Tuesday, October 15, 2019
Employee Benefits-Medical Plans and Health Care Research Paper
Employee Benefits-Medical Plans and Health Care - Research Paper Example The rising trend of health care cost can be attributed to the increase in prices of care especially due to consolidation of the hospital industry. Hospitals have been spending much on ensuring effective provision of health care services. Recently, the prices of all major categories of health care such as surgical procedures and hospital stays. Consolidation of hospitals through mergers and acquisitions has also contributed largely to increase in the cost of health care. For instance, prices of hospital health care services rose by 33% between 2009 and 2010Â when there were major cases of mergers and acquisitions. The cost of provider services in the United States in very high than other countries such as Europe. This is due to increased spending on clinical and physical services. One of the leading reason is the high prevalent rate of obesity in the United States which require adequate medical spending. The medical field has also been characterized by regular advancement in medica l technology which has significantly influenced an upward shift in the cost of care services. Of the overall 65 % increase in prices of health care spending, 30% of can be tracked spending on the implementation of medical technologies. The new technology is required in hospitals as it expands the options available for the treatment of different medical needs. However, the approach involves replacing lower-cost medical procedures and options with those that are higher cost. Healthcare benefits cost-sharing has become very strained.
William Wordsworth’s Use of Nature Essay Example for Free
William Wordsworth’s Use of Nature Essay William Wordsworth sought to find universal truths, rather than individual ones. They challenged their readers to look at nature not with a sense of fear or apathy, but as an equal. Poets urged people to see that nature and man are one, and therefore, by experiencing nature, one can experience life more fully. To do so, people must first have an authentic experience, keeping an open mind, free from rational thought. Imagination must take over from there, providing one with not only a sense of resolution, but also independence. Although some experiences may make one sadder, it also makes one wiser in knowing the truth, and living through the experience. Wordsworth and the other Romantic poets strayed away from the common Neoclassical thought that poetrys main goal was to teach, in that he believed poetrys main goal was for pleasure. Out of teaching, comes pleasure in the learning. Lyrical poetry, a passionate speaking from the heart, was created as a result. The works of Wordsworth justify his experience as an early child who undergone hardship in life by losing early his beloved parents and leaving with him his neurotic sister Dorothy. (Online Literature) The magnificent landscape deeply affected Wordsworths imagination and gave him a love of nature. (Read Print Online). Nature deserves to be love and praise by addressing these to all his work. This can be proven in his following works: First, Wandered Lonely as a Cloud is Wordsworths interpretation of an experience that his sister, Dorothy, had. Second, Strange Fits of Passion Have I known is a realization and visualization of fear in losing Lucy. Third, The Prelude is full of his memories, youthful adventure and nature that mold him spiritually and feel free. There are lots of ballads written by William Wordsworth that illustrate the love and use nature based on his experienced. This research explores only these three works. Wandered Lonely as a Cloud First, Wandered Lonely as a Cloud is Wordsworths interpretation of an experience that his sister, Dorothy, had. Dorothy Wordsworth says in her journals that the day to which the poem refers to was full of furious winds and heavy rain, in which they tried to run away from. This running away symbolizes Wordsworth takes his sisters experience and gains his own; one of beauty and understanding versus his sisters running away. To him, and other lyrical poets, in order for man to grow and mature, he/she must face nature. When this balance is gained, the poet has been successful. Man in general running away from nature. (Applebee, Arthur N. , et al. , 2000). The poem lonely as a Cloud begins with the evidence of an error, resolves the problem, and shows at the end a proof of authenticity. Love is created, and therefore, the poet can never hate or destroy nature. The poem subjected a person to restrictions and classifications that society has placed on a certain ways of life. It also shows the feeling of Wordsworth in loving human and nature. It tells the pleasure from being in solitude. When in solitude and tranquility, the rational mind is stopped so that unregulated emotion can begin. I Wandered Lonely as a Cloud, Wordsworth presents a picturesque natural setting that not only delights the mind’s eye of the speaker, but the reader as well. First, he describes the daffodils as â€Å"golden,†(Davies, Hunter, 1980) instantly giving them aesthetic value. Then he uses personification to add to the beauty of the scene by characterizing the daffodils as â€Å"dancing in the breeze. †A simile adds to the effect of the natural setting by comparing the natural daffodil garden to another beautiful natural panorama: â€Å"Continuous as the stars that shine/ and twinkle on the Milky Way/ they stretched in never-ending line. †Hyperbole emphasizes the magnitude of the scene. â€Å"Ten thousand saw I at a glance. †Wordsworth continues by juxtaposing the daffodils with the waves that crash in the sea beside them. Even the waves cannot compare in beauty, he says. Later, while lying on his couch, the daffodils give the speaker a feeling of â€Å"bliss,†accentuating the Romantic tenet that humans can find true beauty and joy in nature. Strange Fits of Passion Have I known revised and analyzed by Sarena Cha
Monday, October 14, 2019
Medical Malpractice and Tort Reform
Medical Malpractice and Tort Reform Kristen Addington According to research conducted by a team at Johns Hopkins University School of Medicine about 10% of deaths per year in the United States are caused by medical errors (Sternberg, 2016). This makes medical errors the third leading cause of death in the United States, heart disease being the first, and cancer the second (Sternberg, 2016). The medical errors for this study were defined as: lapses in judgment, skill or coordination of care; mistaken diagnoses; system failures that lead to patient deaths or the failure to rescue dying patients; and preventable complications of care (Sternberg, 2016). 10% is a decent percentage that should not be ignored. Tort reform in the area of medical malpractice has many arguments for it and against it. Many think the tort system causes an undue financial burden on the medical system, others think that those harmed by medical errors deserve compensation and perhaps the medical system should be looked at. Medical Malpractice Proof Negligence is defined as the breach of duty that all persons should act reasonable and with a reasonable amount of care with others (Lau Johnson, 2014). Medical malpractice is a category of the negligence tort in which medical professionals commit negligence (Lau Johnson, 2014). Therefore, medical malpractice is a specific type of negligence. The following must happened in order to make a claim of medical malpractice: the duty owed by the defendant to the plaintiff must be established, proof that this duty was breached must be shown, proof the defendants actions caused this breach and lastly the damages sustained by the plaintiff must be shown (Lau Johnson, 2014). Medical professionals have a duty to perform medical care to their patients. If an error is made during their medical care that causes injury or death to a patient, their duty has been breach. Proof of this error and that it was the doctors responsibility must be shown. The injury or death must be explained as a result o f the doctors error. Medical Malpractice Defenses Defenses for any type of negligence are: assumption of risk, contributory and comparative negligence and the Good Samaritan Law (Lau Johnson, 2014). Assumption of risk notes that the plaintiff knowingly assumed risks in the duty that is being performed (Lau Johnson, 2014). Comparative and contributory negligence means the plaintiff was at least partially responsible the negligence of duty (Lau Johnson, 2014). The Good Samaritan Law covers those who are trying to help others (Lau Johnson, 2014). Tort Reform for Medical Malpractice From the research I conducted, tort reform is less of the issue and medical reform is where the focus should be. According to the article by Chad Terhune, the cap of $250,000 in California is not relation to inflation and should be closer to $1 million (2016). It also seems the errors that are happening are not tracked nor is much being done to fix the issue at hand (Sternberg, 2016). Conclusion Medical malpractice effects hundreds of thousands of people a year. Tort reform in way of limits and making it more difficult to make a claim do not need to happen. Instead the effort needs to be put into reforming medical care and practices. References Doroshow, J. (2009, Nov. 9). Medical malpractice tort reform-we are already suffering and dont need more. Retrieved from http://www.huffingtonpost.com/joanne-doroshow/medical-malpractice-tort_b_350573.html Word Press. Tort Reform: The loss of the civil justice system. Retrieved from https://kourtneyplmr14.wordpress.com/colin-gourley/ Kenney, K. (2009, Aug. 9). Fixing health care reform requires tort reform. Retrieved from http://www.npr.org/sections/money/2009/08/fixing_health_care_requires_to.html Lau, T. Johnson, L. (2014). The legal and ethical environment of business. Washington, DC: Flat World Knowledge Inc. Olsen, S. (2003, January 27). Statement of Scott Olsen regarding his son Stevens medical malpractice story. Consumer Watchdog. Retrieved from http://www.consumerwatchdog.org/feature/statement-scott-olsen-regarding-his-son-stevens-medical-malpratice-story-january-2003 Sternberg, S. (2016, May 3). Medical errors are third leading cause of death in the U.S. US News. Retrieved from https://www.usnews.com/news/articles/2016-05-03/medical-errors-are-third-leading-cause-of-death-in-the-us Terhune, C. (2016, December 30). Top Republicans say theres a medical malpractice crisis. Experts say there isnt. The Washington Post. Retrieved from https://www.washingtonpost.com/news/to-your-health/wp/2016/12/30/top-republicans-say-theres-a-medical-malpractice-crisis-experts-say-there-isnt/?utm_term=.9fbd69c92a86
Sunday, October 13, 2019
COMPOSITE MATERIALS Essay -- Sturctures, Types, Mechanical Propertie
The word composite comes from the latin â€Å"composititus†meaning made up of distinct parts. A composite material is a material composed of two or more distinct materials[1], or constituents, with one constituent acting as the reinforcing phase and the other as the matrix[6]. A composite material is defined by having different macroscopic behaviours, or chemical and physical properties then its constituent materials, and has a distinct interface boundary on the microscopic level[5]. Structure of Composites In a composite material the constituents are arranged generally with the reinforcement phase embedded in the matrix phase. Due to a composite being essentially a mixture between the reinforcement phase and the matrix there is no intermolecular bonding between the two, however, as in the case of fibrous composites, the most mechanically efficient structure is a criss-crossed fibrous lattice suspended in a material matrix. In the case of particulate composites however, the reinforcement phase acts essentially to strengthen the matrix material adding support. Types of Composites Composite materials are usually classified according to the type of their reinforcement phase. The two main types of composites are fibrous composites and particulate composites, which may again be divided further. In fibrous composites the fibres acting as the reinforcement, may be either continuous or chopped, and suspended in a material matrix. In composites in which the reinforcement phase is composed of either chopped or discontinuous fibres, the composite may have an either random or biased orientation. They may be used to make single layer composites or lamina. In particulate composites particles are suspended in a ... ...onent which gives little deflection when acted upon by a given weight is desirable, so a material with maximum ties in tension (E/à ) component which gives the least deflection for a given weight is that made of a material with a maximum E/à (ties in tension), E1/2/à (beam in bending) or E1/3/à (plate in bending). As explained in the diagram below.[4] Works Cited 1 - http://www.merriam-webster.com/dictionary/composite 2-http://composite.about.com/od/aboutcompositesplastics/l/aa060297.htm 3 - http://www.fibersonixx.com/Composites%20101.htm 4 - http://afrodita.rcub.bg.ac.rs/~rzoran/263-276%20from%20Engineering%20Materials%202.pdf 5-http://www.scribd.com/doc/36051965/Intro-to-Composite-Materials 6-DT260-2 BSc in Industrial and Environmental Physics - Mech Properties and Materials- CERAMICS 7-http://www.ehow.com/about_5149655_uses-composite-materials.html COMPOSITE MATERIALS Essay -- Sturctures, Types, Mechanical Propertie The word composite comes from the latin â€Å"composititus†meaning made up of distinct parts. A composite material is a material composed of two or more distinct materials[1], or constituents, with one constituent acting as the reinforcing phase and the other as the matrix[6]. A composite material is defined by having different macroscopic behaviours, or chemical and physical properties then its constituent materials, and has a distinct interface boundary on the microscopic level[5]. Structure of Composites In a composite material the constituents are arranged generally with the reinforcement phase embedded in the matrix phase. Due to a composite being essentially a mixture between the reinforcement phase and the matrix there is no intermolecular bonding between the two, however, as in the case of fibrous composites, the most mechanically efficient structure is a criss-crossed fibrous lattice suspended in a material matrix. In the case of particulate composites however, the reinforcement phase acts essentially to strengthen the matrix material adding support. Types of Composites Composite materials are usually classified according to the type of their reinforcement phase. The two main types of composites are fibrous composites and particulate composites, which may again be divided further. In fibrous composites the fibres acting as the reinforcement, may be either continuous or chopped, and suspended in a material matrix. In composites in which the reinforcement phase is composed of either chopped or discontinuous fibres, the composite may have an either random or biased orientation. They may be used to make single layer composites or lamina. In particulate composites particles are suspended in a ... ...onent which gives little deflection when acted upon by a given weight is desirable, so a material with maximum ties in tension (E/à ) component which gives the least deflection for a given weight is that made of a material with a maximum E/à (ties in tension), E1/2/à (beam in bending) or E1/3/à (plate in bending). As explained in the diagram below.[4] Works Cited 1 - http://www.merriam-webster.com/dictionary/composite 2-http://composite.about.com/od/aboutcompositesplastics/l/aa060297.htm 3 - http://www.fibersonixx.com/Composites%20101.htm 4 - http://afrodita.rcub.bg.ac.rs/~rzoran/263-276%20from%20Engineering%20Materials%202.pdf 5-http://www.scribd.com/doc/36051965/Intro-to-Composite-Materials 6-DT260-2 BSc in Industrial and Environmental Physics - Mech Properties and Materials- CERAMICS 7-http://www.ehow.com/about_5149655_uses-composite-materials.html
Saturday, October 12, 2019
The Merchant Of Venice :: Free Merchant of Venice Essays
The Merchant of Venice      The playgoers of Shakespeare's times, a successful drama was one that combined a variety of action, along with a mixture of verse and prose in the language used. This variety was achieved, and character and atmosphere was summarized. Modern playwrights tend to describe their characters in detail in the stage directions, leaving very little for the reader to discover. However, Shakespeare's describing of a character is scarce. Usually, when reading Shakespeare's work, the audience has to detect the personality of the character by the character's action in the play, relationship towards other characters in the play , and most of all the character's manner of speech. Most of the times, the passages are of great poetic beauty discussing love, dramatic speeches filled with bombast, humorous speeches, and mischievous wordplays.      Passages of great poetic beauty discussing love are very common in all of Shakespeare's texts. For example in The Merchant of Venice, before Bassanio is about to select the correct casket, he is urged by Portia to delay his selection in case he fails. However Bassanio wishes to continue. Portia:      I pray you tarry, pause a day or two      Before you hazard, for in choosing wrong      I lose your company. Therefore forbear awhile.      There's something tells me (but it is not love) I would not lose you, and you know yourself      Hate consels not in such a quality.      But lest you should not understand my well-      And yet a maiden hath no tongue but thought-      I would detatin you here some month or two      Before you venture for me. I could teach you      How to choose right, but then I am forsworn.      So will I never be; so may you miss me;      But if you do, you'll make me wish a sin-      That I had been forsworn. Beshrew your eyes!      They have o'erlooked me and divided me;      One half of me is yours, the other half yours-      Mine own, I would say, but if mine, then yours,      And so all yours! O, these naughty times      Put bars between the owners and their rights!      And so, though yours, not yours. Prove it so,      Let Fortune go to hell for it, not I.      I speak too long, but 'tis to piece the time,      To eke it, and to draw it out in length,      To stay you from election. Bassanio:      Let me choose,      For as I am , I live upon the rack.      This love dialogue between Bassanio and Portia before he chooses is filled with elegant connotation. They are both respective and responsive to one anothe, and they understand each other instantly.
Friday, October 11, 2019
Nursing as an Entity
Nursing as an Entity Casey Berling, BSN Student Eastern Kentucky University NSC 252 Intro to Professional Nursing Department of Baccalaureate & Graduate Nursing, College of Health Sciences October 31, 2012 If the question was asked, â€Å"What is your definition of nursing,†to the thousands of nurses in the world today, there would be one word that would unite them all, and that is the word care. Nursing strives to be a very unique profession where selfishness, and self-serving isn’t even thought of.It takes a special kind of person who can drop everything at an instance, and provide critical performance of skills and assessment to allow a patient ease in their time of need. My definition of nursing is a selfless entity in which caring, privacy, and safety of patients reign supreme when used with critical thinking essay writer law†¦.. quality assessment and patient needs are met with the most affectionate of hearts and minds, that deliver attentiveness to the pati ents outlook by providing suggestions and help in a non-demanding manner.Defining my Definition My definition above I believe encases not only the technicalities of the nursing profession, but also what entitles a good nurse to give quality care. Without the major points mentioned like safety, and privacy, how can a patient feel secure with not only their provider but with the entire industry as well. Nursing is a very resourceful occupation and to remain this way it must harness every aspect I believe it calls for. Including attentiveness, privacy, and selflessness.Attentiveness Nursing doesn’t judge nor take itself for granted. It utilizes every tool placed in its midst and allows for those caring men and women to take hold and deliver the highest quality of care to its clients. â€Å"Attentiveness entails the detection of the patient and/or family need. If the nurse fails to recognize the need, the patient or family will not experience caring,†(Lachman, 2012). With out paying attention to details a nurse is not allowing the patient to be top priority.This detail is enforced in hospitals when nurses do rounds, to show that every hour a patients needs are met, and they are never left in the dark/neglected. Another facet of my definition involves privacy and this is also extremely important in nursing as a profession. Privacy â€Å"Nurses have always recognized the necessity for confidentiality, beginning with the Nightingale Pledge,†(Kerr, 2009). Especially in today’s society with all the electronic transfer and readings of patient documentation it is harder to keep things under wraps.It remains at such a high standard due to the HIPPA laws, â€Å"To protect this data, rules were promulgated to set a national standard for the privacy of health information,†(Thede, 2010). But with the correct care nurses should put into being confidential it shouldn’t even be a big problem. It is well understood that nurses should al ways keep privacy as a key importance to ensure the fact care is kept to that patient, and to that patient only. SummaryTo take an undivided look at nursing one can see that it takes much more than what is simply asked of a nurse. A nurse must not only provide care with the tools set directly in front of him/her, but with thinking critically and on the spot. Nursing is so unlike any other profession due to the amount of time vested in caring, understanding, documenting, and coping with other people. With what seems like a complex mindset, of being selfless and totally attune to only caring in the moment, a nurse must let all other stresses escape from getting in the way.So when asked what my definition of nursing is, I hope it is noted that the main focus is putting the patient first, and allowing them to receive the copious care they deserve. Works Cited Kerr, P. (2009). Protecting Patient Information In an Electronic Age: A Sacred Trust. Urologic Nursing, 29(5), 315-318. Lachman, V. D. (2012). Applying the Ethics of Care to Your Nursing Practice. MEDSURG Nursing, 21(2), 112-116. Theode, L. (2010). Informatics: Electronic Health Records: A Boon or Privacy Nightmare?. Online Journal Of Issues In Nursing, 15(2).
Thursday, October 10, 2019
Celta assignment 1 focus on the learner Essay
Part 1: Background a) There was a reasonably wide range of ability in this intermediate level group, although the majority of students were able to form coherent sentences. Some students were more confident in answering questions aloud, while some needed to use their dictionaries regularly during lessons, and were less assured with speaking in front of the class. The age ranged anywhere between mid-20’s and late 50’s. The most common interests of the group were listening to music and watching TV. Three students listed some kind of sport (such as football or swimming) as their main hobbies, while two students put reading as their main interest. Other hobbies included cooking, going to the theatre and travelling. Most students have been learning English for somewhere between 1 year and 2 years. The most inexperienced student said she’d only been learning for 2 months, whereas the most experienced had been learning for nearly 3 years. There was a very wide range of cultural backgrounds. About half the students were from somewhere in Asia such as Iraq, South Korea and Afghanistan. There were also many students from Europe, and some from South America and Africa. While their reasons for learning English varied from student to student, the most common reasons included wanting to further their careers and being able to interact with other people more comfortably. In the questionnaire handed to the students, the most commonly preferred activity was speaking, either in groups or pairs. This was probably inherent to the fact that the vast majority of students wanted to achieve a general increase in their conversational ability in English. No students listed writing as a preferred activity, and upon further conversation with students it seems that reading and writing are seen as a means of achieving better speaking and listening. With regards to learning styles, it seems that visual learning activities initiated the best response, with things like photos and pictures inducing the most class participation. However, there were also some students who preferred either listening or kinesthetic activities. b) The group’s communicative ability was generally OK, and almost all the students had the ability to get their point across. However, there were often mistakes in spoken sentences, the most common of which being the omission of auxiliary verbs and the confusion of tenses. With respect to dealing with not understanding, some of the more confident students would ask the teacher about certain words or concepts, whilst others had a tendency to look up words in their dictionary or ask their neighbour. c) Arsen has quite strong receptive skills. This was clear from the outset, as he was able to respond to most concept checking questions well. On a listening exercise on the subject of family relations, he was able to distinguish that a character had previously lived upstairs, but now he lives with his aunt and uncle. This was a question that many other students tripped up on due to not understanding the context of the past tense. In addition, Arsen handled a reading exercise well. Upon being given time to read a body of text concerning how English people spend their time at work, he was able to correctly answer questions on how much of this is actually spent working, so this indicates good general comprehension. Conversely, Avtar has relatively poor listening skills. He often confuses words and misunderstands instructions, which as a result leads to sometimes trying to carry out tasks in an incorrect way. This was evident in one exercise where the teacher asked him where the past participle was in the sentence. This induced a flurry of (incorrect) responses including ‘window’ and ‘steam train.’ His reading is also quite poor; one example of this was during a comprehension task where students had a list of statements and they had to simply tick which ones were true for them, but he instead began by underlining various words in the statements. Avtar would therefore benefit from being asked plenty of concept and instruction checking questions to clarify his understanding, and this might make his frequent contributions to the lesson more relevant. Part 2: Strengths and Weaknesses a) He met her while he was working in a bar. (Grammar) The majority of British people read a newspaper regularly. (Vocabulary) He used to live in Australia. (Pronunciation) b) 1) The student (Avtar) said â€Å"Do you read a good book at the moment?†(Grammar) This is incorrect because he used the present simple form instead of the continuous form, so it should be â€Å"are you reading a good book at the moment?†This mistake was probably made because the student assumed that since he was referring to the present tense, the verb was of the present simple form. However, this is incorrect as in this context, the act of reading is a continuous action. 2) The student (Agneska) wrote that â€Å"At least twice a week is different to two times a week or more†(Vocab) This is incorrect because these phrases are actually identical in meaning. The misunderstanding here has come from not realizing that â€Å"at least†in this context means â€Å"a minimum of†. 3) The student (Marwha) said â€Å"The average men does†¦.†(Pronounciation) Marwha meant to say â€Å"the average man†but pronounced, â€Å"man†with a /e/ sound rather than a /à ¦/ sound. Part 3: Helping the learner 1. For Avtar, the problem lies in identifying which tense and verb form to use. For this reason, I would suggest that he completes a ‘missing words’ type task, where he must choose the correct form of a verb in the context of a short body of text. The exercise could also have the base infinitive form of the required verb next to the empty space so that students are clear which verb to apply. This type of exercise could really benefit Avtar, especially since he sometimes confuses instructions, and in this task the process is very clear. (See next page for example of task.) 2. Agneska has been confused due to the fact that there are so many ways to compare things in English. She needs practice using comparatives, so I have designed a short task (see back page) where she must match up phrases that mean the same in English. This task might be particularly suitable for Agneska due to the fact that she said she was learning English to further her career and make her more employable, and having a range of comparatives and being able to use them correctly is common practice in any kind of office job.
Subscribe to:
Posts (Atom)