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Monday, December 31, 2018

Experience of China Silence Essay

Should the experience of china silence those who approximate that republic is good for outgrowth? A democracy is a system of regime by the all told population or all the eligible members of a state, typically through elected representatives. In this chemise it can be said that china does non qualify as a democratic country, however it is the arenas fastest growing deliverance in the world and has been described as the second industrial revolution. This whence suggests that the argument for democracy being the only solution to stinting growth isnt correct in so far maybe it was other factors other than semi semipolitical state of china which led to its pick up economy. For the purpose of this argument, it can be fake that China is a planned economy yet in materiality, although limited, regional politicss bind limited democracy e.g. Hong Kong.China is the worlds leading exporter which would indicate to Chinas prosperity as it refers to their industrial revolution , this is collectable to China having an enormous kitten of cheap labour, large scopes of land in which manufacturing can be fully accommodated and too, on large scales it also has a languish sea border which facilitates exporting. Factors much(prenominal)(prenominal) as these, give testimony to the idea of in fact China having mass frugal growth which doesnt involve political reasoning and scotch growth was close to naturally occurring to China. However, it could be argued that it is due to the political system of the country, the government is able to show people into areas of work where stinting growth is most pronounced and therefore, labour is utilise to maximum efficiency. If economic growth is to push in the way it has done particularly in the last 20 years, it cannot traverse to rely solely on mountain exports this is because other countries cant concern to import more goods from China as they will eventually be confront with financial struggles.A problem that perhaps needs to be remedied is the domestic consider within China, if the people of China go on to save money on the whole and dont spend as much typical to a demonstrable country such as Britain, predictably they will stop having economic growth. another(prenominal) significant drawback is to mention the GDP per capita, this measures the real economic power of the average citizen in China. This is rattling low in China which indicates a very low step of living, so to measure the level of economic growth in China is not necessarily the right measure to cost the novel economic successes. In recent years, the currency of China has increased yet still not to the design that the States believes it should defecate. An increase of 2.1% does not seem to all honour or reflect the extent of economic growth China has rattling experienced.It is by speculation that perhaps due to financial strategies such as by having low value Renminbi cheaper exports are therefore made possible , America has repeatedly brought this up at the WTO as it leads to unemployment in America. The currency leaves in China leaves other countries with the cheaper natural selection to import goods rather than manufacture them their selves and so is in a sense very tactical government control, potentially. It is only in a planned economy such as Chinas is that such control over currency would be made possible to allow in effect(p) trade.Due to China not having a democratic government which in squirm entails stop-start policies they are able to plan for the retentive term which allows structure and not fair(a) short term political fixes such as in a democratic politics. However the down side to this is the subversive activity, governments which form in power for years allows corruption which Is currently big problem in China, so as much as it can be said that economic growth has been a notion bring together with a change in government away from Maos commie society, problems such as corruption have also arisen.

Friday, December 28, 2018

Willa Cather Character Analysis

Carolyn DeGrazia Professor Gerald January 30, 2012 Character Analysis Willa Cather erstwhile said, Where there is great complete, there argon always wishes. She makes this quote relevant in her Pulitzer-prize winning novel, One of Ours. One of Ours is a story intimately Claude Wheeler, a teenage man from Nebraska, struggling to find his manipulation in life. Throughout the entire novel, he only has one consistent nominal head in his life that truly believes in him and that is his mother. Mrs. Wheeler, a Protestant Christian, has been married to Mr.Wheeler for more than twenty years. Although she has birthed three boys, she has taken sustentation of many an(prenominal) others in her life due to the farm life of her husband. Thats scarcely what she is-a caretaker. She was the perfect visionary of a fair sex during the time period of World fight 1. She did was she was told and seldom complained. Claude Wheeler has always had a deep connection with his mother. In the first base of the novel, Claude is forced to go to Temple, a unearthly university where his mother knows the headmaster. Claude and his mother give and take.Although they may not agree on some(a) of their choices, they support each other in every way. When asked her opinion of Claudes self-fulfilling job of signing up for war, Mrs. Wheeler has gently put hatful her knife and fork. She looked at her husband in a isolated alarm, while her fingers moved restlessly about over the tablecloth. (pg. 172) She knows her place and understands that Claude has been disappointed to many times in his life for her to strike in the way of his dreams of war. When Claude passed away, Mrs. Wheeler seemed better that he passed away overseas. He died believe his own country better than his. (pg. 336) totally throughout Claudes life, Mrs. Wheeler had agreement for her son and attempted to understand and simmer his disappointment with the world. The connection between her and her son will forever go down in history. Her faith in paragon helped her through her grief of losing Claude. And for her, He is hot stilldirectly overhead, not so very far above the kitchen stove. (pg. 337) The love she has for her son is overwhelming and she wishes great things for him in life and in death.

Tuesday, December 25, 2018

'Case Analysis 1: Multistate Health Corporation Essay\r'

' run along MHC’s outline in term of market position. Also, identify the type of immaterial environment MHC is operating in and the stratum to which the strategy matches the environment.\r\nIn this particular boldness study of the Multistate Health Corporation their headache strategy alignment was not salubrious suited for that of the market. They decided to concentrate on on two quarrys that would give them success and discourage away from the â€Å"oversupply of bed space.” ane of the documentals were to focus on technology. â€Å"The strategic planners at peace(p) from the previous strategy, opting to become a leader in the development of new health c atomic number 18 technologies and procedures” (Effective provision 51).\r\nThe some other objective that they decided to align with was to improve their efficiencies in their healthc ar and outpatient services. The cause of this new attention for MHC is due to the changing environment of the hea lthc ar system and the pressures that they were receiving from the federal and state government. In order to stay competitive with other healthcare facilities, they need to be proactive and adjust their business strategies to the needs of the environment.\r\n signalize the type of structure MHC actually uses in its primary businesses. Describe the fit amongst the structure and the competitive strategy. Describe all structural adjustments MHC should make to maximise the authorization of the strategy.\r\nThe way that the Multistate Health Corporation is judicature is through a ternary-tier hierarchy. At the outmatch of the composition is the President and chief executive officer of the company. underneath this position there are triad regional EVPs that report to the President and CEO. in spite of appearance the three regions they have their own cater that is employed across several hospitals at heart those regions.\r\nWith the new adjustments that they are making the i ncrement in technologies and a new focus on outpatient services, they should really readjust the organizational hierarchy by including a question and Development sector that would be employ across all of the regions instead of to each one region creating new technologies. This would definitely maximize the effectiveness of the new competitive strategy that could be instrumented more quickly and efficiently.\r\n rank any areas where current management KSAs are not aligned with effective execution of instrument of the competitive strategy.\r\n at that place seems to be secern opinions in regards to the HRPS Objectives. There are three different organizational levels that had outlooks on the current situation. The first organizational level is on the corporate level, regional as the second, and divisional as the third level. The regional and divisional level felt that improving the filling and searching process was the top objective of this strategy; however, corporate felt that creating and utilizing travel development was the top priority. Here are two different precedents that levels within the organization feel is the most important. Their outlook for evolution this new strategic plan are not in synced with one another(prenominal) and may cause future predicaments in implementation and development of the plan.\r\nAnother hump that has seems to involve the current management is the KSAs of these employees. â€Å"No system for evaluating the KSA required for a CEO in one part of the friendship compared with that of another. For example, the CEO in Grand Rapids has a different responsibilities compared with a CEO in Detroit, but no one at the corporate level knows what the differences are” (Effective Training 53). This is going to pose a chore because not everyone is on the selfsame(prenominal) rogue and the competencies of these positions are not consisted between regions. There needs to be a genuine set of KSAs and responsibilities based on a certain position throughout the finished organization, not based on a particular region. Having all employees equipped with the same competencies makes them more marketable within the organization.\r\n'

Sunday, December 23, 2018

'Describe a setting in which you have collaborated\r'

'AS you grow up you ar sledding to meet a variety of antithetical people. Every person you meet be not overtaking to have the like views on life as you are . 1 came to realize that when my close hotshot Bianca and I disagreed on the topic issue to college. Bianca and I have been friends since freshman year. Surprisely we never brought up the topic of college until senior year. ace day I decided to take up looking at colleges online to get an cerebration about where I pauperismed to go.AS I browse through colleges on College mature Bianca called me yelling and screaming about the red-hot preview of teen wolf appease 2. I was excited too provided at the time I unfeignedly wasnt focus on that. I was to a greater extent(prenominal) focus on what school I wanted to succeed. I decided to request Bianca what college she wanted to go too. To my disbelief she utter she wasnt going to college. I was astonished because she was such a smart and bright student. College besi des is such a big thing in my family.After high school thats where you were expect to go. I ask Bianca why she didnt want to go to college she replied saying because nobody in her family has ever gone to college. Everyone in her family was anticipate to work and most of all her family couldnt soften it. We continue talking more and more about college. I convinced her to go because its alot of programs out there to help her to go to college almost or even free. teaching method is so important.It would help her to get ere fancy career of becoming a nurse. As she thought about it she said she was going to take everything we talked about into consideration. At premier I was astonished by the circumstance one of my closet friends that I cognize since freshman year said she wasnt tending college. Then I came to realize that everyone comes from contrary backgrounds and have different views on things. In the end I convinced Bianca to attend college and education is important. This fall semester we will be roommates\r\n'

Saturday, December 22, 2018

'When Is It Ok to Break Confidentiality?\r'

'When is it OK to Break Confidentiality? Confidentiality is important to trust between doctors, medical multitude and long-sufferings. Patients bring forth a undecomposed to persuade that cultivation nigh them result be held in confidence. The birth of the Hippocratic lad in the fourth century started the function of physicians to preserve the privacy and privyity of their affected roles. One of the victuals of the Oath lays the respectable foundation for the physician’s duty of confidentiality even beyond the circumstances of medical c be.The Florence Nightingale assure, which was be in 1893, was a modification of the â€Å"Hippocratic Oath,” a statement of the ethics and principles of the c atomic number 18 for profession. Included in the p leadge is to withhold in confidence all personal matters. Today we have the Health amends Portability and Accountability Act (HIPAA), which was passed by recounting in 1996. One of the regulations requires pr otection and confidential handling of protected wellness information.We besides have the Joint Commission on Accreditation of Healthc atomic number 18 Organizations (JCAHO) who takes an active role a obtainst probable violations in long-suffering confidentiality (Oram M. , 2008). This paper go forth consider the full implication of a break up of confidentiality with ethical principles. An alternative imparting be to address the quandary in a clinical setting. Lastly, the author testament address how an ethics committee big businessman approach the dilemma using ethical principles, theories, and a squad effort to ethical decision-making.Respecting and protecting our patients medical, personal and private information is a great responsibility. At multiplication it layaboutful be very challenging and thither are times in health care where specific issues are encountered and personal and private information must be share. It is the position of this author that preservin g confidentiality is of the up virtually importance. Confidentiality is defined as preserving the privacy of the persons that you are caring for. This would include all information verbal or from the patients medical records to be used by the medical group to care for the patient (Oram M. 2008). It is important to apply trust in the nurse patient relationship and maintain confidentiality unless divine revelation whoremaster be justified. The personal Nightingale Pledge taken upon graduation supports this author’s belief. The Nursing Code of Ethics as well as guides this author, which states the importance of nurses upholding their duty to maintain patient information in confidence disregardless of who they are (American Nurses Association, 2013). This author in any case adheres to the HIPAA laws and JCAHO.Confidentiality is at the heart of the code of ethics for healthcare. relations with confidentiality can be very mistake at times, like in the display case of the NBC ER succession 2000, called â€Å"Betraying Trust or Providing Good Care. ” The healthcare professional at any given time may have to subscribe to themselves to breach confidentiality or not to breach? Another interrogative mood that the healthcare professional may ask is do I provide good care or betray my patient and their trust? The good new is there are ethical codes to guide and economic aid the health care professional.In the ER episode the nurse Hathaway was faced with an ethical dilemma of breaking confidentiality or storage area her fidelity. Hathaway had promised to back up a 14-year-old patient, Andrea, and swore confidentiality in order to gain the girl’s trust. Sadly, Andrea was diagnosed with Human papillomavirus (HPV), a fireually transmitted disease which led to cervical cancer. Andrea was also involved in risky sexual behavior with classmates. However, if Hathaway contacts the parents or speaks to the school officials this decision would com e at a cost of betraying her patientâ€a breach of confidentiality.To keep the promise to Andrea was doctoring be bring in Andrea would read the consent from her parents for medical treatment for the cervical cancer because she was under age. Hathaway’s concern is that Andrea gets the medical care she hires. There also was the concern for Andrea’s classmates who should be screened for HPV or other sexual transmitted disease. As already stated, it is vital that healthcare workers keep their patents confidentiality, although there are those times when the healthcare team will come to the outcome that they need to breach their patients confidentiality.According to the American medical examination Association (AMA, 2013) and the ethical principles of fidelity, veracity and self-direction nurses or physicians should let the patient go through about the restrictions of confidentiality protection and after apocalypse have them sign a poke record form to authorize t he disclosure of the information given (AMA, 2013)). There are circumstances when keeping your patients confidentiality might cause much harm thus revelation the information (Edwards, 2008). Such is the case in the ER episode where it was explained to Andrea why her parents and politics had to know what was going on.There would be more harm done to patient and classmates if her hidden was kept. Hathaway has the obligation to specialise Andrea’s parents of her health condition and break confidentiality. Hathaway should first get on Andrea to tell her parents herself and if she is unable or refuses then Hathaway needs to step in and tell the parents. The author believes that breaching confidentiality and telling Andrea’s parents was the right thing to do. It could be said that Hathaway did breach confidentiality when giving the information about Andrea and the â€Å"sex parties” to the school authorities.The information could have been shared with no names mentioned. There was no benefit to Andrea but harm because after she found out that the school knew she attempt to commit suicide. When the medical team or individual is faced with an ethical dilemma there is an ethical committee that can be consulted. The committee is a group of people who will collaborate and are specially qualified and trained in laws and theories. The members will have diversified panorama about the dilemma based on ethical principles, beliefs and values. Utilizing the ethical committee will help guide the medical team to the right action.However, the ethical committee is not always authoritative but should be used as a guide. Hathaway should have notified the ethics committee before notifying the school. most likely Hathaway would not know the legalities about which diseases are reportable. Had Hathaway checked and learned that HPV need not be reported, it would have protected Andrea a lot of pain and unrestrained trauma. It is the author’s belief tha t no names should have been mentioned when have wordsing to the school. Confidentiality is at the heart of the code of ethics for healthcare.Dealing with confidentiality can be very confusing at times. Reviewing the episode of ER helps to examine the ethical dilemma with breach of confidentiality. It is important as a nurse to have familiarity about ethical principles and theories so as to know if you are breaching confidentiality or not. A nurse also must be alert of who she can go to talk to about ethical dilemmas. While this will be an ongoing challenge during a nurse’s career, it is important that she is aware of both the importance of confidentiality and to whom she can desire on in a ethically difficult situation.References American Medical Association. Confidentiality. Retrieved from http://www. ama-assn. org/ama/ bar/physician-resources/legal-topics/patient-physicians-relationship-topics/patient-confidentiality. page Edwards, K. A. (2008). Confidentiality. Ethical in practice of medicine: University of Washington School of Medicine. Retrieved from http://depts. washington. edu/bioethx/topics/confiden. html Oram M. 2008. Maintaining Confidentiality programme 117. Retrieved from www. jcaho. org/confidentiallyHerb\r\n'