. The death penalty in California was judicially invalidated in the 1970s and was then reinstated as Proposition 7 in 1978. Thirteen inmates have been executed since then. Some arguments people are making who are FOR proposition 34 are that more than one hundred innocent people have been sentenced to death in the United States, and some have been executed. Their argument is stating that if proposition 34 is passed then we will never execute an innocent person in California again. Another argument is that California’s death penalty is too closely and broken beyond repair. They argue that one, only thirteen people have been executed since 1967-no one since 2006, most death row inmates die of old age. Two, we waste millions of tax dollars on special housing and taxpayer-financed appeals that can last 25 years. And last but not least in today’s society death row inmates sit around doing nothing. More arguments are that proposition 34 will make convicted killers work and pay into victims’ compensation fund, it will keep the killers in prison until they die, it will free up millions of tax dollars (to help our schools and to catch more murderers and rapists), and it saves money. Supporters are saying people think death penalty is cheaper then life in prison but they are wrong. Supporters also say California will save nearly $1 billion in five years, and the money could be spent on law  enforcement and our schools. Another thing supporters say is that there are more then one million unsolved cases of murders, so if we demolish the death penalty then some money can go to DNA testing, crime labs, and all other tools that help solve rapes and murders. Arguments that non supporters are making is that California is broke and abolishing the death penalty will cost tax payers over $10 0 million in the next four years and many years and many millions more in the future, instead of justice, killers get lifetime housing/healthcare benefits. Proposition 34 is not about saving money, it is about ACLU’s agenda to weaken public safety laws. Proposition 34 lets serial killers, cop killers, child killers, and those who kill the elderly, escape justice. Proponents don’t acknowledge that when California’s death penalty was eliminated before, condemned criminals were released only to rape and kill again. Voters had to restore capital punishment to restore justice. The death penalty is given to less than 2% of murderers whose crimes are so shocking that juries of law-abiding citizens unanimously delivered the sentence. Capital murder victims include: two hundred and twenty five children, forty three police officers, two hundred and thirty five raped and murdered, and ninety tortured and murdered. Non- Supporters also say that ACLU is the problem and that it is the ACLU and supporters who have disrupted fair implementation of the law with endless delays. Other states including Ohio and Arizona give criminals full rights and fairly enforce the death penalty. California can too. Also, that marketing Proposition 34, supporters make cost claims based on newspaper articles and â€Å"studies† written by the ACLU or other death penalty opponents. Department of Corrections data suggests abolishing capital punishment will result in increased long-term costs in the tens of millions, just for housing/healthcare. Taxpayers will spend at least $50,000 annually to care for each convicted killer who didn’t think twice about killing innocent children, cops, mothers and fathers. Non supporters say proposition 34 proponents don’t want you to know that it is not about the money, it is about their political agenda. In my opinion, if I were voting, I would vote no on proposition 34 because I feel that if someone can murder or rape another person then they deserve to die. There are way too many people in this world that are raping and killing others so we need to get rid of the ones already caught. I feel that if people actually start to get executed  for their stupidity then others will start to think twice before they go and rape or kill some one else. If we take away the death penalty then I feel that people will begin to kill and rape even more because in their minds it is â€Å"Hey, it’s only life in prison without parole, I still get benefits and I get to work†. If the death penalty get abolished California is screwed! Works Cited http://www.smartvoter.org/2012/11/06/ca/state/prop/34/

Wednesday, October 2, 2019

The Racial Wealth Gap Between Blacks And Whites

The Racial Wealth Gap Between Blacks And Whites Slavery and segregation played a major role in the amount of racism and inequalities in America. During slavery times, Whites had the power to purchase Blacks and land. If the Blacks were fortunate enough to be able to accumulate the money, they were able to purchase their and their families freedom. (Oliver and Shapiro 278, 1995) However, this seldom occurred due to the fact that it was very hard for Blacks to gain any money while in slavery. During the Jim Crow segregation in the south, there were laws prohibiting Blacks from operating businesses on an open market, meaning that they were not allowed to sell their products to Whites. (Bobo and Smith 187, 1998) They were at a disadvantage because they could not make the profit that they deserved simply due to their skin color. After the segregation, Whites were still not willing to help out and purchase from Black businesses. Because of this, Blacks were forced to focus mainly on selling to the Black community. Since the Blacks were very limited on what they could sell, this caused them to be more like a consumer than an owner. Since past generations of Blacks had to endure this racism and inequality, their poverty has been passed down from generation to generation; families have been unable to or struggling to get out of the debt of their ancestors. Each disadvantage that the Black community as a whole has had to endure has accumulated over time creating the sedimentation of inequality. Whites have gained more advantages over time simply resulting from the disadvantages that the Blacks have gone through. The restriction of access to schools, jobs, healthcare, and public services are products of segregation. The freedom of choice restricted from the Blacks has been legally sound while progressing through the centuries but has always been immoral. In 1988, only 50% of White Americans favored a law prohibiting racial discrimination in housing sales and rentals. (Farley and Squires 221, 2005) Housing policies, programs, and practices have played a large role in the gap of wealth between Blacks and Whites. In 1939, the FHA manual prohibited granting loans to families due to race. (Fischer 140, 1996) This meant that they didnt want to disrupt the racial integrity of a neighborhood. They wanted neighborhoods to be occupied by the same racial and social classes to retain stability. During the 1940s, the FHA recommended that developers use covenants that were racially restrictive to protect from people of color. (Fischer 140, 1996) Because of this, Blacks and other people of color could not b uy homes in most of the neighborhoods that Whites lived in; the middle class communities. In the 1940s, the government began helping families buy homes by backing the loans. In order to get a loan, the house had to be in a neighborhood that was in the top two of four categories. The assessors used a red pen to circle the neighborhoods that fell into the bottom two categories. This was called redlining, and the neighborhoods that fell into these bottom categories were primarily Black neighborhoods. These neighborhoods were ineligible for the loans which caused racial segregation throughout cities. Also, Blacks could not buy homes in the most affordable neighborhoods. Public housing projects were built in the redlined communities. The 1949 Housing Act was a renewal program that was aimed to get rid of the inner city ghettoes, and to remove many people from their homes by condemning them, forcing them into public housing. The majority affected by this were Blacks. The Whites then began to leave cities and move to the suburbs, bringing the middle-class jobs with them. Racially restrictive covenants were ruled illegal in 1948, yet they were not enforced by the FHA until 1950. (Fischer 141, 1998) This meant that communities were able to segregate based on color without issue. Once racial segregation was made illegal within neighborhoods, White Flight became an issue. White flight was when White families would leave neighborhoods when a person of color would move in because they thought that they would lower the property value and the overall value of the neighborhood. Although this was legal, the morals behind it were cruel and unethical causing racism to spread more and causing the gap to widen. The media and the overall sense of racism within communities played a large role in the gap of wealth and social standing between Whites and people of color. The media has often portrayed Blacks as lazy and not wanting work. Also, in many cases the media has portrayed Black women as welfare reliant, wanting to have babies to receive welfare checks. This was because of AFDC, a welfare program that seemed to give incentive to women to have children so that they could gain more welfare benefits. (Week 5 6 PowerPoint, slide 54) AFDC also was only available to single parents which caused the split of many Black families because of their need for money. However, the fact that Black women were believed to take advantage of this was a racial stigma spread by the media. This has caused the people and viewers to grow to learn these racist and biased opinions. Although the act of being racist can be the belief that one race is superior to another, it can also be colorblind. This means that ther e is a direct avoidance and acknowledgement of race. If one is a Colorblind Racist, they neglect that there have been and still are inequalities that need attention. (Silva 132, 2001) Nowadays, people may believe that they are not being racist if they completely rule out the fact that there is race, which causes them to not pay attention to the fact that there are racial inequalities. Presently, there are still many racial inequalities contributing the gap in wealth between Whites (and in some occasions Asians) and people of color. These issues still need to be addressed in order to lessen the gap. Another type of racism that is contributing to the neglect is Laissez Faire racism where excuses are made to try to justify why the injustices are still present. The structures of investment opportunity the racialization of the state attribute to the tremendous inequality in wealth between Whites and people of color. Structural racism is embedded in social structures such as laws and poli cies. New Deal legislation such as Social Security systematically excluded Blacks in the earlier years. As welfare recipients became viewed as primarily Black and undeserving, welfare benefits became political targets and antipoverty programs were cut. TANF was a state-funded welfare program that gave the state control of who is eligible to receive welfare. This enabled the state to be racially selective and caused families to deplete all resources to gain aid. The gap of wealth between Blacks and Whites has been prevalent for centuries. The past events and laws have contributed to the current racial inequalities. Slavery and segregation, housing sales and restrictions, and state-funded welfare all add to the current state of discriminations and imbalances of race in our communities. If these issues were assessed more accurately and unbiased, we could potentially close the gap between Blacks and Whites and finally have an equal society.

Richard Morris Hunt : Administration Building Chicago 1893 :: Architecture History

missing image Richard Morris Hunt: Administration Building, Chicago, 1893 This 11 by 14 inch photogravure of the great Administration Building at the Chicago World's Columbian Exposition of 1893 was taken from a set of 25 drawings of the exposition buildings. It was the main focus of the fair, and one of the masterpieces of its architect, Richard Morris Hunt (1827-1895). With its fine classical detailing and sweeping scale, this large building was integral to the "White City" concept of the fair. To this day it remains one of the most recognizable landmarks associated with the Columbian Exposition . The Administration Building was conceived by a board of architects led by Daniel Burnham as part of the scheme for the Court of Honor, the major public space at the fair. As director of architecture and construction for the entire Columbian Exposition, Burnham was responsible for selecting designers for all the major buildings. After much debate, this group of mostly east coast practitioners decided that all the major buildings were to be cast in a pristine and highly decorative classical style based on the architecture of Antiquity. Burnham assigned the task of designing the most prominent building to arguably the most prominent man of the group, the New York architect Richard Morris Hunt. By the time Hunt was selected to design the Administration Building, he was near the end of his distinguished career. The first American architect to attend the prestigious Ecole des Beaux-Arts in Paris, Hunt had acquired the status of "dean of American architecture" (Stein 3). His reputation was supported by his large output of fine eclectic buildings such as the Breakers in Newport (1892-95) and Biltmore House in Asheville, North Carolina (1888-95), both estates for the wealthy Vanderbilt family. These two stylistically different buildings exhibit the quality of Hunt's architecture known as the "grand manner," where he achieved monumentality by combining different sources of classical architecture. This quality was what attracted the fair organizers, and it would be carried to its furthest expression in the Administration Building. As the focal point of the fair, the Administration Building had an important symbolic function. Although not intended for anything related to the fair other than housing offices, the picture shows that it was much larger than necessary for administration purposes. Its great size related to its function as triumphal gateway into the fair. The large majority of visitors arrived by train at the station located directly behind the Administration Building.

Tuesday, October 1, 2019

Midsummer by Manuel Arguilla

————————————————- TANCIOCO, MICAELA A. 12/13/11READING LOG #1LIT02 Midsummer by Manuel E. Arguilla The story is about Manong whom had encountered a girl in the mid-day of summer. At first he didn’t saw the girl. When he saw her, he got curious and started following her everywhere she go. Every detail on what the girl is doing was noted in the story. By the way she got the jar placed in her head and etc. He then portrayed what the young lady look like. He left the bull and his cart in the road as he followed the young lady.As the young lady does her thing, the boy continues his journey and lunch came. He then rest and waited in a path where he know the young lady will pass. After some time he waited until the lady was there and offered the lady the lunch he have. The lady didn’t answer and smiled at him at first. But then the young lady told him that she finish ed her lunch already that’s why she’s getting some water in the middle of the day. They became acquaintances and started chatting about stuffs.The girl shared that all they have as food is salt and rice that made Manong shocked. The young lady offered Manong to go to their house but Manong insisted. The young lady still wants Manong to go to their house so Manong decided to go because he got no house to sleep for the night. Manong did realize that he wants to know the true person in that young lady he met this afternoon and with that his last words was â€Å"He felt that he could follow the lender, lithe figure ahead of him to the ends of the world. I think Manong felt love that instant she met the young lady. With him only looking for a distance made his heart grow fonder. It made an urge to know more about the young lady. With the young lady offering their home to this stranger made a good implication to Manong that he had an idea that this young lady had a good hea rt. He then realize after the end of the day that he fell in love with the stranger he had met awhile ago. That he can go where ever as long as he is with this girl.

The Accomplishments of the Greeks

THE ACCOMPLISHMENTS OF THE GREEKS The ancient Greeks had many accomplishments including philosophical beliefs, intellectual ideas and artistic developments. They used many forms of expression to express their philosophical, intellectual, and artistic achievements. These forms essentially made up their culture and defined their lifestyle. In document 1, the philosophy of Socrates stated that humans should analyze their lives. This is an accomplishment because it shows that Greek philosophy was the beginning of modern ideas.As stated in document 2, Aristotle believed that human reason is important in order to have a good life. Aristotle’s rational thought was an accomplishment because it questioned aspects of Greek society. This document was created at this time because it shows the teachings and beliefs of Aristotle that were conveyed to the people. As seen in document 3, the government in Greece around 430 B. C. E. , was set up similar to a republic. Document 3 describes the d emocratic form of government that was used to rule Greece.One of the reasons Greece was so successful was the system of government in place favored fairness and equal opportunity. Pericles was the greatest Athenian democratic ruler. This proved to be an intellectual achievement because it shows that the rulers of Greece at this time were able to form a system of government that was able to effectively rule the people. As seen in document 4, the Greeks had doctors and people specialized in the medical field. This is an intellectual accomplishment of the Greeks because it shows that they had job specialization within the culture.Job specialization is only possible in thriving societies, thus proving Greek was a prosperous civilization. Document 5, describes a geometrical theorem that is still used in mathematics today. This is an intellectual accomplishment because it was written around 300 B. C. E. , and still remains true today. In document 6, an excerpt from the play Antigone, comm on Greek beliefs are conveyed through the characters. As shown in document 7, the Parthenon is an example of Greek architecture, wealth, and religious beliefs. The culture and values of Greece at that time, is displayed through the art that was created.Sculptures, such as the one in Document 8 show the importance of athleticism and the Olympic Games in Greek society. Art was a way for the Greek to express their thinking and way of life in a creative format. An additional document that would be helpful in understanding the accomplishments of the Greeks, would a map of the trade routes throughout the Mediterranean and Black sea. This would show how the Greek culture was able to be spread throughout the Mediterranean Basin. It would also show how the Greeks were able to gain wealth and how it affected their culture.