Friday, November 29, 2019

Why Is Listening the Most Difficult English Skill to Master free essay sample

There are different ways to listen a person beech, but are all the ways correct or are wrong? Perhaps this topic doesnt have a correct or a wrong way to be developed, because every person have their own listening strategies to understand what others want to tell them. The challenges that every person have when listening are: 1. New vocabulary: because If you dont know a word that someone tell you, and you cant relate It with another one, you get stuck, and you lose the rest of the Idea because you stop talking about that NEW word. . Accents dialects: theres a lot of difference speaking with a person of your same entry, than speaking with a foreign person, why? , its so simple, because they have different accent or dialect, so they pronounce a lot different the words, so if they are saying a simple sentence, it becomes a difficult one, cause you wont understand them quite well and there will be some troubles with the communication. We will write a custom essay sample on Why Is Listening the Most Difficult English Skill to Master? or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 3.Speech speed: theres a lot of difference between a person that speaks slow, than other one that speaks fast, even if you are used to listen a lot, its difficult to have a conversation with a person that speaks really fast. There are a lot of challenges that a person have when listening, but also there are a lot of strategies to understand better and get all the idea that the other person want to transmit like: 1. Repeat: always there will be an idea that you wont understand, so is important that if you dont get one thing, ask if they can repeat, so you can clarify that idea and understand the whole idea that was exposed. . Read first: is always smart to read before the speech begins, if you know about the topic that will be exposed, it will be easier to understand it. . Pay Attention: it is always important that if you are listening, you have to put attention to the speaker, but there will be moments that you will have to put all of your attention In the speech, like in the introduction and in the conclusion, to get the idea of what they are talking about.What I have wrote is only a little part of some challenges and strategies about listening that we will encounter In our life, personally I always have to put attention to what they are speaking, so I can get the Idea and also I have to now something before the speech, so I can relate what the speaker Is telling us, to what I have read, so is easier to get the Idea and understand better, there are a lot of strategies to Improve the listening skill, so what Is your strategy? The most used, is the easiest of all. For example, a person living in the Unit ed States dont speak like one living in Europe, why? Because in every country there are different idioms that people speak, so why people from different countries, that speak English, dont understand between them well? The answer is because they listen in a speech, but are all the ways correct or are wrong? Perhaps this topic doesnt have a every person have when listening are: 1. New vocabulary: because if you dont know a word that someone tell you, and you cant relate it with another one, you get stuck, and you lose the rest of the idea because you stop thinking about that NEW word. 2.Accents / dialects: theres a lot of difference speaking with a person of your same an idea that you wont understand, so is important that if you dont get one thing, ask n the speech, like in the introduction and in the conclusion, to get the idea of what strategies about listening that we will encounter in our life, personally I always have to put attention to what they are speaking, so I can get the idea and also I have to know something before the speech, so I can relate what the speaker is telling us, to what I have read, so is easier to get the idea and understand better, there are a lot of strategies to improve the listening skill, so what is your strategy?

Monday, November 25, 2019

Free Essays on Belief

Day after day I sit and wonder how and why I exist. I try and find a meaning to life. I try and figure out what I believe in then emerges religion. Looking in my Webster’s dictionary I come upon the word â€Å"religion.† Not surprised, you come to find that the word religion has close to 8 definitions and I will not be shocked to find out that in 10 years a 300 page book would consist of all things religion. So, the truth shall set us free†¦ The one idea of religion is the questions people ask to feel good. People want to know what life is and why we want to live it. Religion gives those who come together a form of connection and unity. On the other hand, religion has caused wars, which have been carried out in God’s name. Religion causes countries to fight other countries and has a lot to do with politics. Religion remains a major part of society. People have a desire within to believe in something. Will this desire ever change? Society today places greater faith in themselves and the world around them rather than placing their faith in a religion. Religion in some ideals has become more materialistic and technology based, than it is fact and tradition. It is now being used to make money, mostly through scamming people. All of its meaning seems to have been lost and more and more people don’t know why they pray or thank God for. But†¦ Religion for me is what this paper was about. I have experienced, learned, wondered and always tried to solve several mysteries, but I cannot do so. Everyday my views about certain things always relay back to myself and how well I exist in society. I try and distinguish between wrong and right and then realize how everything around me will never be right – unless I believe. I have been through so many experiences that sometimes I feel as if I wasn’t meant to exist. Society is society, it will not fail to disappoint nor will it remain constant – exactly like me.... Free Essays on Belief Free Essays on Belief Day after day I sit and wonder how and why I exist. I try and find a meaning to life. I try and figure out what I believe in then emerges religion. Looking in my Webster’s dictionary I come upon the word â€Å"religion.† Not surprised, you come to find that the word religion has close to 8 definitions and I will not be shocked to find out that in 10 years a 300 page book would consist of all things religion. So, the truth shall set us free†¦ The one idea of religion is the questions people ask to feel good. People want to know what life is and why we want to live it. Religion gives those who come together a form of connection and unity. On the other hand, religion has caused wars, which have been carried out in God’s name. Religion causes countries to fight other countries and has a lot to do with politics. Religion remains a major part of society. People have a desire within to believe in something. Will this desire ever change? Society today places greater faith in themselves and the world around them rather than placing their faith in a religion. Religion in some ideals has become more materialistic and technology based, than it is fact and tradition. It is now being used to make money, mostly through scamming people. All of its meaning seems to have been lost and more and more people don’t know why they pray or thank God for. But†¦ Religion for me is what this paper was about. I have experienced, learned, wondered and always tried to solve several mysteries, but I cannot do so. Everyday my views about certain things always relay back to myself and how well I exist in society. I try and distinguish between wrong and right and then realize how everything around me will never be right – unless I believe. I have been through so many experiences that sometimes I feel as if I wasn’t meant to exist. Society is society, it will not fail to disappoint nor will it remain constant – exactly like me....

Friday, November 22, 2019

Berkshire Hathaway Company Essay Example | Topics and Well Written Essays - 1750 words

Berkshire Hathaway Company - Essay Example The company is now a holding company that holds many diverse subsidiaries. What is the company’s Mission Statement? What is the company’s Vision Statement? Who are the Primary Stakeholders of the company? Primary stakeholders are those who have a direct interest or stake in the organization. The stakeholders of almost all the companies are same. Stakeholders can affect or be affected by the actions of a business. The primary stakeholders of Berkshire Hathaway include the owner of the company, the employees, its customers, suppliers, its creditors, the trade unions, its stockholders and the government. The employees of Berkshire have a great stake in the organization because they are directly linked to the company’s performance (BERKSHIRE HATHAWAY, INC 2010) Similarly the stockholders share the same stake in the business of Berkshire Hathaway. What are the five forces of Competition and how they impact on the company? The five forces of competition present in the environment and that affect the competition include the competitors of a firm, bargaining power of suppliers, bargaining power of the customers, new entrants and the substitutes available. Competitors of a firm result in rivalry. ... Berkshire Hathaway has very good relations with its suppliers. Plus the company owns so many subsidiaries that it has a large numbers of suppliers, thus resulting in a low bargaining power of the suppliers. Looking at the customers as a force, they have a high bargaining power as opposed to the suppliers. Berkshire Hathaway honors its customers in every possible way. Then comes the threat of the substitutes. Berkshire has a very diverse range of business activities and it offers so many products to so many different markets. There is a threat of substitutes but Berkshire Hathaway has a very strong financial and capital position that whenever there is an alternative investment available in the market, it does not hesitate in acquiring that alternative. Berkshire faces competition but the competition is not very huge because the number of firms present in the holding industry is not very large. There are only few holding firms that equal the size of Berkshire Hathaway. So the competiti on is low as compared to other industries. All the forces of competition lead to rivalry, but in the case of Berkshire these forces are not that intense and thus do not result in huge rivalry. SWOT Analysis SWOT analysis is a tool that is used to look into the strengths and weaknesses of the company. It helps to determine the opportunities and threats posed by the external environment. Basically the analysis sets a direction for the organization as to how it should use its strengths to minimize the threats posed by the external environment and also to make use of the opportunities in order to overcome its weaknesses. Though Berkshire Hathaway is well established holding company but still it is not possible that it won’t have any weaknesses or

Wednesday, November 20, 2019

Islamcis Essay Example | Topics and Well Written Essays - 1750 words

Islamcis - Essay Example In this section Edward Said highlights that west considers the orient as a place out of historical evolution. He points out that westerners portray India or Egypt in the same way today as they did one fifty years back as if societies here are static while west is progressing. He further points out that west created an image of east which was based upon colonial mindset in which they showed east as a mystic, ancient and non-progressive society and this attitude is prevalent in all sections of society may it be literature, science or social norms. In this section Edward Said furthers the debate with a sustained argument that history of imperial conquest is at the back of Orientalism. He explains that British and French rules the colonies for a long time and they only developed that much understanding of these societies as was required to rule over them and a human approach to understand the locals was never made. He further explains that this imperialism is not only material but also ideological in form and traces the seeds of ideological imperialism at Napoleon’s invasion of Egypt in 1789. He also stresses that American Imperialism is different from the British or French on account of two factors; Americans imperialism is indirect whereas British and French ruled thee societies directly and American Imperialism is more politicized because of the presence of Israel in the region. Section four of the movie elaborates American Imperialism in deeper details. Here, Said argues that the way Islam is projected in western media is a big problem. Muslims are shown as villains in movies, cartoon and news media and a sense is created that somehow they have to be crushed. He argues that terrorism is only one factor but US has practically sanctioned Anti Arab Racism and situation has only deteriorated in recent decades. He also refers to his book covering Islam and points

Monday, November 18, 2019

Case study Example | Topics and Well Written Essays - 250 words - 78

Case Study Example eading of the Zara case study does lead to the conclusion that the immense success of Zara in the apparel retail sector is based on a few well thought and highly planned strategic approaches towards the clothing retail business. One major factor that could be held responsible for the high success of Zara in the clothing retail sector is the company’s pro-active approach towards business. The problem with most of the competitors is that they happen to have a highly market dependent approach towards business. They happen to wait for the market influences to shape and impact their business strategy. In that context, the amazing thing is that Zara has a business approach towards retail that is highly competitive and pro-active. Zara does not wait for the things to happen to it. Instead, this retail giant goes on and plays a pro-active approach in determining and shaping the consumer preferences and choices. The primary factor that sets Zara apart from its competitors is that Zara is always in touch with the latest fashion trends and is thereby able to get a hold of the clothing retail trends in a way that is unthinkable for other companies. Hence, it would not be wrong to say that Zara is not a product driven but a trend driven company in the sense that the primary stress at Zara is to identify, produce and market consumer preferences at all levels of its supply chain, are they strategizing, designing, manufacturing, marketing and sales. In that case it would be really important to mention that Zara is indeed one of the few clothing retail companies that have been able to strategically exploit the available IT inputs and choices in every aspect of its product designing, manufacturing, marketing and sales. Hence, the thing that needs to be understood is that the retail success of Zara is directly linked to the company’s practical understanding of the clothing retail market, the adoption of this understanding in every aspect of its supply chain and marketing, and

Saturday, November 16, 2019

Onychomycosis Treatment Evaluation

Onychomycosis Treatment Evaluation A synopsis on Onychomycosis in patent with high degree of glycated hemoglobin (HbA1c) Essa Ajmi Alodeani, Mohammad Asrar Izhari, Mohammad Arshad Abstract: Onychomycosis is an intercontinental disease burden and poses growing concern for the health-care establishment. It is a comparatively quotidian dermatologic manifestation. It is an infection of the nail plate or nail bed caused by fungus which leads to the imperceptible destruction of the nail plate, accounting for about half of all disordered nails and almost 30% of cutaneous mycoses. Variation in the incidence of the ailment reflects region and age. Usually it is not a self-limiting dermatologic representation and may trigger more infectious lesions at another site of the body owing to progressive nature of mycosis. Cosmetically unsightly affected nails may begin to be painful and lead to functional impairment. In case of patients with high degree of glycated hemoglobin (HbA1c) which is now days evaluated as an indicator of diabetes control, onychomycosis treatment becomes more imperative owing to the association between diabetes and the diabetic foot ulcer which one of the most s erious sequelae of diabetes in the lower extremities. Especially lower limb sequelae are great contributors to hospitalization of diabetic patients accounting for the majority of in-hospital stay and huge consumption of resource leading to the great deal of economic setback of the health care system of the country. Approximately 15% of diabetic patients develop a lower extremity ulcer during the course of their ailment. Diabetic foot syndrome (DFS) affects 1 out of 5 diabetic patients at least once in his/her lifetime. The necessity of the selected treatment in these patients must be exercised to minimize or anticipate any adverse drug interactions as they concurrently use other medications. With the avalanche of scientific evidences and keeping all the aspects of the onycomycosis, it would be worth to undertake the subject under investigation. Keywords: Onychomycosis, diabetic patients, glycated hemoglobin (HbA1c) Introduction: Onychomycosis is a global and comparatively quotidian dermatologic manifestation raising disease burden and poses growing concern for the economy of health-care establishment. It accounts for about half of all disordered nails and almost 30% of cutaneous mycoses. In case of patients with higher degree of glycated hemoglobin (HbA1c)-a diabetic monitoring marker, the treatment becomes more imperative owing to the association between diabetes and the diabetic foot ulcer which one of the most serious consequences of diabetes in the lower extremities. Which is a great contributor to hospitalization of diabetic patients accounting for the majority of in-hospital stay and huge consumption of resource leading to the great deal of economic setback of the health care system of the country. Onychomycosis is a very common nails infection globally and responsible for 30% of cutaneous mycotic infections and 50% of all nail disorders [1-3]. It is associated with morbidity and long lasting treatment with anti-fungal agents and leads to substantial patient distress, disability, pain, negative self image and can predispose to the soft tissue infection, particularly cellulitis [4-7]. It is more common in diabetic than nondiabetic patients and the patients with diabetic infection have a greater risk of serious complications from the disease such as limb amputations [9-23]. Recent epidemiologic study reveals that diabetic patients are 2.8 times more likely to have onychomycosis than nondiabetic patients. Diabetic patients are very much susceptible to fungal nail infections as they often experience impaired sensation; lack of pain sensation can make them less aware of trauma to their feet, such as nail changes that develop during onychomycosis [23]. Thickened mycotic nails can cause pressure necrosis of the nail bed in diabetic patients, and sharp infected nails can pierce the skin. In diabetic patients the minor ulcerations are serious as they are often unrecognized and can lead to serious diabetic foot infections [23]. The morbidity associated with the onychomycosis infections itself and in combination with the diabetic infection and also the hepetotoxicity of the available drugs is a great problem both at nationally and internationally. With the avalanche of scientific evidences and keeping all the aspects of the onycomycosis, it would be worth to undertake the subject under investigation. Review of literature: Glycated haemoglobin (HbA1c) was firstly identified as an â€Å"unusual† haemoglobin in diabetic patients with over 40 years ago [24]. Then studies were conducted for correlating it to glucose measurements resulting in the idea that HbA1c could be employed to measure the glycaemic control. After that it enters into clinical use in the 1980s and subsequently has become a cornerstone of clinical practice [25]. It reflects average plasma glucose over the previous eight to 12 weeks [26] and can be done at any time of the day and does not require any special preparation such as fasting. These qualities made it the preferred test for assessing glycaemic control in people with diabetes. Recently it has been used as a diagnostic test for diabetes and as a screening test for persons at high risk of diabetes [27, 28]. There are many approaches to treat onychomycosis such as mechanical debridement, surgery, sys-temic/oral interventions and topical treatment [9] and also the agents for tr eatment of onychomycosis include both systemic and topical medications showing the mycological cure rates of 76% with the use of terbinfine, 63% with the use of itraconazole pulse dosing, 61% with the use of griseofulvin, and 48% with the use of fluconazole [9]. Itraconazole which is a triazole nucleous containing anti fungal agent inhibiting fungal lanosterol 14-demethylase, an essential enzyme in ergosterol synthesis. Brod spectrum of antifungal activity is possessed by this antifungal agent in comparison to all the broadest spectrum of activity includes activity against dermatophytes, Candida species as well as some moulds [29]. It has high lipophilicity and high affinity for keratinous tissues, in which the concentration is many times greater than that obtained in plasma. Itraconazole exerts a lasting inhibitory effect due to the high and long lasting stages in the epidermis [30]. Terbinafine is well-tolerated by most patients and one study reveals that terbinafine or pulse-dose itraconazole reported greater ease and convenience, and higher overall satisfaction [31]. Safety concerns associated with oral treatments include hepatotoxicity, cardiovascular disease, hypogeusia, gastrointestinal disorders, skin rashes, menstrual disorder, visual and taste disturbance, headache and riversible evaluation of liver enzymes [31]. Erick M et al.studied the disease riskfactors and treatment responses in an urban population due to Microsporum spp. (onychomycosis) [32]. Leelavathi M. et al. reported the common microorganisms causing onychomycosis in tropical Climate [33]. Pericher et al. evaluated of onychomycosis among diabetic patients of Yazd diabetic center [34]. R.R. Hafidh1 et al. presented a case report on Cladosporium spp. as a causative agent of white superficial onychomycosis [35]. Lisa M. et al. reviewed the safety and efficacy of tinea pedis and onychomycosis treatment in people with diabetes [36]. There are many othere studies that acknowledge the complexity of treating tinea pedis and onychomycosis in people with diabetes and recommended as safe and effective treatment [37-39]. Marchetti et al. performed the first U.S.based pharmacoeconomic evaluation comparing oral griseofulvin, itraconazole, ketoconazole, and terbinafine using the previously constructed decision-analytic model by the onychomycosis study group [40]. Mahin moghaddami and Mohammad reza shidfar studied the onychomycosis infections in Tehran [41]. Mohammad Ali Boroumand et. studied the level and clinical outcomes of HbAc1in diabetic patients following coronary artery stenting [42]. Peterson et al reported that interpretation of HbAc1 can be achieved as an average of the blood glucose which is present over past 3-4 months [43]. Muhammad S. et al. isolated the causative pathogens and correlated the various clinical patterns of onychomycosis with causative pathogens in Qassim region of Saudi Arabia [44]. Ahmed Medhat M H. et al. reported the epidemiology of cutaneous mycosi s in the Medina region of Saudi Arabia correlated with studying the effect of light-induced gold nanoparticles on the in vitro growth of dermatophytes [45]. Abdulrahman Y. Al-Zoman et al. studied the pattern of skin disease in Riyadh military hospital, Saudi Arabia [46]. A steady increase in the diabetes prevalence found in Saudi Arabia due to the demographic changes such as urbanization and change in the life style [47-48]. Bacchus RA et al. estimated prevalence of diabetes in Saudi Arabia and the author concluded that prevalence of diabetes started to increase at 35 years of age reaching its peak at the 45-54 age groups [49]. Fatani HH. et al. noticed the steady increase of prevalence according to age [50]. Abu-Zeid and Al-Kassab performed a study of the prevalence of diabetes in Southern Arabia [39]. El-Hazmi MA et al. did a survey on prevalence of diabetes mellitus [52] one more survey was done by El-Hazmi and Warsy the prevalence of overweight in the Saudi population. A. Alkhie r A. reported the epidemiology of diabetes mellitus and diabetic foot problems in Saudi Arabia [53]. Epidemiology of dermatophytes in eastern province of Saudi Arabia was studied by hashem al sheikh [54]. Some other studies are also carried out by David Pariser, Richard K. Scher, et al., Phoebe Rich, et al., Boni Elewski, et al., David Pariser, et al., and presented in Seminars in cutaneous medicine and surgery [55-60]. Conclusion: The avalanche of evidences from the available scientific research comprehensively suggests that Onycomycosis is an intercontinental disease burden and poses raising concern for the health-care establishment. It is a comparatively quotidian dermatologic manifestation. It becomes extremely serious especially when it happens in case of patients with varying degree of HbA1c. The review would contribute to the understanding of clinical types and the severity of the toe nail lesions in the Saudi patients with varying level of HbA1c together with prevalence and the chief etiological agents involve in onycomycosis. Scientific research data obtained from the present review would contribute to the early prediction of susceptibility of the patients with high HbA1c to onycomycosis which would lead to a great deal of reduction in economic burden on health care establishment of Saudi Arabia, moreover it would improve the awareness of clinician and social segment as regards severity, heptotoxicity of the current treatment strategy and susceptibility to onycomycosis especially in case of the patients with high level of HbA1c.

Wednesday, November 13, 2019

Essay --

Food related projects are super interesting, projects that have to do with seeing changes when you add different substances and how it affects the outcome. Last year, I did a project on how acids affect the rate of corrosion of steel wool. This year, my focus was food, especially baking. My research resulted in projects involving different amounts of baking soda and their affect on cake texture, or how chips lose their crunch. Then, an idea stood out to me: what makes gelatin and gels so strong. I wondered, what is in gels that make it strong and easy to form a shape. That led me to forming my question: What sorts of substances make gelatin the strongest? Hypothesis: If different substances are added to gelatin, then it is expected that the citric acid would make the gelatin strongest because it is found in gelatin treats like sour gummy worms, which have a strong texture. Goals: †¢ Find a substance which makes the gel strongest. †¢ See what substance weakens the gel. †¢ Find out what can make a gel go from strong and firm to a jelly-like consistency. †¢ Determine if the pH has anything to do with the gel being strong. †¢ See whether or the not the substance being a solid or liquid affects how strong the gel becomes. †¢ Find what substance can make the gel to shake. Background Information/Review of Literature: The Egyptians first used gelatin, they found gelatin in the Pharaoh's tomb in the form of glue. In 1682, Denis Papin, a Frenchman, took out tissue from animal bones and boiled it. He created a pure protein. In 1753, an Englishman made the first gelatin, and from then on, it got manufactured and became an industry. Gelatin is something that we eat a lot in our lives. Foods that contain gelatin are Jell-O, gummy bear... ... †¢ Use different substances like detergent, soap, egg whites, or cheese. †¢ Do the experiment under the sun and see which is strongest. †¢ Use sweetened gelatin instead of unsweetened. Different Experiments- †¢ How does temperature affect gels to become strong? †¢ How do bananas, apples, and grapes affect how strong gels will become? †¢ How do different amounts of gelatin affect how strong it becomes? †¢ Does pH affect how strong a gel is? Acknowledgements: †¢ I would like to thank Ms. Simmons who helped me step by step for the Science Fair. She guided me through all the work necessary to make a good project. She reviewed my Research Paper to make sure it met all of the criteria and check for any mistakes. †¢ I would like to thank my mom and dad who got me all the supplies and helped me make my project possible. When I needed help, they were always there to motivate me.

Monday, November 11, 2019

How sharing of findings affects practice Essay

Serious case reviews and inquiries are required to identify how, when and why a child has died from abuse or neglect. These reviews identify the way in which organisations and local professionals have worked both together and separately to safeguard, protect and promote the welfare of children and young people. These reviews also help to identify how these organisations could have worked better to ensure that this doesn’t happen again to another child. Victoria Climbie was born 2nd November 1991. She was brought to the UK in 1999 by her aunty, who the authorities thought was her mother, when she was 8 years old. She suffered 128 injuries from being beaten with sharp and blunt instruments and after Victoria’s post mortem was carried out, her cause of death was found to be hypothermia brought on by malnourishment and living in a damp environment with restricted movement. Victoria’s Aunty was arrested at the hospital on 25th February 2000 on suspicion of neglect. Victoria had been a part of multi agency child protection plan and had visited and been visited by multiple hospitals, social services teams, police and churches before her death on 25th February 2000 at just 8 years and 3 months old. All agencies involved were too willing to listen to her Aunties stories of incontinence, possession and behavioural problems. The social services teams didn’t even follow up a disclosure of sexual abuse towards Victoria with an investigation after her Aunty retracted the allegations she had made towards her partner. All agencies seemed very trusting of Victoria’s Aunty who was reinforced by her presentation and behaviour. She co-operated with meetings and visits from professionals, initiated communication with professionals and even responded positively to offers of help. After Victoria’s death all agencies that were a part of her short life within the UK were looked into and were found to be lacking in organisation, thoroughness and insufficiently focused on the child’s welfare. The result  of the Victoria Climbie case meant a review on the child protection plan. Practitioners have to be extra vigilant when working with children and have to ensure they follow correct procedures with regards to safeguarding and child protection. If a child discloses information to a member of staff they must record all information including the date and time that the child disclosed. This information will then be passed onto management who will contact and inform the correct agencies. 2.2 – Identify the policies and procedures required in the work setting for safeguarding children and young people. The policies and procedures needed within the setting for safeguarding children and young people are: Safeguarding and Child Protection This policy and procedure ensures the protection of the children within the setting with regards to disclosure, abuse and neglect. Practitioners must follow the correct procedure with regards to disclosures from children or incidents witnessed. All practitioners have a DBS check before being able to work closely with the children to ensure they are suitable for the position. Health, Safety and Risk Assessment This policy ensures that all health and safety matters are addressed within the setting so that the children are entering a safe and secure environment. Daily risk assessments are carried out to ensure that all hazards and risks are minimized or removed to ensure the complete safety of the children and young people within the setting and its outdoor environment. First Aid This policy and procedure ensures that practitioners within the setting are sufficiently trained to administer first aid to children, young people and other staff members. Following the correct procedure they must ensure that a first aid form is filled out including all relevant information with regards  to the child. Data Protection This policy and procedure ensures that all children’s and young people’s information is sufficiently stored within the setting. It also states that practitioners must not discuss nursery business outside of the setting.

Saturday, November 9, 2019

A Day in the Life of Fahad

Beep, beep, beep, beep â€Å"Oh man, is it 7.30 am already† is what I say to myself in the early morning of an average school day. During an average school morning, I look, talk and walk like a tramp. At 7.45 am I walk into the bathroom where I do my personal business such as doing my toothbrush, washing my face with soap and then either have a shower or have a bath, when I've had a shower or whatever I go to the mirror and flex my muscles and comb my hair and if I have to put some hair gel on after I've done this I put some facial cream on to stop dry skin from attacking me. When I get out the bathroom I run straight into my bedroom, I then put some spray on my body after this part of the morning I get changed into those things called a school uniform which all school pupils probably dread wearing, once I have successfully completed this I look for my shoes which I normally place beside my bed and place them into my feet and do up the shoe laces I grab my bag and motivate myself to carefully walk down the stairs and make sure I don't wake my brothers up and go into the kitchen snatch the cereal box from my mum and with a mess pour it into a plate then get the milk out of the fridge and in the same way pour it over the cereal and then just eat it like I've never eaten in my life before†¦ When that horrendous scene has gone past I say all my goodbyes and get ready for what I say an ‘assault course' because I on my way to school I go in and out of muddy areas. Every time I walk to school I have to go to the shops because I get tired and out of juice and once I've got my energy back I start walking faster and when I reach school I go straight into my form room with a big bang on the chair which shows how much effort I put into walking to school. If I get late for a lesson my best excuse is that â€Å"Miss, everyone came late to registration and when they came they all started messing around, and by the time we got our registration done, every one was already 5 minutes into their lessons.† This master excuse always works for me whenever I am late for a lesson. Today for the first 2 lessons I have English, then I have got break time, then the second 2 lessons I have Science and History and for the last 2 lessons I have got RE (full course) and Business Communication Systems. For some strange reason the first 2 lessons go awfully slow and so do the last 2 lessons. On the last lesson everyone is tired and can't wait till home time, at this time nobody talks and all you hear is tick tock tick tock and then when its time to go everyone cheers and go running to their cars or wherever they go at home time. Well for me, I go to the school gates and wait for my friends and walk up to where we all split up one of my friends goes to the left, the other friend goes right and I go straight up ahead, once I get to the shops, I would always get a packet of chewing gum and a bottle of Fanta Fruit Twist which is my best drink. When I get home my mum would prepare me a cup of tea with some biscuits, after this small feast I run back into my bedroom and get changed into something more suitable for me and go get my very thick jacket, the reason I take this jacket is because everyone is bound to get hit with a stick by the mosque teacher either for not reading properly or talking to a friend, I go mosque to read the Qur'an and learn about Islam and read Urdu too. After mosque I go to my friends house and play out till about 8.00 pm when I get back from my friends house I come home and eat some chappatees and some drink to go with it. During my food time I watch some TV and its normally Eastenders. I then go upstairs and do all my school homework. After this I get changed into my night-clothes and go to sleep. Beep, beep, beep, beep â€Å"Oh man, is it 7.30 am already.† If you think about school, it's like a test, if you get it all wrong then you won't get a good job, if not that then you'll get nothing at all. So you have to accept getting up early and doing the best you can at every thing even if you don't like it.

Wednesday, November 6, 2019

Health care marketplace Essays

Health care marketplace Essays Health care marketplace Paper Health care marketplace Paper The healthcare industry is designed to meet the needs of many individuals in terms of their wellbeing. The approach or intervention would be preventive, curative, and soothing to persons who require such. It is also the collaboration of medical technology and human contact to address and tend to the health conditions of millions of people from the newborn to the elderly and the critically ill. Establishments providing healthcare normally function round-the-clock enduring even the harshest of conditions. â€Å"There are about 600,000 establishments that make up the health care industry; they vary greatly in terms of size, staffing patterns, and organizational structures.   Nearly 80% of health care establishments are offices of health practitioners. Although hospitals and hospices only comprise only 2% of all healthcare establishments, nevertheless they employ 35% of all workers; nursing and residential care facilities employ close to 24%, and other ambulatory health care services employ 20%.† (Source: US Bureau of Labor Statistics) One renowned economist and author of The Health Care Marketplace, Dr. Warren Greenberg, emphasized about the competition of the business that â€Å"[competition] among physicians takes place locally among primary care physicians and on a wider geographical scale among specialists.†[1] Examples of the said competition would be between psychiatrists and psychologists; obgyne and infectious doctors. Furthermore, regarding competition between â€Å"physicians in a fee-for-service practice and those in managed care plans†, he mentions statistics and researches that were â€Å"lesser utilization of healthcare services, such as hospitalization and tests, with managed care plans.†[2] What are then the factors that affect the economics of the healthcare business? The identified factors are location, professional demeanor or behavior, and waiting time. To explain about the professional demeanor a concrete example to this is the behavior or conduct of surgeons in the big city compared to rural surgeons. Undoubtedly, doctors from the urban areas charge more than those in small town areas. â€Å"This demeanor has direct implications on the cost, options, services, and fees in the medical field, and also relationship to doctor education ad government funding for public health.†[3] There are factors that influence the cost of individual treatment. Physicians and doctors are one of the factors and they also cause an effect over the services and assets of hospitals and health care establishments. It is also identified that there are two main market perspectives in the healthcare industry; free market competition and government regulation. The latter is the most preferred of many individuals since they view it as a right rather than a privilege. There have been issuances of medicare programs where the poor and the elderly were given the opportunity to avail of the services in the healthcare industry. But is also a fact that some of the services rendered under the government-subsidized healthcare system lack the quality of service that patients deserve. In fact, critics of government regulation stress out its inefficiency. Then there came the rise of free-market competition. There are many identified reasons for the rise of the cost on healthcare: â€Å"Increase public expectations. New and expensive technology. The belief that healthcare is right. Competition between hospitals, resulting in duplication of technology and other services. The dissociation between cost of service and payee due to third party payers (insurances).†[4] Nonetheless, there is a means of lowering the cost of healthcare and that is coming up with new mechanisms in the implementation of healthcare services that are based on market trends and situations and this would also include the proper budgeting for the said services. Furthermore, it is needed that there is a revision of the practice for different related health professionals to allow them to be in private practice, â€Å"to accept patients without physicians’ referral and with government mandated third party insurance reimursability.†[5] Sources: Greenberg, W. (2002). The Health Care Marketplace. Beard Books. Healthcare Index. Retrieved June 16, 2009, from alternative-medicine.net/healthcare/index.html Web site: alternative-medicine.net/healthcare/market.perspectives.html Melillo, K (1994). Preparing and Preparing Testimony, Guidelines for the Health Care Practitioner Nurse. Patel, K, Rushefshy, M (1995). Health Care Politics and Policy in America. New York: M.E. Sharpe Inc. Bauer, J (1994). What the Doctor Ordered: Reinventing Medical Care in Amreica . Chicago: Probus Publishing. Enthoven, A (1993). Achieving Effective Cost Control in Comprehensive Health Care Reform. Health PAC Bulletin, 13-15. [1] Greenberg, W. (2002). The Health Care Marketplace. Beard Books.   [2] Greenberg, W. (2002). The Health Care Marketplace. Beard Books. [3] Healthcare Index. Retrieved June 16, 2009, from alternative-medicine.net/healthcare/index.html Web site: alternative-medicine.net/healthcare/market.perspectives.html [4]Healthcare Index. Retrieved June 16, 2009, from alternative-medicine.net/healthcare/index.html Web site: alternative-medicine.net/healthcare/market.perspectives.html [5] Healthcare Index. Retrieved June 16, 2009, from alternative-medicine.net/healthcare/index.html Web site: alternative-medicine.net/healthcare/market.perspectives.html

Monday, November 4, 2019

Micro and Macro - What Happened to Price, Quality and Choice in the UK Essay

Micro and Macro - What Happened to Price, Quality and Choice in the UK Spectacles Market after Deregulation - Essay Example Deregulation: There were number of regulations and deregulations that happened in the United Kingdom in the market for spectacles. In the country, more than 70 percent of the total market for spectacles is concentrated among the four big sellers or producers. In the United Kingdom, those who produce and sell spectacles and/or contact lenses are called Opticians (Davies et al., 2004, p.4). These deregulations started in the 1900s and happened in 1948, 1958, in early part of 1960s or 1970s and in 1979. Various changes have been made during implementation of these deregulations in the country. For instance, in 1900s the demand of the Opticians regarding legal recognition of status of these opticians has been met. In 1948, provision of spectacles has been incorporated in the NHS. In 1958, â€Å"The Opticians Act established a legal monopoly for sight tests and the dispensing of spectacles, and prohibited most forms of advertising†. In 1960s and 1970s, trade restrictions have been removed by the Restrictive Practices Legislation Act in many industries across the country along with this spectacle industry. During this time this removal of restriction raised the question that whether professional service industries will be allowed to enjoy these facilities or not. The most important deregulation occurred in the 1970s when The Monopolies Commission (MC) opined after investigating the Restrictive Practices in mainly in professional service industries that advertising will be prohibited in the market for spectacles. During this time, the Monopolies Commission also concluded that this reduction in advertising of spectacles will increase the prices of spectacles and will increase the level of competition among firms in the market for these products by encouraging new entrants to enter into the industry (Advertising Association (Great Britain), 2002, pp.512-517). Finally, in the 1976 and in 1979, the final deregulations were set in the market for spectacles in the co untry. During these times reports of two Price Commissions (PCs) revealed that there exists lack of competition in the market for spectacles in the country and suggested that all restrictions on advertising of spectacles have to be removed. These Price Commissions also suggested that provisions for ‘sight tests and prescriptions from the retailing of spectacles’ have to be separated in the market for spectacles in the country. In 1982, further investigation by the comprehensive Office of Fair Trading (OFT) came up with the suggestion that unregistered retailers are needed to be encouraged to enter into the market and thus to help to reduce the price level. The OFT also suggested to remove restrictions on advertising for encouraging new entry, stimulating innovation in the product and also for increasing the level of choice of consumers (Davies et al., 2004, p.9). Effects of deregulation in Price, quantity and consumers’ choice: These deregulations affect prices, quantities as well as choices of consumers of spectacles in the UK market for this product. With the introduction of the deregulation in the market for spectacles new entrants entered into the market. With the help of this new entry, competition in the market was increased and hence, companies which were selling spectacles

Saturday, November 2, 2019

Analysis of Lifelong Learning Term Paper Example | Topics and Well Written Essays - 1250 words

Analysis of Lifelong Learning - Term Paper Example As serious, lifelong conditions, these disorders have generated important challenges to the systems that relate to the individuals with disabilities including educational, vocational, medical, and psychiatric systems. Diagnosis: The paired processes of diagnosis and classification of these developmental disorders characterized by disability in many spheres of function are fundamental to intervention. The diagnostic process includes all of the activities in which a clinician engages in trying to understand the nature of an individual's difficulty. The result of this process is often a narrative account, a portrait of the individual's past, the current problems, and the ways in which these problems can be related to each other and to possible underlying causes. In the course of the diagnostic process, the clinician will learn about the patient's history, observe the patient, engage in specialized investigations, and use laboratory and other methods for helping define the patient's problems and their causes. The clinician will integrate the findings from these activities based on specialized scientific knowledge. Often more than one clinician may be involved in the diagnostic process; then, the final clinical diagnostic formulation will integrate the pooled information into a coherent and consensual narrative that reflects the varied information. One component of the diagnostic process is the assignment of the patient's difficulties, signs, symptoms, pains, troubles, worries, dysfunctions, and abnormal tests to a specific class or category of illness or disorder. The newer methods of classification of developmental, psychiatric, behavioral, and mental disorders respect the distinction between diagnosing an individual and classifying his or her problems (CDC, 2004). Early Intervention Priorities: For early intervention priorities, it is to be remembered that there is no obvious physical marker for most of the conditions. The problems that result from neurobehavioural disabilities often get directed at the caregiver. These disabilities are harder to accept since these children do not ask for help in the usual lovable way. Unless one validates the problems as true disabilities, one will dismiss the problems, and instead, blame the person as being uncontrollable. The starting point for the intervention is an atypical child and his or her dysfunctions. With such disabilities, most of these children fail to learn. The early intervention priorities, therefore, deploy strategies that hammer away at the area of deficit and strategies that effectively circumvent it. In dyslexia, for example, Orton-Gillingham, a structured, multisensory approach, stressing phonics grounded on language-based learning processes, is the hammer-away approach, whereas using bo oks on tape is the circumvent approach. Both types of interventions have their essential and legitimate uses.  Ã‚