It is only Physical Abuse if you set out to hurt Your Child Essay

The issue of child abuse is characterized by many contentions and therefore it is a subject of discussion. For instance, some people argues that a physical action will not be abusive if it was not intended to hurt the child while on the other hand, the Centers for Disease Control and Prevention in the United States defines child abuse as any action that can hurt or result to hurting of a child whether intentional or not. In this paper, I argue against the statement that it is only physical abuse if you set out to hurt your child. I therefore give reasons as to why I disregard the statement as wrong and misleading. Physical actions against a child involves but not limited to hitting kicking and slapping. Psychologists have proved that taking these actions against children teaches them how to do the same to others. Available research information shows a direct link between physical actions to children and their violent behavior at later stages of growth (Wolfe, 1999). It is quit reasonable to say that children build their character from their parents. It is therefore apparent that by hitting children for example, parents teach them how to hit and can grow up to be criminals. That physical action whether intended to hurt or not have negative effects to the life of the child and hence it is abusive. Physical punishments for instance may not necessarily amount to physical injuries but can be and indeed they are very destructive to the emotional life of the child (UNICEF, 2000). This amounts to frustrations and anger which cannot be safely and effectively expressed but remains subconsciously stored inside. The child then grows with disclosed anger which at late stages can be released inform of violence. Emotional destruction, if it is not attended, can result to stress and later depression which has other psychological and health effects. True to the authors stand, this is not a desirable situation especially when it is brought about by our irresponsibility, ignorance and illogical beliefs on physical actions against our children. Available psychological research results show that it is a subconscious need of human beings to be in love and stay in harmony with their offspring. It is therefore illogical and unreasonable for parents or any other person to expect to be loved by children who they have hurt whether intentionally or not (MedlinePlus, 2010). Physical actions on children can robe the members of the society the true spirit of love and cooperation from their children which they all desire. In addition to this, it must be appreciated that even if the intended purpose of the action is achieved, it will be based on fear and lack of alternative to the child and hence the child will grow to resist in a manner to suggest that he or she was revenging. Physical punishment for this matter is therefore abusive to the kinds because it cultivates unethical behavior of revenge to children (Baskerville, 2006). Psychologists also warn that by hitting a child, you instill the message that hurting people is permissible as long as you are older and stronger than them (Wolfe, 1999). The child then grows with that attitude of mistreating and hurting the young ones. This is unethical behavior and it is very annoying especially when it is as result of our mistakes In conclusion therefore, any physical action that can hurt a child is abusive whether it is intentional or not.

Medical Assistant Procedure Manual

Medical Assistant Procedure Manual Project Pamela Estep ENGL205-1203A- Technical Writing and Speaking Phase 5IP Abstract This procedure manual was designed to help the medical assistant if they would have a question or happen to need reassuring about a procedure. It is also to be used as a training tool for new staff and current staff. This manual will list both administrative and clinical duties that are to be performed by the medical assistant. This manual will also be updated as new duties come about or old duties are taken out.This will be your bible for your job here, and you are to follow this manual to keep down any confusion that can come with your job. But if you would still need a clarification on something that is not list in this manual please feel free to contact myself, and I will answer your question and then this question is a common one we will install it to the manual. As all ways we want you to have a pleasant time here with us so feel free to make any suggestion o f ways to improve your job. Master Table of Contents Project Outline (phase 1)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 3Procedure Manual Proposal (phase 1)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 5 Procedure Manual Outline (phase 1)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6 Procedure Manual Brochure (phase 2)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 7-8 Procedure Manual Checklist (phase 3)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 9 Procedure Manual (phase 3)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 10-29 Procedure Manual Quick Reference Guide (phase 4)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Procedure Manual Training Session (PowerPoint) (phase 5)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Signature page †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.Reference page †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦.. Memo Pamela Estep ENGL205-1203A-03 Phase 1 DB2 Professor: Anderson July 15, 2012 Doctor Markesberry, As part of my most resent assessment you ask me to see why there was so much confusion between the medical assistants. You said you had some patients asking why when a different medical assistant takes care of them they do not do the same things as their regular medical assistant. After watching each of the medical assistant for one week and asking each of them different question about how they perform their job, they each gave me a different answer.After hearing this and what I seen I feel we are in need of a procedure manual. This manual will not let them know what is expected of them but how it is to be performed in this office. With this manual in return all of the medical assistant should perform the same no matter which doctor they are working for. This should also cut down on the confusion with the patients and put then at ease when the medical assistant they are used to taking care of them cannot be there that day. Not only will it comfort the patient it will also cut down on chance of mistakes being made that ould hurt a patient or cost some a life. With this proposal I feel it would be a great benefit for the medical assistant we have now and any new ones in the future. It would give a clear cut of their job definition and job expectation. That would also reduce our liability for mistakes by someone not know what to do or how to do it. The procedure manual I am speaking about would be one that would cover both administrative and clinical duties. I would break each of these down into two sections with subsection in each sections.There would be an index foe quick access and each would also have a signature page which each medical assistant would have to sign and that would be put in their personal folders. Once again let me state based on what I have seen and been told by each of the medical assistants I feel this is the only way to give them cl ear cut instructions on what is expected of each of them and how it is to be done. Thank you, Pamela Estep Doctor Markesberry, As stated in my proposal, the following is a copy of the outline in which I plan to use. As this is tentative outline just let me know if you would like to add anything before anything is set in stone.I look forward to your input; I hope this is what you are wanting in way of the procedure manual you had in mine. With that said here is the basic outline of the manual. Medical Assistant Manual Outline I. Introduction What the manual is for and a brief overview of the manual. II. Administrative Duties 1. Scheduling and receiving patients. 2. Preparing and maintaining medical records. 3. Performing basic secretarial skills and medical transcription. 4. Handling telephone calls and writing correspondence. 5. Serving as a liaison between the physician and other individuals. 6. Managing practice finances.III. Clinical Duties 1. Asepsis and infection control. 2. Ta king patient histories and vitals. 3. Perform first aid and CPR. 4. Preparing patients for procedures. 5. Assisting the physician with examinations and treatments. 6. Collecting and processing specimens. 7. Performing selected diagnostic tests. 8. Preparing and administering medications as directed by the physician. As you can see I have included both administrative and clinical duties to be performed, there are many medical assistant out there that think you just take care of a patient but they will see it is much more than that.Once again feel free of any changes that you want made. A procedure Manual is a must for any job. It provides valuable information about your job and can answer the most common questions. It does not matter the size of your office a procedure manual is there when you need it to refresh your memory or answer your question. With this manual in place we all will be held accountable for our actions and we will perform as a better team that supports each other. The following is my check list for the Medical Assistant procedure manual. 1) To make sure there is a need for the procedure manual.I will include all the parts that are needed to perform the medical assistant job. I will include the safety risk, and include common legal issues and how to avoid them. 2) I will write a rough draft of this manual and let doctor Markesberry and let the front desk supervisor look it over for any change the need to be made before final draft. 3) I will then have a meeting with the medical assistants and front desk people to go over the manual. At which time I will answer any question about the manual or if there is anything that they would like to see in the manual. ) I will rewrite the manual after I receive the suggestion and answered the question. Once I have done this and send this for approval from upper management. 5) Once I have got the approval I will make a copy for everyone involved and some extra copies for new hires and for people who lose th eir there will be a master copy which will be kept in the supervisor office. I will then have meeting every two weeks for updates and to go over any problems that might arise. Medical Assistant Procedure Manual for Primary Care Office of Doctor Markesberry Table of ContentsIntroduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 Administrative duties Scheduling and receiving patients†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 4 Preparing and maintaining medical records†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦5 Perfor ming and Maintaining medical records†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6 Handling telephone calls and writing correspondence†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦7 Serving as a liaison between the physician and other individuals†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 8 Managing Practice finances†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 9 Clinical DutiesAsepsis and infection control†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦10 Taking patient histories and vitals sig ns†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 11 Performing first aid and CPR†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦12 Preparing patients for procedures†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 13 Assisting the physician with examinations and treatments†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 14 Collecting and processing specimens†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦15 Per forming selected diagnostic test†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 16 Preparing and administering medications as directed by the physician†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦17 CommonQ&A†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦18 Notes†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 19 Signature page†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 20 Administrative duties Scheduling and receiving patients Upon arrival to the office the patient will stop at the front desk, once there they will sing in and have a sit. After you call the patient up to the desk at that point you will ask the patient name, DOB, address and phone number. Once you have made sure this is the right patient, you will then ask to see their insurance card.When they give you the insurance card you need to verify that it is in effect, after that you collect their copay. Upon arrival this is the process: 1. Pt. sign 2. Call pt. to desk 3. Verify DOB, Address, Phone number 4. Confirm appointment. 5. Ask for insurance card, verify it. 6. Collect copay Scheduling appointment can be making an appointment for a doctor in our office to making an appointment for an outside doctor, test, or lab work. Whichever it is you need to make sure of the same information when rece iving a patient. With a couple of exception of the patient sign and collecting their copay.This is the way the process should go: 1. Check the availability date of the appointment. 2. Ask patient if this is a go date and time is right for the patient. 3. Appointment is out our office give them insurance information, DOB, name, and address of the patient. 4. For an outside appointment you will give them the name of the doctor ordering the appointment to be made. 5. Give the patient an appointment card or instruction on where to go the appointment. 6. Then fax all information to the appointment before the patient go’s so they can have a copy.When making the outside appointment always fax the order and patient information to the office the patient is going that way they have a backup copy beside you call and sitting up the appointment. Then put the information in the chart or on the computer so if there is confusion when the patient get there you have the information at hand. Pr eparing and maintaining medical records When you receive reports, physician notes from outside offices you need to put these in the patient charts. But before you can put them in the charts you need to let the physician know the reports or progress notes have come in.That way if some is abnormal the doctor can call the patient, once the doctor has sign the reports or notes you then need to place them in the charts. If they are still using paper charts you will need to pull the chart and go to the correct section and file the reports. But if you have electronic charts you will need to scan the chart then move the report to the right chart in the right place. Please use the following steps: 1. Sort all the reports and physician notes. 2. Place a received date stamp on them. 3. Then give to the doctor for review. 4. After receiving they back sort them by name and date. 5.Scan them in the charts. 6. After all reports and notes have be scanned in charts and filed shred the documents. 7. Check that all orders have been signed and all doctors’ notes have been signed. At the end of the day or at lunch you need to fill all charts that are done and pull the next patient charts do to come in. This needs to be done every day to keep within the HIPPA and Medicare standards. If the doctor tells you to call a patient and give them their results that is the only time you can do so. You cannot otherwise and never tell the front desk people to do this they are not trained to do this and it is unethical.Performing basic secretarial skills and medical transcription From time to time you may need to transcribe doctor’s dictations. If the patient would need and copy of the visit or if a former employee would need a reference. Then you would type this up and give it the patient. Sometimes the doctor will just tell you to right up something and he will sign it after you typed it. However it is done you must get the physician to sign it before it leaves the office. After it is signed place a copy in the chart or make a copy to have on file in case the patient would need another copy later.Handling telephone calls and writing correspondence When receiving a phone call from a patient you need to get the patient information so you can make sure that you have the right patient pulled up on your computer. Once you have done this then ask the patient how you may help them. After the patient tells you want they need right it down, never just try to keep it in your head. Before you can do whatever the patient called for you might get interrupted and forget what it was or who the patient was. This is very important if the patient that called is not one of your regular patients.If you are calling a patient to tell them of an appoint change or to give them lab or test results never leave the information on the answering machine or with any other person. When you call and you get an answering machine just leave your name and who you are trying to contact and a sk them to call you back and leave your number. This also applies to leaving message with someone other than the patient. When writing correspondence to the patient is direct and use word that they can understand. Do not add anything extra; include your name the physician name, phone number and your address.If sending a correspondence to another physician always be professional use approve word and medical terms. At the end of the correspondence type the physician name and have him sign it. As with anything that goes out of the office or comes in the office you need to chart it or it is not done. Before mailing out any correspondence proof read it. Serving as a liaison between the physician and other individuals From time to time you will act as a liaison between your patient and your doctor. Sometime after the patient has seen the doctor they will come out when they are leaving and ask you what did the doctor mean or what did he say.The patient does not always understand the doctor so you knowledge of medical terminology is a must. Because you have to translate the medical meaning to terms that the patient can understand. This is critical because if the patient does not understand what is being told to them they will not know how to take the medication or how to be compliant. But liaison between the patient and the doctor is not the only time you might have to do this. You might have to as a liaison when Drug representative, medical equipment representative or other doctors until the physician is available.This is a very important part of your job because you are the first person they see, you are setting the impression for the office, so always be professional. Managing practice finances This is a vital part of any office, if no money is coming in the office will have to close. With that said you will be responsible for balancing to payment with the number of patient and get the money ready for deposit. You will also have to collect any money due on medicati on that is picked up at the office if there is a charge.This also goes for any medical devise or equipment that is given to the patient that is a charge for. So for all money that is being deposit to the office account you need a deposit slip. You will fill out the date, amount of cash in bill and coins. Then you list all checks one at a time on a separate line; put the last name from the check and the amount of the check. Once this is done you add all the cash and the checks and write the total at the end, you put a copy in with the money that goes to the bank and you keep the other for your books.Clinical Duties Asepsis and infection control After each patient you are to clean and sterilize all instruments, you are to wipe down all the patient come into contact with in the room after each patient. You are to wear gloves when handling any body fluids or cleaning any open wound. You are to change the trash after any patient that has a procedure done or after any dressing changes. If giving a female examine you need to change the trash if speculums are put in the trash. All of this kind of trash is to be put in the biohazard trash bag not a regular one.When cleaning the room after patient you need to make sure to clean the bed, counter tops, chairs, and any other instrument. This way you do not spread infection. At the end of the day you need to check all your room to make sure they are clean and sterilized, and stock for the next day. If you have a patient coming in for an appointment who might have the flu you need to give that patient a mask when they arrive so while they are sitting in the waiting room they do not spread anything to the other patients. If the patient has the chicken pox bring them back as soon as they get to the office do not let them wait in the waiting room.After you see them clean and sterilize the room so you are not exposing another patient to the virus. If helping with a procedure wear a gown and gloves if necessary wear a facemask or shield. You were taught universal precaution make sure you use then not only for the patients but for you and your family. Taking patient histories and vital signs Taking patient history you need to be very through this can give you clues to what might be going on with your patient. It all so let you know will they are at risk of getting in the future. You need to ask about their parents, brothers and sisters, grandparents.You need to ask about child hood illness, past surgical history, any know drug allergy, any food allergy, any medication they are taking and they need to bring their bottles. This all plays a very important part in patient care. When taken vital signs you need to do the following: 1. B/P 2. Pulse 3. Respirations 4. Height 5. Weight 6. Temperature 7. Pulse ox. When you check you patients vital you must touch the patient so to can tell how their skin feels, if their pulse is regular if you never touch your patient you will miss thing that can hinder the patient tre atment. Performing first aid and CPRWhen performing first aid always wear gloves, clean stabilize and dress the wound. Never move the patient until the physician tells you to. Check for shock. Keep the patient warm and conformable. Give oxygen when needed; never remove any object with the doctor telling you too. When you are giving CPR you need to check if the patient is conscious, check respiration, and then check for a pulse if there is none provide CPR. Once you start CPR you cannot stop it until you are told to or the patient is breathing and has a pulse of their own. These things are a must to know you must keep all CPR certification valid.After you perform any these thing clean and sterilize everything that is reusable and through away everything else. Clean the room and put everything back in order. When calling in a patient after having to perform something like this reassure the next patient and go about you task at hand. Do not give the next patient any information about w hat has happened who the patient was or how there are doing. Preparing patient for procedures When you have a patient coming in for a procedure, try to keep the patient clam. Reassure the patient tell them what is going to happen and when it is going to happen.Answer any question they have, if you don’t know the answer tell them the doctor will be more than happy to answer their question. You will need to do vital signs on the patient at the beginning of the procedure and after. You might have to during if the procedure is going to be long or the patient is going to be put out. Once this has been done ask about known drug allergy you need to chart all of this. Then you get the entire instrument ready you get any dressing that might be needed, any local anesthesia ready. You help the patient get ready, by undressing or any preparation that need to be done before the procedure.Try to keep thing light between you and the patient this helps them relax. Once the procedure is done help them get dressed or help them get cleaned up. Give them all the instructions and anything that they might need until they come back to see you. Ask them if they need help getting home or going to their car. Assisting the physician with examination and treatments When helping the physician with the examination tells the patient so they do not get nervous. Tell them what you are doing. Assist the doctor any way possible with his examination be professional. If you are to hold down n a part of the body tell the patient what you are doing any why. Any thing you can do to easy the process helps the patient and the physician. Keep any exposed areas covered until the doctor is ready to examine that area. After the examination ask the patient if they need help getting dressed and if not step out the room until they are done. Once they are done go back and check on them and make sure they are alright. Ask them if they have any question for the doctor or for you. When the doctor is done and give you the discharge information go over it with the patient. Collecting and processing specimensWhen collecting specimens always wear gloves, tell the patient what kind of specimen you need. Tell the patient how you are going to collect the specimen. Clean the area before collecting the specimen. If it is a UA tell the patient how to do the specimen and how much you need and were to leave the specimen when they are done. If collecting blood makes sure you draw it in the right tube. Get everything you need before you go into the room were the patient is. Let the patient know what you are going to do and how you are going to do it. Get everything you need laid out and ready within hand distant.Clean the area and draw your specimen after you get what you need make sure the patient is fine and put a bandage on the site. Take the specimen in the lab area and spin any tubes that need to be spun and label them after you draw them. When you are done with all this you put them in a la b bag to go an outside department. Keep any specimen cold or frozen until it is time to send them out then put them in cold pack for the lab to pick up. Performing selected diagnostic tests When performing test such as EKG’s you need to let the patient know what you are going to do how you are going to do it and why you are doing this test.Help the patient get ready and have them lie back on the table, let all male patient that you might have to shave their chest if there is a lot of hair because the patches will not stick. After you help the patient onto the table and get ready place the patches on their chest, leg and arm. Connect the leads to the patient and connect the machine. Once you have this done tell the patient to hold still and preform the test. After you are done unhook the leads and remove the patches, help the patient off the table and help them get dresses.Then give the EKG report to the doctor so he can tell the patient what it said and how to treat them. As with any thing you use from patient to patient use need to clean all the leads. If the ask you to perform a pulse ox test you let the patient know what you need them to do and then you record the information and let the doctor know what the reading was. The physician will then tell the patient any and all results. Preparing and administering medications as directed by the physician When the physician tells you to give the patient medication write down the amount, dose, how to be given.If the medication is an injection, make sure you have the right size needle, right amount of medication and were it is the go such as arm or hip. After you get your medication ready go to the room and ask the patient if the doctor told them they were going to get an injection or medication. If they say yes ask them if they are allergic to any medication. Tell the patient were you are going to give the injection and let them know when you are done. Tell the patient to wait for about five minutes to make sure there is no reaction to the shot.If the medication is a pill or liquid ask the patient if the doctor told them they were going to get medication before they leave if they say yes then ask the patient if they have and allergy to the medication. After you give then the medication tell them to wait until they are told they can leave. Make sure you chart what the medication was, where you gave it, how you gave it, and why you gave it. Also chart if there was any reaction to the medication. Quick Reference Guide 1) Scheduling and receiving patient Check the patient in, update all patient information, verify insurance and collect copay. ) Preparing and maintaining medical records Sort all records by name and date, check that are sign and scan into chart. 3) Perform basic secretarial skill and medical transcription. Transcribe all notes, and put them in the chart after they were signing the doctor. 4) Handling telephone calls and writing correspondence. Write all telephone messages d own, list patient name, DOB, address and phone number on the message. When writing correspondences list the patient or doctor name to which it is going to and have the doctor sign the correspondence and place a copy in the chart. ) Serving as a liaison between the physician and other individuals. Talk to the patient or other individuals in a professional matter. Speak in a tone they can understand. Let the doctor know what you have said and to whom. 6) Managing practice finances. Total the money you receive, fill out deposit slip and deposit money. Clinical Duties 1) Asepsis and infection control. Always maintain asepsis field, clean all areas, and wear the proper PPI. 2) Taking patient histories and vitals. Ask the patient about their past history and family history. Check all vital signs and chart them. ) Performing first aid and CPR. Use serial dressings for all first aid dressing. Don’t remove any objects without doctor knowing. Use PPI. Check your ABC make sure they are absent before doing CPR. Don’t stop until the doctor tells you too. 4) Preparing patients for procedures. Check vitals, get all instruments needed, dressing, help patient undress if needed, and drape area exposed. 5) Assisting the physician with examinations and treatments. Keep the patient calm, help hold patient when needed assistant any way needed. 6) Collecting and processing specimens.Be papered; get all supply that is needed. Tell patient what you are doing and why, be calm and the patient will be calm. Process all specimens as needed to preserve them for transportation. 7) Performing selected diagnostic tests. Tell patient what you are going to do. Be quick performing test, give to physician and help patient get dressed if needed. 8) Preparing and administering medications as directed by the physician. Ask the patient if they knew about the medication, check the dose, the amount, route, and were. Ask if they have any allergy to the medication.Be quick and easy as possi ble. Tell patient to wait until they are told they can leave after medication is giving. Common Q&A 1) What if the patient states they have insurance but their spouse has the card what do you do? You would let the patient you need a copy of their insurance card and they can have someone bring it in for this appointment or they can pay the base rate of $25 and when they bring in there card we will credit the money back to them if it’s less than the base copay. 2) What if a teenage child comes in for an appointment and they did not bring their parents?You can’t not treat the patient, without written permission or the parent being there. 3) What if the patient would call in to request a refill on their pain medication? They cannot get a refill on pain medication without being seen by the doctor. 4) What if you think your patient is being abused? Talk to the doctor before he goes into the room and tell him what you think, if he agrees or if he does not agrees but you have seen this patient in the office before with the same kind of injuries you need to report this to you manager, and they will report it to the authorities. ) Can I go home and finish my charting tomorrow? No if you have not charted it is not done, plus you might forget what you done and what the patient name was. Notes Signature page I have been given a copy of the Medical Assistant procedure manual. I have received procedure manual training. References http://www. caahep. org http://smallbusiness. chron. com/write-standard-operations-procedures-manual Http://www. ehow. com/how-8124308-manage-medical-assistants Procedure Manual Training Session (power point)

A Rose for Emily †Poem Interpretation Essay

The novel of William Faulkner ‘A Rose for Emily’ recounts a part of the past in the life of Miss Emily Grierson and the society in a town of Jefferson after the Civil War. We can watch the intriguing story of a young woman when she is changing from nice and likable young lady to a hermit-like individual, a burden and nuisance for the people and authority of the town. She lived in a gorgeous but rundown house without any major ‘troubles’, like paying taxes for example, which was settled (established?) in 1894 with the Mayor, when she couldn’t afford it. When the change in the office came the tax collectors started asking her to pay the debt to no avail. There was a ‘silent war’ going on for years between Emily and the town people until she fully retreated to her house after the death of her father. There is a short time of romance when Emily met a man and the fear of being abandoned made her crazy to a point where she tried to ‘keep’ him for herself ‘with the little help’ of arsenic. This was the last time he was seen alive. People suspected something bad happened but with no evidence there was nothing they could do about it. Only after her death they entered one of the rooms on the second floor and discovered what took place 40 years earlier. Her lover was ‘asleep’ in a bed, still in nightclothes. Next to him, on the pillow, Emily’s strand of hair. The author tries to go deeper into dark, psychological side of American Goth, going away from its basic ideas like haunted houses, castles, deaths, ailments (diseases), madness, curse, etc. The end of the novel is startling, giving a reader quite a criminal case sample, where the guilty got away with the crime. The question â€Å"Is it possible to commit a crime with no consequences?† lingers in the air. According to the author apparently yes. In his times. It is doubtful that an incident like that could happen in present times, however we still have shocking stories in the news that occur every day and still cannot believe how human mind can lead a person to do heinous crimes.

In what ways can marginalized perspectives enrich mainstream Essay

In what ways can marginalized perspectives enrich mainstream psychology - Essay Example A minority stress model is used to understand psychological well-being among lesbians, gay men, and bisexuals. Specifically, this model posits that lesbians, gay men, bisexuals and ethnic minorities may be at increased risk for mental distress because of exposure to stressors related to social antigay attitudes. There has also been increased attention to understanding psychological resilience and the ways in which lesbians, gay men, and ethnic minorities successfully cope with stress and stigma. In addition, assertiveness as a positive psychological process is demonstrated by different aspects of coming out as a lesbian, gay man, or bisexual: identity commitment, identity disclosure, and community involvement. Edward Sampson (1993) argues that the dissatisfaction expressed by minority groups about mainstream psychology can be explained in relation to the notion of identity politics. He defines identity politics as: â€Å"a politics based on the particular life experiences of people who seek to be in control of their own identities and subjectivities and who claim that socially dominant groups have denied them this opportunity† " (p. 1219). The ideology of identity politics may be admirable (or not), the reality is that, as often happens with ideology; the political movement has lost touch with the analytic meaning of its key concept. Just what is an identity The analytic potential needs to be extricated from ideologies of identity (Gainor, K. A. 2000). While the reduction of identity to power has its pitfalls, so too does an essentialist position. To argue that identity is race, or is sex, is to engage in a curious political maneuver. If identity is determined by an unchangeable characteristic of the self, then we have the basis for arguments of separatism. If I am my race or my gender, then all those who do not share my essential characteristic are alien and separate. It becomes very difficult to confront racism and sexism on any terms other than force or numbers. It is to argue that identity precedes existence. Current struggles over "difference feminism" reflect a great ambivalence over the political implications of this kind of argument. To juxtapose the essentialist argument to the thesis that identity is socially constructed through customs and conditioning is to be confronted with a contradiction. It is obvious that aspects of gender roles and racial stereotypes are socially constructed for reasons having to do with power, among other considerations. The implication of this proposition is that these roles and stereotypes can be deconstructed, as surely they can. But the question remains: what is left of identity when deconstruction has taken place Is there some primordial human essence Or is each individual, thus released from social constraint, free to assert whatever identity seems appealing If this is so, we are back to the self-centered individualism of classical liberal political theory. While images of autonomy and self-sufficiency have great appeal, they do not fit with what we know about the social interdependence that characterizes human nature.

Philosophy on Dualism Essay Example | Topics and Well Written Essays - 1000 words

Philosophy on Dualism - Essay Example Dualism graces its roots to as far back as Zarathushtra, although Plato and Aristotle also dealt with the possibility of existence of an incorporale souls that actually bore the faculties of intelligence and wisdom. Their conclusion is that "people's intelligence (a faculty of the mind or soul) could not be identified with, or explained in terms of, their physical body" (Wikimedia Foundation, Inc.). The difference in the properties of mental and physical realms supports the validity of dualism. Minds are observed to have subjective qualities such as sensations which cannot be reduced to something physical. These experiences then are deemed to be from of different origin than the physical body. "There is no place in the brain where electric stimulation can cause a person to believe or decide. Although our thoughts can be true or false our brain states cannot be true or false. Nobody can tell what we are thinking by measuring brain waves. We must be asked what we are thinking" (AllAboutPhilosophy.org). On the other hand, there seems to be a lack of rational understanding as to how an interaction could possibly take place between the brain and the mind. Simply, this arguments says that there is nothing such as supernatural or other dimension that can explain this interaction thus the mental and physical realm must be one. Another argument against dualism is that when the brain is damaged, brought by physical trauma, drug abuse and other diseases the mental powers are always affected. "The argument holds that if the brain and the mind were actually separate, our mental powers would not be comprised" (AllAboutPhilosophy.org). This views leads us to think that there is/are factor/s that dictate the well-being of the mind, not just the physical body. Mental heath then is a factor of many other things aside from physical health. In the end it is found that the arguments for dualism is strong. Indeed, things such as emotions or feelings which does not necessarily emanate from the physical body are from different realms and they affect the mind. Monism Monism is associated with any philosophical view which says that "there is unity in a given field of inquiry, where there is not to be expected" (Wikimedia Foundation, Inc.). Thus there are philosophers who stands on the belief that the universe is really just one thing, despite of its many facets, appearances, diversities. In theology, this is the belief in one God who holds everything. Just differ in what they target and how they count. There are actually many monisms, although they all have the attribute of oneness. We however focus on two historically important monism; the existence monism which targets concrete objects and counts by token and the priority monism which targets concrete objects and counts by basic token. However, "neither existence nor priority monism is accorded much respect in contemporary metaphysics, nor are they always properly distinguished. Indeed, the entire monistic tradition is often dismissed as being somewhere between obscure and ridiculous" (Stanford Encyclopedia of Philosphy). Monism can be viewed as simply the opposite of dualism and pluralism. It particularly denies multiplicity of things and the distinction between body and soul, matter and spirit and other dualistic distinctions. Strengths

CD 361 - Language Development in Children - Essay

CD 361 - Language Development in Children - - Essay Example It is quite easy to understand the aspects of information delivery as defined in the article. The article offers a remedy to each dishonest use of information. The article depicts the significance of music in learning by showing how music influences the mind/brain. Moreover, the article confirms that listening to music derives fundamental cerebral advantages that enhance learning by activating neurons and maintaining synapses. The article uses relevant examples and diverse research to show how music improves learning by supporting hemispheric synchronization and enhancing brain coherence. The article resides on a scholarly journal. The authors are scholars with fundamental impact on human growth and consciousness. Professionals and students are the target audience for this article. I am not aware of other works that relate to this source. The work is highly relevant to the selected topic where it derives major contribution to the hypothesis. The book addresses the causes of attention deficit hyperactivity. The book defines the significance of music and other therapies on learning. The book recommends music to children with attention deficit hyperactivity and learning challenges. Indeed, the book defines the scientific basis for music in enhancing learning and attention among children. The author, Gordon Millichap is a medical professor. Medicine students and professionals like neurologists, nurses, psychologists, tutors, and thespians are the target audience for this book. This work relates to the above source since it defines how various aspects of the brain influences attention deficit hyperactivity in children. As such, the work is highly relevant to language development in children and contributes to the hypothesis. The site defines how music education prepares students to learn, facilitates student academic achievement, and develops the creative capacities for lifelong success. The site relied on quality and evidence-based

Channel conflict and resolution paper Assignment

Channel conflict and resolution paper - Assignment Example The emergence of electronic commerce has resulted in new business models that proffer marketers with opportunities such as access to diverse markets and reduced business expenses. E-commerce also comes with a bunch of challenges such as channel conflict in many businesses to date (Webb 96). The manner in which a business manages the aforesaid channel conflict is a pertinent aspect in its success. A marketing channel is a set of mutually dependent firms engaged delivering a product or service. Multiple channels arise when a company employs separate channels to sell the same products to markets differing in some important way. A multichannel conflict occurs when the producer/ manufacturer have established two or more different channels to sell the product to the same target market. For illustration, a motor company may have its own retail showroom, authorized dealers, and also sells online. Sometimes, the middlemen come in conflict with the manufacturer, employing both direct and indir ect channels of distribution. Such a conflict is known as the multichannel level conflict. A conflict may arise when a producer’s franchise prices its products lower than the middlemen, wholesaler or dealer. Conflicts can also arise when a producer sells a larger range of products through its own outlet than through the wholesaler or retailers (Webb 98). This discussion explores the role that suppliers play in managing conflicts between multiple channels. Suppliers can employ the marketing mix variables to manage multichannel conflict. Pricing Price is one of the prominent factor in which the most channel conflict is generated. Intermediaries closely watch what manufacturers or producers do through the online channel of distribution. Intermediaries express concerns regarding producers’ site and interpret it as a move to lessen their role with the customer. As a result, suppliers have started acknowledging that their channel partners will see and react to everything the y put on the internet. In order to reduce conflicts, suppliers have chosen not to place and offer discounts on the internet in a bid to reduce price related conflicts (Brennan,  Canning,  and McDowell, 316). Distribution An internet channel of distribution has a key limitation in that it does not have the ability to offer physical delivery of tangible products. Suppliers work in conjunction with other channel partners to carry out the fulfillment role of orders placed on the internet. For illustration, HP employs this aspect of involving channel partners to drive its online sales efforts. By involving other channel partners in the sale serves to manage and avoid cannibalization the channel. In addition, by involving channel partners, suppliers build trust and cooperation between the intermediaries and prevent unwarranted channel conflicts (Webb, 100). Promotion Promotion entails persuading customers to purchase a product. An internet channel of distribution gives suppliers a fav orable opportunity to promote their product offering directly to the end users. However, in order to avoid conflicts with other channels of distribution, suppliers are cautious on providing detailed product information along with search engines (Saxena 463). However, they choose not to accept orders online. Moreover, suppliers actively promote their channel partners on their websites, as well as permitting them to place their own adverts. Product Suppliers also manage their online product offering in a

Sociology- Sex Paper Essay Example | Topics and Well Written Essays - 750 words

Sociology- Sex Paper - Essay Example n (1994), DSM-IV defines transvestite fetishism as a ‘heterosexual male who cross-dresses over a period of at least six months.’ This male also has ‘recurring sexually arousing fantasies.’ The DSM-IV adds that an individual can only be diagnosed as having transvestite fetishism if ‘significant distress or impairment in functioning, with or without gender dysphoria,’ is associated with the cross-dressing. (Bordan and De Ricco1997) The DSM-IV itself differentiates between an individual who can be diagnosed as having transvestite fetishism and one who has a gender identity disorder. For one to be diagnosed with gender identity disorder one would have to consistently portray‘cross-gender identification’. This portrayal would include ‘symptoms such as a stated desire to be the other sex, frequent passing as the other sex, or the conviction that he or she has the typical feelings and reactions of the other sex. (Bower 2001) What is more, approximately 66% of male transsexuals prefer strong hetero-sexual males. In fact they refuse homosexual partners. (Bower, 2001) Therein rests one of the major differences between transsexuals or individuals with gender identity disorder and homosexuals. Homosexuals as the name implies are individuals of the same sex involved in sexual relationships whereas male transsexuals prefer to engage in sexual relationships with hetero -sexual males rather than homosexuals. Likewise the transvestite may or may not desire to engage in sexual relationships with homosexuals. Moreover, researchers have noted that males with gender identity disorder may be attracted to males, females, either sexes or neither of the sexes. Amazingly, though females identified with gender identity disorder are nearly always attracted to only females. (Bower 2001. p 2) Homosexuals may be classified into two main categories, namely, ‘the effeminate homosexual’ and the ‘drag queen.’ (Bower 2001) Although the effeminate homosexual has

Department of Accounting, Finance and Economics Assignment

Department of Accounting, Finance and Economics - Assignment Example The following paper will inquest and scrutinize the factors which are responsible for the volatile behavior of commodity process in the agricultural sector. Agricultural commodities are the hub of the world economy as every thing is dependent on the agricultural products especially in third world (Goodman, 1997). Different data sources and analysis techniques will be deployed in order to depict the exact factors responsible for the fluctuations in the agricultural commodities. Discussion The first and foremost factor in the fluctuations in the commodity prices of the agricultural sector is the increasing gap between the demand and the supply. The demand has been increasing every day in third world countries, many parts of Asia and China whereas there has been no emphasis on the production part which is basically focused on the first world countries (Johnston & Mellor, 1961). Similarly, numerous macroeconomic and financial factors are censurable for the metamorphosis of the prices of commodities in the agricultural sector. In the similar fashion, high novelty and revision in the dollar prices due to the global shifts in the political and financial crisis is also responsible for these rate changes and imbalance in the prices. ... There are many other factors on which the experts have a split. For example, Gilbert and Morgan (2010) and De Schutter (2010) said that the fluctuations in the local agricultural commodities and food items are caused by irresponsible speculations and bad rumors culture which can bring the market up and down within no time. The stock market example has been used by them as an analogy but there is a difference o opinion in this theory and many experts like Irwin and Sanders (2010), do not consider this theory conforming the practical approach. According to a study, the extent of fluctuations in the prices o agricultural commodities have been recorded as the highest in past nineteen years and this is a very alarming measure indeed because of these high ate o fluctuations, the global economies are taking new turns. Other minute factors include climate changes, unintended wars, disasters and cultural collapses throughout the world. Another very important factor behind the dramatic rise of agricultural commodities is the integration initiatives of the energy and agricultural markets in many production based countries. For example, in America, the prices for the paramount and importunate agricultural commodities like soybean, corn and wheat rose up with a rate of around 148, 123, and 154 percent respectively. According to experts in America, around 70 to 75 percent of increase in the agricultural commodities is due the engendering and production of bio fuel and diesel based materials. The periodic abatements in the hedging efficiency is also a very conspicuous and considerable factor in the changes of prices agricultural commodities. For example, the hedging

Management coursework Essay Example | Topics and Well Written Essays - 500 words

Management coursework - Essay Example The mission statement of the Bill and Melinda Gates Foundation reflects that â€Å"all lives have equal value† (Bill and Melinda Gates Foundation). The organization maintains a well designed professional website under the name ‘Bill and Melinda Gates Foundation’ that illustrates various programs and policies of the foundation. By the end of 2009, it was estimated that the organization had an endowment of US433.5 billion (Bill and Melinda Gates Foundation). As per the organization’s norms, the foundation must donate at least 5% of its assets each year in order to maintain its status as a charitable institution. Therefore, it is obvious that the organization would donate over US$1.5 billion each year. In order to improve the efficiency of its operations, the foundation was organized into four divisions in 2006 under the Chief Operating Officer Cheryl Scott. The organization became well known as it designed three grant-making programs such as ‘Global Hea lth Program, Global Development Program, and United States Program’ (Bill and Melinda Gates Foundation).

Venue Management for Events. The Emirates Stadium Essay

Venue Management for Events. The Emirates Stadium - Essay Example This tier can carry a total of 2, 222 spectators in total. The box prices start at ?65,000 per year inclusive of V.A.T. and caters for all the home league games and any other played at the Emirates stadium. The Emirates Stadium (Picture courtesy of Arsenal.com) The Diamond Club is the next tier and represents the most exclusive area in the stadium. This is a place that hosts only invited guests and the ticket prices are ?25,000 in advance plus an additional ?25,000 a year. The high demand for tickets in London coupled with the fact that the people living in London are relatively wealthy implies that the ticket sales from the premium seating and the corporate boxes are very high (Chung, & Hwang, 2010). The picture measures 105 by 68 meters with a total grass area of 113 by 76 meters running from north to south. The players’ tunnel and the dugouts are placed on the western side of the pitch just below the main television camera. The away fans are placed in the south- eastern cor ner of the lower tier. The configuration of the away fans can however be expanded from the current 1,500 seats to about 4,500 depending on the demand. This extension has been provided for by the lower and the upper tiers. This stadium has enough space for the travelling fans as required by the Football Association (FA). An aerial view of the Emirates Stadium (Picture courtesy of Arsenal.com) The upper tier has been contoured in order to leave some open space in the ground corners and the roof is equally inward canted. These features are meant to facilitate the flow of air and sunlight to the pitch. These are very vital elements because both players and fans need a good supply of both light and fresh air. The... The paper tells that Emirates Stadium also inbuilt conference holes that accommodates various events like music shows, wedding ceremonies and big meetings. The stadium also well structured roofs that provide shade and shelter to the fans with the centre part left open to allow penetration of sunlight into the pitch. The environment surrounding the stadium is well ventilated as depicted by the contoured walls to provide goods circulation of air. The regions surrounding the stadium are highly secured with security inspection starting at the railway stations before journeying towards the pitch. Entrance of fans is high controlled as the technology system at the gates only allows individuals with smartcards to get access of the stadium during matches. The interior of the Emirates Stadium is highly beautified with green coloured grasses on the pitch and conspicuous red colours dominating the stadium. In addition, the stadium is installed with high tech cameras and big television screens t hat offer exemplary view for distant fans within the stadium. The stadium also has inbuilt catering section and food shop that provide easy meal to fans at very affordable prices. Accessing the stadium is somehow very easy as can be evidenced by good network of roads and railway lines just passing near the stadium. In order to ensure further security, parking is never allowed around or near the stadium and vehicles is usually parked at residential streets that are meters away from the stadium thereby compelling fans to walk for few minutes to the stadium.

Large industrial facility Essay Example for Free

Large industrial facility Essay 1. Describe how the use of a tall smoke stack might improve air quality near a large industrial facility. Tall smoke stacks built 500 ft or taller can improve air quality for a large industrial facility, by â€Å"releasing air pollutants such as sulfur dioxide and nitrogen oxides high into the atmosphere to help limit the impact† to the near by areas (Air, 2011, p. 2). The use of tall smoke stack is also believed to contribute to a wider spread of air pollutants. 2. How can topography contribute to pollution in a city or region? Topography and weather are big contributors to a city pollutions. Most cities are built in a valley and not on top of a mountain, which makes it hard for the air to circulate. This traps the pollution into an area resulting in a poor air quality. (Factors, n.d.) 3. From where do hurricanes derive their energy? What factors tend to weaken hurricanes? Would you expect a hurricane to weaken more quickly if it moved over land or over cooler water? â€Å"Hurricanes derive their energy from the warm, tropical oceans and by evaporating water from the oceans surface. Heat energy is converted to wind energy when the water vapor condenses and latent heat is released inside deep convective clouds† (Ahrens, 2014, p. 341). Hurricanes can weaken more quickly if it moves over cooler water, because they get their energy from warm tropical oceans. 4. Where is the Bermuda high located during the summer and fall? How might the path of a hurricane, moving toward the west from Africa, be affected by the Bermuda High as the hurricane approaches the United States? During the summer and fall the Bermuda high forms over the Atlantic Ocean. Hurricanes moving toward the west from Africa may increase its intensity as it approaches the United States. The Bermuda High â€Å"not only heats up summer-time temperatures in the East, but the Bermuda High can affect the  intensity of tropical storms and hurricanes† (Bermuda, 2013). 5. How do you think pollutants are removed from the atmosphere? Does this occur quickly or slowly? Pollutants in the atmosphere can be removed by trees and plants. The trees and plants absorb CO2 and other pollutants, then produce oxygen for the atmosphere. The removing of pollutants in the air is a slow progress and some pollutants never go away. Ahrens, C. D. (2014). Essentials of Meteorology: An Invitation to the Atmosphere, 7th Edition. [VitalSource Bookshelf version]. Retrieved from http://online.vitalsource.com/books/9781305439733/id/ch11-L3-5 Air quality. (2011). GAO. Retrieved from http://www.gao.gov/new.items/d11473.pdf Bermuda high is cause of most east coast summer heat. (2013) Weather Bug. Retrieved from http://weather.weatherbug.com/weather-news/weather-reports.html?story=8263 Factors affecting air quality. (n.d.) BC Air Quality. Retrieved from http://www.bcairquality.ca/101/air-quality-factors.html

Key Elements Of Information System Information Technology Essay

Key Elements Of Information System Information Technology Essay The task has been assigned to me by my college which is the ABP awarding body certification requirement. I have completed the assignment after a thorough study of various sources such as books, journals and websites. OBJECTIVES: Describe the concept of Information Based System in organization. Describe how Information System works in organization. Describe the various types of Information Systems by breath of support. Identify the major Informational Systems that support each organisational level. Literature Review: 1) Information: Any raw data that is organized and verified to be accurate and timely for any purpose and presented within a context that gave it meaning and relevance and it leads to increase in understanding and decrease uncertainty. 1.1) Information System: When people utilize information or organizations by using technologies gather, process, store, use and disseminate information uses. Information System (IS) is a system that gave the information necessary for managers and management to run an organization effectively. IS and the information it gives are essential components of reasonable business decisions. Information industries help in providing growth in most economies of business. Every organization achieved it success on the bases of there information system. Due to change in technology and globalization of markets many industries are now trying to develop and improve there information system because they emphasizes on there information. Information system is not just a computer system but information and communication technology play a vital role in helping the organization to fulfill it needs. Information system refers to the system of people, data and activities both computer-based and manual that effectively gathers, process store and disseminate organization information. It is important to maintain the information system in organization and adopt new approaches for improvement in the development, use and reviews of IS system with in the organization must be an ongoing process of both bank management and OCC examiners. Every IS have clearly defined framework of guidelines, procedures policies and standards for different organizations. It should be fallowed by any organization for the development of its system and also to maintain and use all information where it necessary. Information System is used and viewed by all Management Levels. It helps the organization and supports them in long term strategic goals and objectives. It helps in financial accounting systems that are used to maintained control on all financial record keeping activities. Every organization should designed there Information System to achieve the following goals. Improve communication among employees. Deliver all complex and important material through out the institution. Provide a system for recording and processing information. Reduce all expanses related to labor, material and other activities. Help in achieving organization strategic goals and objective and provide direction. Organization a) Customers b) Retailers c) Employers Technology Websites Internets Collaborative Planning softwareà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s Management a) Develop growth b) Strategy c) Monitor services d) Level and cost Information System a) Customize Products b) Interact with customer c) Exchange ideas and reports d) Coordinate production with sales Business Solutions Increase customer services Increase revenues Reduce cost Business Challenges Mature Industry Inefficient Process Information System provides help and facts for decision making which support and improves overall decision making process. Information System also improves job performance through out the organization. It also provides help to all level of management. It gives the data and information and helps the management in making strategic decisions. It helps the organization in all activities to monitor, control and distributes information to all employees, customers. Effective Information system gives up-to-date presentation formats and time frames required by all management levels. Information System can be maintained manual or automated or both combine. Effective deliveries of an organization products and services are supported by Information system. These systems be accessible and used at all level of management and organization. Information System is also helpful in over all risk management strategy. Information system also help the organization to keep control, measure, monitor, recognize and manages all the activates, risk and Limits. Risk Management has four key elements. Policies or practices. Operational Processes Staff Management. Feed back Devices. Information system should be both operational and informational. So that management can use it to measure performance, manage resources and help organization with regulatory requirements. Information system also used to provide effective risk control which helps to maintain proper management and minimize risk through the organization. it also help the organization to make new policies help in practicing these policies provide up to date information in all operational process also help in making assignments duties and responsibilities for staff and managers. Data used in organization come from many finical records and transaction systems and proper control procedures must be setup to help in gathering relevant data and also help in correction of data. Information system organized and the data is gathered from different equipments i.e mainframes, microcomputer, minicomputer. Processing control help the system on smaller computer and pre defined and also effective as those commonly found on the larger mainframe system. The OCC fully endorses and supports placing these principles in writing to improve effective communications throughout the organization. Improving Weakness of Information System Risk. 1.2) Key Elements of Information System: To work properly and effectively the five key elements should be checked and functioned are: time lines, accuracy, consistency, completeness and relevance. Timeliness: Information system should be capable of providing distributing information to right users. Information system is capable of providing short and long reports of information. Information system also helps in processing, collecting and producing results from data. It also help in making correction, adjustments in errors found in data. Accuracy: Information System provides control checks in editing balancing. All the external internal audit programs done by organization provides the adequacy of internal control. Consistency: All the data should be process consistently and uniformly. Variations in data be collected and reported to information analyst. Because data collection and reporting process change over time management must establish procedures to allow systems changes. All the procedures should be documented, willdefind and clearly communicated to all related employees and should include proper effective monitoring system. Completeness: All the data and information provided by information system to management level should be complete and checked by all accepts. Relevance: All the information must be relevant to organization objectives and strategies. Information that is unnecessary or too detailed should be sorted out. 2) Information System as Bridge: Information system provides us bridge between management information science and computer science. Computer science provides information technology software. Information system brings all human activities and information technology to one place and it provides communication link between these two worlds. The system well serves the people and organization by using all the IT capabilities. To run this system properly it requires specialist people having knowledge of both computer world and organization and the people who using these systems. All the system should work with in the contexts of organization, management and the information society. To build a bridge like this between the information organization and people we need skills in programming, computer architecture and networks. Also we need techniques for information system analysis design by using all advance data base design methods and related professional and legal knowledge. 3) Level Types of Information Systems: Every business has different information system needs. It also depends upon different levels in organization. Three key information systems are Transaction processing system Management Information System Decision Support Systems The importance of information is different on different level of management. The information can categorise as strategic, managerial and operational information. The information used by senior management for decision making is Strategic information. The lower levels in the organization do not require this information. The information systems that gave information for decision is known as Decision Support Systems. Figure Relation of information systems to levels of organization The information used by the middle line of management is known as managerial information. The information used by middle line management help in making short-term decisions and plans for the organization. Information likes sales analysis or production details for the whole year. Information system is now days the necessity of all organizations to fulfil all the managerial activates. Due to its Importance, most of the big organizations have separate IS departments. Whose duty is to watch the use and proper functioning of the system. For daily and short term information we need third level of information. It help the operational level to carry out day to day operational activates. it also help in attendance record of employees. Information System gives information for processing transaction of the organization, that type of information system is known as Transaction Processing System or Data Processing System. For example information provided by such systems are processing of orders, evaluating overdue purchaser orders of marketing and sales departments.. 3. a) Transaction Processing Systems: Transaction Processing System the organization in there business transaction process. Any activity of the organizations can be called Transaction. Every organization has different transaction. For example, take a airline reservation system. Booking, cancelling, etc are all transactions. However, there are some transactions, which are common to almost all organizations. These include calculation, storage and retrieval. Speed and accuracy, can be achieved by TPS and can be programmed to follow routines functions of the organization. 3. b) Information System: Management takes help in solving problems and making decisions from it. They use transaction processing information and all relevant information also. It process queries as quickly as they arrive. An important element of IS is database. A database is a collection of data items that can be processed through application programs and available to many users. 3. c) Decision Support System: These systems help senior management in making long term decisions. With the help of this systems we can handle unstructured or semi structured both decisions. A decision will be unstructured if there are no clear procedures for making the decision. A decision support system must be easy to operate and also it should be flexible for all users so that they can produce reports by giving data and it should be format according to the situation explained. 4) Level of Management System: 4 .a) Operational-level Management System: This system helps the operational managers by keeping track of the all necessary activities and transactions of the organization. This system is answerable for the routine questions. It provides help in sales, receipts, cash deposits, payroll, credit decisions, and flow of materials. 4 .b) Knowledge-level Management System: Support knowledge and data workers in an organisation. The reason of these systems is to help the organisation discover, organise and integrate new and existing knowledge in to the business, and to help control the flow of paperwork. These systems, especially in the form of collaboration tools, workstations, and office systems, are the fastest growing applications in business today. 4 .c) Management-level Systems: At this level it helps in monitoring, controlling, decision-making, and administrative activities of middle managers. We can get periodic reports rather then information on operation. it also helps in non-routine decision-making, focusing on less-structured decisions for which information requirements are not always clear. 4 .d) Strategic-level Management System: Help senior management how to keep control and tack actions on strategic issues and long-term trends, wither it in the organization or related to external environment. Main reason is to use organisational capability with the changes, and opportunities, occurring in the medium to long term in the external environment. An organisation must have operational, knowledge, management and strategic level systems for each functional area within the organisation. This would be based on the management model adopted by the organisation, so, while the most commonly-adopted systems structure would simply follow the standard functional model, structures reflecting bureaucratic, product and matrix models are also possible. As identified before, enterprise level information systems attempt to encompass the whole organisation in one system. Type of systems Executive support System (ESS) Strategic- Level System 5 years Sales trend forecasting 5 years Operation Plan 5 years Budget forecasting Profit Planning Man power Planning Management Information system (MIS) Decision Support System (DSS) Management Level System Sales Management Inventory control Annual Budgeting Capital investment Analysis Relocation analysis Salas region Analysis Production Scheduling Cost analysis Pricing/Profitability Analysis Contract cost Analysing Knowledge work system (KWS) Office Automation System (OAS) Knowledge Level System Engineering Workstation Graphic work station Managerial Workstation Word Processing Document Imaging Electronic Calendar Transaction processing System (TPS) Operation Level System Machine Control Security Trading Payroll Compensation Order Tracking Plant Scheduling Acc Payable Training Development Order Processing Material Movement Control Cash Management Acc Receivable Employee record Keeping Sales marketing Manufacturing Finance Accounting Human Resource Characteristic Of Information Processing System Type of System Information Inputs Processing Information Outputs Users ESS Aggregate data: Internal, external Graphics; simulations; interactive Projections; responses to queries Senior managers DSS Low Volume data or massive database optimised for data analysis; analytic models and data tools Interactive; simulations, analysis Special reports; decision analysis response to queries Professionals; staff Manager MIS Summary transaction data; high-volume data; simple models Routine reports; Simple models; low-level analysis Summary exception reports Middle managers KWS Design specifications Knowledge base Modelling; simulations Models; graphics Professionals Technical staff OAS Documents Schedules |Document management; Scheduling Communication Documents; schedules; mails Clerical Workers TPS Transactions events Sorting; Listing; Merging; Updating Detailed reports; lists; summaries Operations personnel supervisors 5) Working of Management Systems 5.a) Operational-level Management Transaction-Processing Systems: Basic business system Perform daily routine transactions necessary for business functions. All the tasks, resources and goals are highly structured at operational level. Generally, five functional categories are identified, as shown in the diagram. Type of TPS System Sales/Marketing System Manufacturing/Production Systems Finance/Accounting system Human Resource System Other Types(e.g. , University) Major Functions of System Sales Management Market research Promotion Pricing New Products Scheduling Purchasing Shipping/receiving Engineering Operations Budgeting General Ledger Billing Cost accounting Personal records Benefits Compensation Labour relations Training Admissions Grade records Course records Alumni Major application Systems Sales order information system Market research system Pricing system Materials resource Planning systems Purchase order Control Systems Engineering Systems Quality Control System General ledger Acc Receivables/Payable Budgeting Funds management systems Payroll Employee records Benefit system Career Path system Registration System, Student Transcript System, Curriculum Class control System, Alumni benefactor system 5 .b) Knowledge-level Management Office Automation Systems: Targeted at meeting the knowledge needs of data workers within the organisation Data workers tend to process rather than create information. Primarily involved in information use, manipulation or dissemination. Typical OAS handle and manage documents, scheduling and communication. Knowledge Work Systems: Targeted at meeting the knowledge needs of knowledge workers within the organisation In general, knowledge workers hold degree-level professional qualifications (e.g. engineers, scientists, lawyers), their jobs consist primarily in creating new information and knowledge 5 .c) Management-level Systems Management Information Systems: Typically these systems focus entirely on internal events, providing the information for short-term planning and decision making. MIS summarise and report on the basic operations of the organisation, dependent on the underlying TPS for their data. Transaction Processing System Order file Production Master File Accounting File Order processing System Material resource planning system Genera Ledger System Management Information System Manager MIS Files Sales Data Unit Product Cost |Data Product Change Data Expanses Data MIS Report 5 .d) Strategic-level Management Decision-Support Systems: As MIS, these serve the needs of the management level of the organisation Focus on helping managers make decisions that are semi-structured, unique, or rapidly changing, and not easily specified in advance Use internal information from TPS and MIS, but also information from external sources Must provide user-friendly, interactive tools. Fuel consumption cost file Port Expenses File Ship Charter Hire History Cost File Port distance Restriction File Ship File (e.g speed capacity) Analytical Model Data Base PC Graphics Reports Executive Support Information Systems: Serve the strategic level of the organisation It provides generalised computing and communications environment, rather than providing any fixed application or specific capability. Such systems are not designed to solve specific problems, but to tackle a changing array of problems It is structured to incorporate data about external events, such as new tax laws or competitors, and also draw summarised information from internal MIS and DSS These systems filter, compress, and track critical data, emphasising the reduction of time and effort required to obtain information useful to executive management It employ advanced graphics software to provide highly visual and easy-to-use representations of complex information and current trends, but they tend not to provide analytical models Knowledge System (KW|S OAS) Management System (MIS) Transaction Processing System (TPS) Management System (DSS) Executive Support System (ESS) Inter-relationships and inter-dependencies between IS types Success Story of one of organization (Air Asia) Using Information System Air Asia Airline Company that entered a formerly hunting market with great success. Ticket less travel Automation with IT Reduced costs Improved service Air Asia developed open skies software to automate ticket handling to Avoids travel agents and their fees Uses reservation agents who work from home using VoIP Encourages internet flight booking by customers Maintenance information system used to log airplane parts and time cycles for replacement Air Asia used innovative technique for routing airplanes Does not use hub and spokes method only point to point. Takes most profitable route between cities. Keeping flight manuals on laptop computers allows for paperless cockpits. Saves pre-flight time associated with calculating weight of plane (annual savings of 4800 hours). Information System Helps Air Asia offer Better Services. Safety First: Partnering with worldà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s most renowned maintenance providers and complying with the world airline operations. High Aircraft Utilization: Implementing the regions fastest turn around time at only 25 minutes, assuring lower costs and higher productivity. Low Fare, No Frills: Providing guests with the choice of customizing services without compromising on quality and services. Streamline operations: Making sure that processes are as simple as possible. Point-to-Point Network: Applying the point-to-point network keeps operations simple and cost low. 7) Conclusions: Every organization run on it strategies. And strategies make by management on the basis of the information they have. So I think if the organization have strong information system and it have up-to-date information then the strategies which they are going to make for future will be perfect and it will gave the organization competitive edge in market and on it competitors

Analysis of the European Transportation Industry

Analysis of the European Transportation Industry Abstract The European transportation industry has been evolving for the last century but the pace of change accelerated in the recent years with the deregulation and intensification of competition between different modes of transport. The new agenda of the European Commission for the future of the industry after 2010 comprises of policies that try to establish sustainable transport that will meet the challenges of the current market environment the growing concern on gas emission, lack of funding as a result of the financial crisis, increasing oil prices and aging population in continental Europe. This paper analyses the current situation in the transport industry in Europe and the expected change in the competition between different modes with particular focus on the rail and road passenger transportation as a result of the policies for creating a fully integrated European transport network. Using the scenario analysis three possible outcomes have been identified as a result of the anticipated developments in regulations as well as feasibility of implementing those measures. Most reasonable of the three scenarios is the one where implementation will be taking place with mixed rigor in different member states, in addition the expected shift in passenger transport from road to rail will commence but at relatively slow pace. The result of the successful implementation of the new regulatory developments will be increased competitiveness between rail operators as new entrants will come to the market, increased efficiencies in the ex-monopolistic companies, and better service for the end-consumer both quality and price. The above scenarios provide a long-term perspective on the development of the intermodal competition in the passenger transport in Europe, since the time horizon for assessing the effect of a particular regulatory takes at least 10 years. The starting point is the current situation on the market which unfortunately has to go a significant change before the head-to-head competition between rail and road starts. The implications from the current study can be used as the basis for future research and scenario development with more sophistication. Regulations will definitely be in the core of transport industry development and the future trends as discussed in Chapter 3 will influence those policies with different degree. It is worth trying to understand and better prepare for the future both from business and social perspective. Thus the current study tries to bring the reader one step closer to that point. 1. Introduction Transport network is considered the backbone of the economy. It is a complex system that is influenced by multiple variables like population consumption, settlement patterns, organization of the production processes and the capacity of the infrastructure. As a major sector of the European economy transport has a top priority in the strategic agenda for building the single European Union market. The history of the sector is characterized with the key features of network industries natural monopolies, vertically integrated players, heavy investments in infrastructure, public subsidies, regulated prices. The globalization of economic activities and the gradual liberalization of the transport market, had led to changes in the business dynamics and structure of the sector. The environmental impact of transport became a priority in the development of policies and regulations for the industry. One push in the direction of more environmentally sustainable solutions is seen in promoting rail transport as a substitute for road transportation. The existing literature gives strong case in support for this scenario. This paper tries to explore the future scenarios in Europe and analyze the expected effect from the introduction of the new transport policy on the intermodal competition of passenger transport between rail and road. Chapter 2 presents the basic characteristics, development trends and economics in the network industries. Giving a starting point for understanding what has shaped the transport industry so far. In Chapter 3 are discussed the trends and challenges in the development and implementation of regulations in the transport industry in Europe. The focus here is on to rail and road passenger transport and the existing intermodal competition between the two modes. The following Chapter 4 includes analysis of the current competitive landscape of passenger transport in Europe. The market subject to analysis is defined as â€Å"transportation of passengers in the geographical boundaries of Europe† and it does explicitly exclude the transportation of freight which is characterized with different product/service specifications. The players who compete in this market are assumed to be only the providers of land transport rail and road operators. In addition the road mode comprises of bus and coach, while the rail mode includes railways, metro and tram. The purpose of the analysis is to give possible answers to the questions: Is rail the future transportation mode for passengers in Europe? Are regulatory policies the main tool for introducing intermodal competition? As a tool for conducting the analysis is used the traditional Porters five forces framework with a main focus on the barriers of entry representing the main competition force looking from the current market perspective into future scenarios. Using the results of the competitive advantage/disadvantage of each mode further scenario building is conducted applying a framework on industry scenarios and competitive strategy under uncertainty (Michal Porter). The results of the scenario analysis are taken in light of potential recommendations to both regulatory bodies and the providers of land passenger transport in Europe. Finally the conclusions derived are summarized in Chapter 5, including the possible implications, future research areas and limitations of the current study. 2. Characteristics of network industries One of the simplest ways to describe a network industry is by picturing good or services delivered through a set network both physical and virtual to an end customer. The network is established through the connection of numerous nodes which subsequently define the character of commerce in the industry. What is common in these types of industries is that the infrastructure which is comprised of many different elements links upstream supply units with the customers who are downstream. The basic components of a typical network industry comprise of: 2.1. Common structure in the network industries Although the industry structure varies across countries and different industries, the following cases are considered the most common ones: Vertical integration and monopoly in this case a single company operates the network infrastructure and both upstream and downstream components. Vertical integration with competition in the downstream or the upstream components -this case is similar to 1 but the company faces competition in the downstream and/or upstream components. Vertical separation with upstream and/or downstream competition, but the company that operates the network infrastructure does not operate in either the upstream or downstream components. Joint ownership in this case the infrastructure is owned jointly by companies competing in the upstream and/or downstream components. Infrastructure (facility-based) competition means competition among vertically integrated firms. 2.1.1. Historical background of the network industries in Western Europe In order to gain better understanding of the current developments in the network industries a short historic flashback is presented. The period of the 19th century Even in early 19th century when the free trade was dominant philosophy the government involvement was visible especially in the network industries. The triggering factor was the rights of way for railway tracks, gas and water, telegraph lines. After expropriation of the rights governments ease their way in establishing control over prices and profits by monitoring the engineering and financial stance of the respective companies. Overall the intervention of the government was limited more to arms length regulations and subsidies. The end of the 19th century is characterized with developed networks in telecommunication, rail, electricity supply which calls for more market opportunities and new entrants in the sectors. But the collapse of capitalism in 1930s brought distrust in governments ability to control private monopolies only through arms length regulations and subsidies. Thus alternative model was sought especially in network industries like telecommunication, railways and electricity. The time of the public ownership has come with the classic example of nationalization of the railways in France, Sweden, Spain and the UK in the period from 1937 to 1947. The period of the 20th century The main goals of the new state-owned enterprises were to provide service in the public interest along with break-even financially. The big challenge came from defining what is â€Å"public interest†. Eventually the solution was found, particularly for the network industries, in the so called â€Å"universal service† which comprises of standardized prices and service quality in the whole country. As a result of this approach the price of a product was fixed regardless of its point of distribution or delivery location for example electricity tariffs per kilowatt hour in different parts of the country were the same irrespective of the varying costs of supply. The second objective for the state enterprise was to break-even financially. The goal turned to be more difficult to achieve than initially planned having no clear guidance or support from the respective government authority. The â€Å"universal service† approach was not able to provide enough profits from areas of growth so as to compensate for the unprofitable ones. The period after 1960s is characterized with growing pressure on managers to meet the financial targets of â€Å"break-even† and beyond. The hope that the â€Å"universal services† will be able to cope with the unprofitable sectors by sustaining the profitable ones proved unsuccessful. Further, competition was growing and state owned enterprises were not flexible enough to respond adequately. Governments were worried with increased budget deficits coming from the rising public sector borrowing requirements. All of these contributed to the wave of privatization in Europe which had different timing across countries. In summary, the era of state owned enterprises was coming to its end. Its primary goal was to secure social and political unification and by the time of the second half of the 20th century much of this has been achieved. The technological developments changed much of the industries. New means of communication sprang apart from the traditional railways road, airlines, telecommunications. Although the strategic significance of a particular recourse was still the same, there was no need to keep it monopolized, for example one national air carrier. Financial returns from national resources like oil and gas were put into different legal forms thus allowing for concessions and tax schemes to be more profitable in the long-term. The Western European network industries had gone through tremendous changes for the last two centuries. The heritage left is the current surge for establishing more competitive regimes by allowing customer to benefit from improved quality and higher security standards. 2.2. The liberalized landscape in the network industries Coming from the state-owned natural monopolistic regime, the companies in the network industries had a structure where a non-competitive component of the industry was vertically integrated with a potential competitive component or activity. The separation of the two components by main sectors is summaries in a report by the Organization for Economic Cooperation and Development as illustrated in the Table 1. Scope for competition varies depending on geography and nature of demand, amongst other things. Services in lower-density, lower volume residential areas are less likely to be competitive than services to high-density, higher volume commercial areas. Source: OECD report â€Å"Restructuring Public Utilities for competition†, 2001, p.9 The natural monopolistic structure has evolved both as a result of the deregulation and the innovation that came with technology development. Once non-competitive components started being replaced by new components competition was spread in a broader sense. An example of such change in the competitive landscape of an industry is the break-through in mobile technology. The new mobile vs fixed communication has brought competing models in the same market segment. The European Union experience in liberalization of network industries continues with the enforcement of Community law; different directives and specific regulations designed to harmonize the newly liberalized markets in member states. The expectations for the future are to have one unified market which promotes rivalry among companies that deliver better choice for customers both in quality and price. 2.3. Overview of the economics of network industries The basic features used to describe the specifics of the economics in the network industries are investments, production, pricing and regulations. 2.3.1. Investments Compared to other types of industries in this case the initial investment is higher as the infrastructure costs are significant but necessary requirement for the successful delivery of the product to the customer. In addition the structure of the existing network influences its modification or extension thus allowing for extra costs compared to green field investments in other industries. For example in the railway transportation building the network meaning tracks is both expensive as an initial investment and subsequent maintenance costs. First, the main condition for laying the tracks is to have property right on the land which might be expensive to obtain, or to regulate. Second, the track technical execution is costly and third the future maintenance requires long-term commitments and highest quality of service provides which again is at a significant cost. 2.3.2. Production Economies of scale are realized when a product becomes standardized and an addition unit produce reduces the average cost of production. The complexity of network industries allows in certain businesses for such economies to be achieved but the variable cost component is less obvious than in other industries. The more popular concept in the network industries is the so called â€Å"surface/volume effect† in which case the available infrastructure provides for lower unit cost when output is increasing with the plant production. For example, when there is a large scale industrial or transportation equipment the costs for manufacturing are related to the surface of the equipment while the output from it is function of the volume to be transported (cases of oil, gas etc.). As a result the surface increases with the square of the equipment scale while on the other hand the volume increases with its cube. The ratio of surface/volume representing the average cost is a decreasing func tion of the scale. In practice, this leads to very large equipment being built. Economies of scope exist when a company is able to produce several goods at a total cost smaller than the sum of the costs of these activities when they are isolated one from the other. A business in a network industry might own a piece of equipment and the workforce that can produce large quantities of goods/services with similar specifications. For example, the building of information database which subsequently can be used for various activities without additional costs. Vertical integration exists in the case when a single company performs a number of successive distinct operations in the production process of a particular good or the provision of a service. In the context of network industries, especially those involved in the so called â€Å"public service†, the vertically integrated structure of a company can be justified if it manages to provide cost reduction in the service/product. Some sources of these cost benefits can come from technical complementarities, like better co-ordination between successive stages in the production process, also another social benefit might come from the removal of successive private profit-margins that are realized by intermediaries. On the other hand, the vertical integration in an upstream direction can be used by a company as a control mechanism on its customers, suppliers and competitors. The risk in this scenario comes from the fact that by controlling the delivery of certain strategic inputs, the com pany can gain dominant position on the end market. Example from the network industry is when a company owns both the control of the access to transport infrastructure and at the same time is a user of the infrastructure. 2.3.3. Competition The network industries are characterized with strong externalities which result from the interdependence of the agents. The interdependence is described with the effect that the level of satisfaction of one member has on other members in the network. These externalities are both positive and negative. The case of positive externalities is when particular action of a member increases the utility of the others or the so called â€Å"club externalities†. The spill-over effect is another positive externality, when the existence of a network in a certain area â€Å"spills† its benefits outside of its boundaries. In the case of negative externalities called â€Å"congestion externalities† the entrance of a new user in the network affects negatively the existing users. In practice the size and composition of a network are the result of a trade-off between club benefits and congestion costs. The composition and size of the network might change and the set access price would make some members to leave and other to join. This means that the number of those who wish to be in the network depend on the number of those who are already in the network. In this case equilibrium is reached when demand is compatible with itself, namely when the number of the members is exactly the same as the number of the candidates. But because of the earlier described club effect, at the given price would exist several equilibriums. The competition discussed here is ex post, meaning actual competition between two or more companies in the market. As already described, the competition in network industries is characterized with multiple equilibrium configurations for a given set of competing companies which implies that the quality of the service provided by the companies is endogenously determined by the participation of the clients. Here, the expected quality not the actual one is what matters. Another key feature of the competition in a network industry is that it can evolve into some kind of co-operation by decisions of compatibility. Compatibility can be achieved through standardization and the reason for companies to resist it is that it leads to more homogenous products. As a consequence of the standardization, the competition is enhances and loss of profit margins for the incumbent players. For example, in the electricity industry, there is a long tradition of co-operation at both national and international levels for the frequent power exchanges through interconnections. The usual dynamics of competition between companies are modified in a network environment as a result of the endogenous quality of the network and the necessity to reach a critical size in order to survive. So competition at the initial stage is considerably fierce. Companies have to make significant investment to capture the critical customer mass then sustain the image of better than the competitor quality of service / goods which subsequently will enhance the quality of the network. Later, switching costs create a lock-in effect and competition between those companies that managed to get through the initial phase is softer. Because of these companies have an incentive to heavily invest in infrastructure at the entry aiming to create a momentum and realize higher profits on next stage. Competition becomes weaker with the maturity of the industry, companies with existing installed base have less incentives to invest in quality and the only factor that triggers competition may come f rom break-through in the technology. If, no such happens then new entrants will be hard to overcome the competitive advantage of the incumbents. Still in some network industries certain elements like infrastructure remain natural monopolies as a result of the strong economics of scale and scope and relatively high degree of lumpy capital investments. 2.3.4.Regulation of network industries The liberalization process in the network industries brought the co-existence of monopolistic and competition elements in most industries. The change in the market structure requires new developments in the regulatory regimes in those industries but the transition phase as illustrated in Figure 1 is pursued with various conflicting priorities in the sole task to establish competition on the market. Currently, the European Union agenda is to have a set of regulations that will facilitate and speed-up this process. The ultimate goal is to increase efficiency in the performance of the industries and promote higher quality with the introduction of new products thus providing for lower consumer prices. Still the liberalizing policies face certain constraints coming from: the monopoly control legacy in the network industries, the common state aid subsidies, the institutional diversity in various countries, private vs public services objective; the existence of bottlenecks in the network infrastructure and the need for establishing interconnections between rival networks. Figure 1: The evolution of regulation over the three phases of market structure. Source: Lars Bergman, Chris Doyle, Jordi Gual, Lars Hultranz, Damien Neven, Lars-Hendrik Roller â€Å"Characteristics of network industries in Europes Network Industries: Conflicting priorities† published in 1998 by Center for Economic Policy Research.† The next chapter focuses on the current and future regulations in the European transport sector. It emphasizes some of the implications from the development and implementation of the regulations on two specific modes of passenger transport rail and road and the effects on the intermodal competition between them. 3. The regulatory framework in the European transport system â€Å"Transport is the backbone of the European economy, accounting for about 7 % of GDP and more than 5 % of total employment in the EU. As a network industry, transport requires elements such as infrastructures, vehicles, equipment, ICT applications and operational procedures to interact smoothly in order to move people and goods efficiently.† 1 Figure 2: Transport growth compared to GDP growthEU-27 Source: European Commission: â€Å"EU Energy and Transport figures† statistic book 2009 As one of the main sectors in the economy of a unified European market, transport is subject to continuous efforts from regulatory bodies to bring efficiencies and better product/service to customers. The framework for strategic development of the sector is set in the White Paper issued by the European Commission for a period of ten years and mid-term review is conducted which gives up-dates on the progress and recommendations for future developments. In 2010 the current strategy is to be reviewed and next decade program will be set forth in a new White Paper incorporating the new policies in light of the future trends in transport sector development. _________________________________________________________________________________________ 1 Antonio Tajani, Vice-President of the European Commission, Commissioner for Transport. Report â€Å"A sustainable future for transport†. 3.1. Trends influencing the European transport policy The EU White Paper 2001 and the mid-term review in 2006 drew key conclusions and set the directions for continual work on the EU sustainable transport policy. The key conclusions to be put forward in the new paper include optimization of each transport mode to bring competitiveness and propensity, transition of all modes to more environmental solutions both resource consumption and external costs. In addition each mode should be used efficiently on its own and in combination with all other modes so as to achieve sustainable utilization of resources. Looking at the future prospects of the industry and its development the following trends will have a significant influence on shaping the regulatory regime of the transport sector in EU. 3.1.1. Environmental challenges Transport is one of the sectors that have a tremendous impact on the environment. It is the only sector that has constantly increased its GHG emissions in the recent decade as illustrated in Figure 1. The growing concern on the global climate change has led to the adoption of climate and energy package by EU with a target to cut GHG emissions by 20% compared to levels in 1990. The environment aspect will be the main external factor influencing all modes of transportation and the respective players in the market. 3.1.2. Urbanization There has been a clear trend in the growth of urban population which is predicted by 2050 to be 84% of total European population2. This trend increases the challenges on the transportation sector as more density is brought in the urban networks accordingly with more environmental issues and congestion problems. The costs of both environmental and structural problems increase with the growth of cities density as longer delays in traffic jams incur larger fuel costs respectively emissions of CO2 are higher. One of the greatest challenges in this context is the building of additional infrastructure within the cities while bringing collective modes of transportation in resolving the congestion problems. 3.1.3. Migration and mobility According to the data provided by Eurostat 3 in the next decade EU is expected to add another 56 million people to its population as a result of a migration trend. This could be a positive trend for aging Europe as usually migrants are relatively young and settle in the developed urban regions that mainly contribute for the economic development. Another factor affecting the structural change in the population density is the internal mobility of workers between member states. This would be more visible with the removal of certain administrative and legal barriers in the labour market. 3.1.4. Ageing of population As mentioned in the previous paragraph one of the challenges in the coming future of Europe is the aging population. Compared to the world trend over the next 50 years, the annual average growth rate in the EU-27 population will be constantly declining as shown in Figure 4: Source: Eurostat (demo_plan), United Nations, Population Division of the Department of Economic and Social Affairs 2. United Nations, Department of Economic and Social Affairs/Population Division (2008), ‘World urbanisation prospects — The 2007 revision. 3. Eurostat (population and social conditions), Statistics in Focus No 72/2008; and European Commission, ‘Demography report 2008: Meeting social needs in an ageing society. SEC(2008) 2911. This particular phenomena has a very deep impact on the transport sector on few dimensions. First the availability of resources (human capital) will diminish. According to the EC â€Å"2009 ageing report† in 2060 there will be only two active workers for every pensioner. In the long-term this requires more contributions for pension funds thus limiting public finances for the supply and maintenance of the transport infrastructure. Overall, the end result might be more costly transportation products/services for the society as a whole. Second, the elder members of the society although much more flexible than a decade ago do travel less than younger population. This has a direct effect on the demand side for transport services both regional and long-distance. Another characteristic of an elder customer is that he/she puts high priority on factors like safety and comfort which in its turn requires different focus on the future specifications of the products/services provided in the transpiration industry mainly safety and reliability which pushes further the quality standards in the sector. 3.1.5. The financial crisis and global trends It is hard to ignore the current and future impact of the recently started economic crisis. The economic growth as forecasted few years ago had dramatically slowed down and this has led to major restructuring in all sectors of the economy. Still the continual globalization trend serves positively the transport sector, with the increasing need for integration and deepening of the single European market. The growing world population expected to reach 9 billion in 20505 is seen as the main challenge for all sectors of the economy, including transport. The scares resources that should provide for the growth in consumers, requires better model for creating sustainable transport sy