A Horrifying Story of Rape in the Military

Brigid Harry (not her real name) is a wife, mother, and co-owner of a small marketing communications company she runs with her husband. She earned her MBA after completing her military service and now lives in New York. After years of silence, shes decided to share her story. I was 20, had already worked for 3 years as a secretary at a major corporation in my hometown, and was impatient to grow. Id come into the company all starry-eyed and within months had absorbed the tasks of two co-workers whod been laid off, folks with years at the company and most with two-year degrees. I didnt get far, because I was 20...and a girl. Perhaps an immature, impatient girl as I look back on it, but I knew that a high school diploma was going to get me nowhere — unless I was happy staying a secretary, and I wasnt. A Decision to Enlist A few years earlier Id considered the military as an alternative to a career in the business world. The recruiters all focused on education in their pitches, so I took some tests which revealed I was very qualified for a program that the Marines had — a photojournalist. They offered a special one-year program: candidates would live as civilians and attend one of the countrys top journalism schools as part of their education. All I had to do was sign. A few months later I did. Boot camp was rough (9 weeks for the gals), and other than some minor back issues that developed from the daily PT (physical training), I did just fine. During this time, I took additional testing and earned a perfect score for Morse Code Intercept and languages, which meant they really wanted me to learn Morse Code, and then Russian. Even though Id passed all the tests for a photojournalist, I caved to their daily badgering and signed away my first option. Normal Conversations I was sent to my first duty station at the Naval Air Station at Pensacola, FL, where all 5 services were sent to learn Morse Code. A few months into service, my back problems got worse, and I developed daily headaches and migraines. The base doctor, a youngish Navy captain from Puerto Rico, assigned some physical therapy and then had me follow-up with him. In our meetings, wed chat — and I knew I had to be appropriate in my conversations because he was an officer and I was enlisted. However, I believed that he was reaching out to me, glad to have a normal conversation with someone who had interests outside of the base and the bars that ringed the base. He invited me out to dinner one evening as a  friend. Nothing romantic was implied, he assured me, and I mentioned that I did have a boyfriend back home, a young man Id met just before I left. He said that he enjoyed our talks about old movies and old music​ because everyone else on the base wanted to talk about getting drunk or war. Dinner and Movies He also assured me that it would be after hours, off the base, and that the officer/enlisted thing wouldnt be an issue. I hesitated, but I found him pleasant and believed what he said. We agreed to go to an old movie festival (I actually think it was Bogart films) that was running that evening nearby, and he arranged to pick me up. I dressed casually, which back then (and with my lack of fashion sense) was jeans, a jean vest, and some sort of shiny blue polyester shirt — a bit on the boyish side, as I think back, but as we were to grab a burger and then watch old movies in a darkened theater, fashion was the least of my concerns. Why Dont We Eat Here First? He was prompt. He drove a black Trans-Am Firebird. The car actually surprised me because he hadnt struck me as one of those kinds of guys. Nevertheless, I climbed in and we left to go to dinner. But then he stopped at his off-base apartment, saying he needed to pick something up, and I could certainly join him for a few minutes. Okay, I thought — naively. As I noticed a package of chicken on the counter, and spices, and potatoes, he casually suggested, Why dont we eat here first? We had a few hours before the movies started, and besides, they ran continuously through the night. I agreed, but with hesitation. He poured me a drink (the legal drinking age was at 18 at the time) and I consumed it, too quickly, which has always been my style. As he prepared dinner, I had another drink, and then a third. They were strong, and I hadnt eaten anything since lunch 6 hours earlier. The chicken went into the oven, and we sat on the couch to chat. I remember asking why he joined the service, as hed indicated he wasnt like the other military types on base. He said he just that he wanted to get out of Puerto Rico. An Officer, Not a Gentleman He poured me another drink and I hesitated, feeling buzzed and growing uncomfortable. I asked when dinner would be ready, and could we get to the movie festival in time. Thats when he leaned over to kiss me. I recoiled. I mean, he was an officer, I was enlisted, and I had a boyfriend. My mind raced. I didnt know what to do. I said I had to use the bathroom and he pointed to a door in the hallway. I headed in that direction, my face red, feeling really uncomfortable. When I opened the bathroom door to exit he was standing there with his pants off. He grabbed me in a huge bear hug and pushed me into the adjacent bedroom. I stiffened and said I wasnt interested — that I had a boyfriend, that I really felt sick to my stomach, that I didnt know about sex (all true). Please, I thought we were going to see old movies. Please let me go, I feel nauseous. Please stop. Please dont do this. Please, please, please. Please. He was stronger than me. He twisted my arms behind me and started pawing at my clothes — my boyish, unattractive clothes. He pulled until he created a burn between the denim and my thighs. He pulled at my underpants until they tore. He jumped on top of me as I pulled to turn sideways. His voice was angry now. Frozen It was over in a few moments — he was quick to come to completion. I was frozen in a curled position, with my clothes draped over me. He grunted, Get up, Ill take you back to the base. I didnt know what to do. Should I go with him? Should I get a cab? I said Id go with him. I pulled my clothes back around me and stood there trembling. He drove me to the base, and I jumped out of the car. My room was in a dorm-like setting, and I shared a bunk with an Army gal, African American, who outranked me. She wasnt home as she was on a date. I jumped into the shower and probably stood there for over an hour. I didnt cry. I tried, and couldnt. But I scrubbed and grew angry at myself, at him, at my life choices. Admitting I Had Been Raped Monday — three days later — I went to class. At noon, I went to the base chaplain, a Catholic priest, a Navy officer, and told him what happened. It wasnt easy, and I never looked up from my hands in my lap. Did I lose my virginity, he asked, or was that something I had already done prior to Friday evening? Well, I admitted, I dont think this did that because†¦oh, God – I remembered something — this man had a child-size penis. I knew what they looked like — I had two younger brothers and changed my share of diapers. No, I hadnt bled. Was there any chance I was pregnant, the Navy priest then asked. I finally looked up, still red from having stated aloud the miniscule size of the doctors penis. What? Could I be pregnant? He continued that if there was any chance of pregnancy, I could never consider an abortion. What? Pregnant? That was the least of my concerns, I mumbled. I was...yes, admit it†¦I had been raped. I mean, yes, I went in his car. Yes, I had drinks. Yes, I knew he was an officer and I was enlisted. But we were going to go watch old movies. But†¦ but†¦ Discouraging Guidance I waited a week, and my period came. One thing to NOT worry about, I suppose. Then I called my mom, who had a house full of little kids still. I told her what happened — and thats when I finally cried. She was audibly upset and asked what would happen. I had no clue, I told her. I promised I would go back to the chaplain Monday and seek guidance. Monday, I visited the chaplain — and told him I wasnt pregnant. He seemed relieved and then asked what next. I told him, I think the man should be punished. Would he help me through that process? He squirmed and said that since I hadnt filed a police report immediately — that since Id showered immediately after the incident — it would be a difficult case. A case of he said, she said. I said I was angry and that what he did was wrong – and I wanted to pursue it. He made an appointment with my commanding officer, and I met with the man Tuesday, who spoke a lot of legalese to me and said hed get back to me. There was a woman secretary, a high ranking enlisted Navy woman, taking notes. I couldnt tell if she was sympathetic or not to my story, as she was absolutely stone-faced. Perhaps shed heard it all before. Didnt Want the Mess Wednesday after class I was walking to my bunk to unwind, grab a bite, and try to do homework when I saw a black Trans Am approaching me. It slowed to a crawl, I stopped, and then it raced past me, spewing pebbles and dust. Obviously, the driver was pissed at me, and I felt afraid. Someone must have said something to him. I spoke to my mom again that weekend. She was crying and told me to drop charges — that I would be the one on trial, that my father had spoken to an attorney and they decided that they didnt want the mess dragged through the local papers back home, that Id have to find a way to move on. I met with the commanding officer and made him an offer; if theyd let me go into photojournalism, as Id originally signed up for, Id not pursue anything against the doctor. Within 48 hours, I had new orders: a week medical leave at home, and then Id join the next military journalism program starting in Indianapolis at an Army base. I had made no real friends at the base, and other than my roommate who was kind and considerate during my time of stress, the few folks I knew from boot camp didnt know how to treat me. I was happy to leave. Where the Men Were in Charge Of course, then there were more problems at home. My dads attorney suggested that I talk to a shrink, as my dad said — a profession my father had very little use for. I went, and the mental health professional wrote up a report and sent to my former commanding officer, and one to my upcoming commanding officer, that I was immature and really wasnt a good candidate for a life in the military. I joined the journalism program, came in second in my class, made friends, maintained a long-distance pen-pal relationship with the boy back home, but started struggling as I got to my new duty station in North Carolina. Back in a world where the men were in charge, despite the obvious women of rank around, I started getting angry and upset and lonely. I refused to work one day, and the shrink back home — per my dads attorneys advice — sent along his report. A higher ranking woman suggested that it would be a rough few weeks, but if I wanted to get out, that boycotting work was one way to do it. Honorable Discharge I met with the bases commanding officer, who had all my files — my episode in Florida, my decision not to press charges, my letters from doctors back home, and my test scores. He expressed concern that I chose not to honor my contract with the Marines, but as a dad to young daughters, he wished me well. He asked me to promise him that I would go back to school, even part-time, and try to contribute something positive. I received an honorable discharge a year and a day after I started boot camp. To this day, I cant remember the Navy doctors name — or his face, thank God. Im thankful that one man, my final commanding officer, treated me with some respect. Homecoming My boyfriend, whod stuck by me when I was away, proposed as soon as I returned home, but then started acting uncomfortable in my presence, and as I assumed he started seeing other girls, we broke up. I went back to my job, making up excuses for why I was home so soon. My cousins got wind of my seeing a psychologist and just last year I had to correct one of them as they were joking that I couldnt handle the service so my dad had to get me out. I finally looked one in the eye and said, Do you know that I was raped by an officer when I was there? That shut them up, but Ive lost interest in family gatherings. (Of course, these are the cousins who are right-of-center pro-military, never having served themselves). Questions Without Answers Ive never written this down, ever. Id told the story — to the chaplain, to my CO and his secretary, to the psychologist back home, a version to my bunkmate. As I type this right now my temples are throbbing, and my face and ears are burning and red. Ive looked back over the years and asked myself, Why did I say Id go to the film festival with him? Ive questioned my posture, my wardrobe, my jokes, my drinks. Of course, Ive questioned my timidity at the exact moment I shouldve turned into she-woman or something. I was a 20-year-old, non-sexually active moron. I was cornered, I got trapped, by a bigger man with a tiny penis. The priest could only care about abortion. My mom could only care about the local papers (although, as a mom now myself, I can imagine the pain she personally went through, trying to keep her anxiety from my younger siblings — but shes decided now, after all these years, that I made it up just to get out of the service — and I cant convince her otherwise. Ive decided not to bring it up again). No Knives, No Fists...But Still Rape I read stories of women who may or may not have been in relationships that got out of hand in the military, and I sometimes read about the young woman, beaten or worse, as she was raped. Me? Just bear-hugged overpowered and bruised – no knives, no fists. But I cant shake the sudden stomach pains I have this moment — that, and the reddened face.

President Ronald Reagan’s speech at the Berlin Brandenburg...

â€Å"Tear down this wall!† these were the inspiring and captivating words that came out of President Ronald Reagan’s speech at the Berlin Brandenburg Gate on June 12, 1987. Speaking to the Soviet leader Mikahil Gorbachev, Reagan was calling for the unification of East and West Germany. With the destruction of the wall, he believed it would bring not only Germany prosperity, but The Soviet Union as well. During this speech, President Reagan brings forth the benefits of tearing down the wall and unifying Germany once again. He introduces his strategies to create freedom, economic prosperity, and free trade to stop Soviet Expansion. On this day, President Ronald Reagan’s speech was classified as a heroic event. Why? He challenged the Soviet leader like no other president had before. To refresh your memory, at the end of World War II, the Allied powers divided Germany into four different zones. Decided at the Potsdam Conference, each separate zone was controlled by The United States, Soviet Union, France, and Great Britain. (Rosenburg) But as the relationships between The Soviet Union and the rest of The Allied Powers quickly evaporated, aggression and power became the main focus. The United States, France, and Great Britain combined their zones, creating â€Å"West Germany†, and The Soviet controlled zoned turned into â€Å"East Germany† (Rosenburg). Being controlled by democratic nations, West Germany’s living conditions and economy were flourishing. Almost Miraculously. On the otherShow MoreRelatedRonald Reagan s Address At Brandenburg Gate1451 Words   |  6 PagesAnalyzing Ronald Reagan’s Address at Brandenburg Gate Ronald Reagan was once said to be one of the most pronounced communicators; after reading this address, that statement is easily understood. 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Forbidden love free essay sample

Stay a little longer, love.He takes her hand and kisses her palm, her eyes stare into his in admiration. You can see it in their eyes, their heart beats thumping out loud enough for only the two of them to hear.The night is young and the stars in the sky are shining bright. Theyre lying on the ground, away from the troubles of the world, away from their wrecked society, away from the eyes of judgemental people and flashing cameras.Her eyes have tears in them that are threatening to come out. Shes in vain and why wouldnt there be tears? She fell in love with someone who could never be hers.His heart aches and theres a heavy feeling in his chest. Today might be the last day they ever meet. Today is the day where theyre going to have to say goodbye to each other. Who knows when theyll meet again?He still remembers the first time he saw her; he was sitting in a cafà ©, bored when he first saw her. The moment she entered the cafà ©, he thought that she was beautiful and there was a feeling in his heart that told him that she was The one. It was that day, he decided that she was going to be his.They fell in love the instant they met but fate is cruel, in the wrecked society where they grew up with rules; they broke one. One that was created by their parents and stated that, an Alpha cannot fall in love with an Alpha.They grew up in a greedy society where people were classified by their wealth and given titles according to their position in the family or company. He was given the title Alpha. An Alpha is the highest rank and title in the business society. It was a title given to the heir/heiress of extremely wealthy companies and business empires.He was born to be an Alpha. He wanted to be a good one just like his father. She was also born to be an Alpha, both of them born with great responsibility on their shoulders. They both carried the fate of their respective companies that their forefathers had made.They shared the same dreams, hopes and heart but their parents would never agree to let them get married. Their love for each other was true and pure but no matter how much they love each other, they could never go against their parents. Flashback.His parents are standing in front of him, disappointment visible on their faces. His fathers voice is stern as he speaks.Shes a future Alpha, Isaac! Do you even know what you are saying?Father†¦ but I love her. You said that asked mother to marry you because you knew that she was the woman made for you and you were also 23 years old†¦ Thats how I feel about Rose†¦ I love her and I want to marry her.You mother was not a future Alpha! You know that if you marry that girl you are putting our prestigious business empire in danger. Have you even thought of the consequences of your decisions? If the two of you are to get married what will happen to the empire and the companies? Both of you have duties and a responsibility, being an Alpha is not a childs play!Even if mother was an Alpha, would you have not still loved her? Rose and I could combine our business empires. It would benefit both parties and everyone would be happy.His mother looks at his father and she holds his hand. They share a look and then he looks back at Isaac.Isaac, you have always been my pride and joy but today you have disappointed me. The decision is yours. If your mother was an Alpha Im telling you what my father would have said to me. Do what you want to but remember that if you choose that girl, I will take away your title. You will no longer be an Alpha and you will no longer be my son.End of flashback.Rose and Isaac are lying on the ground facing each other, memorising each others face. Their fingers are intertwined. He doesnt want to leave her and neither does she want to leave him.Their voices are low, whisper like as they speak.Rose, I love you with all of my heart. And I love you, Isaac.But Im the future Alpha†¦So am I.Thats why I cant be with you†¦Nor can I be with you.Theyll never let us get married because of our status.I know†¦I cant go against my family. They have done so much for me†¦ I cant shatter their dream.I cant go against mine either. I love you but I have to say goodbye for now†¦ until we both figure a way out, where everyone can be happy and no one gets hurt.Hmm†¦Will you wait for me?I promise that I will†¦He gets up and so does she, her hands still in his. A few tears fall down her face and his chest tightens. He wipes her tears away and kisses her cheek. He then gently grabs her face with both his hands.Dont cry dear†¦Wont you stay a little longer, love?You know I cant†¦ The longer I stay the more it hurts, the harder it is to let go of you†¦He puts his forehead against her.Rose, we are in this together, Okay? I have promised to stay by your side, for the good and the bad and through all the hardships†¦ just two more years, until we both graduate from college and become official Alphas†¦You are the best thing that has ever happened to me†¦ please dont break my heart Isaac†¦ Ill always wait for you†¦He nods at her words. She doesnt know how hard it is for him to let go of her†¦ he loves her so much. There are tears in his eyes but he wont show them. Even if this doesnt work out he knows that shell always be someone who holds a special place in his heart. He knows that she will always be his first love†¦ his only love.A cold breeze blows, a whisper is heard, a secret kept, a promise is made, their love is forbidden, something that they dont regret. A final kiss is shared†¦ for they know their love wont be spared†¦She doesnt know and he doesnt care about the hardships of this love affair.Their bond so strong, unbreakable†¦But the world is cruel. It always separates the inseparable.

Forbidden love free essay sample

Stay a little longer, love.He takes her hand and kisses her palm, her eyes stare into his in admiration. You can see it in their eyes, their heart beats thumping out loud enough for only the two of them to hear.The night is young and the stars in the sky are shining bright. Theyre lying on the ground, away from the troubles of the world, away from their wrecked society, away from the eyes of judgemental people and flashing cameras.Her eyes have tears in them that are threatening to come out. Shes in vain and why wouldnt there be tears? She fell in love with someone who could never be hers.His heart aches and theres a heavy feeling in his chest. Today might be the last day they ever meet. Today is the day where theyre going to have to say goodbye to each other. Who knows when theyll meet again?He still remembers the first time he saw her; he was sitting in a cafà ©, bored when he first saw her. The moment she entered the cafà ©, he thought that she was beautiful and there was a feeling in his heart that told him that she was The one. It was that day, he decided that she was going to be his.They fell in love the instant they met but fate is cruel, in the wrecked society where they grew up with rules; they broke one. One that was created by their parents and stated that, an Alpha cannot fall in love with an Alpha.They grew up in a greedy society where people were classified by their wealth and given titles according to their position in the family or company. He was given the title Alpha. An Alpha is the highest rank and title in the business society. It was a title given to the heir/heiress of extremely wealthy companies and business empires.He was born to be an Alpha. He wanted to be a good one just like his father. She was also born to be an Alpha, both of them born with great responsibility on their shoulders. They both carried the fate of their respective companies that their forefathers had made.They shared the same dreams, hopes and heart but their parents would never agree to let them get married. Their love for each other was true and pure but no matter how much they love each other, they could never go against their parents. Flashback.His parents are standing in front of him, disappointment visible on their faces. His fathers voice is stern as he speaks.Shes a future Alpha, Isaac! Do you even know what you are saying?Father†¦ but I love her. You said that asked mother to marry you because you knew that she was the woman made for you and you were also 23 years old†¦ Thats how I feel about Rose†¦ I love her and I want to marry her.You mother was not a future Alpha! You know that if you marry that girl you are putting our prestigious business empire in danger. Have you even thought of the consequences of your decisions? If the two of you are to get married what will happen to the empire and the companies? Both of you have duties and a responsibility, being an Alpha is not a childs play!Even if mother was an Alpha, would you have not still loved her? Rose and I could combine our business empires. It would benefit both parties and everyone would be happy.His mother looks at his father and she holds his hand. They share a look and then he looks back at Isaac.Isaac, you have always been my pride and joy but today you have disappointed me. The decision is yours. If your mother was an Alpha Im telling you what my father would have said to me. Do what you want to but remember that if you choose that girl, I will take away your title. You will no longer be an Alpha and you will no longer be my son.End of flashback.Rose and Isaac are lying on the ground facing each other, memorising each others face. Their fingers are intertwined. He doesnt want to leave her and neither does she want to leave him.Their voices are low, whisper like as they speak.Rose, I love you with all of my heart. And I love you, Isaac.But Im the future Alpha†¦So am I.Thats why I cant be with you†¦Nor can I be with you.Theyll never let us get married because of our status.I know†¦I cant go against my family. They have done so much for me†¦ I cant shatter their dream.I cant go against mine either. I love you but I have to say goodbye for now†¦ until we both figure a way out, where everyone can be happy and no one gets hurt.Hmm†¦Will you wait for me?I promise that I will†¦He gets up and so does she, her hands still in his. A few tears fall down her face and his chest tightens. He wipes her tears away and kisses her cheek. He then gently grabs her face with both his hands.Dont cry dear†¦Wont you stay a little longer, love?You know I cant†¦ The longer I stay the more it hurts, the harder it is to let go of you†¦He puts his forehead against her.Rose, we are in this together, Okay? I have promised to stay by your side, for the good and the bad and through all the hardships†¦ just two more years, until we both graduate from college and become official Alphas†¦You are the best thing that has ever happened to me†¦ please dont break my heart Isaac†¦ Ill always wait for you†¦He nods at her words. She doesnt know how hard it is for him to let go of her†¦ he loves her so much. There are tears in his eyes but he wont show them. Even if this doesnt work out he knows that shell always be someone who holds a special place in his heart. He knows that she will always be his first love†¦ his only love.A cold breeze blows, a whisper is heard, a secret kept, a promise is made, their love is forbidden, something that they dont regret. A final kiss is shared†¦ for they know their love wont be spared†¦She doesnt know and he doesnt care about the hardships of this love affair.Their bond so strong, unbreakable†¦But the world is cruel. It always separates the inseparable.

Competition in Health Care Essay Essay Example

Competition in Health Care Essay Essay For this assignment the category was instructed to depict the different signifiers of competition that take topographic point among assorted types of wellness attention organisations. measure the benefits and booby traps of competition in wellness attention and suggest options if competition was non the primary driver of operations in the U. S. wellness attention system. explicate the elements of successful competition and the usage of competitory intelligence. depict the influence competition has on the services offered by wellness attention organisations and the picks patients have. Health attention as in all industries. competition among concerns has long been encouraged as a mechanism to increase value for patients. In the overpowering bulk of industries. houses compete with each other to sell more merchandises or services to clients. their purpose being to capture more of the customer’s dollar ( Spath A ; Abraham. 2014 ) . Many companies are free at any clip to offer wha tever merchandises they think people need at any monetary value they believe people are willing to pay. If clients will purchase their merchandise they will win ; if non. they fail. This considered the nature of competition. Competition creates victors and also-rans inspires houses to invariably better. We will write a custom essay sample on Competition in Health Care Essay specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Competition in Health Care Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Competition in Health Care Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Competition in many sectors of the health care industry maps otherwise. The usual free market rules of supply and demand are distorted by an extended regulative model at both the federal and province degrees of authorities. State regulators may non let all HSOs in one geographical market country to offer peculiar services. Price caps may forestall HSOs from bear downing whatever monetary value people are willing to pay for health care services. Pharmaceutical companies are free to develop any new medicine they want but must acquire blessing from the Food and Drug Administration before it can be sold in the United States. Insurance plans may direct people to have services from certain HSOs and non others. Hospital exigency sections must supply health care services to people even if they can non pay for those services ( Spath A ; Abraham. 2014 ) . In the wellness attention industry. competition has an impact on many relational positions. There have been several surveies analyzing the relationships between competition and quality of wellness attention. competition and wellness attention system costs. and competition and patient satisfaction. Some elements of competition in wellness attention are monetary value. quality. convenience. and superior merchandises and services. One type of competition that takes topographic point in wellness attention amongst the assorted types of wellness attention organisations is the business’s bing rivals. The bing rivals are the 1s that the concern has been covering with for many old ages. There are besides possible rivals. which are companies that are presently runing in another industry or market. but show involvement in come ining the business’s industry or market. Some illustrations are ; houses runing in other geographic parts seeking to spread out their markets. houses offering similar and related. but non straight viing. merchandises that wish to spread out their merchandise lines. client houses that decide to incorporate backward in the industrial value concatenation. providers attracted by borders may take to incorporate forward in the concatenation. a little. strategically weak house becomes a serious menace of entry when it is acquired by a company that can cut down or extinguish the failings. houses that feel threatened by a move into their markets might revenge by traveling in the opposite way. and houses that have a possible tantrum or synergism with the critical success factors in the industry ( Moseley. 2009 ) . Attention must besides be paid to indirect competition. those entities offering merchandises or services that may function as replacements to the business’s merchandises or services in the eyes of its clients ( Moseley. 2009 ) . Hospitals besides compete for doctors by offering more extremely trained supportive staff and/or better equipment. Hospitals are more likely to vie for patients by supplying more services. better comfortss. or discounted monetary values. There is a strong competition for cutting border engineering and medical endowment locally and globally. Hospitals besides have to vie for inclusion in insurer’s supplier webs. Insurance programs compete for cost to remunerators. quality of supplier webs. credentialing testing. and choice appraisal processs. Competition has played a critical function in determining the bringing of health care in the United States. Competition drives invention and finally leads to the bringing of better health care. Competition consequences in lower monetary values and broader entree to wellness attention and wellness insurance. Competition among and between infirmaries and doctors intensified with the development of managed attention organisations. In add-on to seting force per unit area on costs. managed attention programs have pressured suppliers to utilize shorter infirmary corsets and to offer alternate outpatient interventions ( Macfarlane. 2014 ) . This led to take down costs and an addition in pick without giving quality. Lower costs and improved efficiency has made wellness insurance more low-cost and available. Another benefit of competition in wellness attention is the invention in health care engineering ( endoscopic surgery. anaesthetic agents available in ambulatory surgery centres ) . There are many competitory success narratives in health care in the country of pharmaceuticals. pressing attention centres. and elected surgeries. Competition has some booby traps in health care that includes the clip and costs that it takes for health care organisations to vie against others. Other common booby traps are unexpected troubles when spread outing into new geographicss. over-optimistic projections in patient Numberss. grosss. and profitableness. misjudging local income degrees and ability to pay. and underestimating local competition. Another booby trap may be over puting in equipment. Competition has badly restricted coaction among service suppliers. An alternate to competition would be coaction between suppliers or fixed monetary values. Success is non achieved by disregarding your competition but instead by expecting competitory issues and influences so you can ever hold a proactive program and scheme for remaining in front of your competition. As in all industries including wellness attention the competition among concerns has long been encouraged as a mechanism to increase value for patients. There are many signifiers of competition that have an influence on services offered by wellness attention organisations. The competition comes from non merely other patterns. but can include anyone or anything that may act upon a prospective patient to non go a patient of an organisation. Organizations that fail to present merchandises that satisfy customers’ demands will shortly travel out of concern. Strategic thought and planning enables organisation to remain in front of the competition. MentionsMacfarlane. M. ( 2014 ) . Sustainable Competitive Advantage for Accountable Care Organizations. Journal of Healthcare Management. 59 ( 4 ) . 263-271. Retrieval from EBSCOhost. World Wide Web. ashford. edu/libraryMoseley. G ( 2009 ) . Health Care Competition. Strategic Mission. and Patient Satisfaction: Research Modeland Propositions. Retrieved from World Wide Web. ncbi. nln. nhi. gov/ . Spath. P. . Abraham. S. ( 2014 ) . Strategic Management for Healthcare Organizations. Bridgepoint Education. Inc. World Wide Web. ashford. edu/books.

Raul Castro Biography and Profile

Raul Castro Biography and Profile Raà ºl Castro (1931-) is the current President of Cuba and brother of Cuban Revolution leader Fidel Castro. Unlike his brother, Raà ºl is quiet and reserved and spent most of his life in his older brother’s shadow. Nevertheless, Raà ºl played a very important role in the Cuban Revolution as well as in the government of Cuba after the revolution was over. Early Years Raà ºl Modesto Castro Ruz was one of the  several illegitimate children born to sugar farmer Angel Castro and his maid, Lina Ruz Gonzlez. Young Raà ºl attended the same schools as his older brother but was neither as studious nor gregarious as Fidel. He was just as rebellious, however, and had a history of discipline problems. When Fidel became active in student groups as a leader, Raà ºl quietly joined a student communist group. He would always be as ardent a communist as his brother, if not more so. Raà ºl eventually became a leader himself of these student groups, organizing protests and demonstrations. Personal Life Raà ºl married his girlfriend and fellow revolutionary Vilma Espà ­n not long after the triumph of the revolution. They have four children. She passed away in 2007. Raà ºl leads an austere personal life, although there have been rumors that he may be an alcoholic. He is thought to despise homosexuals and reputedly influenced Fidel to jail them in the early years of their administration. Raà ºl has been consistently dogged by rumors that Angel Castro was not his real father. The most likely candidate, former rural guardsman Felipe Miraval, never denied nor confirmed the possibility. Moncada Like many socialists, Raà ºl was disgusted by the dictatorship of Fulgencio Batista. When Fidel began planning a revolution, Raà ºl was included from the start. The first armed action of the rebels was the July 26, 1953, attack on the federal barracks at Moncada outside of Santiago. Raà ºl, barely 22 years old, was assigned to the team sent to occupy the Palace of Justice. His car got lost on the way there, so they arrived late, but did secure the building. When the operation fell apart, Raà ºl and his companions dropped their weapons, put on civilian clothes, and walked out onto the street. He was eventually arrested. Prison and Exile Raà ºl was convicted of his role in the uprising and sentenced to 13 years in prison. Like his brother and some of the other leaders of the Moncada assault, he was sent to the Isle of Pines prison. There, they formed the 26th of July Movement (named for the date of the Moncada assault) and began plotting how to continue the revolution. In 1955 President Batista, responding to international pressure to release political prisoners, freed the men who had planned and carried out the Moncada assault. Fidel and Raà ºl, fearing for their lives, quickly went into exile in Mexico. Return to Cuba During their time in exile, Raà ºl befriended Ernesto â€Å"Chà ©Ã¢â‚¬  Guevara, an Argentine doctor who was also a committed communist. Raà ºl introduced his new friend to his brother, and the two hit it right off. Raà ºl, by now a veteran of armed actions as well as prison, took an active role in the 26th of July Movement. Raà ºl, Fidel, Chà ©, and new recruit Camilo Cienfuegos were among the 82 people who crowded on board the 12-person yacht Granma in November 1956 along with food and weapons to return to Cuba and start the revolution. In the Sierra Miraculously, the battered Granma carried all 82 passengers the 1,500 miles to Cuba. The rebels were quickly discovered and attacked by the army, however, and less than 20 made it into the Sierra Maestra Mountains. The Castro brothers soon began waging a guerrilla war against Batista, collecting recruits and weapons when they could. In 1958 Raà ºl was promoted to Comandante and given a force of 65 men and sent to the north coast of Oriente Province. While there, he imprisoned about 50 Americans, hoping to use them to keep the United States from intervening on behalf of Batista. The hostages were quickly released. Triumph of the Revolution In the waning days of 1958, Fidel made his move, sending Cienfuegos and Guevara in command of most of the rebel army, against army installations and important cities. When Guevara decisively won the Battle of Santa Clara, Batista realized he could not win and fled the country on January 1, 1959. The rebels, including Raà ºl, rode triumphantly into Havana. Mopping Up After Batista In the immediate aftermath of the revolution, Raà ºl and Chà © were given the task of rooting out supporters of former dictator Batista. Raà ºl, who had already begun setting up an intelligence service, was the perfect man for the job: he was ruthless and totally loyal to his brother. Raà ºl and Chà © oversaw hundreds of trials, many of which resulted in executions. Most of those executed had served as policemen or army officers under Batista. Role in Government and Legacy As Fidel Castro transformed the revolution into government, he came to rely on Raà ºl more and more. In the 50 years after the revolution, Raà ºl served as head of the Communist Party, minister of defense, vice president of the Council of State, and many more important positions. He has generally been most identified with the military: he has been Cuba’s top-ranking military officer since soon after the Revolution. He advised his brother during times of crisis such as the Bay of Pigs Invasion and the Cuban Missile Crisis. As Fidel’s health faded, Raà ºl came to be considered as the logical (and perhaps the only possible) successor. An ailing Castro turned over the reins of power to Raà ºl in July 2006, and in January 2008 Raà ºl was elected president in his own right, Fidel having withdrawn his name from consideration. Many see Raà ºl as being more pragmatic than Fidel, and there was some hope that Raà ºl would loosen the restrictions placed on Cuban citizens. He has done so, although not to the extent that some expected. Cubans can now own cell phones and consumer electronics. Economic reforms were implemented in 2011 to encourage more private initiative, foreign investment, and agrarian reforms. He limited terms for president, and he will step down after his second term as president ends in 2018. Normalization of relations with the United States began in earnest under  Raà ºl, and full diplomatic relations were resumed in 2015. President Obama visited Cuba and met with  Raà ºl in 2016. It will be interesting to see who succeeds Raà ºl as President of Cuba, as the torch gets handed to the next generation. Sources Castaà ±eda, Jorge C. Compaà ±ero: The Life and Death of Che Guevara. New York: Vintage Books, 1997. Coltman, Leycester. The Real Fidel Castro. New Haven and London: Yale University Press, 2003.

How Research-Driven Marketing Generates Demand With Michele Linn

How Research-Driven Marketing Generates Demand With Michele Linn Can a well-researched piece of content from a single URL help bring in millions of views in just one year? The answer is, â€Å"Yes.† knows exactly how that feels. Researched content helps you drive 10X results that convert into profitable customer action. Today, we’re talking to Michele Linn, who knows everything about research-driven content marketing. She is the co-founder and chief strategy officer at Mantis Research. Michele has amazing advice to offer on how to succeed at content marketing. Research is crucial for content marketing; people want to find data that supports their thoughts and beliefs; become the authoritative source for some type of topic Examples of research include ’s State of Marketing Strategy Report, and research reports from Salesforce and Robert Half Find new ideas for your audience/niche by conducting a survey, or looking for a stat that people believe but is not backed up by data Audiences that care most about research-based content are those in a new industry to gain justification, and on social media that like to share stats Importance of research-driven content to prove or disprove something Targeting Topics: Is it something that’s interesting to your audience? Does it align with your brand’s story? Is there other research available on this topic? Research can be time consuming, about 4-6 months; but it is worth the effort Research can be a guiding force and the glue that holds your story and editorial strategy together Pitching researched content to justify time spent; what does client care about? Content to produce results; start out small, don’t do too much at once Tools and processes work well to gather research; try surveys and secondary research; determine sample size to be considered representative and valid Metrics to measure for success include media mentions, impressions of research, leads, downloads, email subscribers, and backlinks Research Process: 1) Strategy and planning, 2) Data science, 3) Compile data and turn into story, 4) Incorporate research into blogs, infographs, videos, etc. Links: Mantis Research Content Marketing Institute Ultimate Guide: How to Publish Survey-Based Research for Content Marketing State of Marketing Strategy Report Salesforce Robert Half Andy Crestodina DivvyHQ Andrea Fryrear SurveyGizmo Write and send a review to receive a care package If you liked today’s show, please subscribe on iTunes to The Actionable Content Marketing Podcast! The podcast is also available on SoundCloud, Stitcher, and Google Play. Quotes by Michele Linn: â€Å"What we are trying to do with marketers is help them publish their own original research.† â€Å"Research is a real opportunity because you and your brand become the authoritative source for some type of topic.† â€Å"I think it can work for a lot of different industries, you just have to figure out what your audience truly cares about.† â€Å"When you have research, it really can be that guiding force and that glue that holds your whole story and your whole editorial strategy together.†

Discuss Principles of Teaching and Learning in Relation to a Teaching Essay

Discuss Principles of Teaching and Learning in Relation to a Teaching Session and Reflect on the Experience of Teaching a Studen - Essay Example They help educators to analyze the quality of instruction they deliver to learners and the opportunities they offer to students. People refer to the principles of learning as laws of learning (Amin and Khoo, 2003). This paper covers the various applications of principles of learning that educators apply in the nursing profession. These principles are tremendously vital in the nursing profession. This is because they enable nurses and other professionals with the responsibility of teaching to impart relevant and sufficient material to their respective students. The principles give additional insight on the things that make people learn in the most efficient manner. Scientists have discovered them, tested them, and used them in practical situations and thus making them reliable and applicable in the profession (Killen, 2006). These principles are particularly vital in the nursing profession since they enable teachers and students to reflect on practice. It also supports professional di alogue that is the parties use to strengthen pedagogical practices. Role of the nurse as educator A Nurse educator is a professional person who has undergone advanced educational and clinical training and has spent many years in the healthcare specialty. There are various core skills that strengthen the nursing workforce in the process of providing peer mentorship. These include a combination of a passion for teaching and clinical expertise. These are the specialized skills that differentiate the nurse educator and other clinical professionals. For one to be an excellent clinical educator, a passion for teaching is particularly vital. One should engage in practices that they have an interest in, and this makes the work easy. One should also posses various learning and teaching principles and skills that should guide them in the process of imparting knowledge to other people (Callara, 2008). The nurse educators have a responsibility of designing and evaluating academic programs for c linical staff and the nurses. Having worked in the profession for a long period, they have the necessary and appropriate experience that they have gathered to make decisions concerning what should be taught to clinical staff. They are aware of the changes that should be made to make the professionals improve their skills and expertise significantly. They alter various educational programs that include degrees, certificates, and other informal, continuing educational programs so that they can meet various individual learning needs (Georgii, 2011). In the world today, people expect the nurse educators to redefine the learning process for better work-flow and outcomes of various educational systems. This will make sure that the educational system is in line with the diverse and ever-changing environment of healthcare. Through this, they will sufficiently guide patients and students through the process of learning (Killen, 2006). Nurses have a role of imparting new computer technologies to their preceptors and patients. The nurse educators serve the teaching role in community health and schools education events. With advancement in technology, the nurse educators play an extraordinarily vital role in ensuring the community is conversant with the emerging technological advancements. The nurses who have gathered

Physician career research paper Example | Topics and Well Written Essays - 1500 words

Physician career - Research Paper Example This paper investigates the academic requirements, career outlook, and potential income of studying medicine as a career in addition to talents and personal attributes necessary to succeed as a physician. In United States, all medical practitioners with a professional degree in medicine are regarded as physicians. UBLS (2010) classified physicians in two different categories, including Medical Doctor (MD) or allopathic physicians and Doctor of Osteopathic Medicine (DO). Both classes of doctors apply all acceptable practices of treating patients, including prescription of drugs and carrying surgical operations. However, doctors of osteopathic medicine emphasize mostly on preventive medicine, muscular skeletal system of the body and holistic care of patients. Medical doctors are mainly the primary medical care providers and they are normally specialized in all medical specialties (UBLS 2010). According to OES (2011) about 50% of medical doctors practice general medicine, pediatrics, an d internal medicine. Physicians could be specialized in one or more areas of medical specialization, including anesthesiology, general pediatrics, general internal medicine, psychiatry, obstetrics and gynecology in addition to general medicine among others. The requirements for becoming a physician differ depending on the final area of medical specialization in the United States. However, physicians are normally required to complete a four-year undergraduate degree program and then proceed to a medical school where they spend another four years. This is followed by a compulsory three to seven years in resident training after which they become eligible for being licensed as doctors. In this regard, medical doctors in the United States are required to complete two degrees and specified duration of clinical residence. According to AMA (2009), both of these degrees involve general course work while during the residency; the aspiring doctor chooses his or her preferred specialty. A four- year undergraduate degree marks the beginning of physician training program in the United States. The undergraduate program involves coursework in sciences, math and English. The first degree prepares the student for entry into the medical school and students must attain specific grades to qualify. Aspiring medical students have the freedom to choose any undergraduate degree, but many of them enroll in programs with heavy emphasis on chemistry and biological sciences. However, undergraduate training differs from one institution to another. Some tertiary institutions offer pre-medical programs that include mandatory classes for medical school in addition to preparing students to pass Medical College Admission Test (MCAT) (AMA 2009). After successful completion of the undergraduate degree, aspiring medical students are required to take Medical College Admission Test (MCAT). The test compromises of multiple choice questions that examines the student‘s knowledge on physical scienc e, critical thinking, biology and communication skills. The test is computerized and it takes a maximum of five hours. The performance on this test and undergraduate degree play major role in securing admission in medical school (AMA 2009). Students who score high marks in the test and have good undergraduate degrees are almost assured of admission into the medical

The Kite Runner Theme Assessment Essay Example for Free

The Kite Runner Theme Assessment Essay Sex, it can be an act of love or even a way to demonstrate passion, but can it also be used as a way to show dominance? In the play â€Å"A Streetcar Named Desire† Sex represents power. Stanley rapes Blanche in order to demonstrate his superiority over her. Sex is not just a way to show affection to another person. Stanley uses sex as a tool to prove his might. He demonstrates to Blanche that he can have her whenever he wants her. Raping Blanche is one way Stanley proves he has control over Blanche and her sister. Even now in modern society sex is used as not only a way to show affection, but also as a way to display supremacy. In southern California we have thousands of sex offenders running rampant through the streets. In there minds its okay to dominate another person through sexual activities. Stanley, in the play, is described as a masculine person. He is physically strong and is often referred to as a beast. Animals, out in the wild, use sex to show dominance in their clan or group. For example the rest of the walruses looks up the walrus that has a mate. Stanley is in this way an animal. He allows his primal instincts to take over. Therefore he is the dominant male in the household and must have everything his way. Around this time males are still looked upon as the â€Å"providers† for their families, therefore they had a higher position. Even without Stanley raping Blanche he already had some type of influence over her and her sister. Blanche tries to make Stella leave Stanley. Stanley already does not like Blanche and when he notices her not falling in line with what he wants he begins to attack her. First by removing Mitch from her side then by removing Stella. Once he notices she is weak he decides to strike. Power is a desirable thing to come by. It comes to no surprise that Stanley took advantage of Blanche and raped her. Like in the animal kingdom if their dominance is being challenged they must answer the call or risk loosing everything. Stanley like having things the way they were and in the end he displayed his power and control over Stella and her sister.

Job Satisfaction and Employee Motivation Essay -- Employment Managemen

Job Satisfaction and Employee Motivation Abstract The purpose of this paper is to illustrate how motivation is instilled in the workplace with co-workers and oneself. In addition, objects that make the job satisfying will be discussed. Body Motivation is something that can come and go in an instant. The workplace often can be a fun and enjoyable place, but other times it can be the pit of hell. Not only do most of us cope with stress, fatigue, mental and physical anguish, but we must also complete the mission that is set forth for us. Motivation is delivered in many different ways. Each person may be different, but sometimes we share the same types of motivation with others. A soldiers motivation usually starts when he or she enlists, as this is a voluntary action they have taken, were they motivated by pride, anger, or even a sense of wanting a larger family. We may never know all the answers, but we can see how they are motivated. Early on as a soldier each person must go through basic training. This basic training is used to teach new recruits some of the basic things to keep them alive. The new soldiers learn skills from the common skills manuals. The manual contains critical common tasks that support unit wartime missions. Some of the skills that are trained are first aid, how to employ land mines, patrolling, basic marksmanship, different weapons, communication, survival techniques, land navigation, crowd control, protect against a nuclear biological chemical attack, customs and laws of war, and handling remains. No matter what the task or skill it is essential that each person have a buddy. These buddies are your motivation; they are your friends, your confidant. Often times a group of so... ... Conclusion As can be seen people get motivated from many different things. Friends can be motivation, money, personal pride, religion and even life itself. No matter where one gets their motivation, it is a constant battle to find how we can motivate everyone. As leaders in today's society we often struggle finding that one thing that can motivate even one person. When we are motivated it can also motivate others to join in. Motivation is not only a key part of making business and the world successful, it also fuels the way to new ideas and innovations. Job satisfaction can be found in very subtle ways or even extreme. I find it in both; I am very happy with the pay and enjoy the change of scenery week by week.

Talent Shows – Dream Or Nightmare?

Talent shows are fun to watch, but are they actually fun to be a part of? I think it is very entertaining to watch talent shows, never the less the auditions, but I would never participate in one myself. I think it crosses a lot of my limits to get up in front of everyone in Denmark. If we take starting-point in singing talent shows, many of the young people that join the show, can't even sing. The problem here has probably something to do with, that the parents to the child think that everything their little angel does is fantastic.And therefore the young person with absolutely no talent at all, is totally laughed at in front of the whole country. The dream of being the next big star is cool, but when you become a star through a talent show, you will always be remembered as â€Å"Julie from x-factor† or something like that. If I ever wanted to become a famous singer, I would rather get there on my own then get there through a show.If we, as an example, look at Miley Cyrus, wh o plays Hannah Montana on Disney channel, she wants to be a big actress and singer, but when we think of her or we want to explain who she is, it is and will probably always be â€Å"the girl who plays Hannah†. I once read about this in a magazine, that Miley is tired of being Hannah and wants to be Miley, the girl who can sing and act. She has tried a lot of things to get rid of this reputation, such as being in movies that are for teenagers and not kids.She has also made several CDs, with music she writes herself. And if we look at someone from the Danish x-factor, we all know Sarah, the girl who won x-factor 2 years ago. Last year i played a handball game against her, and every time someone recognized her they would yell, â€Å"Hey, it's Sarah from x-factor† So this is something you have to live with, if you participate in a talent show. So with these things in the back of my head, I will elaborate on why I would never participate in this kind of shows.The first rea son is that I don't like to display myself in front of the whole country, not because I can't sing, I just don't feel the need to show everybody my singing talents. When I sing I usually am alone or together with people i am close to, Everybody doesn't need to hear me sing. Another reason is that I think these kind of shows often make people who once were nice and kind, to total snobs, because of the publicity. They don't have time for their old friends, and they start to only wear branded goods.This isn't good because a lot of the people in a talent program are just a flash in the pan, and when the show is over their friends at home have moved on. The last reason is the thing about being the girl from the talent show. If I ever, at some point in my life, want to be a celebrity, I want to become it and achieve the publicity on my own. I don't want to be part of a show and always be known as a â€Å"show-person†, and not known for my own music or just for being me! Therefore I would say that talent shows are a NIGHTMARE.

Influences of health care delivery

Describe one factor which influences wellness attention bringing in the UK Team working It is of import to look at how team working be improved in order to continually better the criterion of attention given to the patient. Sometimes team members will work good together but sometimes tensenesss can develop between different professionals looking after a patient. There are some state of affairss where a squad attack works better than an single one ( Pickering and Thompson, 2003 ) for case where a mixture of accomplishments is required and it can besides forestall fight where the latter may be damaging to the overall service of attention. For squad work to be effectual there must be equal administration. There can be two facets of the success of squad working, foremost how good the external aim is achieved and secondly the internal mechanics of the group embracing how good the single group members work together ( Pickering and Thompson, 2003 ) . Pickering and Thomson ( 2003 ) have summarised some of the factors which help a squad to work good and besides those factors which can adversely impact its public presentation. In the former class are ;The undertaking is focussedEveryone participates in a relaxed ambianceCommunicationConsensus determinationsAppropriate feedback and ego ratingActions clearly assigned to team membersLeadershipThingss adversely impacting squad work include the followers ;Poor communicatingMembers fostering their ain terminalsLack of leadingNo apprehension of functionsThere is inherently the possibility for a grade of struggle between professionals who are at different degrees of experience within their forte. NICE overcomes, at least the theoretical constituent of, this by doing mention to â€Å"health professionals† instead than depicting them as belong to any one peculiar group. Another disadvantage of a squad construction can be people merely go oning to work as persons, nevertheless â€Å"wo rking â€Å" together † instead than working â€Å" aboard † can excite people and consequence in new ways of undertaking old problems.† ( Davies, 2000 ) . Collaboration with other squad members is most effectual when the squad members recognise each other’s differences and besides readily accept that each member’s position from their ain professional point of view, is merely every bit valid as those of the other members. The differences through can make tensenesss. When the squad is set up single members need to hold assurance in the other squad members. There does, nevertheless necessitate to be some regulations so that certain members do non over shadow the others who need still to be heard. Troubles can originate in big squads. In some multidisciplinary squads the squad members may non all be clearly demarcated. There may be considerable convergence of functions. To assist get the better of this it is of import that the overall aim is clear to all involved and that each individual is cognizant of the duties of the other members in order to avoid duplicates and skips. Team undertakings may alter and the squad needs to be antiphonal to this with an effectual agencies of accommodating its work and even altering its members. Overwhelmingly the most of import facet of squad working is communicating and this is so in all facets of squad working. Critically measure how this influences the proviso of quality wellness attention in regard of the client ‘s professional pattern Team working has an influence on the professional pattern of chiropody in a figure of ways. Podiatry services are frequently provided as portion of a multidisciplinary squad, possibly no-where is this more evident than the podiatric attention given to people with diabetes. For this ground this subject will be analysed in greater item to analyze the of import facets of squad working. At the phase of puting up or modifying a podiatric service the chiropodist is involved as portion of a squad measuring future alterations, make up one's minding on way of alteration and puting up execution. Chiropodists as a squad will hold different countries of involvement within chiropody. For case some may hold an involvement and particular accomplishment in pediatric chiropody, others in general work, others in forensic facets. The manner they work good as a squad will act upon patient result and interaction with other services e.g. the tribunals. Another of import facet of the squad attack is the pa tient being involved as a squad member, once more peculiarly of import in diabetics. Here the chiropodist has a function in patient instruction. The different types of squad working outlined above require different accomplishments of the chiropodist. For case in the multidisciplinary squad of import qualities are a regard for others ways of working and understanding, giving and having feedback. When puting up a service leading qualities, assertiveness and coaction are of import. Multidisciplinary squad Diabetess is a peculiarly of import status for the chiropodist. It has important prevalence with high hazard of terrible wellness effects. Diabetes mellitus affects 1-2 % of the population and half of all lower limb amputations are done because of diabetic complications ( Lorimer, 2002 ) . The chiropodist has an of import function in bar of complications of the diabetic pes since 15 % of diabetic people have a pes ulcer and most leg amputations are preceded by ulceration ( Lorimer, 2002 ) . Diabetess is a multisystem upset and there is hence a demand for close affair between the different squad members who may consist ;ChiropodistDiabetologistSpecialist nurseVascular and orthopedic sawbonessOphthalmologistIn add-on the patient’s attention is frequently shared with their general practician. There are interacting pathological procedures ensuing from the effects of diabetes which contribute to the pes jobs ;Vascular coronary artery disease and little vas disease cut down blood supplyReduced blood O transporting capacityReduced opposition to infection and hapless lesion healingNeurological abnormalcies impede esthesis ; pain no longer protects against hurtPoor vision impedes the diabetic person in inspecting their pess and their manual sleight for cutting their nailsNephritic damage predisposes to oedema which compounds many of the jobs already discussed.In working as a portion of the multidisciplinary squad within diabetic attention there is a really clear undertaking focal point, which is so of import for the effectual operation of a squad attack. The St Vincent’s Declaration has the clearly defined purpose â€Å"a decrease in all lower limb amputations from sphacelus by 50 % over 5 years.† The papers â€Å"Working together to pull off diabetes† is really utile from the point of position of educating other members of the squad. It reinforces the thought of consistence of advice given to patients by different members of the multidisciplinary squad peculiarly by druggists, chiropodists, oculists and tooth doctors. An extra of import characteristic is that it promotes acknowledgment of the factors that require pressing attending by a different member of the squad. To do this work efficaciously it is of import that clear referral mechanisms are in topographic point so that the patient can be easy referred straight to the appropriate member of the squad. Knowledge of the aims of other squad members enables a proactive attack to the jobs within the other subjects. The International Working Group on the Diabetic Foot describes, in its practical guidelines, five basiss of attention in the diabetic pes ;Inspecting the pes on a regular basisDesignation of the pes at hazardEducating the patient, their household and health care suppliersAppropriate footwearTreatment of non-ulcerative pathologyThe National Service Framework for Diabetes describes agreements for pes attention for diabetics with Foot Protection Programmes for those at hazard of pes complications and to boot a Multidisciplinary Foot Care Service where the squad members here have more extended accomplishment and cognition to cover with diabetics who really have developed pes jobs or who are at particularly high hazard of so making. Involving the patient in the squad Giving advice to the diabetic patient is an of import facet of attention ( NICE 2004 ) . Patients must have pes attention instruction and advice about suited footwear. It is peculiarly damaging to the pes good being of diabetics if they smoke. It is hence of import that the chiropodist stress this and help with supplying aid about smoking surcease AIDSs. This is emphasized in the Prodigy guidelines. Since diabetes is a multisystem upset smoke will be holding an inauspicious consequence on other bodily systems. It is extremely likely that the patient will be having recommendations and advice about halting smoking from many different members of the multidisciplinary squad. This presents a peculiar challenge to the chiropodist. He or she does non desire to lose out treatment of the inauspicious effects of smoking but does non desire to be seen as yet another individual pecking about the inauspicious effects. Merely showing the information in written literature may non do, it might non be read or it might merely intensify a job of information overload. Clearly this illustrates a manner that the chiropodist must work as a portion of the squad holding wi th other squad members how to near the smoke issue and who should make this and with what grade of accent. Communication is critical if this is to work satisfactorily. For case the diabetologist needs to cognize at what degree of hazard the patient’s pess are soon in. If the pes state of affairs is become critical all avenues of trying smoking surcease will necessitate to be invoked. Similarly good diabetic control ( Turner, 1998 ) and control of blood force per unit area ( UK Prospective Diabetes Study Group, 1998 ) are to the advantage of the diabetic’s pess and the chiropodist needs as consciousness of this in order to reenforce the appropriate advice. Davies C 2000 Getting wellness professionals to work together BMJ 320:1021-1022 Diabetes Care and research in Europe 1990 The Saint Vincent Declaration. Workshop study diabetic medical specialty. 7:360 Guidelines for the Prevention and Management of Foot Problems for Peoples with Diabetes. Prodigy guidelines. International Working Group on the Diabetic Foot hypertext transfer protocol: //www.iwgdf.org/ accessed 20 March 2006 Lorimer D French G O’Donnell et Al 2002 Neale’s Disorders of the pes, diagnosing and direction. Churchill Livingstone, London. McInnes 2005 Where were you on World Diabetes Day? The diabetic pes 8 4 National Service Framework for Diabetes Department of Health ( 2003 ) London National Institute for Clinical Excellence ( NICE ) guideline for type 1 diabetes in grownups ( 2002 ) , ( 2004 ) Pickering S and Thompson J, 2003 Clinical administration and best value. Churchill Livingstone. London St Vincent Declaration. Department of Health/British Diabetic Association. St Vincent joint Task Force for Diabetes. British Diabetic Association, 1995. Turner, R.C. , Holman, R.R. , Cull, C.A. et Al ( 1998 ) Intensive blood-glucose control with sulphonylureas or insulin compared with conventional intervention and hazard of complications in patients with type 2 diabetes ( UKPDS 33 ) . Lancet 352 ( 9131 ) , 837-853. UK Prospective Diabetes Study Group ( 1998 ) Tight blood force per unit area control and hazard of macrovascular and microvascular complications in type 2 diabetes. British Medical Journal 317 ( 7160 ) , 703-713. Working together to pull off diabetes – a usher for druggists, chiropodists, optomotrists and dental professionals. 2004 The National Diabetes Education Program.

The Salt Trade essays

The Salt Trade essays The word 'Hall', often found in contemporary Austrian place-names or geographical features, is derived from the ancient word for salt. (Zronik 14) Beginning in the 7th century BC, one of the main regions of Celtic occupation was in modern-day Austria, centred around Hallstatt, a large prehistoric salt-mining area. The Hallstatt period, 750 - 450 B.C., is named after this region. Hallstatt is the location where most of the extensive and comprehensive finds pertaining to the early Iron Age were discovered. (Schutz 191) Salt was a highly desirable commodity at the time, and the Hallstatt culture took advantage of the salts high value by establishing a salt trade. There are two main components in any trading system; exports and imports. The Hallstatt culture exported salt, and imported such items as pottery, jewelley, weapons, and gold. The salt trade resulted in increased wealth for the Hallstatt culture while the imported goods carried along cultural influences. The various influences came from all around Europe, but most notably the Greeks, the Italians, the Mediterranean. With the current weather conditions at the time, the value of salt was extremely high. With salt having such a high value, the salt trade led to a stratification of society, as the rulers of the salt trade became wealthy. The economic basis of the Hallstatt culture focused on the mining and distribution of rock salt. During the early Iron Age there was an increased demand for salt. The demand was attributed to the dry weather which lasted from 700 to 500 B.C. The salt trade was motivated by the need for the increase in the dietary use of salt to prevent dehydration. Also salt was valuable for preserving meats during the winter. The salt trade was of great economic importance to the Hallstatt culture as suggested by the difficulty in the mining of salt. With the tools available to the salt miners of Hallstatt they could advance into the rock at a rate of 1 met...

How Veal Crates Are Used in Factory Farms

How Veal Crates Are Used in Factory Farms One of the biggest arguments made by non-vegetarians is that dairy is not harmful to the animals since the animal does not need to be killed for dairy products. But to animal-rights activists, stealing milk right from the mothers breasts from a baby anything is despicable. Should we deny a baby the nutrition he needs to grow just so humans can drink it and get fat and laden with cholesterol? Veal in the Dairy Industry Thats not the worst of it. Veal is a by-product of the dairy industry. Like all mammals, female cows must be kept constantly pregnant in order to lactate. In a process called freshening, female cows, called wet cows after giving birth, are kept unnaturally lactating to maximize their milk production. Male calves are taken from their mothers at birth because they are not useful for milk production. These calves are turned into veal. Some female calves are also turned into veal because they are not needed for dairy production. The excess dairy calves are the wrong breed to be useful for beef production, so they are usually slaughtered for veal when they are between 8 and 16 weeks old.   Why Veal Production and Crates Are Controversial Veal crates are used in factory farming to confine dairy calves. The calves are chained and do not have enough room to move or turn around in a crate that measures 22 by 54 inches. Veal production is controversial because many people regard the extreme confinement as excessively cruel. The crates are so small, the animals cannot turn around. This keeps their muscles soft and unused which produces the pale, anemic meat consumers demand. Also, the calves are fed a synthetic formula instead of their mothers’ milk, this formula lacks iron, and causes a variety of health problems. Water is withheld so the calves will crave the formula. The formula has a laxative effect, so the calves are plagued with diarrhea which not only causes painful cramping, but also serious rashes down their legs where the fecal matter, which contains stomach acid in it, burns their skin. Their rectums are also painful, burning and swollen. The method whereby veal is created is so cruel, that many enlightened non-vegetarians have sworn off veal completely because they know they could never enjoy a meal when the animal on their plates suffered intensely.   To add insult to injury, cows are associated with motherhood because they are more doting on their babies than a Jewish mom with her son. Cows have been spotted with tears running down their faces when they hear their calves crying for their mothers.   While some animal advocates work to ban the use of veal crates, the slaughter of any animal for food is antithetical to animal rights, regardless of how much room the animals have when they are alive. Examples of Anti-Veal Crate Initiatives Californias Prop 2, a ballot initiative that was approved by California voters in 2008, banned the use of veal crates and took effect in 2015. The Animal Law Resource Center proposed a model bill and presents a history of legislation addressing veal crates. Edited by  Michelle A. Rivera, Animal Expert

Term project Essay Example | Topics and Well Written Essays - 500 words

Term project - Essay Example Having done all of this, we adjusted the highway in accordance with the circumstances. Procedure: At the first, we set up the overall site of which the highway had to go over. Having done with the site work, we started to set up the highway. The first highway had only straight lines with no curves at all. Therefore, we had to bring in some curves in the highway. Having done with that, we started to set up the highway’s vertical alignment. However, there was a problem in the structure of the highway as at one particular point, the highway had to go through a piece of land. Moreover, at one point, there had to be a piece of land placed below the highway. We must include in the report that we had to remove the soil from the point where the high way needed to go through in order to fill the empty space under the high way. Discussion: We have to consider many issues when designing the highway and include all of them in the report. For example, traction is one of the main issues. We have to make the curves of the road on an incline in order to offer good traction. This means that there must be an incline for every curve on the highway. Apart from this, another issue is the two sections of the highway in which soil needs to be removed to fill the empty space under the highway. It will not only offer a good level of stability for the highway but also will lower the cost for making the highway strong. Conclusion: To sum it up, we had to set up a terrain for this project and then had to make a vertical, as well as a horizontal alignment of a highway on that particular terrain. Therefore, we had to adjust the highway by considering the potential obstacles and issues. Such problems include strength of the highway, traction, and the financial

Macro forces analysis Research Paper Example | Topics and Well Written Essays - 1250 words - 1

Macro forces analysis - Research Paper Example Investment in Kenya provides the investor with a chance to access the other east African countries due to Kenya’s strategic location (Njuguna). The research starts with a preview of factors that have lend to Kenya as my choice, followed by a study of Kenya’s cultural, economic and political trends and also an analysis of its technological and competitive position in the international markets. This analysis ends with a recommendation of the investment opportunities in Kenya. Since 1963, Kenya has managed to maintain a diversified economy where the private sector plays a major role (Njuguna). Despite some periods of tension the country has not resulted to civil war or massive intervention in its economy. In the recent past various reforms have taken place including review of public private partnerships meant to attract investors, setting up of a competitive and transparent privatization programme and formulation of vision 2030 to guide Kenya’s investment through a clear outline of government plan for the economy and the requirements, benefits of partnerships (Linda). A number of factors make Kenya a strategic country for investment among many nations. These factors range from its location, availability of labour, favourable government policies, availability of raw materials for industries, availability of affiliate services, political stability, a favourable social structure and a high level of economic growth (Otieno). Kenya is currently at 57.1 on economic freedom making it 111th freest economy according to 2014 index. This score is 1.2 points higher than 2013 with notable improvements in labour freedom, monetary freedom and trade freedom. Measures have been implemented to financial management and efficiency. Kenya’s location is strategic due to its direct access to Indian Ocean that is endowed with a beautiful and extensive natural harbour at along its coast. This is the

Company law. How to raise funds from public Essay

Company law. How to raise funds from public - Essay Example Transferability of shares in the stock exchange. Stocks and shares of a public limited company can be easily traded in the stock exchange and can be converted into cash on the fair market value of shares. Unlimited numbers of members. There are no restrictions on the number of members for a public limited company. Ease in borrowing funds from banks and financial institutions. Due to its better-understood corporate form and credibility of financial disclosures, banks and financial institutions can offer funds rather easily than a private limited company. The disadvantages regarding opening of a public company are enlisted below Non restriction in transference of shares. Due to non restriction in transference of shares, it is easy for people to interfere into the management by purchasing shares. Much more legal formalities and compliance of laws regarding decisions. Business cannot be commenced prior to certain legal formalities. Much more paperwork and recording requirements are observed. On conversion of a public limited company into private limited company, much legal formalities are involved. The accounts of a public limited company should be published and dispatched to the shareholders at their registered addresses. Question: What are the roles of director and duty of care of director Answer 2: Duties of care and skill In contrast with the extensive duties of good faith, which largely restrict certain acts conflicting with the director's duty to his company, a director has duties of care and skill which are positive side to promote the welfare of the company. (Charles worth, Morse (1998) (a) The test of skill The traditional test has been...It may be more difficult to raise capital for a private limited company, as investors may be more comfortable investing funds in the better-understood corporate form with a view toward an eventual initial public offering. Raising funds from public by means of issuance of share capital. It is much easier for a public company to raise its capital than a private limited company, since investors are more comfortable in investing funds in the better-understood corporate form with a view towards an eventual initial public offering. Transferability of shares in the stock exchange. Stocks and shares of a public limited company can be easily traded in the stock exchange and can be converted into cash on the fair market value of shares. Ease in borrowing funds from banks and financial institutions. Due to its better-understood corporate form and credibility of financial disclosures, banks and financial institutions can offer funds rather easily than a private limited company. In contrast with the extensive duties of good faith, which largely restrict certain acts conflicting with the director's duty to his company, a director has duties of care and skill which are positive side to promote the welfare of the company. (Charles worth, Morse (1998) The traditional test has been that a director need not display in the performance of his duties a greater degree of skill than may reasonably be expected from a person of his knowledge and experience.

Food Processing Technology and Methods for Cereal

Food Processing Technology and Methods for Cereal Most of the principles of making breakfast cereals are similar to all products. Trix cereal is made with corn. The process of converting corn into the delicious product many children as well as adults will be discussed in this section. The corn from the field is dried milled, sifted and cleaned to separate the germ from the bran, oils and debris collected from the field and the milling process. The goal of this separation is to get to the endosperm where most of the starch that will be used for production is located. Most cereals produced are produced as flakes. Prior to flaking the grits are cooked and mixed with sugar, malt syrup, proteins, and salt into a large amount of water to create what is called cooking liquor. This cooking liquor provides the Milliard reaction that occurs during cooking and is what provides most of the flavor to the flakes or in the case of Trix, corn puffs. This mixture is loaded into a cylindrical industrial steam pressure cooker for about two hours at a 15-18 psig steam pressure (Smith Hui, 2004). In the case of Trix the cooking process is done by puffing. Puffing is done either through high temperature ovens, guns or extrusion. The use of any of these three methods is to expose the moist grain to high temperatures where its moisture will be converted to steam. The steam released by the grain expands and puffs the kernel. Prior to placing the grits into any of these three methods, the grains are delumped in lump-breaking machines which incorporate large volumes of air. The air supplied through the machine helps with the cooling of the product. The cooling of the grit in the lump-breaking machine helps with the initial drying step of the process of making ready to eat cereal. Grits usually have a moisture content of 28-34% (Smith Hui, 2004) are dried to about 14-17% through the use of forced air dryers at a temperature of 250 °F (Smith Hui, 2004). Once the grains have gone through this initial drying, the grains are controlled cooled to 100 °F to prevent hardening of the grain and to allow the grain to return to ambient temperature. (Smith Hui, 2004). Once the grain is dried to the moisture levels desired, the grain is tempered. Tempering of the grits takes about 2-3hours, helps reduce the darkening the product that occurs during Milliard reactions, and allow the grit to retrograde. This process uses temperature of 80o F and increases the firmness of the cooked grit (Smith Hui, 2004). From this point the grit is ready for flaking, shredding, or any of the methods of puffing grits. General Mills utilizes puffing guns to make Trix cereals. The science behind the puffing gun utilized by General Mills and some of its competitors, works by introducing the grains to high (500-800  °Ã‚  F) temperatures. This high temperature evaporates the moisture within the granules creating a steam pressure build up (100 to 200 psi) inside the chamber. When this pressure is released the moisture attempting to escape the grain, causes the endosperm to expand and simultaneously puff. Puffing guns have come long ways from when they were first introduced in the cereal business. Today General Mills utilizes a continuous puffing gun systems and extrusion puffing. Continuous puffing guns work the same way as it predecessors. The continuous gun contains a rotating cylinder that is set a specific angle. The cylinder is heated either by gas flames or electrically, and it is fed through a rotary valve. The pressure in the cylinder remains constant via the exit, thus continuously discharging the product. The contents explode into a bin provided with a floor opening leading to a conveyor belt. The product is directed to a rotating heating cylinder to dry, and then cooled. At this point the product is visually inspected for stickiness and color and sent to the packaging line. Direct expansion or extrusion puffing is the other method used by many cereal manufacturers. This type of technology was received with open arms by the cereal industry because it allows the combination of the steps in the process into one. Cereals ingredients are introduced in one batch into long barrels equipped with single or twin screws. The screws mix, shear, and pressurize the barrel and transport the â€Å"dough† to a forming die. As the mixture flows through the extruder, vitamins, flavors and colors are introduced and then the mixture exits through the die. The same principle of the puffing gun is applied to extruders. As the moisture vapor expands and the excess pressure is released, the volume of the mixture increases. The temperature in the barrel increases the mixture to about 300o-350 o F and the pressure to about 350-500 psi at the die head. As the dough exits through the orifices of the die, it is sliced off in to the different shapes and the slices expand immediately. Despite this quick expansion, the pieces still maintain moisture content of about 27% and are further dried on vibrating screens in hot air puffing ovens where the final cooking of the product occurs (Smith Hui, 2004). Pieces are inspected and sent to the packaging line. Although extruded and gun puffed mixtures products are enriched and fortified during the cooking process, the puffs receive a final spray of vitamins, sugar and flavors inside rotating spray drums. Both final sprays assist with the reduction of lipid oxidation and moisture which improve the overal l quality of the product as it relates to its texture and crispiness. One aspect of producing cereal is its quality. The cereal industry uses multiple methods to assess the quality of its product during the production process. The biggest issue for a good cereal product is moisture. Moisture is measured through near infrared analysis (NIR), wet chemistry, and image analysis. During the process the product the raw material is analyzed for moisture to ensure it can be flaked, shredded, shaped, maintained for control of oven temperatures, and to control the sugar content applied to the product. This type of testing can also be done to the final product where the fat, sugar, and moisture are analyzed to ensure the operation is working at optimum conditions. These test is necessary due to any unacceptable moisture content could lead to poor product quality as well as possible bacteria growth. At present, cereal industries are performing little or no analytical testing, and are relying on the vendors to provide them with highest quality level of product for their market. This can present a problem in production process. Despite the fact that the cereal industry does little or no analytical testing, most of the moisture content testing is performed as the product exits the oven using a 16 hour vacuum oven method or a moisture balance method (Unity Scientific, 2014). According to Unity Scientific, â€Å"both methods use loss on drying to measure moisture content.† The main problem with the 16 hr oven method is the time it takes to get results, and when these are received they â€Å"have no impact on real time process control† (Unity Scientific, 2014). When it comes to the moisture balance method Unity Scientific says, although the sample can be â€Å"analyzed in 15 minutes it is â€Å"2-3 times less accurate the vacumm oven method.† The key to cereals i s the control of its moisture and texture. Moisture as mentioned previously, is critical to maintaining a cereal’s integrity, and it is crucial that the moisture of a cereal product is not greater than 3%. Anything less or greater could reduce its crunchiness as well as make it brittle. Therefore, NIR is one of the best methods of testing for moisture as well as fat content in any step of the process. In regards to its crunchiness the cereal industry uses mechanical as well as sensory evaluation methods to ensure the products texture. Nonetheless, sensory evaluations can be subjective. One of the best ways to analyze texture is the use of mechanical instruments as these provide a quantitative measure of texture. Currently instruments used by the cereal industry include Stevens, Instron and Ottawa Texture Analyzer. The purpose of these crunch evaluation methods is to find the bowl life by exposing the product to milk for a small period of time and then performing a shear test. Other equipments used are the multiple crunching probes and the Ottawa Cell shearing test. The final step in the production process is packaging. Different equipment and films are used across the board in the cereal industry. Some of the machinery used include Ishida multi-head weighers, Bosch vertical form fill seal machines and Triangle bag in box packaging. When it comes to films, they either use wax paper or various polymer films (Smith Hui, 2014). However, before selecting a packaging film, cereal manufacturers consider whether the location the product is going to be sold is humid or arid. Based on these conditions the film is selected and used for production. One of most common packaging materials used in the cereal industry is polyethylene films (Smith Hui, 2014). The packaging film must protect from water vapor transmission and flavor loss. As mentioned previously, moisture plays a big role in the process and any sign of moisture gain could lead to potential loss of crispiness and acceptability of the product. Another issue for cereals is the instability of lipid s. Lipid oxidation leads to rancidity thus, creating a bad aroma in the product. To prevent lipid oxidation and moisture gain in the product, the cereal industry utilizes different antioxidants. The antioxidants commonly used are butylated hydroxyanisole (BHA) and butylated hydrooxytoluene (BHT) (Smith Hui, 2004). Although their use is limited in the production process, these can be added before cooking. However, after several trials, it was discovered that due to their non polarity and their volatility these would not hold during the manufacturing process. Nonetheless, it was discovered it was better to apply these antioxidants to the packaging material as the antioxidants would transfer to product after packaging (Smith Hui, 2014). Packaging does more than protect from decay, it provides the identification, and it provides consumer attraction and appeal to the product. Producing cereals entails more than what is see in the grocery store shelves or what is consumed at homes. Essentially behind all of this manufacturing process is the effort to make profit, but no matter what idea the manufacturer may have, protecting the product and providing the best quality of product to consumer becomes primordial. Accurate shelf lives, quality of stored cereal, its freshness are what attract and appeal the consumer. References How Products Are Made. Cereal. 2014. Available at: http://www.madehow.com/Volume-3/Cereal.html. Accessed September 03, 2014. Smith, J. (2004).Food processing: Principles and applications. Ames, Iowa: Blackwell Pub. Kulp, K. (2000).Handbook of cereal science and technology(2nd ed., pp. 626- 627). New York: Marcel Dekker. Breakfast Cereal. (2014, January 1). Retrieved October 18, 2014, from http://www.unityscientific.com/industries/food-dairy/cereal.asp