Most Difficult Thing I Ever Learned to Do

â€Å"the most troublesome thing I at any point figured out how to do† Most pepole have learned numerous activities and a portion of the learning is the hardest of the others . For me ,The most troublesome thing I at any point figured out how to do in is the manner by which to live as a worker . The vast majority of all,The absence of English capability was a boundary to a superior life. At the point when I went to the United States ,I was unable to discover any word to communicate my self in English. Learning english was difficult for me particularly when you need to learn scholarly English as third language .However ,my companions said â€Å"If you do feel that English isn't simple don't stress you are by all account not the only one â€Å". I realize that who I am not by any means the only onehas this issue. I don't surrender, I'll attempt to put forth a valiant effort on a par with conceivable. The second motivation behind why moving to the United States was so difficult to me,living to an alternate nation has made me fully aware of numerous social contrasts. I didn't know If american culture would acknowledge me or if any one would ever converse with me. Iran has a totally different social foundation in the methods of seeing things,traditions,and deciphering the world .I regularly felt torn between the U. S. culture and culture of mine. It required some investment to conquer these issues and impart successfully across societies. Another explanation ,Since I lived with my folks I had never experience living alone . As an autonomous individual , I have a great deal of things to deal with them, for example, working and cash mangment . I can't envision how might I sort out these without anyone else . Most likely, living freely can brings to be more responsiblility,but for me it was probably the hardest thing I hade to leran in the U.S. The Last explanation things were hard for me , I needed to control my feelings . At the point when I relocated to ano ther nation ,I started another existence without help and consideration of my family . I got far away from Enviroment which was loaded with sweet unpleasant recollections and this reality got me discouraged. After a few month,I discovered some approach to control my feelings and to satisfy myself . Presently , I think living in U. S. is the hardest thing I figured out how to however definetly It showed me â€Å"the past will be past , live now† and I would it be able to would on the off chance that I like to do.

Module 3 Assessing a Research Study Term Paper Example | Topics and Well Written Essays - 750 words

Module 3 Assessing a Research Study - Term Paper Example The exploration article utilizes materials that have been composed, talking about the advancement that has been made in the clinical or human services division, in light of the utilization of EMR administrations and programming, as a method of tending to the examination question. Accordingly, the utilization of writing audit is utilized to seek after and underscore the legitimate connection between the needy variable (degree of profitability examination [ROI]) and autonomous variable (the development and utilization of EMR innovation). 2. The example size involves social insurance associations that bargain in endocrinology, general medical procedure, orthopedics, cardiology, nephrology, podiatry, ophthalmology, urology, word related medication, dermatology, hypersensitivity and immunology, family practice and gastroenterology. 5. The article obviously represents how the profits on ventures (ROI) have advanced when the appearance or utilization of EMR administrations (unwavering quality). This incorporates the introduction of real figures, and rates of expanded efficiency (legitimacy). Two-path Analysis of Variance: obviously in the examination, factual information have been utilized to depict the way in which a given clear cut and autonomous variable influences distinctive ward factors. In reality, the analyst, Dr. Sindhwani makes end such that the approach or utilization of EMR innovation has fundamentally expanded all the previously mentioned and tried components of ROI in medicinal services/clinical foundations. Dr. Sindhwani as the scientist investigates (remotely) the control of superfluous factors by recognizing the spot of other relatable innovations, for example, Smart-telephones, their dominance and an expanded skill for precise coding as elements that will spike onwards, EMR’s returns on speculations. In the investigation, Dr. Sindhwani discovers that the utilization of EMR has essentially expanded the tried components of profits on venture (ROI). Especially, Dr. Sindhwani is clear cut that outlining expanded from 0.5 to 1 (half

Keep Calm and Carry On

2 / Keep Calm and Carry On To set the mood: Beethoven Symphony no 7 II  ?? Take 1: Keep Calm and Carry On ?? A peek into my week of October 1st to 5th, categorized by classes + training/practice (grey), psets + revision/studying (blue), and fun (yellow). ?? You seem much more calm now â€"  changed. I ran into a friend who I hadnt seen in over a year or two. We were in the same project group for DEECS, the former Course 6 FPOP. We caught up for a bit, reminisced about how quickly time has flown by, that were somehow seniors now. Hes working at a startup this semester, and we talked about the MEng. At one point, he mentioned how I seemed *changed*, calmer. I guess going abroad changed me. Later in the week, I ran into another friend who went abroad. We both had thought leaving MIT for a semester would make it harder for us to adjust back to the grind. But shes felt its been quite the opposite â€" the stress and deadlines dont phase her anymore. Maybe its because were seniors now. And its already October. Were a third of the way into the semester. Spooky how fast time is flying by. Im at this point where I dont want it to end so soon. Underclassmen me couldnt wait to get to graduate. Some of my friends are also graduating a semester early. Its one semester with them. Who knows where well end up in the next few years. This week has been long, but productive. I had an exam, 3 psets, and other miscellaneous assignments due. I put in solid training practices at the rink getting back in shape. I signed up for the NYU Intercollegiate Champs first week of November. 6 others on the MIT Figure Skating team are also going. Construction of the rink in Johnson Arena has been underway, too. I also carved out time to have dinner with my 8.01 TEAL group in Central Square, read for the first time since the semester started, coffee and lunch with friends, watch Mean Girls on Wednesday, and paint a mural with PaintBar and other summer interns at Microsoft NERD. To top it off, the new season of the Man in the High Castle came out Friday, and I binged a few episodes into the wee hours of the night. We had a 4-day weekend in mid-October. I originally had planned to go to Santa Monica for an on-site interview, but that was pushed to next week. Instead, I considered going to NYC, but I ended up staying in town and catching up on everything. I met up with Anelise N. 19 to work on this blog at a cafe in Central Square, went to my first bar in Boston, and stayed up into the wee hours tinkering with React.js and making a new website. Featuring pics along my daily commute throughout campus. The MIT.nano building is up and running, and yes its beautiful. ????? I thought after that week I finally was on top of everything. I had planned to post this at the end of the first week of October, but didnt get to it, so Ill continue the story with the last three weeks as well. Take 2: Just Keep Swimming ?? A peek into my life during the last 3 weeks. Adding pastel green to categorize recruiting events. ?? I probably just had the most stressful two weeks, ever. It started off with a conversation with a friend in the wee hours at the Stud one evening (read: morning): figuring out our life purpose, what we want to do after we graduate. After mulling on that for a night, letting all that existential angst marinate and ripen, I walked into our first 6.046 midterm with a hot chocolate in hand, hoping that would ease the pain and misery and help pass the two hours as quickly as possible. That was the hardest  exam Ive ever taken in my life. Let me repeat that: the hardest exam Ive ever taken. I kept turning the pages from problem to problem, mind drawn to a blank. By the last 30 minutes, I tried to write down as much as I could praying for pity and partial credit. Once that was out of my life, I had to switch gears quickly. I had a full-time return offer expiring within the next week, and needed to figure out what I wanted to commit to doing post-graduation. I was running out of time. The next weekend, I flew to Los Angeles for a final-round onsite at a startup for a full day of interviews. I arrived on Saturday and spent the weekend exploring Santa Monica and basking in the sunshine and the expansive stretches of beaches and boardwalks. I went to this omusubi place that I last had back in 2014, and it still tased just as amazing. I got to watch the sun set on the beach without a worry in the world, soaking it all in in its pristine beauty. Santa Monica   a e s t h e t i c.  ?? It was nice to get off of campus, for a change of scenery and pace of life. I fed off the relaxed vibes and the creative buzz. No psets or exams here. I made sure to take advantage of all the food options here, too, making sure to stuff myself with quality meals and the variety of options we dont have here on campus or in Boston. All smiles dipping my feet into the Pacific for the first time in a long, long time. ?? Before I knew it, it was time for a red-eye back to Boston, just in time for a German Vokabeltest at 9am. The next day I was back in the rink working with my coach on new choreography for my new free program. That evening, I got a call for an opportunity to interview on-site at another company in the Bay Area in two days. I got everything booked quickly and prepared myself for yet another trip back to the West Coast. I had a few assignments due on Friday that I had to complete in the labs here on campus, so I had to squeeze them in before I left. I underestimated rush hour traffic on a Friday evening, and I nearly missed my flight. My mom picked me up from SFO and the first thing we did was stop by In-N-Out. The next morning, I was up bright and early, and had another packed day of interviews from 8:45-3:45, non-stop, even with an interview over lunch. Exhausted, I went back to the hotel to finish up a 6.046 pset. I watched First Man that night to try to forget all the craziness that had happened in the last week, and give myself some time to think through my final offer decision. At 11:57pm PST, I signed my return offer.01 More on this in a follow-up post! Luckily, I got to spend the weekend at home and enjoyed quality time with my family and my dogs. I had a dentist appointment, went to a local barber, and practiced some driving. Missed the puppers at home! ?? I nearly missed my flight back to Boston.02 Yes, this seems to be a recurring theme. I was the last one to board, and sprinted to the gate right as they were starting to close the doors. It was another red-eye, and I didnt get much sleep. But I had an hour by the time I got back to power-nap.03 After German, I may have skipped another lecture to nap some more. before German at 9am, again.  A alum-friend from NYC came back to visit Boston, and we had a relaxing lunch in South End. Still sleep deprived, I managed to get some training done and tested out the fresh sheet of ice at Johnson Arena. I slept early that night. Catching up with friends at Senior Toast. ?? Last Thursday was quite a day. With little sleep, I forced myself to get up early to skate from 8-9am  before by 9am. I usually skate with my coaches in the afternoon in Revere, but I needed to free up my afternoon for office hours and to finish up my other assignments. The rest of the day I needed to finish a 6.046 pset, a 6.810 project deliverable, a 6.810 pset, a 7.012 pset, and write a German response paper. Somehow I got through it all, and got to bed at 3 something. Watching The Chalk Cycle directed by Professor Claire Conceison, who taught two of the three classes I took for my theater concentration. ?? Friday was Senior Toast, and I got to catch up with some friends over wine and appetizers. That night I got a chance to watch The Chalk Cycle, a play directed by Professor Claire Conceison, who taught two of the three classes I took for my theater concentration. It was finally the end of a long week. It felt  like a huge burden was lifted, but because I was in a state of induced stress at such a high intensity for so long, I couldnt fully relax 100%. Funny how stress works. Once I start to relax a little bit, its short-lived, like youre cheating yourselfâ€"the stress picks up right back again before you know it. I had thought the worst was over, that Senior year would be what I had always hoped MIT to be, that Id have the chance to enjoy it, to confidently navigate the waters and manage it all while keeping sane and making time for myself, my friends, and my mental and physical health. And yet, the past month has been an insane cycle of stress with infrequent bursts of peace and calm. Im holding out for next semester to be better.04 After this semester, I only have 2 more classes (6.033 and a HASS) and a PE left to take. But I am grateful that I got to spend some time away from campus, physically removed and transplanted to the other coast, even if it was only short-lived. I needed that break and time to recharge, and the time I spent with my family at home, too, put all the stress and deadlines and craziness into perspective. Im doing my best to stay calm and go with the flow, even if its in the directions of the firehose of stress and of constant stream of deadlines, assignments, and exams, it somehow works out in the end, hopefully. Saturday I slept in late and spent most of the day fanatically cleaning and decluttering and attempting to get my life together once again. Last night, I had all-you-can-eat sushi and stuffed myself appropriately. Earlier today I got some skating training doneâ€"T-7 days until the NYU Intercollegiate Competitionâ€"and got started on another 6.810 project deliverable and another 6.046 pset and started to prepare for my German quiz tomorrow morning. Right now the city is going nuts over the Red Soxs World Series win. And I can hear the honking and shouting and helicopters from my room. I put on Max Richters  Sleep  album and catch up on some much-needed sleep to start it all over again next week. Ill end Update 2 with a quote thats been on my mind lately: Straight, not straightened. â€" Marcus Aurelius, Meditations Post Tagged #going abroad changed me #Home #interview season #Just Keep Swimming #keep calm and carry on #senior toast #still hosed More on this in a follow-up post! back to text ? Yes, this seems to be a recurring theme. back to text ? After German, I may have skipped another lecture to nap some more. back to text ? After this semester, I only have 2 more classes (6.033 and a HASS) and a PE left to take. back to text ?

The Positives Of Social Media - 1570 Words

Bringing out the Positives in Social Media Social Media use is progressively increasing and has definitely become part of our everyday life. This is occurring because there are so many benefits to using Social Media. As we move along in life people worldwide are beginning to become more reliant on Social Media and different technologies. Social Media is defined as websites and other online applications that enable users or large groups of people to create and share content or to participate in social and professional communications (The World s). People are using Social Media and different technologies to improve communication, share ideas faster, learn new things, check for updated weather and traffic reports, and learn about what is going on around the world (Are Social Networking). In the classroom, students also can improve and better their learning experiences by the use of technology, such as Google and their various applications, such as Google Docs and Google Classroom. One major Social Networking site, Facebook, is so popular that on August 24, 2015, there was over one billion people who were active and on Facebook in one day. This is amazing because when Facebook was just starting out there were only about one million active on their site (Company Info). Social Media benefits society as a whole in many ways. However, Social Media does have some downfalls. Social Media benefits society more then it harms society. Social Media has come a long way sinceShow MoreRelatedPositive Impact of Social Media5373 Words   |  22 PagesABSTRACT Social networking sites such as Facebook, MySpace, and Twitter are amongst the most popular destinations on the web. No doubt in some cases this has contributed to Internet Addiction Disorder, but have they on the whole had a positive effect in our lives? Some believe that the benefits provided by social network sites such as Facebook have made us better off as a society and as individuals, and that, as they continue to be adopted by more diverse populations, we will see an increase inRead MoreThe Positive Effect of Social Media Essay724 Words   |  3 PagesThe Positive Effect of Social Media Since the birth of social media people have argued whether it has a positive or negative effect on society. Social media outlets like Facebook, Twitter, and Instagram give people a chance to stay connected. Although, with the power of social media comes the possibility of cyber bullying. While there are some negatives associated with social media, the positives in communication all around, has made the world stronger and a better place to live in. Social networkingRead MoreThe Positive And Negative Effects Of Social Media701 Words   |  3 PagesSOCIAL MEDIA Social media is an application. Social media is a means of displaying and interacting with each other by sharing information, sharing text, sharing photos, sharing sounds, and sharing videos. Social media is also a means to participate, and socialize through online sites without being limited space and time. In the modern era a lot of impacts that arise from the use of social media. There are both positive and negative impact. But the impact is more dominant on negative impact. WhyRead MoreThe Positive Impact Of The Internet And Social Media735 Words   |  3 Pagesour society than the Internet and social media. By using the internet, people can easily communicate with others beyond any geographical boundaries. The overall effect of the Internet is positive for both individuals and enterprise and it will be more efficient in the next ten years, although social media may bring about some adverse impacts. First of all, the widespread application of technology and social media can not only help young generation improve social abilities, but also provide businesspeopleRead MorePositive And Negative Effects Of Social Media1482 Words   |  6 Pagespsychological well-being to be composed of six elements: self-acceptance; positive relations; autonomy; environmental mastery; purpose in life and a sense of personal growth. This suggests that there are a variety of ways in which an individual’s wellbeing may be affected and provides insight into how vulnerable individuals can be to environmental factors which may alter their state of well-being. Research proposes that social media- an online environment in which individuals can communicate and shareRead MorePositive Impact Of Social Media Essay821 Words   |  4 Pagesthan it is today through social networking. According to the Merriam Webster Dictionary, the phrase â€Å"social media† refers to â€Å"forms of electronic com munication through which users create online communities in order to share information, ideas, and other content† (687). Information is readily available at one’s fingertips at any given moment. Social networking has evolved into one of the most common forms of communication since the launching of some of the earliest social networking sites, includingRead MoreThe Positive And Negative Effects Of Social Media991 Words   |  4 PagesWhen someone says the words â€Å"social media†, many people immediately think about posts and likes, comments and messages, a way to connect with your friends from far away and other positive thoughts. However, some of our political leaders have been using social media to their advantage, using sites such as twitter to influence people to vote for their party. Fake news also is very easy to spread on social media, causing propaganda to increase in our society. In our democratic society, we believe thatRead MorePositive And Negative Effects Of Social Media1050 Words   |  5 PagesThroughout the years, social media have advanced very much. With Facebook coming out in 2004, Twitter in 2006 and Snapchat in 2011, it has changed the world and the lives of many young teens. Today it is used for everything from our personal relationship, entertainment, to work and in our studies. People have become addicted to social media. I personally know a few who need to leave their electronics in the car so they are not tempted to grabbing their phone or tablet. Cell phones are a kids worldRead MorePositive And Negative Impacts Of Social Media Essay1082 Words   |  5 PagesJust as there are positive effects of social media, there are also negative effects as well. False connections are often made on SNS. Ninety percent of students have Facebook which is constructed to be socially shared with any user. It may seem obvious that users of social networking cannot stray far from reality from his or her online identity, althoug h the users can depict what he or she wishes to display (Moreno et al. 452). There are many young teenagers on social networking websites postingRead MoreNegative And Positive Aspects Of Social Media2556 Words   |  11 PagesWith the increasing number of social media sites, it is a premise that technological advancement is an important part of the today’s teenager s lives. This research was obtained random sample of the participants were drawn from college students. The study interview results showed that 57% of the sampled confessed that they spent at least 7-8 hours daily on social media platforms, while 21 would spend more than 8 hours; 12% spend 2-5hours and only 10% uses less than 3hours to check the sites. Indeed

How Does Baxandall Indicate The Product Essay - 655 Words

Art history Name Professor Course Date How does Baxandall indicate the production of painting changed as the Renaissance developed? How did the conception of the artist evolve during the period of the Renaissance? Baxandall describes the fifteenth century as a century where clients would order what they needed instead of purchasing the already made products (Michael 2). He continues to describe how this affected the production of painting. The less known or recognized artist would have to produce readymade arts in order to attract clients. However, the already established artists would wait for clients to make the specific orders that they required. Baxandall argues that the production of painting was hence influenced by the clients†¦show more content†¦Michelangelo is viewed as a person who is unlikely to complete any commissions. He is described as a character that has difficulties when it comes to relationship and love to engage in sexual relationship with the male counterparts (Michelangelo Leonardo, 29). His character is tortured and shows the emotional burden associated with being different from the rest of the society or having genius creativity. The unique personality of the character is always celebrated but the society always views the person as an outsider. Leonardo’s character is portrayed in similar manner. He is a genius whose ability in painting, mathematics and engineering earn him a good reputation in the society. Like Michelangelo, he is also a bisexual and an opium addict. Despite his genius nature, the society views his superhuman abilities as strange and therefore sees Leonardo as an outsider (Michelangelo Leonardo, 30). The master Is viewed as a metaphor because the artists are viewed as genius and superhuman who are capable to adapt to the modern and innovative society but they are filled with doubts and struggle in their daily lives. Can you think of a contemporary celebrity or other public figure that conforms to the biographical template for the â€Å"great artist† advanced by Donahue? Sheldon’s character in the Big Bang Theory is quite that of a public figure (Beahm 20). As per his character traits, he also proves to be a great artist. His work inShow MoreRelatedJean Hey’s Annunciation Essay examples2174 Words   |  9 Pagesphysical and emotional, while creating a more ideal finished product, something that was as significant in presence as the natural world itself. Much progress was made in these campaigns during the Early Renaissance, and the emergence of the High Renaissance was characterized by the true mastery of the method of creating mankind’s body and emotions[1], and an artwork as balanced as nature itself. Jean Hey’s â€Å"The Annunciation† demonstrates the product of this final Renaissance transition. One

School leadership and social justice Evidence from Ghana and Tanzania Free Essays

string(117) " were clearly to educate the parents, nevertheless it seems unintentionally critical information has come from them\." This paper will be a critical analysis of the quality and rightness of the methods of informations aggregation and analysis in the paper produced by Bosu et Al. ( 2011 ) . I will try to supply with logical thinking, an apprehension for the grounds of the methods used in the instance surveies analysed and do usage of literature to supply back uping and opposing positions on the informations aggregation methods every bit good as its analysis. We will write a custom essay sample on School leadership and social justice: Evidence from Ghana and Tanzania or any similar topic only for you Order Now The context of the paper is set in the African states of Ghana and Tanzania, both considered ’emerging and developing economic systems ‘ harmonizing to the International Monetary Fund ( IMF, 2010, p. 152 ) . Three instance surveies are scrutinised, each with the subject of educational leading with undertones of societal justness nevertheless it is non clear what the aims of the research workers are, which is critical in a instance survey due to their being â€Å" wide in nature † ( Best, 2010a, p. 1 ) . Each was an explanatory instance survey, look intoing the consequences of determinations made by school leaders based upon informations collected utilizing an etic attack. In each instance survey there is a reappraisal of an action research run, where the facilitator was the caput instructor of a school. Two of the caput instructors, both from Ghana, attended an action research workshop where they were introduced to research techniques, there is no reference of the history of the Tanzanian caput instructor, or if they had received similar preparation. There is no lucidity of the research workers focus, be it the difference that go toing the workshop makes to the effectivity of action research, the difference caused by lodgers or merely the end point of changing methods of action research. At this occasion I shall try to reexamine the informations aggregation methods of each single instance survey, reasoning by reexamining the informations aggregation by the research workers, of the paper as a whole. Case Study: School A – Gold coast This instance survey had the focal point of trying to cut down adolescent gestations of members of the school in inquiry. To accomplish this, the caput teacher attempted to derive information from the community. There is clear grounds of the usage of interview techniques, notably the caput teacher keeping a ‘discussion ‘ with the PTA which was a focus-group interview. A focal point group interview does look allow in this instance as they are designed to â€Å" explicate and understand, the significances, feelings, beliefs and attitudes that influence the behavior of persons who are assumed to portion a common civilization, job or issue † ( Best, 2010b, p. 23 ) which in this instance seems to be pertinent despite a deficiency of information as to who is invited to the PTA and if they do hold a cognition of the country to be discussed. Maxwell ( 1997 ) explains the importance of purposive trying – of which this is grounds – saying â€Å" peculiar scene s, individuals, or events are intentionally selected for the of import information they can supply that can non be gotten every bit good from other picks † ( p. 87 ) . There is no clear indicant of the construction, although utilizing the word treatment, one could determine that the signifier of an in-depth interview was taken where the caput instructor had compiled a list of the issues to be covered and the interview construction was of a guided conversation. The proclamation of progressive betterment in footings of Numberss of gestations, and in reading accomplishments by the caput instructor was followed by a announcement that the intercession was a success. There is besides an indirect suggestion by the research workers that all communities and schools can work collaboratively facilitated by the caput instructor to turn to societal justness jobs. This is clearly grounds of a authoritative characteristic of the literature and observations of school betterment, as evidenced by Coe ( 2009, p. 368 ) , with instructors frequently declaring: ‘My school was neglecting in A, B, C ways. We did X, Y, Z. Now the grounds of success is P, Q, R ‘ Coe warns against doing summing ups that what is observed in one school may needfully be true for another ( ibid. ) Case Study: School B – Gold coast This instance surveies focus was that of trying to cut down hookies of students who on market yearss absented from school to do money. Harmonizing to the baseline informations collected by the caput instructor, utilizing quantitative informations beginnings such as registries and text books, there was a clear group of male childs identified with low attendings and hapless public presentation, this is an illustration of secondary analysis, which harmonizing to Lewis ( 2003, p. 76 ) is analyzing a set of informations which was originally used for one intent with a different intent. There was a meeting between the caput instructor and a instructor to make up one’s mind upon an intercession, there is no reference of the format of this meeting or how the format of the intercession was taken. It was concluded that a focal point group interview with the students followed by single interviews. The quality of this information is arguably high, harmonizing to Best ( 2010b, p. 23 ) the g roup interview can potentially supply ‘deeper and richer ‘ informations due to the societal interaction and inquiring of the group members. As with School A this is grounds of purposive sampling. The usage of single interviews besides allows for personal issues to be expressed, which participants may experience uncomfortable with showing in the group environment. This is grounds of usage of method triangulation in that the caput teacher used two different informations aggregation methods on the same group of students in order to increase the cogency of the informations. An chance to roll up farther information arose from the meetings with the parents, enabling the caput instructor to foreground a group of three students every bit high hazard due to parental indifference with respect to their kids ‘s instruction. The intent of these meetings were clearly to educate the parents, nevertheless it seems unintentionally critical information has come from them. You read "School leadership and social justice: Evidence from Ghana and Tanzania" in category "Essay examples" Due to the intercession the caput instructor provided informations for attending as being 100 % , with increased degrees in mathematics and English, collected from monthly trials. The quality of these trials could be questioned every bit good as the instruction methods used as there is no information provided. One could oppugn if these kids were taught specifically to execute in trials. The caput instructor took this farther roll uping informations on six of the male childs after graduation to junior high school ; the consequences harmonizing to the research workers were sustained. Case Study: School C – Tanzania The instance of the Tanzanian caput teacher differed from the old instances due to the deficiency of history in relation to their experience in action research. The caput instructor, look intoing the consequence of poorness and hard place environments on the schooling of the students, attempted to reply some inquiries. The caput teacher ‘sought information ‘ from instructors, the format of which is unspecified, nevertheless due to the anterior readying and clear apprehension of the inquiries needed replying it could be suggested that there was an interview, utilizing a structured or semi-structured method. In add-on informations was collected from quantitative beginnings including, day-to-day attending records and trial and scrutiny consequences, every bit good as qualitative beginnings like category assignments and prep. In uniting multiple methods a research worker must be cognizant of equilibrating differing theoretical backgrounds with any ascertained relationships be tween the informations sets ( Brannen, 1992, p. 33 ) . It is the position of Ritchie ( 2003, p. 38 ) that there can be benefit in tackling the two methods provided that the two informations sets can be described exactly. There may be biographical histories within the category assignments or the prep which can supply critical information and â€Å" sensitise a research worker to identify issues † ( Plummer, 2001, p. 130 ) . This is supported by Angell and Freedman ( 1953 ) who explain that this signifier of information has great value at the get downing phases of research instead than the terminal stages in order to derive an apprehension of an probe, which is reflected in the methodological analysis of this instance survey. They emphasise the value of the apprehension that this type of informations can supply with regard to the topic of probe ( p. 305 ) . Harmonizing to Best ( 2010c ) the dependability of this attack is questionable nevertheless utilizing a theoretical generalization the informations can be used to beef up the cogency of a chosen theory or in this instance the signifier of an intercession ( p. 5 ) . It is of import at this phase to underscore the obvious ethical issues in this instance, ab initio due to the nature of the survey, look intoing students personal lives, and secondly due to the aggregation of the biographical information of students. Interviews were held with the students separately, presumptively utilizing the same set of inquiries. If this was the instance it would be grounds of usage of informations triangulation by the research worker, in that the same informations aggregation method was used on legion respondents in an effort to increase cogency of the consequences. All students insisted they enjoyed school and they felt that they could â€Å" freely show their jobs to instructors who were comparatively more caring and considerate than many of their parents and defenders † ( p. 75 ) . One could oppugn nevertheless if the responses were wholly true due to the nature of the relationship between the students and the caput instructor and if the students would supply different responses to a alien. There is grounds to propose that interviewees are more willing to supply true replies to aliens, although this statement relates specifically to online scenes instead than in face to confront interviews ( Paine et al. , 2007, p. 533 ; Nguyen and Alexander, 1996, p. 104 ; Wellman and Gulia, 1999, p. 172 A ; 178 ) . Harrison ( 2008, p. forty ) highlights the importance of the ‘subjective ‘ nature of informations aggregation every bit good as how the relationship between the research worker and participant may ‘impinge ‘ on its cogency. An intercession similar to that in School A was held, with fluctuating consequences, with students neglecting to go to and execute good in monthly trials. There is a clear contrast from the consequences of the old instance surveies, nevertheless due to the nature of the description of the instance surveies it is ill-defined what the cause of assortment in consequences is. The research workers attempt to salve some sense of achievement by underscoring the sense of authorization of the caput instructor, where due to the fortunes, it would be probably that many would experience helpless. Provided is no grounds of the authorization of the caput instructor after the completion of the instance survey, every bit good as a deficiency of grounds for the innuendo that the fortunes would most likely generate a sense of weakness, taking to inquiries of the quality of informations analysis displayed in this instance. In the chief the informations analysed was qualitative, which as Harrison ( 2008 ) notes, has a different attack to analyzing quantitative informations, although there are attacks which aim to accomplish a comparable ‘routinization ‘ ( that is a modus operandi of analysis ) ( p. 51 ) . Chiefly there is the method of analyzing the construction of the text and based on Glaser and Strauss ‘ ( 1967 ) propositions, the designation of commonalties and relevant theory ( p. 105-106 ) . Evidence of usage of this methodological analysis is present with the research workers placing typical instances in each of the instance surveies, doing comparings with literature and adverting the ascertained differences between the Westernised literature and African world. Second there is the method of nonsubjective hermeneutics ( that is the survey of reading theory ) developed by Oevermann et Al. ( 1979, in Harrison, 2008, p. 51 ) . It involves the reading of the motivations behind an action, with research workers adhering to two rules ( Soeffner, 1997, p. xiv ; Harrison, 2008, p. 51 ) . The research worker should bring forth a extremely extended reading, supplying all points of position that the information may stand for nevertheless improbable, and look into the motive behind an action extensively before supplying any sentiment about the information. There is grounds that both of these rules have been neglected to some grade by the research workers ; there is a mostly unbalanced penchant towards the positives that action research has provided in these instances despite its clear failure in the survey of School C of which there is small mentioned. There is besides grounds of the informations being used to suit the statement, with a clear anterior co gnition of practise in Ghana that relates to the research carried out. Decisions Although the fact-finding attack of the research workers is by usage of instance surveies, it is besides biographical in nature as there is a clear narration produced, reflecting upon the experiences of the caput instructors. All three caput instructors participate in action research that affects them straight, harmonizing to Erben ( 1993, p. 15 ) this is good pattern for a biographical research worker ; supported by Mills ‘ statement, as explained by Best ( 2010c, p. 7 ) that frequently ‘personal jobs are public issues. ‘ It is clear that the research workers feel they have obtained critical informations from the instance surveies that strengthens their stance on action research as a method of school betterment ( p. 75-76 ) . There is clear grounds of varied interview methods including single and focus-group interviews with varying construction, with more than one method used in the instances. One could propose that the rules of method triangulation could besides use for analyzing the usage of different interview attacks. Although there is fluctuation in the method of informations aggregation, the literature suggests that there are informations aggregation methods that were non utilised in this paper, such as questionnaires, ocular analysis ( exposure, picture, being present ) , on-line interviews or usage of informations analysis package to explain qualitative informations. It could be suggested that a more complete, higher quality of informations could hold been accumulated had there been more fluctuation in the techniques used by the caput instructors in the instance surveies, inquiries can so be raised about the quality of the action research workshop. Bearing in head the context of the instance surveies, it is apprehensible that in developing states, there may non be every bit much entree to computing machines and hence electronic mail, and that people may non hold every bit much clip to pass on informations aggregation because of a demand to be at work to do money. The information that was collected nevertheless was utile to each caput teacher, evidenced by a considered attack to each intercession warranting the information as appropriate for each instance. The decisions drawn by the research workers focus on the positives that action research offers, and the chances it offers, in these instances to the caput instructors, schools and communities ( p. 75-76 ) . The writers nevertheless are involved in the administration at the caput of the undertaking which has hereafter purposes to supply service in developing states ( p. 69-70 ) . The quality of the analysis is besides questionable, Harrison ( 2008 ) high spots two attacks to analyzing qualitative informations, and the research workers have merely displayed grounds of the usage of one of these. Although the intent of the probe clearly has value, covering with issues of societal justness, one could presume that the writers have non taken a entirely humanistic attack. Due to their engagement and the wholly affirmatory nature of the decisions drawn, it is right to oppugn the objectiveness of the research workers as there may be an component of politically oriented rating evident ( Best, 2 010d, p. 1-2 ) . How to cite School leadership and social justice: Evidence from Ghana and Tanzania, Essay examples

The American Airlines and US Airways Merger

Abstract The mergers and acquisitions are common business practices in highly competitive industries and have both benefits and disadvantages organizations. Essentially, mergers and acquisitions are often perceived as expansionist strategies employed by firms to ensure increased market share and capabilities. Firms merge and acquire others for various reasons.Advertising We will write a custom research paper sample on The American Airlines and US Airways Merger specifically for you for only $16.05 $11/page Learn More However, increased competencies and capabilities lead to augmented competitive advantage and market share to form the main basis for mergers and acquisitions. The large firms acquire smaller ones to reduce the intense competition. Equally, firms merge with other companies of equal sizes to form a formidable force against any form of competition within the industry. The merger between American airlines and US commercial airline was attributed to various reasons particularly countering intense competition and increase capabilities in several fronts. Introduction The US Airways and American Airlines officially merged in December 9, 2013 to become an, Inc. The publicly traded holding firm has its headquarters in Fort Worth, Texas. With the combination, the American Airline Group has been touted as the largest airline company with over three hundred destination hubs around the orb with operations in over fifty republics. The American Airlines Group is one of the most successful, but with mixed reactions concerning the possibilities of creating an airline monopoly. However, the practice has presented opportunities and benefits to both the firms and the airline industry (Shlleifer Vishny, 2006). The American Airline Group Inc. has increased market share with the improved competencies in finance, management, and technology. Reasons for the merger The merger involves acquisition as well as combination of two different firms. I n the case of acquisitions, one firm absorbs the other completely. In combinations, the merging firms transfer their operations (Shlleifer Vishny, 2006). The American Airlines and US Airways combined to form a larger firm (American Airline Inc.). The main driver for the merger was to cut costs in order to achieve superior market share. Bringing the American Airline out of insolvency necessitated amalgamation.Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Reduced costs Reducing the operational costs marked one of the reasons for a merger between two firms (Holmes, 2006). The cost of operations in the industry is constantly increasing due to the general escalations of global fuel costs. A combination of the firms’ operations will ensure efficiency in the use of resources. The resultant firm is expected to benefit from increased efficiencies through elimination of duplicate functions. Cost reduction measures were the motivating factors behind the merger. The beneficiary from amalgamation is the American Airlines after struggling with bankruptcy problems. With the merger, the firm that was almost becoming un-operational revamped its operations due to the availability of finances and increased capabilities. Increased market share Consumers of the two airlines are expected to be part of the larger clients’ base in the new firm. The two airlines assert that the merger will create increased value of services to customers (Perry Porter, 2005). Equally, the firm is expected to bring the clients of both airlines together. The anticipated changes include improved services delivery, reduced costs, and efficiency in amenities. The competencies in the new company are expected to increase the competitive advantage due to improved know-hows. Further, travelers would enjoy the required expediency and comfort owing to several expeditions and flight routes. Tho ugh the travelers may pay higher prices, convenience and comfort offered by the Company would be appealing to the customers. Largely, the two airlines combined with the aim of having increased market share for improved revenue. Impacts of the merger In most cases, mergers are often criticized to result in monopolies but the combination of the two airline firms had positive effects in the industry. The merger led to improvement in the client’s services. For example, the clienteles will have various alternatives due to many flights and traveling or flight routes. In essence, clients would be offered with the required suitability and comfort. The improved services results from the availability of finances and fresh management expertise (Holmes, 2006). Therefore, improved services remain one of the positive outcomes resulting from the merger.Advertising We will write a custom research paper sample on The American Airlines and US Airways Merger specifically for you for only $16.05 $11/page Learn More Conversely, the merger has strengthened the position of American Airlines Group Inc. in the highly competitive global aviation industry. The unification has provided the new firm with a competitive edge to capture the global market share. The new firm is facing stiff competition from larger and well-established global firms within the US market (Holmes, 2006). Nonetheless, the global market would experience stiff competition due to the availability of more excellent firms like the British Airways. The union has enabled the new corporation to improve products and services. The improved onboard services and luggage delivery has enabled the new firm to penetrate various markets across the globe. Hence, the increased competitive edge has enabled the firms’ rapid expansion and capture of the market share in aviation market. The organization structure of American Airlines Group A merger takes time before accomplishment as it is not easy to diffuse the operations of the original firms while coming up with new corporate structure. Usually, the merging firms agree on a hybrid structure that results into increased competitive advantage (Gowrisankaran, 2009). The merging companies agreed that American Airlines Group ought to have a hybrid corporate structure in adopting the management styles of both firms. The management structure involved transfer of assets, liabilities, staffs, and operations. Besides, the clients and stakeholders of the two airlines are also expected to be amalgamated. The manner in which shareholders are to be merged and managed requires a proper outline (Holmes, 2006). In the structure, the American Airlines Corporation shareholders should be provided with approximately seventy two percent of the shares while the remaining shares are to be given to the U.S Airways Group. The allotment of shareholders meant a different corporate structure. The novel corporate structure provided that the U.S Ai rways had most management positions while the U.S Airways Group had the chairperson and chief executive officer’s positions. In addition, accommodate of a huge number of employees necessitated a number of adjustments in the organizational structures of the original firms (Perry Porter, 2005).Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The modification of HR Changes in the human resources were necessary to accommodate the new transformations in the management. The merger corporation had to come up with new HR management structure and practices to accommodate new management style, a huge number of employees, and the required goals and strategies. The new HR ensured training and development of employees besides aligning the needs and goals of the organization. The achievement of the merger required change in management style in order to attaining the desired goals. In accordance to Perry and Porter (2005), modifications in the management of employees were substantial for the accomplishment of horizontal unions. Conclusion Mergers involve acquisition and combination of two firms while in acquisitions one firm absorbs the other completely. In combinations, the merging firms transfer Company operations. Firms often merge to reduce costs and gain bigger market share. The America Airways merged with the US Airlines to re duce the operational costs and bring the American Airline out of insolvency. Merging of the two firms has presented opportunities and benefits to the original firms as well as the airline industry. In general, the American Airline Group Inc. has increased market share and improved competencies for an increased competitive advantage. References Gowrisankaran, G. (2009). A dynamic model of endogenous horizontal mergers. Journal of Economics, 30(16), 56-83. Holmes, T. (2006). Can consumers benefit from the policy limiting the market share of a dominant firm? International Journal of Industrial Organization, 14(2), 365-387. Perry, M. Porter, R. (2005). Oligopoly and incentives for horizontal merger. American Economic Review, 75(14), 219-227. Shlleifer, A. Vishny, R. (2006). Large shareholders and corporate control. Journal of Political Economy, 94(6), 461-488. This research paper on The American Airlines and US Airways Merger was written and submitted by user Human Torch to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Calculating Torque With Examples

Calculating Torque With Examples When studying how objects rotate, it quickly becomes necessary to figure out how a given force results in a change in the rotational motion. The tendency of a force to cause or change rotational motion is called torque, and its one of the most important concepts to understand in resolving rotational motion situations. The Meaning of Torque Torque (also called moment - mostly by engineers) is calculated by multiplying force and distance. The SI units of torque are newton-meters, or N*m (even though these units are the same as Joules, torque isnt work or energy, so should just be newton-meters). In calculations, torque is represented by the Greek letter tau: Ï„. Torque is a vector quantity, meaning it has both a direction and a magnitude. This is honestly one of the trickiest parts of working with torque because it is calculated using a vector product, which means you have to apply the right-hand rule. In this case, take your right hand and curl the fingers of your hand in the direction of rotation caused by the force. The thumb of your right hand now points in the direction of the torque vector. (This can occasionally feel slightly silly, as youre holding your hand up and pantomiming in order to figure out the result of a mathematical equation, but its the best way to visualize the direction of the vector.) The vector formula that yields the torque vector Ï„ is: Ï„ r Ãâ€" F The vector r is the position vector with respect to an origin on the axis of rotation (This axis is the Ï„ on the graphic). This is a vector with a magnitude of the distance from where the force is applied to the axis of rotation. It points from the axis of rotation toward the point where the force is applied. The magnitude of the vector is calculated based upon ÃŽ ¸, which is the angle difference between r and F, using the formula: Ï„ rFsin(ÃŽ ¸) Special Cases of Torque A couple of key points about the above equation, with some benchmark values of ÃŽ ¸: ÃŽ ¸ 0 ° (or 0 radians) - The force vector is pointing out in the same direction as r. As you might guess, this is a situation where the force will not cause any rotation around the axis ... and the mathematics bears this out. Since sin(0) 0, this situation results in Ï„ 0.ÃŽ ¸ 180 ° (or Ï€ radians) - This is a situation where the force vector points directly into r. Again, shoving toward the axis of rotation isnt going to cause any rotation either and, once again, the mathematics supports this intuition. Since sin(180 °) 0, the value of the torque is once again Ï„ 0.ÃŽ ¸ 90 ° (or Ï€/2 radians) - Here, the force vector is perpendicular to the position vector. This seems like the most effective way that you could push on the object to get an increase in rotation, but does the mathematics support this? Well, sin(90 °) 1, which is the maximum value that the sine function can reach, yielding a result of Ï„ rF. In other words, a force applied at any other angle would provide less torque than when it is applied at 90 degrees. The same argument as above applies to cases of ÃŽ ¸ -90 ° (or -Ï€/2 radians), but with a value of sin(-90 °) -1 resulting in the maximum torque in the opposite direction. Torque Example Lets consider an example where youre applying a vertical force downward, such as when trying to loosen the lug nuts on a flat tire by stepping on the lug wrench. In this situation, the ideal situation is to have the lug wrench perfectly horizontal, so that you can step on the end of it and get the maximum torque. Unfortunately, that doesnt work. Instead, the lug wrench fits onto the lug nuts so that it is at a 15% incline to the horizontal. The lug wrench is 0.60 m long until the end, where you apply your full weight of 900 N. What is the magnitude of the torque? What about direction?: Applying the lefty-loosey, righty-tighty rule, you will want to have the lug nut rotating to the left - counter-clockwise - in order to loosen it. Using your right hand and curling your fingers in the counter-clockwise direction, the thumb sticks out. So the direction of the torque is away from the tires ... which is also direction you want the lug nuts to ultimately go. To begin calculating the value of the torque, you have to realize that theres a slightly misleading point in the above set-up. (This is a common problem in these situations.) Note that the 15% mentioned above is the incline from the horizontal, but thats not the angle ÃŽ ¸. The angle between r and F has to be calculated. Theres a 15 ° incline from the horizontal plus a 90 ° distance from the horizontal to the downward force vector, resulting in a total of 105 ° as the value of ÃŽ ¸. Thats the only variable that requires set-up, so with that in place we just assign the other variable values: ÃŽ ¸ 105 °r 0.60 mF 900 N Ï„ rF sin(ÃŽ ¸) (0.60 m)(900 N)sin(105 °) 540 Ãâ€" 0.097 Nm 520 Nm Note that the above answer involved maintaining only two significant figures, so it is rounded. Torque and Angular Acceleration The above equations are particularly helpful when there is a single known force acting on an object, but there are many situations where a rotation can be caused by a force that cannot easily be measured (or perhaps many such forces). Here, the torque often isnt calculated directly, but can instead be calculated in reference to the total angular acceleration, ÃŽ ±, that the object undergoes. This relationship is given by the following equation: ÃŽ £Ãâ€ž - The net sum of all torque acting on the objectI - the moment of inertia, which represents the objects resistance to a change in angular velocityÃŽ ± - angular acceleration

How to Identify the Common Black Walnut Tree

How to Identify the Common Black Walnut Tree Black walnut trees (Juglan  nigra) are found throughout much of the central-eastern part of the U.S., except in the far northern and far southern part of this range, but familiar elsewhere from the East Coast into the central plains. They are part of the general plant family Juglandaceae, which includes all the walnuts as well as hickory trees. The Latin name, Juglans, derives from Jovis glans, Jupiters acornfiguratively, a nut fit for a god. There are 21 species in the genus that range across the north temperate Old World from southeast Europe east to Japan, and more widely in the New World from southeast Canada west to California and south to Argentina. There are five native walnut species in North America: black walnut, butternut, Arizona walnut and two species in California. The two most commonly found walnuts found in native locations are the black walnut and butternut.   In its natural setting, the black walnut favors riparian zonesthe transition areas between rivers, creeks and denser woods. It does best in sunny areas, as it is classified as shade intolerant.   The black  walnut  is known as an  allelopathic tree: it releases chemicals in the ground that may poison other plants. A black walnut can sometimes be identified by the dead or yellowing plants in its vicinity.   It often appears as a kind of weed tree along roadsides and in open areas, due to the fact that squirrels and other animals harvest and spread the nuts. It is often found in the same environment as silver maples, basswoods, white ash, yellow-poplar, elm and hackberry trees.   Description Walnuts are specifically deciduous trees, 30 to 130 feet tall with pinnate leaves containing five to 25 leaflets. The actual leaf is attached to twigs in a  mostly alternate arrangement and the leaf structure is  odd-pinnately  compound- meaning that the leaves consist of an odd number of individual leaflets that attach to a central stem. These leaflets are serrate or  toothed.  The shoots and twigs have a chambered pith, a characteristic that can quickly confirm the trees identification when a twig is cut open. The fruit of a walnut is a rounded, hard-shelled nut. Butternuts are similar, but  this type of native walnut has oblong  ridged  fruits that form in clusters. The leaf scars on butternut have a hairy top fringe, while walnuts do not. Identification When Dormant During dormancy, the black walnut can be identified by examining the bark; the leaf scars are seen when leaves are pulled away from branches, and by looking at the nuts that have fallen around the tree. In a black walnut, the bark is furrowed and dark in color (it is lighter in butternut). The leaf scars along twigs look  like an  upside-down shamrock with five or seven bundle scars. Beneath the tree, you usually find whole walnuts or their husks. The black walnut has a  globose nut (meaning it is roughly globular or round), while the nuts on the butternut tree are more egg-shaped and smaller.

Music and Mind Essay Example | Topics and Well Written Essays - 750 words - 1

Music and Mind - Essay Example An experiment in neuroscience and cognitive science find a good relationship between music and humans mental and the functioning of the human brain in cognitive ability (Levitin, 2015). Children can remember the music pitches and contours especially in melodies, which can help them remember what happened earlier in the day. The brain has the basic musical building blocks such as the neurons that are sensitive to tone pitch, rhythms, complex harmonic relationships, and melodic contours. For instance, the left hemisphere of the brain can process melody and the right one process language. Children have brains that understands music just like adults and enjoy music in their early life stages. Through listening and paying attention to music, children develop communication, self-expression, and cognition. The muscles and the brain also have a share of the real effect of the music. Scans taken in the brain during musical performances indicate that the cerebral cortex is normally active thro ughout the playing period (Meyer, 2008). Therefore, music engages the brain synapses and improves its capacity through neuron connectivity. Researchers found that music improves reading performances especially in the 1st graders as the experimental group showed high scores in academics than the control group (Meyer, 2008). Engaging in music through learning and performances exercises the brain by strengthening the synapses between the cells of the brain. The specific pitch training in music enhances the reading and the understanding capacity of the students. The ability of a student to recognize words in music leads to the improvement of the sounding-out stage increasing the students ability to rad. Research has shown that a correlation exist between the way students read standard and phonic and pitch discrimination (Supplemental Material for Review of

Pharmacology Coursework Example | Topics and Well Written Essays - 500 words

Pharmacology - Coursework Example Decline in GH levels is rapid; assessment suppression can be made at the outset to identify the patient’s responsiveness to octreotide. Patients whose GH levels return s to the baseline before the end of the dosing period, administration frequency can be further increased. Addressing some of the short comings, formulation of Somatostatin analogs extends duration of action has been developed. It is administered in a single intramuscular injection; they result in similar sustained than those of subcutaneous preparations. The GH inhibitory effects are also significantly better to patients who harbor densely granulated somatotroph. Sparsely granulated GH should be suspected in patients who prevent at an older age with a minimal elevation of non suppressible GH levels. The main adverse events are associated with the use of Somatostatin which includes transient abdominal cramps and mal absorptive diarrhea. Increases in the gall bladder sludge and stone formation, these are typically clinical significant. Long acting Somatostatin is expensive and requires a reconstruction technique before injection, compared with subcutaneous preparations. It is anticipated, newer Somatostatin receptor selective analogs will prove to be more useful and easier to administer. It is relatively recent that consensus has begun to emerge on the definition of a safe and acceptable degree of acromegaly control. Prospective examination of the impact of medical management on the rate of acromegaly associated has just started. The results of retrospective studies support the role of adjunctive medical therapy in normalizing the level of IGF-1 and mortality rates inpatient with postoperative persistent diseases (Gabriel, 2006). The work of a brochure is to explain deeply the course of certain aliments, mode of cure and how to prevent the spread. Brochures’ with bright colors tend to attract attention; they are spearheaded for marketing

Primary Health Care In Grenada Health And Social Care Essay

Primary Health Care In Grenada Health And Social Care Essay Primary Health Care service delivery in the Health sector in Grenada is public based, meaning, health clinics, emergency room care, general hospital and a National Insurance Scheme (NIS) for insurance, as well as private based, with the provision of private health insurance and private hospitals, such as St. Augustine. As a result it employs the use of both solo and group practice. o  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Employment status of Physicians: The Caribbean in general is experiencing a shortage of medical professionals and Grenada is not immune to this problem. A major contributing factor is that many medical professionals leave to work in other countries, creating a situation of braindrain. It was estimated by the U.N. that around 70% of native born Grenadian physicians leave and work overseas, (UN population statistics, 2010) Grenada has a low physician to population at 8.1 for 10,000 people for comparison Mexico has 20 per 10,000, (PAHO). It is estimated that there are approximately 110 physicians currently working in the health sector in Grenada. A small section of these physicians serve as independent contractors, most of whom are specialist with a few general practioners. A greater majority of those however are in private practice but are still employed in public practice, providing healthcare services at their private establishments and/or the private hospital as well as providing healthcare services through the pub lic health facilities, health centers and hospitals. o  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Population Served: All citizens of Grenada and foreigners, mainly SGU students and visitors are able to get access to the healthcare facilities. The general population of Grenada served, excluding foreigners, is approximately 93,000. o  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Types of Hospitals: Grenadas health policy aims at ensuring that every Grenadian has access to quality health services. The Grenadian government has embraced the concept of primary health care as the main strategy for improving the populations health status. As part of its aim to attain health for all by the year 2000 it has adopted the goals and targets established through the Caribbean Cooperation in Health initiative as the priorities for its health services. Grenada is divided into seven health districts, six of which have a health center with most services and an additional 30 medical stations. These are major primary care facilities and usually serve as the first point of contact within the Grenadian health system. All health facilities are within easy access of the population and each health district is assigned a District Medical Officer, several categories of nurses, community health aides, dentists and dental auxiliaries, pharmacists, environmental health officers and mental health workers. At some Health Centers, some specialist services, such as pediatrics, and psychiatry are provided. There is a 240 bed General Hospital, which is the main hospital on island and located in the capital of St. Georges. The General Hospital is a referral hospital offering 24 hour emergency care, specialist, surgical, paediatrics, psychiatric, ophthalmic, obstetric/gynecology, and ENT. Ultrasonagraphy and electrocardiogram are also available. Support services include laboratory, pharmacy, imaging, physiotherapy and rehabilitative services. In addition there are two rural hospitals, the Princess Alice Hospital and Princess Royal hospital, with 60 beds and 40 beds respectively. As part of their provision of primary health care for all, the Grenadian government, through the health sector also provides specialized Mental Health Services providing treatment, rehabilitation and follow-up care at the Mental Hospital and in the community. The institutions include an 80-bed psychiatric hospital for acute and chronic patients, the Mount Gay hospital, and a geriatric facility at Richman Hill with 120 beds, that is usually filled above capacity. Dorothy Hopkin Home a 16-bed facility offers services for disabled children. o  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Prevailing Remuneration of the Health Care Workers: What currently obtains in Grenada as relates to the prevailing remuneration system for health care workers is that they are primarily salaried workers. The salary of healthcare workers is determined by the negotiation between the Government and the bargaining agent, the Public Service Workers Union. Salary is based on a scale system that is predetermined by the government. Entry into that scale is determined by qualification and the job title held. Private physicians however are paid on a fee for service basis. The fee scale is determined by the Grenada Medical Association. o  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Referral Restrictions: Public hospitals have a restricted referral system, access to specialist care is on the basis of referral from a General Practitioner within the public health sector. This serves as a means of gatekeeping. Home referrals are done by the district medical doctor on advisement from the district health centers. Laboratory and other medical test referrals are also assigned by public health physicians as well as private physicians from the list of preapproved test centers. Private facilities does not necessarily operate within the boundaries of a referral system as persons using private facilities would have direct access to private specialist care. Home referrals are done by the private physicians whose clinic have been visited or referred to other physicians in different specialties according to the characteristic of the disease. Laboratory and medical tests are referred by private physicians to the test centers, which have agreements with the physicians. o  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Level of internal integration between staff: Within the health system of Grenada both the public and the private sector are integrated. To date, there are about 110 physicians working within the private and public health sector combined. Because of this nurses /midwives and other medical professional that serve both in the private and public sector are allowed a lot of interaction with each other. Within the public sector there is a hierarchy that exists among physicians, there are the senior physicians, followed by the junior doctors. Also within in the nursing system there is a hierarchy. This lends to a flow of authority between members of staff. Though there is this hierarchy, it can be seen from interactions with members of the system that there is a respect that exists between professionals within the different fields that make up Grenadas very integrated public and private health systems. o  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Level of external integration with other services: The National Strategic Health Plan stated that the community health services had issues with primary care services as it was neither integrated nor coordinated. This is due to limited confidence in community services. It also reported that persons would visit the general hospital or private clinics. There is an increase in private clinics which is seen as the provider of quality care. It should be noted that one of the goals of the National Strategic Health Plan reported that there is an endeavor to improve collaboration between Non-government agencies, public health care, community centers as well as private health care services in an effective and efficient manner. A strategy that was curative in nature was developed to increase collaboration between the Ministry of Health and Regional sectors in aiding with the treatment and diagnosis of Dengue. The formation of strategies that are developed for prevention and promotion aids in the development of partnerships with other ministries to help deal with youth issues.   The Ministry of Health was in collaboration with PAHO in Barbados to develop a cost benefit analysis of a National Fluoridation Program. Level of integration of staff education and training in primary care: Generally the training in primary care for staff education is a mix between coninous professional development and undergraduate/basic education. In the National Strategic Health Plan for Grenada, the level of integration of staff education and training in primary health care is as follows: for there is in service training provided for community workers. There is also a plan to have training in the screening of cancer, a system of surveillance in communicable diseases, pre and post natal care as well as training in acquiring the proper nutrition for children and their mothers. The training of staff to be sensitive in providing quality care of the elderly, training for hospital staff and the development of the support of clinical service.

Portfolio Managemnt Essay

Overview KBIM Investment Inc. is a leading investment company incorporated in Barbados and licensed under the Companies Act cap 308 of the laws of Barbados. Founded in the year 2000, the company seeks to provide its investors with risk-adjusted returns in a management structure that closely aligns the  interests of investors and managers. Further, KBIM has continued to evolve from a dedicated private equity investment firm to a diversified management company. The fund buys US and Canadian stocks from the New York Stock Exchange as well as from the Toronto market. The fund has been equally divided among the following four industries; financials, technology, pharmaceuticals and energy. To assure that efficiency is maintained, the net assets are calculated weekly at the end of each week (Friday) of all stock market transactions. Global Economic and Market Outlook The global economy is in a dangerous new phase. Global activity has weakened and become more uneven, confidence has fallen sharply recently, and downside risks are growing. Against a backdrop of unresolved structural fragilities, a barrage of shocks hit the international economy this year. Japan was struck by the devastating Great East Japan earthquake and tsunami, and unrest swelled in some oil-producing countries. At the same time, the handover from public to private demand in the U.S. economy stalled, the euro area encountered major financial turbulence, global markets suffered a major sell-off of risky assets, and there are growing signs of spillovers to the real economy. The structural problems facing the crisis-hit advanced economies have proven even more intractable than expected, and the process of devising and implementing reforms even more complicated. The outlook for these economies is thus for a continuing, but weak and bumpy, expansion. Prospects for emerging market economies have become more uncertain again, although growth is expected to remain fairly robust, especially in economies that can counter the effect on output of weaker foreign demand with less policy tightening. World Economic Outlook (WEO) projections indicate that global growth will moderate to about 4 percent through 2012 from over 5 percent in 2010. Real GDP in the advanced economies is projected to expand at an anemic pace of about 1 ½ percent in 2011 and 2 percent in 2012, helped by a gradual unwinding of the temporary forces that have held back activity during much of the second quarter of 2011. However, this assumes that European policymakers contain the crisis in the euro area periphery, that U.S. policymakers strike a judicious balance between support for the economy  and medium-term fiscal consolidation, and that volatility in global financial markets does not escalate. Moreover, the removal of monetary accommodation in advanced economies is now expected to pause. Under such a scenario, emerging capacity constraints and policy tightening, much of which has already happened, would lower growth rates in emerging and developing economies to a still very solid pace of about 6 percent in 2012. Strategic Objectives KBIM Investment Inc endeavours to provide an above average, long-term total return fund by investing in small capitalization stocks listed from within the US stock exchanges. The fund’s investment style of small capitalization values the investment objective of growth funds. A growth fund seeks to find companies that are expected to show rapid future growth in earnings, even if current earnings are poor, or possibly non-existent. The latter is directed towards more aggressive investors seeking good performance in an expected market rise. KBIM Investment Inc places heavy emphasis on asset allocation which is a very important decision for any investor in terms of portfolio construction. Fund managers have decided based on strategy and policy of the fund to utilize tactical asset allocation. This approach is performed routinely as part of the ongoing process of asset management. Using this approach, market risk is insulated, where exposure to a particular market is increased when its performance is expected to be good. On the other hand there is decrease exposure to the market when performance is expected to be poor. An investor’s fate is basically determined by having allocated funds to asset classes. Risk, expected return, market expectations, risk tolerance and goals of the fund is reflected in the allocation of weights The following characteristics should be present for companies in which the fund invests: 1. The company’s share price is depressed after a period of negative growth 2. An acceptable level of financial strength, efficient control and effective management of business assets should be exhibited by the said Company. KBIM Investments Inc reserves the right to rebalance the portfolio after decisions have been made from review of the portfolio ever quarter. Rebalancing reduces the risks of sharp losses and is less volatile than a portfolio not rebalanced. At any time where the fund liquidates or suitable equity investments are absence, KBIM investments Inc will seek investments in short term debt securities or money market instruments. Risk KBIM investment equity fund is specifically for an investor who seeks to attain high returns and by doing this is willing to tolerate high risk to receive the maximum benefit from their investment. Investors must take into consideration that investments in only one portion of the economy may offer greater risk than a highly diversified fund. In addition to the above, a fund that invests in well-established companies may be less risky than one that favors start-up companies. Limitations Investors must take into consideration the impact of taxes on the portfolio. Further, changing tax laws imposed can become bothersome in terms of forecasting future tax rates. Investors must also abide by regulation requirements imposed by state and federal agencies. The latter specifies the actions an investor should take in terms of achieving objectives, given the preference of the investor and any constraints imposed. Benchmark To evaluate portfolio performance, the following questions should be answered; the first being whether or not the return on the portfolio was adequate after all expenses was taken care of? Next the amount of risk taken by the investor or portfolio manager in creating and managing the portfolio should be assessed. Finally what return should have been earned on the portfolio, given the risk taken and the alternative returns available to be earned from investments over the same period. KBIM will be benchmarked against the S&P 500 small cap index. The stocks for the fund were selected based on the following criterion: ROE > 10 Market cap > 1,000,000,000 Six month return >0 P/E < 15 Competitive Advantage The fund managers of KBIM, are committed to offering returns above average of similar portfolios. Through our investment strategic policies, we hope to attract investors who are seeking to hedge funds. Here at KBIM we also value enhancement services such as risk management, insurance reviews, consulting and corporate governance. The firm’s comprehensive offerings provide private equity clients with numerous competitive advantages throughout the private equity life cycle, including fund development, portfolio growth and divestiture. Fee Details Annual charges: Annual Management charges: 1.65% of net asset value Fund Administrative charges: 0.05% Registrar charges: 0.13% Fund expenses: 0.2% Commission: Sales charge of 1.85% will be charged on amounts invested into the fund. During the first week of investing, KBIM Investment Fund grew by 3.5%, as U.S stocks rose, driving the Standard & Poor’s 500 Index to its longest winning streak since February, amid optimism Europe’s leaders would announce a plan to contain the debt crisis and after McDonald’s Corp. (MCD) joined companies beating profit estimates. Financial shares in the S&P 500 added 3.9 percent as European finance ministers began negotiations to prevent a Greek default and shield banks. The S&P 500 climbed 1.1 percent to 1,238.25, the highest since Aug. 3, and had risen three straight weeks. It had surged 13 percent since Oct. 3, when it closed within 1 percent of a bear market, or 20 percent plunge, from its high in April. The Dow Jones Industrial Average also rose a fourth straight week, gaining 164.30 points, or 1.4 percent, to 11,808.79. Equities rose as European finance ministers approved a 5.8 billion Euro loan to Greece, and France retreated in a clash with Germany over expanding the bailout fund. Talks are to continue through Oct. 26. The S&P 500 also gained after 74 percent of companies that reported quarterly results topped the average analyst  projection. During the second week of investing, KBIM Investment Fund grew by 4.54% amidst a week which ended with most U.S. stocks falling, as data on consumer confidence and spending failed to boost equities a day after European leaders expanded the region’s bailout plan. Stocks pared losses in the final minutes of trading on Friday, with the Standard & Poor’s 500 Index erasing a decline as it completed a fourth straight weekly advance, the longest streak since January. About four stocks declined for every three that rose on U.S. exchanges at 4 p.m. New York time on Friday. The S&P 500 rose less than 0.1 percent to 1,285.09, after rallying 3.4 percent on Thursday. It was up 3.8 percent since Oct. 21. The Dow Jones Industrial Average added 22.56 points, or 0.2 percent, to 12,231.11. The Russell 2000 Index of small companies retreated 0.6 percent. U.S. equity options expired Friday. Stocks rose Thursday, extending the best monthly rally since 1974 for the S&P 500, as European leaders agreed to expand a bailout fund and U.S. economic growth accelerated. Earlier this month, the index came within 1 percent of extending a drop from its peak in April to 20 percent, the common definition of a bear market. Since then, it has risen 17 percent. The S&P 500 rallied above the average strategist forecast for its closing level on Dec. 31, the third straight year that stocks ran ahead of projections. The index closed above the year-end forecast on Nov. 4 in 2010 and on June 2 in 2009, according to data compiled by Bloomberg. German Chancellor Angela Merkel said that the debt crisis won’t be over â€Å"in a year.† Italy’s borrowing costs rose to a euro-era record at a sale of three-year bonds, driving yields higher amid concern that efforts to contain the sovereign crisis won’t be enough to safeguard the region’s third-largest economy. Fitch Ratings said part of the plan to contain debt turmoil amounts to a Greek default. European leaders may struggle to maintain the euphoria that drove the euro to its biggest one-day gain in more than a year as scrutiny deepens on their latest attempt to stem the region’s turmoil. During the third week of investing, KBIM Investment Fund fell by 3.28%. U.S. stocks fell, driving the Standard & Poor’s 500 Index to its first weekly decline since September, as a disagreement on Europe’s resources to fight  the debt crisis offset a drop in the American unemployment rate. The S&P 500 dropped 0.6 percent to 1,253.23 as of 4 p.m on Friday, November 4, New York time, after falling as much as 1.8 percent earlier. The gauge was down 2.5 percent this week. The Dow Jones Industrial Average slid 61.23 points, or 0.5 percent, to 11,983.24. Benchmark gauges tumbled earlier this week as Greek Prime Minister George Papandreou announced on October 31 a parliamentary confidence vote and his desire to hold a referendum on a European Union aid package needed to avert default. Equities rebounded on Thursday as Greece abandoned the referendum, moving closer to accepting the bailout. Global stocks slumped on Friday as the Group of 20 nations failed to agree on increasing the International Monetary Fund’s resources to fight Europe’s debt crisis. Ruling party lawmakers urged Papandreou to step aside and allow the formation of a new government that can approve the bailout plan for Greece. The unemployment rate unexpectedly fell to a six-month low of 9 percent from 9.1 percent, even as the labor force expanded. The 80,000 increase in payrolls followed gains in the prior two months that were revised up by 102,000. Financial stocks had the biggest decline in the S&P 500 among 10 industries, falling 1.4 percent as a group. During the fourth week of investing, KBIM Investment Fund rose by 1.17%. U.S. stocks rose this week, restoring the year-to-date gain for the Standard & Poor’s 500 Index, as improving economic data and leadership changes in Greece and Italy bolstered investor optimism. The S&P 500 rose 0.9 percent to 1,263.85, overcoming a 3.7 percent decline on Nov. 9 that was the largest one-day loss since Aug. 18. The Dow advanced 170.44 points, or 1.4 percent, to 12,153.68 this week. Stocks resumed the rally that drove the S&P 500 up as much as 20 percent since the first week of October. Equities gained after U.S. consumer confidence improved and Italy’s Senate approved debt-reduction measures, paving the way for a new government led by former European Union Competition Commissioner Mario Monti. Greece swore in Lucas Papademos to head a unity government. The S&P 500 has rebounded 15 percent from a 13-month low on Oct. 3 as the Citigroup Economic Surprise Index for the U.S., which gauges whether reports are beating or trailing estimates, climbed to a seven-month high. The benchmark measure of U.S. equities rose 2 percent on Thursday, preventing a second weekly drop, after  a gauge of consumer sentiment topped estimates in November and reached the highest level since June. The Labor Department said on Nov. 10 that the number of Americans filing applications for unemployment benefits fell to the lowest level in seven months. Stocks tumbled on Nov. 9 as yields on Italian government bonds surged, fueling concern European leaders will struggle to fund bailouts. During the fifth week of investing, KBIM Investment Fund fell by 3.71%. U.S. stocks fell, sending the Standard & Poor’s 500 Index to its worst weekly loss in two months, as Spanish, French and Italian bond yields rose and Fitch Ratings said Europe’s debt crisis poses a threat to American banks. The S&P 500 decreased 3.8 percent, the most since the week ended Sept. 23, to 1,215.65. The index closed at the lowest level since Oct. 20. The Dow fell 357.52 points, or 2.9 percent, to 11,796.16. Equities slumped this week as higher government bond yields in Spain, France and Italy spurred concern the European debt crisis is intensifying outside Greece. The S&P Financials Index slumped 5.6 percent this week, the biggest drop among 10 industries, after the Fitch report spurred speculation the European crisis poses a threat to earnings. The S&P 500 advanced one day this week, on Nov. 15, amid speculation Mario Monti would succeed in forming a new Italian government to battle the debt crisis, while growth in retail sales bolstered optimism in the economy. Yesterday, he won a final parliamentary confidence vote, granting full power to his new government after pledging to spur growth and reduce debt in the euro-region’s third-largest economy. The benchmark measure of U.S. stocks erased gains yesterday after Deutsche Presse-Agentur reported that Germany’s Foreign Ministry said the nation was considering the possibility of â€Å"orderly defaults† beyond Greece. The index had rallied after a measure of leading U.S. indicators signaled the world’s biggest economy will keep growing in 2012. During the sixth week of investing, KBIM Investment Fund fell by 4.07%. The euro touched a seven-week low against the dollar, falling for a fourth week, as Italian borrowing costs jumped to the highest level since 1997, adding to speculation Europe’s sovereign-debt crisis is spreading. U.S. stocks tumbled in the worst Thanksgiving-week loss for the Standard & Poor’s 500 Index  since 1932 as concern grew that Europe’s debt crisis will spread and American policy makers failed to reach agreement on reducing the federal budget. The S&P 500 slid 4.7 percent to 1,158.67, closing at the lowest level since Oct. 7. The Dow fell 564.38 points, or 4.8 percent, to 11,231.78 this week. The S&P 500 has fallen for seven days, the longest streak in four months, and has tumbled 7.6 percent so far in November. U.S. equities erased an early advance on the final session of the week as S&P lowered Belgium’s credit rating and Reuters reported that Greece is demanding private investors accept larger losses on their debt. The cost of insuring European sovereign bonds against default rose to a record this week as Germany failed to find buyers for 35 percent of the bonds offered at an auction. German Finance Minister Wolfgang Schaeuble said market turbulence sparked by the euro region’s sovereign-debt crisis will last for â€Å"a few months.† Congress’s special debt-reduction committee failed to reach an agreement this week, setting the stage for $1.2 trillion in automatic spending cuts and fueling concern that economic- stimulus measures that are set to expire will not be renewed. Still, S&P reaffirmed it would keep the U.S.’s credit rating at AA+ after stripping the government of its top AAA grade on Aug. 5. Stocks fell Nov. 22 as revised Commerce Department figures showed that gross domestic product climbed at a 2 percent annual rate from July through September, less than projected and down from a 2.5 percent prior estimate. U.S. stock exchanges were shut Nov. 24 for Thanksgiving and closed three hours early on Nov. 25. Evaluation of Fund KBIM FUND PERFORMANCE WEEK 1-6 Initially, the first two weeks of the portfolio’s performance did exceptionally well. Due to extreme market conditions in Europe (European Debt Crisis), the fund was affected. The weaknesses of Europe’s common currency area, ranging from its design to a persisting dearth of bank funding and anemic economic growth, weren’t properly addressed in the measures revealed on to stem investor panic. Consumer confidence unexpectedly rose in October from the previous month, indicating the biggest part of the economy will help keep the U.S. recovery intact.  Performance fell in week 3 but stabilized in week 4 due to improving economic conditions in Europe (leadership changes in Greece and Italy), thus restoring confidence in the market. Week 4 and 5 dropped to record lows in the S&P 500. This was due to the negative result of the sale of government bonds in Germany, as investors lacked the confidence it once had in what is arguably the strongest economy in Europe. The fact that the German economy was unable to raise the money it expected to with the sale spoke volumes, as it was the one country in Europe which seemed to be stable and assisted in the bailout of its struggling member countries (Greece, Italy and Spain). This also led to a huge dip in the value of the Euro currency. Overall, the fund’s performance was below expectations. There was, however, directly related to unexpected market conditions, which affected the global market adversely. Invariably, that was passed down to the portfolio. During the six week period KBIM started out with $999,984.84 and ended with $977,853.00, thus making a loss of $22,131.82. Total return was then a negative return of 2.21%. The decision was taken to hold of the selling of equities with the portfolio. Instead, the strategy opted was one of riding the storm out, and in some instances, even buying more stock, as the markets were down and the share prices down as well. This would allow for the fund to make substantial profits when the market recovered or improved, as it could only improve from this point. Bibliography Jones, Charles P. Investment Analysis and Management, Eleventh Edition John Wiley and Sons 2010 http://www.bloomberg.com http://www.imf.com

The Applications Of Motivational Interviewing And...

The applications of motivational interviewing and cognitive behavioural therapy for individuals with unhealthy substance use disorders encompass a diversity of interventions that accentuate diverse targets. Miller and Rolnick (1991), defined motivational interviewing as a ‘directive, client-centred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence’. As McHugh, Hearon and Otto (2010), characterizes cognitive behavioural therapy as ‘heterogeneous treatment elements†¦.that focus on overcoming the powerfully reinforcing effects of psychoactive substances’. Substance use disorders are ‘heterogeneous conditions characterized by recurrent maladaptive use of a psychoactive substance associated with significant distress and disability’ (McHugh, Hearon and Otto, 2010). Reviewed below is the effects of the use of approaches for cessation of individuals with substance use behaviour involving, relap se prevention, client-centred counselling and, conversely, related interventions for unhealthy substance use behaviours. Although motivational interviewing may endorse the immediate short term therapy for interventions of substance use, it is significant to understand that an individual will need long term support and treatment for recovery from substance abuse behaviour. 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