Cigarette Smoking Is The Most Common Form Of Tobacco...

Cigarettes are the leading cause of preventable death and disease in the United States (Centers for Disease Control and Prevention [CDC], 2015). Although cigarette smoking is the most common form of tobacco consumption; all types of tobacco increase the risk of chronic disease and mortality (World Health Organization [WHO], 2016). These chronic diseases result in long term health consequences, such as dependency on medications and/or physical assistance, which increases work absenteeism and decreases work productivity (Centers for Disease Control and Prevention [CDC], 2016). Therefore, the societal consequences of smoking include increased mortality rates, decreases in productivity, and extensive health expenditures. Smoking prevalence remains high across the global, national, and state levels. Among the world’s population, 22% of individuals aged 15 years and older were regular smokers in 2011 (WHO, 2016). High prevalence of smoking results in increased development of chronic diseases, resulting in one death every 6 seconds (WHO, 2016). In 2014 an estimated 40 million Americans smoked cigarettes regularly. Meanwhile, more than 16 million Americans suffer from a smoking-related diseases (CDC, 2015). According to Jamal et al. (2015), this results in more than $300 billion in direct health care expenditures and productivity losses each year. In Hawai’i, 1400 deaths are attributable to smoking each year (Campaign for Tobacco Free Kids, 2016). This results in $526Show MoreRelatedThe Use of Tobacco Related Products936 Words   |  4 PagesThe use of tobacco related products has over time become a global world epidemic. Day in and out, people die from tobacco related causes. According to the World Health Organization (WHO), currently 12% of all deaths among adults aged 30 years and over were attributed to tobacco. 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It began with Native Americans who smoked through a pipe for medical and religious purposes (From the First to the Last Ash: The History, Economics Hazards of Tobacco, no date). This was before the arrival of European, which have heavily traded and popularized this resource during the industrial revolution. But the cigarette has not always been the most common type of consuming tobacco. During the 18thRead MoreWhy Smoking Should Be Regulated1293 Words   |  6 PagesSmoking is one of the main causes of cancer and death in the United States. Any type of tobacco is harmful to the human body. When people smoke, they are suffocating their lungs thus changing the color of their lungs from a reddish pink to a greyish black in the long run. This color change indicates that the lungs are slowly dying; common knowledge amongst people, yet they still ignore these facts. These dangers to human health are the reasons why smoking should be more regulated . 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Meanwhile, several people are suffering from health issues caused by consumption of cigaretteRead MoreTobacco Products : A Dangerous And Potentially Fatal Threat2407 Words   |  10 PagesSean Bower Ms. Crecelius Honors English II - Period 9 17 December 2013 Tobacco Products: A dangerous and potentially fatal threat to future generations that should be replaced or erased Every day, more than 3,600 teens smoke their first cigarette and about 900 teens become daily smokers. Over 15 billion cigarettes are sold worldwide daily. Approximately one out of seven people smoke tobacco products which is about 1,142,857,143 people! 5 million of these smokers die every year and it costs themRead MoreThe Negative Effects of Tobacco1424 Words   |  6 PagesEffects of Tobacco The nicotine can be consumed by chewing tobacco apart from smoking and sniffing .The article provides insight into the hazards of chewing tobacco . If you believe that only smoking is injurious, certainly not. Any form of nicotine consumption is injurious. Tobacco is bad for health, no matter in what form you take it the ill effects are always there. Tobacco are leaves of plant that are used in dried form, they are high in nicotine and consequently addictive in nature. Tobacco can be

Ottoman Empire and Empire Building Free Essays

string(139) " to maintain control of colonies so far away, appointed officials to rule over designated areas and report to the mother country directly\." Compare/Contrast Essay Student Essay Samples Directions: Using the grading rubric, read the attached essays and score them. Be sure to read thoroughly, and remember that you are trying to find ways to GIVE the writer points, rather than trying to find ways to TAKE points away. With that said, however, the information must still be correct in order for a point to be awarded **You MUST record the final score, as well as why you are/are not giving the writer points. We will write a custom essay sample on Ottoman Empire and Empire Building or any similar topic only for you Order Now **You are allowed to give the essay 2 possible scores (Example: I think the essay is either a 3 or a 4). *Please do not look at the official explanation until after you have scored the essays. You don’t get any special reward for getting them right. The goal is to learn something. Essay Question: Within the period from 1450-1800, compare the processes (e. g. political, social, economic) of empire building in the Spanish Empire with the empire-building processes in ONE of the following: The Ottoman Empire OR The Russian Empire. CC Essay #1 (3RR) Between the years 1400 and 1800, new empires appeared on the globe. One of these empires is the Spanish and the other is the Ottoman Empire. Both of these bear similarities but had their differences as well. They both carved out major chunks of the globe and were both major powers in the newly formed global world. Politically, economically, and socially, these empires were similar in many ways, but they had important differences that separated them apart. The Spanish were an up and coming world power in this time period between 1400 and 1800. They soon dominated overseas and trading. Differing from the Ottoman Empire to the east. The Spanish Empire was largely sea based. Their advanced ships and naval technologies allowed the to discover new continents and claim them to be their own. The Spanish set up colonies for the economy to run and they relied heavily on imports from their distant colonies across the Atlantic. They imported large amounts of silver and food goods to run their economy. Also, the foundation of their empire was primarily focused on the spreading of Christianity. They founded the Americas on their slogan â€Å"Gold, God and Glory† as they forcefully converted the natives in the New World. Also, their government was based on a monarchy with lesser nobles beneath him. The Spanish completely opposed the Islamic religion which can be seen it the Spanish Inquisition as they fought the Moors in Spain to make it purely Christian. The Ottoman Empire holds many differences against the Spanish Empire. Unlike the Spanish, the Ottoman Empire as a land-based empire that dominated the Middle East right up to Eastern Europe. The economy of the Ottoman Turks was based on conquering new lands and exploiting them for their value. The Ottoman’s continued to conquer, not only so their economies wouldn’t fall but also to spread their religion, Islam. Unlike the Spanish, they did have some religious tolerance in their empire, but hey mostly forcefully converted who they conquered The Ottoman Empire was an ethnocentric one, not open to too many outside ideas. The Empire was reigned over by a religious leader know as the Sultan, but his advisors, or the viziers were the rue voices of the government. They made those who didn’t covert to Islam their military or the janissaries, unlike the Spanish who just enslaved or killed them. Though having many differences, the Spanish and the Ottoman Empire were actually quite similar. Both were ruthless empires that conquered and dominated. Also, both empires wouldn’t have been established if it wasn’t for the desire to spread their religious beliefs and they both persecuted if necessary. Both of the empires had a lowe class of slaves or serfs that did all the work to maintain production and they both participated in the slave trade out of Africa. The governments of the Spanish and Ottoman Empire were run by religious icons or figures who had absolute control. These empires were among the wealthiest in the world, but only the elite had the money. The economy of both the Spanish and the Ottoman Turks both would not prosper if they had not conquered in the first place. Politically, economically, and socially the Ottoman Empire and the Spanish Empire were similar in many ways. The Spanish and the Ottoman Empire, one dominating the sea and overseas, one dominating the land, were politically similar in governing system, but different tin the way the distributed their policies. Economically, they differed in that the Ottoman’s relied on conquering and the Spanish on colonies but were similar in that they both needed to take over lands that weren’t originally theirs. Socially, the class system was rough and rigid in both with slaves at the bottom and absolute rulers at the top but they differed in the religion that was part of life in the two empires. Both empires would eventually see their downfall but for the time period 1400 – 1800 they made their time worthwhile, similarly and differently. CC Essay #2 (3EE) European colonialism had an enormous impact on the world, then and today. What most tend to overlook, however is the empire of Russia, simultaneously rising in the east. In the 350 years after 1450, Spain and Russia built their empires, each with different locations, political structures , and goals. Spain, during this time period, was colonizing Latin America. A very small mother country, in relation to its colonies, was expanding greatly into weakly established tribal lands. The strongest threat, the Aztecs were conveniently naive and unlucky, leading to their fall, and the ultimately largely uncontested spread of the Spanish Empire. In Russia, however, strongly established nations bordered a large mother country. Russia’s targets were its immediate neighbors. Russia needed careful diplomacy and established treaties and pacts to craftily add land to its empire, as opposed to Spain’s method of forceful takeover. Spain, in order to maintain control of colonies so far away, appointed officials to rule over designated areas and report to the mother country directly. You read "Ottoman Empire and Empire Building" in category "Papers" The landlords in the new colonies, who employed forced labor of natives, had to report to the officials. This was called the hacienda system. The Russians, by virtue of the means which they used to add to their empire, were forced to grant more power to their local governments, leaving them nearly sovereign. The landlords, employing forced labor of serfs, had to report to their local officials, who in turn made their own decisions. Oddly enough, the Spanish colonial system, spread out over the globe, was more centralized than the Russian counterpart. The Spanish colonies were set up in such a manner as to yield the greatest economic benefit to the mother countries. Precious metals were exported in vast quantities to Spain, cementing Spain’s economic influence in the world market. Spain’s silver was especially valuable in China, who would soon only accept silver as currency. Cash crops such as tobacco, sugar and bananas brought more wealth to Spain and only served to make the colonies more dependent on the mother country to staple foods and supplies. Russia, however assimilated the newly acquired land into their culture. Northern Eurasia has very poor farmland and so the farther south Russia expanded, the more crops Russia could make available. Northern Russia’s population could not support itself farming the dirt that the cold tundras provided, but the more warmer lands added to Russia’s empire, the more surplus crop that could be sent north. The most valuable resource of Russia’s empire was the vast numbers of people who could enlisted or recruited. Spain’s empire was meant to create wealth, while Russia’s was meant to create power. Two empires, occupying the same time period, were as different as empires can be. Spain had a spread-out, yet centralized empire governing forcefully conquered lands with the goal of creating great wealth, while Russia created her condensed, loosely organized diplomatic coalition of an empire, with the goal of accumulating power, should war become necessary. CC Essay #3 (3M) The Spanish and Otoman Empire were both involved in the process of empire building during the period of 1450 to 1800. Though both began to develop economically, politically and socially, their underlying strategies for this process differed greatly. The Spanish Empire followed and was helped along by the Catholic Church, while the Ottoman were a Muslim people that were governed by the Islamic religion. The differences between the Spanish and the Ottoman Empires stemmed from their very different religions, though the were both involved in global trade which made many of their developments similar. Economically, both the Spanish and Ottoman Empire had similar aspirations. During this period trade, as well as agriculture dominated. The Ottoman Empire, like the Spanish Empire cultivated their own crops and through importing received their needed goods on one of the developing trade routes such as the Indian Ocean route. However, the Spanish Empire during this period also began the process of widespread colonization along with the Portueugese. The Ottoman Empire began to conquer surrounding regions but was not a part of the major movement into the Americas. Both Empires, however, took part in the developing and growing slave trade during this period. The Ottoman especially used African slaves, as it was against the Islamic faith to use Muslim slaves. Economically the Ottoman and Spanish Empires followed very similar paths, though they differed significantly in their political structures. The Ottoman Empire based on Islam, and the Spanish Empire based on Christianity followed very different political paths. The Spanish Empire, for instance, began the process of colonization which meant the use of administrators as bureus. The Ottoman Empire also moved into surrounding areas in the Middle East, though they favored a more centralized form of government. Also a crucial difference was that the Ottoman Empire followed the Islamic faith. This meant strict adherence to Islamic laws. Similarly, the Spanish Empire had no separation of church and state and received influence from the Catholic Church. This often meant that both political structures were dominated by a leader that was influenced by religious motives, rather than what was best for the state. This religious backing also produced a new practice for the Ottoman, the janissaries, or an army of Christian men taken as prisoners. The Spanish Empire relied on their own men to produce an army, such as the conquistadors which were used in colonization into the Americas. The major differences between the Ottoman and Spanish Empires politically was significant as were those socially. Socially, both empires saw significant influence from religion. For example, the Ottoman Empire followed the practices of the Islamic faith, and remained tolerant of other religions in their Empire. However, those that were non-Muslim were forced to pay a tax, but conversion was still not mandatory. The Spanish Empire was not as tolerant of other religions, and missionaries were widely used to convert others. Also in the Spanish Empire stratifications between those in Latin America and Spanish Europeans developed, along with colonization. The Ottoman Empire promoted relative equality among its people, as all were seen equal under Allah. Nonetheless, however, traditional ideas towards women remained the norm in both empires. Women were seen as child-barers and remained in the home, while in the Ottoman Empire some even were convened to the Islamic faith. Socially, as in other regions, similar developments occurred among the Ottoman and Spanish Empires in their social structure. The period 1450 to 1800 saw many developments in Empire building for the Spanish and Ottoman Empire. Though, like in all other empires, these were forced to go through the tedious work of building a social, political, and economic structure, one major difference existed. In the case of the Ottoman and Spanish Empires religion had the biggest effect on the paths that were taken in building empires. CC Essay # 4 (3 AA) The Spanish Empire and Russian Empires during 1450 – 1800 were two different Empires with different goals in mind. The Spanish were more oncerned with overseas expansion, while the Russians were concerned with Westernization efforts. During 1450-1800 the Spanish were one of the leading countries in terms of overseas expansion. They were one of the first countries to have a representative sailor reach the New World. The reason for their great success in overseas expansion was the support the government had for it. The King and Queen payed for many explorations to n ew lands because they knew the fruit discovery could bear. They were rewarded with new goods and new markets of trade. Soon, Spain began colonizing these newfound lands which benefited them even more. By colonizing lands rich with resources and commodities such as silk, gold, and silver, the Spanish made themselves the primary beneficiary. They were able to control imports and exports from these lands and open new trade routes. Also, in the colonies they made the citizens work for the prospects of Spain, for example searching for gold, or growing prosperous cash crops. The result of all this was that Spain was becoming increasingly powerful and spreading throught the world. The Russian Empire during 1450-1800 was one that was trying to establish itself as a world. It’s leaders were focused using the ways of the West to promote itself. For example Peter the Great who greatly reformed Russia using Western European ideology. He rebuilt buildings, roads, and government systems. BY 1800 Russia, although not exactly a world power, had built itself up from its lowly state 400 years earlier. The major differences between the processes of Empire building between the Spanish and Russia from 1450-1800 was that Spain was already an empire to begin with which made it easier to grow. Spain was already powerful around 1450 while Russia was not. Therefore Russia and Spain had two different mindsets about building up their Empires. Russia was focused on establishing itself through reforms of government, architecture and other things. Spain wanted to expand its empire and did so by using their navy and by taking advantage of these newfoundlands. It was easy for the Spanish to colonize these new lands because they had superior weapons, tactics, and they brought diseases with them that killed off many of the native populations. CC Essay #5 (BBB) Within the period 1450 to 1800 the Spanish and Russian empires grew greatly. Both had changes in political structures, social structure, and economic structure. The political structure of the Spanish empire and Russian empire both changed within 1450 to 1800. The Spanish empire went from a monarchy to a democracy after having a few very bad kings and queens. The Russian empire went also from a monarchy to a democracy. This change also changed the social structure. As in most countries around this time the caste system was released and there was no more of it. With the change of the political structure also came the change of the economical structure. Spain along with Britain, France, and the other western countries, became westernized with factories and the new trade routes faster than Russia. The Russian empire became westernized later because, of course, they were very far away from the major technological countries. But as Spain did Russia became very westernized. The two empires were very similar and Russia seemed to follow in Spains footsteps. AP WORLD Scoring Rubric for 2007 CC Essay: Empire Building in Spain, Russia Ottoman Empire Sample Identifier: 3MScore: 9 Strong thesis in first paragraph. (1 pt) Addresses similarities at beginning of 2nd paragraph and differences in first paragraph of page 2. (2 pts) Evidence abounds. (2 pts) Direct comparison in 5th line of page 2. (1 pt) Analysis on 4th line of page 3. (1 pt) Two expanded core points for thesis and rich evidence. Sample Identifier: 3RRScore: 8 Thesis is found at beginning of last paragraph. (1 pt). Addresses similarities in 5th line, page 1. Address differences in 3rd line of the 2nd paragraph. (2 pts) Rich in evidence. 2 pts). Direct comparison found on page 2, 1st paragraph: â€Å"Unlike the Spanish†¦Ã¢â‚¬  (1 pt). Analysis is found on page 3, at top: â€Å"Also, both empires wouldn’t have been established if†¦Ã¢â‚¬  (1 pt). Expanded core for evidence and comparisons. A strong 8. Sample Identifier: 3JJScore: 7 Thesis is found in the last sentence of the essay: â€Å"†¦politically, and socially different but economically both needed to expand†¦Ã¢â‚¬  (1 pt). Similarities are addressed in the narrative just above the thesis. Differences are addressed at the beginning of the essay (2 pts). Enough evidence for (2 pts). Direct comparison is found in middle of page 1: â€Å"The Spanish however†¦Ã¢â‚¬  (1 pt). The analysis point follows immediately: â€Å"It was easier for the Spanish to expand rather than the Russians because†¦Ã¢â‚¬  Use asset model to ignore references to Ottoman Empire. A solid 7. Sample Identifier: 3CScore: 6 No thesis at beginning or end of the essay that compares (similarities and differences) of the process of empire building in Spain and Russia. Addresses similarities at the end of page 1, â€Å"†¦and Russia too felt the pull of expansionism. Beginning of the essay addresses a difference just before â€Å"because†¦Ã¢â‚¬  (2 pts). Rich in Spanish evidence on page 1. Russian evidence is on page 2, 3rd line. (2 pts) Direct comparison in first sentence of page 2, which references the previous sentence. (1 pt) First sentence of last paragraph on page 1 isn’t a direct comparison because it is not true of Russia in 1450. Analysis of a comparison is found in the 3rd line of page 2, â€Å"†¦so Russia expanded eastward†¦Ã¢â‚¬  (Evidence may be found within analysis or within a direct comparison. ) Addresses similarities on line 10 of page 1. Sample Identifier: 3EEScore: 5 No thesis. Addresses differences at beginning of essay. (1pt) Especially strong in Spanish evidence. 2 examples of Russian evidence. (2 pts) Direct comparison in second paragraph: â€Å"In Russia, however†¦Ã¢â‚¬  (1 pt) Analysis of differences between Spanish and Russian empires on first half of page 2. Sample Identifier: 3RScore: 4 No thesis. Addresses similarities in middle of first paragraph, and differences beginning in 4th line of page 2, in regard to the way each empire accumulated wealth as they expanded. 2 pts) Evidence for Spain: silver, encomiendas, haciendas and â€Å"mining† (other than silver). Ottoman evidence in 2nd paragraph: â€Å"religion played a big role when building the empire. † (2 pts) Last paragraph unscorable because the argument is unquantifiable. Sample Identifier: 3AAScore: 3 No thesis. (â€Å"†¦Russians were concerned with Westernization efforts† does not explicitly address empire building p rocess). Addresses differences in first paragraph. (1 pt) Evidence for Spanish empire building on most of page 1. Russian empire building evidence begins in 1st paragraph of page 2 (2 pts). Attempt at direct comparison at bottom of page 2 is historically inaccurate. Sample Identifier: 3DDDScore: 2 No thesis. Addresses similarities in first two sentences of 4th paragraph. Addresses differences in first sentence of 3rd paragraph. 2 relevant examples of evidence for Spain, none for Ottoman Empire. No direct comparison or analysis. Sample Identifier: 3BBBScore: 1 No thesis. Addresses similarity in first sentence of second paragraph. Not sufficient evidence supporting empire building in Spain and Russia. No direct comparison or analysis. How to cite Ottoman Empire and Empire Building, Papers

Emergency Preparedness free essay sample

Improving Flood Emergency Preparedness in League City Abstract This paper explores a vital need to the residents of League City in regards to flood emergency response. Based on online research from the City of League City Mitigation Plan, Galveston County Mitigation Plan, and The Council for Excellence in Government, a local flood preparedness campaign focusing on a coordinated community emergency preparedness educational class is recommended. While here are many resources in place for League City residents in regards to emergency management, a problem lies in the lack of knowledge residents have about this information. This paper examines how a local flood preparedness campaign focusing on a coordinated community emergency preparedness class will improve preparedness in League City. A local flood preparedness campaign with focus on a coordinated community emergency preparedness conference is recommended to assist the residents of League City in the event of a flood. Floods have been and continue to be the most frequent, destructive, and costly natural hazard facing not only League City, but the state of Texas as well. Last, we will offer suggestions to enhance personal preparedness for this type of emergency and similar community emergencies. Summary of Events and People The Neighborhood is a town with a population of 64,200 people, one-third of which are elderly. It is situated along a river and located west of a forest. For the last five days, a wildfire has been burning out of control in the forest and is nearing the town. This fire, spread by an earlier-than-expected windy season, is destroying numerous acres of land. Firefighters are trying to control this wildfire in the forest, as health care workers are working to help patients with restrictive and obstructive lung disease, experiencing difficulty with breathing. City officials have urged citizens in the Neighborhood not to go outside, unless absolutely necessary. This advice was given due to the poor air quality from ll the smoke blown by the winds, in the direction toward town. The poor air quality is impacting all of the town’s population; especially those with lung disease. Both the hospital and outpatient clinics are filled to capacity with patients. The city officials have also advised the Neighborhood’s citizens, that currently there is no direct fire danger, but, if the fire gets any closer, and the town is in danger, they will notify the people in advance. Two of the Neighborhood’s inhabitants are Jimmy Bley and his wife, Cecelia, who have been married for 56 years. Both are Native Americans, in their mid-70s and they both have have health issues. Jimmy suffers hearing loss and moderate emphysema, which he says â€Å"it’s not that bad†, yet he frequently is short of breath. Jimmy knows that if he ‘pushes’ himself, he can suffer exhaustion and be ill for days. Jimmy has smoked for most of his life, and has no intention of stopping. Cecelia suffers from osteoarthritis that she says is â€Å"an annoyance†. During the poor air quality alert, Cecelia lets Jimmy know that the dryer is broken, yet again. Jimmy knows that he needs to go to the hardware store to purchase the parts and repair the dryer. Cecelia wants the dryer fixed, but Jimmy knows that he needs to wait until the air quality improves before he goes outdoors. One of the Bley daughters comes over to take Cecelia to the laundromat so she can finish their laundry. The middle school is scheduled, over the weekend, as the site of the annual science fair. More than fifty children from the school are going to this science fair. The event has not been cancelled in spite of the advice to stay indoors due to the poor air quality. The school nurse has assessed one student, in particular, for breathing problems; increased respiratory rate, a cough and wheezing during this week. The Neighborhood also has a senior center which offers activities, as well as health screenings for the geriatric population. The nurse who runs the center has thirty-plus years of geriatric experience. She has educated seniors to stay inside, away from the smoke irritants in the air, after noting their increased oxygen use and coughing. Actions of Health Care Workers Actions at the Emergency Room and Hospital Neighborhood’s hospital is filled with patients who are ill with exacerbations of asthma and emphysema related to the poor air quality and smoke. The hospital’s emergency department calls for in-patient beds but there are no beds available. There are more patients needing beds than there are beds available. The emergency room nurses keep calling the floors to request beds, and none are available. The staff morale is low because they all feel the stress related to the pressure of early discharge for patients to make beds available. The nurses are kept busy with discharges and admissions, and are feeling overwhelmed and under-staffed. Hospital administration has decided to implement mandatory overtime adding to the stress of the staff. Actions at the Senior Center Many seniors have been using their oxygen more frequently. One client has told her he is coughing since the fire began. The geriatric nurse, Karen, who works at the center has advised many seniors to stay indoors and away from the irritants in the air. She has provided health screenings and education to the center’s clients for the last five years. Actions at the School The school nurse, Violet provides coverage for the elementary, middle school and high school in the town. She often feels that she is unable to be as effective as she would like related to the extensive needs of so many students. This week, a teacher sent a student to the office because of her coughing. Violet assessed the student who had an increased respiratory rate, coughing and wheezing. After the assessment, Violet called the student’s mother to request she come and pick up her daughter from school to be seen at the doctor’s office. Violet also provided education for the student’s mother regarding the benefit of keeping a metered dose rescue inhaler at the school. Resources for Local, State and National Response Assistance Keeping the community safe in times of disaster is a collaborative effort between community, state and national agencies. Stanhope and Lancaster, (2008) discuss local community healths responsibility in a disaster, In case of an event, state and local health departments in the affected area will be expected to collect data and accurately report the situation, to respond appropriately to any type of emergency, and to ensure the safety of the residents of the immediate area, while protecting those just outside the danger zone. This level of knowledge—to enable public health agencies to anticipate, prepare for, recognize, and respond to terrorist threats or natural disasters such as urricanes or floods—has required a level of interstate and federal-local planning and cooperation that is unprecedented for these agencies (pg. 61, Para. 5) The American Red Cross is a nonprofit organization which helps people after a disaster by providing immediate needs such as food, water, clothing and shelter. (What Happens Now, 2008). The Red Cross could have been accessed to help the Neighborhood with the fire danger. American Red Cross, (2010) writes, â€Å"The American Red Cross is where people mobilize to help their neighbors-across the street, across the country, and across the world in emergencies† (Pg. 1 Para. 1). Another local resource to assist during times of crisis, is a local medical reserve corps. In this writers area, the Kootenai County Medical Reserve Corps works with the state of Idaho to provide medical and non-medical volunteers to assist the public’s health throughout the year and in times of crisis. The Medical Reserve Corps of North Idaho, (2010, explain how the corps recruit healthcare professionals (active and retired) throughout all five counties of the District– physicians, nurses, dentists, pharmacists, psychologists, social workers, EMS, veterinarians and medical/health students. Non-medical members who can serve as administrative, clerical or support staff during a major public health emergency †¦are also recruited†¦ has volunteers from medical, public health professionals, and epidemiologists that help improve disaster preparedness and response capabilities for their local jurisdiction. ( pg. 5, para 4) These volunteers can assist an over-taxed medical system to help triage patients and support medical or other staff. A federal resource for areas struck by fire disaster is the United States Fire Administration, (USFA), under the umbrella of FEMA. Per USFA’s annual report, (2010) The United States Fire Administration (USFA) recognizes the challenges presented by the Nation’s fire problem, and continues its efforts to contribute to the safety of not only the residents of this Nation, but our firefighters and emergency responders and allied professionals as well. ( pg iii, para. ) USFA offers advance training and education in many areas for emergency preparedness, and according to the 2010 annual report, †¦continued to provide career and volunteer fire service education and training at the National Fire Academy (NFA) through a vast amount of courses and programs to include, but not limited to, fire prevention and suppression technologies, incident management, leadership and advanced managerial skills†¦ Since the creation of the USFA and its programs of public education and awareness initiatives, training, research, technology development, data collection and analysis, and partnering with other fire safety interests, the non-fire-service death and injury rates have improved steadily. USFA remains committed to providing a solid foundation for our fire and emergency services stakeholders in prevention, preparedness, and response. ( pg. iii, para. 9) Besides full-time staff, USFA and FEMA have disaster assistance employees on standby, who can be deployed when a disaster strikes. According to FEMA, (2011), FEMA has 7,474 employees across the country working to support our citizens and first responders to ensure that as a nation we work together to build, sustain, and improve our capability to prepare for, protect against, respond to, recover from, and mitigate all hazards. All of these federal resources are ones that might be accessed by a local community experiencing a disaster, which is overtaxing local resources. These agencies also have resources available to help a community prepare before disaster strikes. There are grants, which can be applied for, by local communities to help with training and staffing for fire prevention. Stanhope and Lancaster,(2008) remind us of the invaluable resources from Homeland Security, The DHS orks with first responders throughout the United States and through the development of programs such as the Community Emergency Response Team (CERT), trains people to be better prepared to respond to emergency situations in their communities( pg. 60, para. 2). By having proper resources, being prepared for emergencies and having a plan, a local community can prevent the loss of life, while moving toward recovery faster. How Public Health Care Teams Can Enhance Personal Preparedness Public health care teams have partnerships with volunteer agencies, as well as law enforcement and government agencies for safety and disaster assistance. Because of these alliances, communities are better equipped to respond to an emergency. Public health can increase the community’s awareness by providing education regarding emergency preparedness. Educating the public so they can be prepared for any disaster, will help people respond in an organized manner and reduce confusion and panic. Public health can help people prepare by conducting mock drills, as well as assisting people put together a personal disaster plan. Public health nurses can also help by providing education regarding specific ways for individuals and communities to prepare for emergency situations. Suggestions to Enhance Personal Preparedness There are many things that a person can do to enhance personal emergency preparedness. The very first thing is to understand what risks exist in a persons environment. Once risks are identified, then proactive and specific planning can occur. Individuals should have ready access to the following in case of an emergency; important documents such as insurance policies, home deeds, current medication lists, enough medications on hand for at least 10-to14 days, cell phones, battery operated radios, food, and water ( American Red Cross , 2012). In the case of wildfires, a home owner must be aware of their risks. Clearing ten to thirty feet of brush space around the home is the best defense according to FEMA, (2012), as well as having an outside water source. Fire Wise, a project of the National Fire Protection Association, (2011), also provides homeowner safety suggestions, The Home Ignition Zone begins with at least30 feet of space immediately around the home and extending out as far as 100 to 200 feet depending on the characteristics of the surrounding forests or grasslands. Creating and maintaining the Home Ignition Zone reduces or eliminates ignition hazards presented by vegetation (by thinning or spacing, removing dead leaves and needles and pruning shrubs and tree branches) and combustible construction,(wooden porches, decks, storage sheds, outbuildings, swing sets and fences). WHY? Reducing ignition hazards improves the chances hat the structure will survive a wildfire Part of being prepared is understanding and taking responsibility for methods to stay safe; with fires, this includes taking steps to keep a home safe by understanding environmental planning and fire-safe landscaping. Another important aspect is to understand ones limits, and plan emergency staffing resources appropriately. The Neighborhood hospital was understaffed, and had not planned for additional space for an overflow and large influx of patients, related to emergencies. Stanhope and Lancaster , (2008) cite Kowalczyk, (2004),in discussing the patient safety threat of understaffing for nurses, In a follow-up report, Keeping Patients Safe: Transforming the Work Environment of Nurses, the IOM (2003) stated that nurses’ long work hours pose one of the most serious threats to patient safety, as fatigue slows reaction time, saps energy, and diminishes attention to detail. The group called for state regulators to pass laws barring nurses from working more than 12 hours a day and 60 hours a week—even if by choice. The hospital administration has announced they will be starting mandatory overtime immediately; add this to the already stressed nursing staff, and a recipe for unsafe practice may be the result. The hospital would be serving their patients better if they requested assistance rom the local medical reserve corps; setting up a triage area to better determine the needs of the patients. Some beds could be set up at the senior center, local schools and/or outpatient clinics to care for those who did not have as acute needs as some others. One last suggestion, to help minimize risk would be to cancel the science fair event; this would serve to keep more people from venturing outdoors and breathing the smoke-filled air. Conclusion Emergencies and disasters happen when we least expect it; although some events are not controllable, we can predict risk, and then prepare for potential emergencies. Public Health has many different roles in emergency preparedness and disaster mediation. One role is to provide education for communities to help people prepare individual plans, thereby minimizing risk from disasters. Another role is to organize and manage a response to emergencies, while effecting collaboration with other agencies and organizations. One of the keys to public safety is proactive preparation and education regarding approaches to minimize the risks from disasters. Part of this is conducting a mock emergency drill, prior to a real emergency occurring. With knowledge, preparation and collaboration between community, state and federal levels of public health organizations, lives can be saved and property loss minimized when a disaster occurs. A community’s ability to recover faster, depends upon the proactive planning by public health when assisting the community.

Legal Aspect of Health Care Essay Example

Legal Aspect of Health Care Essay The main goal is always to provide the best healthcare possible to a patient given the physical state they are in. There weren’t any expectations of miracles or extraordinary risk to bear but thankfulness to the doctor for doing his very best. Even if the result was death, the thoughts were that the doctor did all he could by making the patient better and for most, the goal was always to prevent demise. Our time’s have changed so has the preponderance of this paternalistic belief regarding the decision made concerning a persons care. Has a deterioration of trust in the provider tighten the reigns of control and switched the power to the hands of the consumer? Whatever the underlying cause may be, there has been an enormous shift in legislation since the days of old where its modifications are now holding physicians to an elevated level of responsibility when it comes to the degree of communication anticipated by the modern patient. This â€Å"general principle of law† that charges the physician with the obligation of divulging the risks linked to a recommended sequence of care will enable the patient to take consideration of their own welfare when choosing to undergo treatment, selecting a substitution or foregoing care and is known as Informed Consent (Dabbagh, 1999). To put it simply, informed consent allows the patient to be trained in the details of their condition, purpose of treatment, dangers and alternatives to come to a more knowledgeable resolution. There are four elements of informed consent that signify sufficient admonition: †¢Adequate disclosure of information. Patient’s comprehension of information. †¢Patient’s freedom of choice. †¢Patient’s capacity for decision making (Ascension Health, 2007). The following are also some elements that a plaintiff must make evident in a court of law to prove liability of informed consent. †¢Failure to adequately in form. †¢If adequately informed, patient would not consent. †¢Adverse consequences occurred. †¢Plaintiff suffered injuries. An evaluation of the case study involving Mrs. Sparza, as the circumstances apply to these four components of informed consent, will build a greater understanding and relevance for legal action. We will write a custom essay sample on Legal Aspect of Health Care specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Legal Aspect of Health Care specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Legal Aspect of Health Care specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Mrs. Sparza seemed to have every thing in order as she and her son reviewed and signed her admissions paperwork on the day of her surgery, but things started to unravel quickly as she was being prepared and taken into the operating room. A key piece of information to point out is that Mrs. Sparza had prepared legal documentation, known as the Durable Power of Attorney for Healthcare, designating her son and daughter as the medical decision makers if she became incapacitated. After receiving muscle relaxants prior to surgery, Mrs. Sparza was presented with a Surgical consent form which she was not able to understand because she did not speak English, could not comprehend under the influence of medication and was altered from the original parameters of surgery by including both eyes. In these facts lie the perpetrations of the first element to adequately disclose this new information before her capacity for decision was greatly disrupted. The doctor’s efforts to bring in an interpreter did not change the fact that her brain functions were altered due to the effects of the muscle relaxant, therefore it would have been illegal to ask her to make a decision based on he binding Durable Power of Attorney for Healthcare. Benak and Applegate supports that Mrs. Sparza’s distorted mental state took away her legal authority to give consent and immediately transferred this liability to her son and daughter (Journal for Forensic Nursing, 2006). Her initial refusal of the procedure reveals that if she were ade quately informed there is a possibility she would not have consented to surgery on both eyes consequently establishing one of the four elements against the physician for failure to obey the statutes of informed consent. In the article Grandmother’s Plea, the author states that the provider could have consulted the hospitals ethics committee in determining the competency of a patient in making a decision for or against treatment if he was unsure (Salladay, 2000). Instead, it is believed that Dr. Pinnette coaxed Mrs. Sparza into making the decision to proceed with the surgery. After the operation was completed and Mrs. Sparza was in an inpatient status, she had a heart attack, lost the use of her kidneys and went into a coma. The addition of these three adverse outcomes along with all the improper acts committed thus far, confirm the third element that could be central in convicting Dr. Pinnette of medical malpractice. In the introduction of the case study, Mrs. Sparza made a declaration that life support be terminated and no heroic efforts be taken in the event she succumbs to a coma. During the notification of the children, the physician was duty-bound to consult them as agents to Mrs. Sparza before placing her on dialysis. In the Journal of Medical Ethics it is stated that medical treatment allowed without consent is unlawful and could cause the defendant to be prosecuted for battery or a civil action for damages (Ferguson, 1997). When Dr. Lox refused to terminate life support he willfully disobeyed Mrs. Sparza’s end of life wishes and the decision made by her agents which implicated him for legal pursuit as well. The nurse’s compliance with the family’s request for comfort medicine in the form of morphine is legal given the order is validated through the physician. According to the position statement provided by the Hospice and Palliative Nurses Association, the rule of double effect as it pertains to comfort medicines states: †¢The act must be good or morally neutral regardless of its consequence. †¢The clinician must intend to relieve pain although death may be foreseen but not intended. †¢The view must not be that the patient needs to die to relieve pain. †¢The benefit of achieving pain relief outweighs the risk of hastening death (Ersek et al, 2003). Contrary to this rule, Mrs. Esparza’s nurse administered the lethal dose to ease pain and expedite death which is a direct defiance of the purpose of comfort medicine and could cause him/her to be implicated in the suit. It is apparent in the large scale insolence of medical judgment that each guilty party connected was thoroughly unaware of their limits and the rights of the patient set forth by law. It is also probable that the physicians and nurse involved fully understood their roles but wished to disregard those boundaries which can result in the surrender of their practices and the degradation of their current lifestyles. Nonetheless, it is certain that the penalty each person faces will never prevail over the basic human right to have a choice. References: 1. Ascension Health (2007). Healthcare Ethics: Principles of Informed Consent. Retrieved on January 18, 2010 from http://www. ascensionhealth. org/ethics/public/key_principles/informed_consent. asp. 2. Benak, L. D. and Applegate, S. (2006). Informed Consent and Issues Surrounding Lack of Capacity vs. Incompetence. Journal of Forensic Nursing 2 (1), pg. 48. Retrieved on 17 Aug 2009, from Proquest. 3. Dabbagh, N. (1999). Informed Consent Case Study. Retrieved on January 18, 2010 from http://itdev. gmu. edu/projects/ollbook/GallBladderUn/history3. htm. 4. Ersek, M. et al (2003). Providing Opioids at the End of Life. Hospice and Palliative Nurses Association. Retrieved on January 18, 2010 from http://www. hpna. org/filemaintenance_view. aspx? ID=27. 5. Ferguson, P. (December 1997). Causing death or allowing to die? Developments in the law. Journal of Medical Ethics 23 (6), 368. Retrieved on 17 Aug 2009, from Proquest. 6. Salladay, S. A. (August 2000). Grandmothers plea. Nursi ng 30 (8), 66. Retrieved on 17 Aug 2009, from Proquest.

5 Peculiarities of the German Alphabet

5 Peculiarities of the German Alphabet The following are five peculiarities of the German alphabet and its pronunciation that every beginner German student should know about. Additional Letters in the German Alphabet There are more than twenty-six letters in the German alphabet. Technically speaking the German alphabet has only one additional letter that is different- the eszett. It looks like a capital letter B with a tail hanging from it: ß However, there is also something that Germans call â€Å"der Umlaut.† This is when two dots are placed above a letter. In German, this happens only above the vowels a, o and u. The umlaut placed upon these vowels makes the following sound shifts: similar to the short e in bed; à ¶, similar to the u sound in further, and à ¼. similar to the French u sound. Unfortunately,  there is no English equivalent for the sound à ¼. To pronounce the à ¼ sound, you need to say u while your lips are in a puckering position. The ß, on the other hand, is simply like an over-pronounced s. It is rightly called in German ein scharfes s (a sharp s). In fact, when people don’t have access to the German keyboard, they often will substitute a double s for the ß. However, in German, there are further rules about when it is correct to write either ss or ß. (See article German s, ss or ß) The only way to avoid the ß Â  is to move to Switzerland since Swiss Germans don’t use the ß at all. V Is W and Sounds Like F The standard name of the letter V, as it is in many languages, is actually the letter name of W in German. This means that if you were singing the alphabet in German, the section TUVW, would sound as follows (Tà ©/Fau/Và ©). Yes, this confuses a lot of beginners! But wait, there’s more: the letter V in German sounds like F! For instance, the word der Vogel you would pronounce as Fogel (with a hard g). As for the letter W in German? This peculiarity at least makes the most sense: the letter W in German, which is named like a V sounds like a V. The Spitting Combo Now for a little humor that actually helps you remember! The pronunciation spitting combo helps students remember the peculiarities of these three very common German sounds: ch – sch – sp. Say them quickly one after another and it sounds like, first - the preparation for the spit ch/ch, the start of the spit – sch (like sh in English), and finally the actual ejaculation of the spit – sp. Beginners tend at first to over vocalize the ch sound and forget the sh sound in sp. Better practice some pronunciation spitting then! The K Reigns Even though the letter C is in the German alphabet, by itself it plays only a minor role, since most German words that start with the letter C followed by a vowel, stem from foreign words. For example,  der Caddie, die Camouflage, das Cello. It is only in these types of words where you’ll find the soft c or hard c sound. Otherwise, the letter c is actually only popular in German consonant combinations, such as sch and ch, as stated in the preceding paragraph. You will find the German version of the hard â€Å"c† sound in the letter K. Consequently, you will often see words that start with a hard c sound in English spelled with a K in German: Kanada, der Kaffee, die Konstruktion, der Konjunktiv, die Kamera, das Kalzium. Position Is Everything At least when it comes to the letters B, D, and G. When you place these letters either at the end of a word or before a consonant, then the sound transformation is usually as follows: das Grab/ the grave (the b sounds like a soft p), die Hand/ hand (the d sounds like a soft t) beliebig/ any (the sounds like a soft k). Of course, this is expected in Hochdeutsch (standard German) only, it might be different when speaking German dialects or with accents of different German regions. Since these letter shifts sound very subtle when speaking, it is more important to pay attention to their correctness when writing them.

German Battleship Bismarck in World War II

German Battleship Bismarck in World War II Bismarck was the first of two Bismarck-class battleships that were ordered for the Kriegsmarine in the years prior to World War II. Built by Blohm and Voss, the battleship mounted a main battery of eight 15 guns and was capable of a top speed of over 30 knots. Quickly identified as a threat by the Royal Navy, efforts to track Bismarck were underway after its commissioning in August 1940. Ordered on its first mission into the Atlantic the following year, Bismarck won a victory over HMS Hood at the Battle of the Denmark Strait, but soon came under a combined attack by British ships and aircraft. Damaged by an aerial torpedo, Bismarck was sunk by British surface ships on May 27, 1941. Design In 1932, German naval leaders requested a series of battleship designs intended to fit within the 35,000 ton limit imposed on leading maritime nations by the Washington Naval Treaty.  Initial work began on what became the Bismarck-class the following year and initially centered around an armament of eight 13 guns and a top speed of 30 knots. In 1935, the signing of the Anglo-German Naval Agreement accelerated German efforts as it allowed the Kriegsmarine to build up to 35% of the total tonnage of the Royal Navy. Additionally, it bound the Kriegsmarine to the Washington Naval Treaty tonnage restrictions. Increasingly concerned about Frances naval expansion, German designers sought to create a new type of battleship that would out-class the newer French vessels. Design work moved forward with debates ensuing over the caliber of the main battery, type of propulsion system, and thickness of the armor.  These were further complicated in 1937 with the departure of Japan from the treaty system and implementation of an escalator clause that increased the tonnage limit to 45,000 tons. When German designers learned that the new French Richelieu-class would mount 15 guns, the decision was made use similar weapons in four two-gun turrets. This battery was supplemented by a secondary battery of twelve 5.9 (150 mm) guns. Several means of propulsion were considered including turbo-electric, diesel geared, and steam drives. After assessing each, turbo-electric drive was initially favored as it had proven effective aboard the American Lexington-class aircraft carriers. Construction As construction moved forward, the new class propulsion came to be  geared turbine engines turning three propellers. For protection, the new class mounted an armor belt ranging in thickness from 8.7 to 12.6. This area of the ship was further protected by 8.7 armored, transverse bulkheads. Elsewhere, armor for the conning tower was 14 on the sides and 7.9 on the roof. The armor scheme reflected the German approach of maximizing protection while maintaining stability. Ordered under the name  Ersatz Hannover, the lead ship of the new class, Bismarck, was laid down at Blohm Voss in Hamburg on July 1, 1936. The first name served as an indication that the new vessel was replacing the old pre-dreadnought Hannover. Sliding down the ways on February 14, 1939, the new battleship was sponsored by  Dorothee von Là ¶wenfeld, granddaughter of Chancellor Otto von Bismarck. Bismarck would be followed a second battleship of its class, Tirpitz, in 1941. Fast Facts: Battleship Bismarck General Nation: Nazi GermanyType: BattleshipShipyard: Blohm Voss, HamburgLaid Down: July 1, 1936Launched: February 14, 1939Commissioned: August 24, 1940Fate: Sunk in action, May 27, 1941 Specifications Displacement: 45,451 tonnesLength: 450.5mBeam (Width): 36mDraft:: 9.3-10.2mPropulsion: 12 High-pressure Wagner boilers powering 3 Blohm Voss geared turbines at 150,170 horsepowerSpeed: 30.8 knotsRange: 8,525 nautical miles at 19 knots, 4,500 nautical miles at 28 knotsComplement: 2,092: 103 officers, 1,989 enlisted Armament Guns 8Ãâ€"380 mm/L48.5 SK-C/34 (4 turrets with 2 guns each)12Ãâ€"150 mm/L55 SK-C/2816Ãâ€"105 mm/L65 SK-C/37 / SK-C/3316Ãâ€"37 mm/L83 SK-C/3012Ãâ€"20 mm/L65 MG C/30 (Single)8Ãâ€"20 mm/L65 MG C/38 (Quadruple) Aircraft 4Ãâ€" Arado Ar 196 A-3 seaplanes, using 1 double-ended catapult Early Career Commissioned in August 1940, with Captain  Ernst Lindemann in command, Bismarck departed Hamburg to conduct sea trials in Kiel Bay.  Testing of the ships armament, power plant, and seakeeping abilities continued through the fall in the relative safety of the Baltic Sea. Arriving at Hamburg in December, the battleship entered the yard for repairs and alterations. Though scheduled to return to Kiel in January, a wreck in the Kiel Canal prevented this from occurring until March. Finally reaching the Baltic, Bismarck resumed training operations. With World War II underway, the German Kriegsmarine envisioned using Bismarck as a raider to attack British convoys in the North Atlantic. With its 15 guns, the battleship would be able to strike from a distance, inflicting maximum damage while placing itself at minimal risk. Bismarck, photographed from Prinz Eugen, in the Baltic at the outset of Operation Rheinà ¼bung, May 1941. Bundesarchiv, Bild 146-1989-012-03 / Lagemann / CC-BY-SA 3.0 The battleships first mission in this role was dubbed Operation Rheinà ¼bung (Exercise Rhine) and proceeded under the command of  Vice Admiral Gà ¼nter Là ¼tjens. Sailing in tandem with the cruiser Prinz Eugen, Bismarck departed Norway on May 22, 1941, and headed towards the shipping lanes. Aware of Bismarcks departure, the Royal Navy had begun moving ships to intercept. Steering north and west, Bismarck headed for the Denmark Strait between Greenland and Iceland. Battle of the Denmark Straight Entering the strait, Bismarck was detected by the cruisers HMS Norfolk and HMS Suffolk which called for reinforcements. Responding were the battleship HMS Prince of Wales and the battlecruiser HMS Hood. The two intercepted the Germans at the south end of the strait on the morning of May 24. Less than 10 minutes after the ships opened fire, Hood was struck in one of its magazines causing an explosion that blew the ship in half. Unable to take on both German ships alone, Prince of Wales broke off the fight. During the battle, Bismarck was hit in a fuel tank, causing a leak and forcing a reduction in speed (Map). Bismarck fires on HMS Prince of Wales during the Battle of the Denmark Strait. Bundesarchiv Bild 146-1984-055-13 Sink the Bismarck! Unable to continue with his mission, Là ¼tjens ordered Prinz Eugen to continue on while he turned the leaking Bismarck toward France. On the night of May 24, aircraft from the carrier HMS Victorious attacked with little effect. Two days later aircraft from HMS Ark Royal scored a hit, jamming Bismarcks rudder. Unable to maneuver, the ship was forced to steam in a slow circle while awaiting the arrival of the British battleships HMS King George V and HMS Rodney. They were sighted the following morning and Bismarcks final battle commenced. Bismarck burning in the distance as HMS Rodney (right) fires, May 27, 1941. Public Domain Assisted by the heavy cruisers HMS Dorsetshire and Norfolk, the two British battleships pummeled the stricken Bismarck, knocking its guns out of action and killing most of the senior officers on board. After 30 minutes, the cruisers attacked with torpedoes. Unable to resist further, Bismarcks crew scuttled the ship to prevent its capture. British ships raced in to pick up the survivors and rescued 110 before a U-boat alarm forced them to leave the area. Close to 2,000 German sailors were lost.

Source Selection and Ethical standards Applied on the Supply Chain Essay

Source Selection and Ethical standards Applied on the Supply Chain Performance - Essay Example This generally involves having a budget for the items needed, selecting the supplies intended in this bandages, needles, medical equipment etc. This is followed by the bidding process where the bidders are invited to tender for the supplies. The selection of the most viable and convenient supplier is chosen, implementation is done and further follow up is carried out. Triage approach is one the suggested ways that thoroughly looks at a systematic evaluation of individual suppliers then gives them categorical differences (Robert et al, 2008). This process enables you to get the best deal in inventory management process by assessing the suppliers’ dealings. It also customizes the product needs according to specifications let alone the strategic location that is convenient for you. The opportunity presented here is in product specification delivery. There is often a team that is liable to undertake the whole process. The sales lead oversees everything to the customers’ fin al detail. The procurement team and the technological advancement team plus the consultant team work hand in hand to meet the customers’ target. The team will always be ready to make any amendments and give suggestions towards vital changes that would be beneficial to the hospital. The location as well the timing is all put in consideration. The price at which the customer is willing to pay is negotiated and the fairest price reached. This saves on time as well the costs involved in other modes of procurement. This is because a shortage of inventory is not felt as well as the stock levels are maintained at the recommended levels. No one time will you experience out of stock of your supplies since your target is at the core of the supplier chain manager. The whole source selection caters for production, delivery, inventory management, locality aspects, and providing information where need be. The advantages of the source selection are so beneficial to the hospital. Insourcing is recommended than outsourcing. Outsourcing of the source needs would and might incorporate all the clientele needs. The small details that are vital in such a process may be overlooked leading to failure of the whole process. The cost involved in getting a consultant to outsource may also be quite high as the work is tedious. On the contrary the outsourcing of the source needs may be beneficial in that it will not consume time for the management. The whole process is left to the consulting company. The final decision however rests with the management. Insourcing of the source needs is recommended due to the fact that the needs are clarified along the way. Any changes that need to be made are done quickly saving on time. The best opportunity can easily be identified as the direct involvement is between the supplier and the hospital. A thorough analysis can be made before the selection process is reached for clarity and the way forward needed without further consultations. Ethics po licy for the purchasing department: Personal integrity and professionalism – each and every individual who will be involved in the supply chain should be honest, have due diligence and be caring. Respects should be portrayed towards the clientele as well as to their colleagues. The entire group should maintain confidentiality in their work. Information shared to the public should not be outside the context that is allowed by the hospital management. Accountability and transparency –

What is the relationship between tuberculosis and poverty in the uk Essay

What is the relationship between tuberculosis and poverty in the uk - Essay Example risk of developing tuberculosis include age, gender, ethnicity, genetic factors, body build, pregnancy, lifestyle (occupation, poverty, diet, smoking, drinking alcohol, drug abuse, place of residence), specific protection (BCG vaccine), medical factors like the presence of HIV AIDs or certain types of cancers, or undergoing treatments like haemodialysis or Immunosuppressive treatment. (Davies, 2005). There are strong indications that susceptibility to both the infection and the disease of tuberculosis is dependent on a variety of factors. The current research is aimed towards finding direct and indirect linkages between poverty and tuberculosis. The indirect links between poverty and TB can be analyzed from the positive correlation of factors like ethnicity, the presence of HIV AIDs, lifestyle, both with the rates of incidences of tuberculosis and with the presence of poverty. For presenting evidence on poverty affecting the rate of tuberculosis more directly, there have been several studies that have quoted poverty as a major factor in the cause of the disease. This paper hopes to carry out an exhaustive literature survey by an intelligent analysis and presentation of the interpretations and findings of an exhaustive list of available resources. By doing this, it is hoped to establish how poverty is related to tuberculosis in the United Kingdom. The primary objective of the present study is to discover if poverty does indeed influence the incidence of tuberculosis in the UK. In addition, this paper also aims to explore and present revealing insights about various possible factors that lead to the infection and disease of TB. This is done so as to find if these others factors are in anyway related to poverty, thus making poverty a major risk factor for TB. It is important to explain the methodology that was adopted and the consequent methods that were employed, and also the reasons for using them. The following pages will help to elaborate upon the above so

Learning curve Essay Example for Free

Learning curve Essay The term the learning curve has a popular, well-known meaning in American culture. In consideration of how and when you start to examine the way that term is used, most people discover that the primary and perceived meaning of the term really doesnt make any sense. If the curve is drawn on a chart which tracks resulting knowledge against time spent learning, it might look like the Tetris © (a popular logic game) graph here to the right. By visual consideration, the chart is steepest at the beginning, when a person first starts learning how to play Tetris. The beginner usually gains knowledge quickly, learning the game in just a few minutes. Though there is much to learn, the player will never learn as quickly as he or she did at the beginning learning how to play the game. | Here is another example: I believe that most people would consider the process of blowing leafs out of their yards with a leaf blower is very simple, but is that the instance? For many, regardless of education and or experience, it only takes about two minutes to get up and running blowing leaves. Additional knowledge milestones await most people after they have invested more time, such as flushing corners, minimizing blowback, and blinding the cyclists. | On the charts shown in this article, the knowledge milestones are made up and arbitrary, however labeling the vertical axis can be challenging. For most people, learning can be a series of successes, but it can also be a slow refinement of technique. It isnt really accurate for a person to say they are still learning to dribble a basketball when many NBA professionals with years of experience are still refining the process. | Shown to the right is an expanded timeline on the basketball learning curve. Many of the knowledge milestones on this chart cant really be learned in an hour. Most people can and do learn that they exist, but are not able to actually perform them for another year. | This quest for adequate understanding was spurned by my desire to identify activities which have a shallow learning curve. If steep learning curves are grueling, then shallow ones must be enjoyable, right? Shown here on the right is a graph for the learning curve of World of Warcraft. It is definitely enjoyable. Maybe the vast number of things to learn makes it so compelling, or the timed-release of new experiences. Speed of learning is probably not the best way to determine whether or not something is fun. | Another example. Learning to drive a manual transmission. Learning to drive a manual transmission is difficult because it requires a certain level of knowledge and skill before it can be done at all. The payoff, and true measure of success, is learning it well enough to dare to venture out into real traffic on a person’s own. In consideration of the aforementioned graph, it is cognitive to most people that in many examples of learning, there is only one real milestone to be reached. | This final graph compares the learning of two different students, and it is the only chart where the idea of a steep learning curve actually makes sense. The lower (green) section of the graph represents the state of being unable to perform a certain task. The upper section represents the state of being able to perform it. The orange line student can be said to have a steep learning curve. The sample student crossed the threshold into able after one day of learning. The red line sample student had a shallow learning curve. Said student needed four days to become able to adequately learn and or retain the learned knowledge. Posters note: I found the foregoing article one day while doing research on different learning styles. The original post on Cockeyed. com I believe was meant to be satirical, however in my opinion the information is highly beneficial in understanding the original author’s perspective on how many people learn. In considering the authors said perspective, I truly believe he or she has captured what many people today consider the â€Å"learning curve† process. Please write me with any comments, questions and or concerns. William Lucas ([emailprotected] net)| |

Ancient Celtic Mythology: A Vision of Gods and Goddesses :: Religion

Ancient Celtic Mythology: A Vision of Gods and Goddesses Upon investigating the supernatural reality that the Celts endured, it is necessary to somewhat overlook the myths to see what lies behind them. It is essential to find when and from where the myths originated and how true the storytellers, or narrators, really are. The Celtic gods and goddesses, in such an early mythological time defined as a period when beings lived or events happened such as one no longer sees in our days (Sjoestedt 1994: 2), require much analysis. A diverse collection of documents, literature and archaeology pave the way to our understanding of the ancient mythology of the Celts. However, these traces lack a sense of closure, leaving the investigation into the nature of these gods and goddesses raw and incomplete. The evidence of the Celtic deities exists in various forms, but the information that we have collected leaves unanswered questions. For instance, in analysing the recorded documents left behind by the Greeks and Romans, we are called to cast some doubt on how closely the Celtic religious rites paralleled those of their classical neighbours. We survey recorded religious practices with apprehension, as we are not truly sure that the Celts too worshipped family gods and a mass of deities who covered all aspects of life.1 How do we know that we are not just reading materials reflecting the Graeco-Roman myths? Is it not plausible that these Greek and Roman writers installed some bias, leaning towards their mythological ideas, within their testimony? The speculation surrounding all of the varied pieces of evidence is just. From the abundance of evidence, though, we can be sure that the Celts believed in a multiplicity of deities. It is apparent that the existence of gods and goddesses in Celtic society was quite a serious affair and an everyday business. However, when focusing on the exact nature of such gods and goddesses, it seems only fair to attempt to construct an overview of the character of each deity. Reconstructing the evidence might be too hopeful because the conclusions would come from mere ignorance and be partially based on what we still do not know. From here we can only address the different types of evidence that piece together the very nature of the Celtic gods and goddesses, but the mixed and slightly unreliable evidence is certainly not easy to sort. The literary evidence for the existence of deities in Celtic religion is one source that reveals the character of the individual gods and goddesses.

Operations Technology and Organization Structure: An Empirical Reappraisal Essay

Organizations are in constant states of change in structure, procedures, competition, and technological advancement and there is an ever growing desire to improve on performance and service delivery. For the successful integration of change, organizations must administer and implement processes that revolve around employees, process and structure. The sole reason for integration is because one cannot be changed without altering the other. If the integration proves to be difficult, then the organization has to break down and sometimes bits of it either crumble or become separate entities. This was the initial reason for the split of Intercos Asia Pacific from Intercos group. From the staunch differences in strategic planning as well as direction between management personnel, Intercos Group made it possible for the managers with different opinions to have a separate entity, Intercos Asia Pacific. Many companies validate the theory that organizations most often assume a linear progression from the time of its birth to that of its decline. This concept is based on the organizational life cycle. According to Hayes & Wheelwright (1979), as companies evolve, they are faced with both new challenges and opportunities and, therefore, they must adopt superior management controls and systems. On the other hand, according to Kilzer & Glausser (1984), the challenges faced by companies can be successfully managed through careful planning and growth timing, contingency and tactical planning, maintaining an operational budget and the equitable treatment of all stakeholders. Tice (2007) stated that in order for a business to be successful and remain in competition, then it must be adaptable, decisive, collaborative and self aware, thus fostering innovation and surgically executing the set strategy. Research collected from interviews conducted with management personnel at Intercos Asia Pacific reveals that there are several factors that companies like Intercos Asia Pacific should learn in order to remain competitive, command a sizable market and have the capacity for growth. The first major step would be to align the company’s goals with the internal and external environments of the company. Being a new business, Intercos Asia Pacific has to find its footing in the market, being a competitor of Intersco Group that has a big head start. Having to start building itself from the ground up is not an easy task for the company given that the market is already cut throat. Several drastic changes shall have to be implemented in order to become competitive and remain profitable as a separate entity from Intersco Group. Target Group for Research             The main reason why the interviews were conducted with the target being managers was because, at the time of interviews, the managers were not confined to specific departments. The managers involved understood the running of the business in general. Oliver (2004) pointed out that the main ingredients for organizational growth being â€Å"talent management† whereby the leaders are able conceptualize. In order to accommodate the challenges that come with growth as well as startups, managers at Intercos Asia Pacific have to develop their management skills, implement strategies at the right time and finally make sound adjustments to their attitude and character. Managers at Intercos Asia Pacific understand that change or transition entails them to have to adjust their personal goals, managerial abilities, operational and strategic abilities. If they are to remain competitive, they have to make the utmost use of their limited resources, because they no longer ha ve the vast resources provided at Intersco Group. However, their experience in Intersco Group should come in handy for the managers since they understand the market, thus not making them completely helpless. Great managers are always characterized as administrators, integrators and entrepreneurs and the degree in which they utilize these characteristics depends largely on the situation Therefore, the manager’s needs and those of the business have to be in synchrony in order for growth to take place and in the case of Intercos Asia Pacific, for a business to get started. Combating the problem of sales growth can be a tall order for a new business. However, being a small fish in a big sea can have its advantages such as easy maneuverability within the waters. Most large companies are more intent on preserving their reputation and so there is some clientele that they would rather keep away from. For a company like Intercos Asia Pacific such is not the case and this new market should be exploited with zeal and decorum. Although this business has to remain 100% legal, this new market can help Intercos Asia Pacific gain ground. The resources at the disposal of Intercos Asia Pacific may be limited, but this does not mean that that the company has to be a total failure. The business that this market provides can most likely end up being the major source of income for the company. Customer retention is another problem that Intercos Asia Pacific faces during its maiden days in the market. It is better to have ten loyal customers than to have fifty prospect clients because business can be snatched from the organization’s hands if it does not keep the customers satisfied. Osborne (1994) concluded that successful companies are not primarily based on the management’s competencies, credentials and experience alone. Success of Intersco Asia Pacific has been attributed to the company’s ability to generate income, its team of employees and its business concept. For this reason, retaining customers is a step in the right direction for Intersco Asia Pacific especially being a company dealing with cosmetics. This kind of business heavily relies on recommendations and consistent customers. For this reason, when Intercos Asia Pacific gains ground, it should strive to maintain the newly found clients who in turn shall be the stepping stones for the compa ny. Having to build Intersco Asia Pacific from the ground up shall help Intercos Asia Pacific understand the needs of the clients, the changing trends in the market and the new demand patterns. For this very reason, the company shall have a strategic advantage over Intersco Group who depend on the trends that they have become accustomed. The managers revealed that they were ready to work from the grassroots levels in order to have a customer base that has the services and products from Intercos Asia Pacific tailored for them. Transformation of Intersco Asia Pacific             According to Ford (2005), an effective transformation in any organization requires changes in the behavior of the workforce. Ford indicated that organizations have to train their employees to be ready to shift tasks in case this was needed of them. This strategy is best executed in line with the company’s vision and mission statement. When interviewed about this, the managers agreed that because of their limited resources at the newly formed company, employees had to serve different roles in different capacities, all for the successful running of the business. Sometimes, managers had to chip in physical effort, not just administrative effort. However, they also reiterated that the expected changes can only be achieved if understanding can be reached in terms of the vision and the strategies of the company. Strong leaders are able to communicate about their values and the values of the company, which in turn leads to improved company-level performance. Managers also made it clear that Intercos Asia Pacific requires its employees to attend work-related learning so that they can have their cognition, skills attitudes and behaviors sharpened. As per a study conducted by Hayes and Wheelwright (1979), it was decided that in as much as organizations have to keep up with market and technological trends, they also have to maintain a steady learning curve. The split between Intersco Group and Intercos Asia Pacific led to some major structural changes in both companies. This crisis point led to the loss of managerial personnel in Intersco Group and the formation of a company without enough managers in Intercos Asia Pacific. The managers in the course of the interviews indicated that they understand that for a company to thrive in any market, it has to develop strategies in the form of new systems and structures in order to accommodate the adverse effects of growth and crisis management. Previous research indicates that the company’s size often determines its structure. For example, a company that largely depends on other companies or social environments in most cases has a concentration in authoritative management. Intercos Asia Pacific being a small company with the potential of becoming a market contender has its focus on structure and coordination rather than authority and command. From the interviews conducted through the managers, it was evident that changes in the structure of management are the result of the company’s transition into growth from start-up and it is sometimes characterized by complexity, decentralization and in some instances, formalization. This was in line with the theory proposed by Olson and Tetra (1992). However, this theory is comparable to that proposed by Pugh that identified six years of company structuring that required specialization, formalization, standardization of control and workflow, configuration and centralization. According to Churchill and Lewis (1983), small companies like Intercos Asia Pacific are largely influenced by the availability of resources, workers, technology. On the other hand, the workforce in a large company like Intersco Group is influenced by the level of technology. From the research carried out on Intercos Asia Pacific, managers agreed that in order to record continuous development, managerial hierarchies, structures, processes, human resource developments and growth projections were essential and they had to be put in place. The managerial hierarchies that would be implemented in Intercos Asia Pacific would assist the company to match individuals to specific tasks and, therefore, facilitate the creation of value through specialization. When hierarchies are in place, then other benefits like creativity, morale and productivity can increase with measurable input (Jacques, 1990). The structure of tasks in a company largely depends on the technological advancement and the indu stry. Since Intercos Asia Pacific is just a small company still in its bare foundation stages, the technology and structure requirements are not as complex as they would need to be if the company was effectively and decisively rooted in the market. Restructuring of Intersco Asia pacific to suit the Market             After an extensive review of the information collected from the research at Intercos Asia Pacific, it is clear that for the transition to be effective in a company there is dire need for a restructure in behavior and the organizational systems in the company. The interviews conducted revealed some of the organizational changes that needed to be affected before a company can commence business. The company maybe undergoing the normal struggles of a small organization, but Intercos Asia Pacific has the advantage of having experienced managers who have worked in a bigger company. This advantage over other small companies shall boost Intercos Asia Pacific to new heights because their management system shall be firmly rooted and invested in the company. Being a company that deals with cosmetics, skin products and pencils, Intercos Asia Pacific has had to deal with some obsolete goods. It is for this reason that new market survey had to be carried out in order to determi ne what the new market requires of them. Being a small company with limited resources, Intercos Asia Pacific faces the problem of a large lead time in the delivery of their products. This problem is common to them because they cannot order in large quantities, which can be placed in a warehouse or stores. Unlike during the times in Intersco Group where orders and shipments were not a problem in terms of lead time, Intercos Asia Pacific has to deal with the small quantities that deplete quickly and sometimes there is a delay in the replenishment of their supplies. However, as soon as the company gains ground in the market, then the managers have implemented strategies to purchase products on credit in order to satisfy both the needs as well as the trends of the ever growing market of cosmetics and skin care products. Conclusion             In conclusion, the literature provided in the research indicates that there is a clear struggle during the startup of the company and Intercos Asia Pacific is no different. However, with experienced and dedicated managers all hurdles, potholes or bumps along the way can be effectively dealt with proper strategies, careful planning, division of labor, and employee education. When Intercos Asia Pacific split from Intersco Group, a major challenge was surviving in a market that already had market leaders and well rooted companies. However, the ability of a small company competing against market giants requires careful timing, strategic location, through research about the market and efficiency in service delivery. The managers interviewed were very cooperative in provision of information necessary to produce this paper. Their insight into marketing, running of the company and remaining competitive was invaluable in the writing of this paper. However radical or rash their decisions might have been at Intersco Group, the managers seemed to have done terrific work with Intercos Asia Pacific. Possible expansion and market dominance are in the horizon for the company and this is evident in their vision and mission statements. As leaders, role models and mentors, the managers believe that Intercos Asia Pacific is going to be the next big thing in cosmetics and skin care market. They might have had fallout with Intersco Group, but they strongly believe that their strategies shall keep Intercos Asia Pacific as worthy competitors for a long time to come. The managers acknowledged that the road might be tough for them, but it is only when the going gets tough the tough lace their boots and get going. References Baum, R. J., Kirkpatrick, S. A., Locke, E. A. (1998). A longitudinal study of the relation of vision and vision communication to venture growth in entrepreneurial firms. Journal of Applied Psychology, 83 (1), 43-54. Churchill, N. C. & Lewis, V. L. (1983). Growing Concerns: The five stages of small business growth. In D. E. Gumpert (Ed), Harvard Business Review, 30-50. Eggers, J. H. (1999). Developing entrepreneurial growth. Ivey Business Journal, 63 (4), 76-81. Retrieved May 2, 2014, from PerAbs_FT database (01831649).Fenn, D. (1996). Breakthrough leadership: Higher ground. Inc, 18 (15), 92-99. Ford, S. (2005). Making your organization change-ready. Harvard Management Update, 4. Greco, S. (1996). Replace yourself. Inc. Retrieved August 30, 2000, from AIB_INFORM database (01337440). Hayes, R. H., & Wheelwright, S. G. (1979). The dynamics of process-product life cycles. Harvard Business Review, 57 (2), 127-136. Hickson, D. J., Pugh, D. S., & Pheysey, D. C. (1969b). Operations Technology and Organization Structure: An Empirical Reappraisal. Administrative Science Quarterly, 14, 378- 396.Jaques, E. (1992). Managerial Accountability. Journal for Quality and Participation, 15 (2), 40-44. Retrieved September 4, 2000, from AIB_INFORM database (00725529). Source document

My Essay

Tymaine McBee March 21, 2013 Personal Statement Essay My name is Tymaine McBee and I am currently a student/trainee at OBT (Opportunities for a Better Tomorrow). The reasons why I have enrolled in OBT are to obtain my GED, get enrolled on a good college, and to get a good job. The main reason why I’m here is because high school didn’t really work out for me. I was always getting into trouble and everything else you can imagine. I was just a problem child but I hope I can get through OBT. I have faith that I can.The first reason why I chose to enroll in OBT is to get my GED. I feel that high school really wasn’t for me. Why you ask? Well, when I was in high school, I used to get in lots of trouble like fighting, hanging around with the wrong crowd, and getting locked up. I feel that OBT will help me obtain my GED because the staff here no only help you with school work they help you get ready for the business world as well. I think these skills will help me surviv e because in the real world you need business skills and school smarts to survive.My second reason why I enrolled into OBT is to get a job. The reason why I want a job is to help my grandmother out around the house, with bills and rent. I’m also looking to get a job so I can support myself like buying stuff that I need. Another reason why I’m looking to get a job because this will be the first job I ever had. I had previous chances to work for summer youth but I messed those chances up by getting locked up. But the main and most important reason why I’m hoping to get a job is so I can take care of my grandmother because she is very sick.The third reason why I go enrolled in OBT was to get into a good college. I’ve always wanted to go to college but I wasn’t the brightest kid in the world. One of the colleges I would like to go to is Hunter College. I would like to go to college to study computer networking, law, and nursing. The reason why I want t o study computer networking is because I love computers and I want to learn how to network one. The reason why I want to study in law is because I’m a good speaker and I fight for what’s right also I know how to hold a good argument.The reason why I want to study in nursing is because I want to give back to the community like I want to help old people get better when they are sick. In conclusion, I enrolled in OBT to get my GED, get into a good college, and to get a good job. I just hope that I can make it through this program without any slip-ups or anything. I really have faith that I can make it through these 23 weeks and get my GED and do something productive with my life instead of doing wrong. I’m glad that I’m a student/trainee at OBT its going to open new doors and opportunities for me in the future. My Essay Tymaine McBee March 21, 2013 Personal Statement Essay My name is Tymaine McBee and I am currently a student/trainee at OBT (Opportunities for a Better Tomorrow). The reasons why I have enrolled in OBT are to obtain my GED, get enrolled on a good college, and to get a good job. The main reason why I’m here is because high school didn’t really work out for me. I was always getting into trouble and everything else you can imagine. I was just a problem child but I hope I can get through OBT. I have faith that I can.The first reason why I chose to enroll in OBT is to get my GED. I feel that high school really wasn’t for me. Why you ask? Well, when I was in high school, I used to get in lots of trouble like fighting, hanging around with the wrong crowd, and getting locked up. I feel that OBT will help me obtain my GED because the staff here no only help you with school work they help you get ready for the business world as well. I think these skills will help me surviv e because in the real world you need business skills and school smarts to survive.My second reason why I enrolled into OBT is to get a job. The reason why I want a job is to help my grandmother out around the house, with bills and rent. I’m also looking to get a job so I can support myself like buying stuff that I need. Another reason why I’m looking to get a job because this will be the first job I ever had. I had previous chances to work for summer youth but I messed those chances up by getting locked up. But the main and most important reason why I’m hoping to get a job is so I can take care of my grandmother because she is very sick.The third reason why I go enrolled in OBT was to get into a good college. I’ve always wanted to go to college but I wasn’t the brightest kid in the world. One of the colleges I would like to go to is Hunter College. I would like to go to college to study computer networking, law, and nursing. The reason why I want t o study computer networking is because I love computers and I want to learn how to network one. The reason why I want to study in law is because I’m a good speaker and I fight for what’s right also I know how to hold a good argument.The reason why I want to study in nursing is because I want to give back to the community like I want to help old people get better when they are sick. In conclusion, I enrolled in OBT to get my GED, get into a good college, and to get a good job. I just hope that I can make it through this program without any slip-ups or anything. I really have faith that I can make it through these 23 weeks and get my GED and do something productive with my life instead of doing wrong. I’m glad that I’m a student/trainee at OBT its going to open new doors and opportunities for me in the future. My Essay Tymaine McBee March 21, 2013 Personal Statement Essay My name is Tymaine McBee and I am currently a student/trainee at OBT (Opportunities for a Better Tomorrow). The reasons why I have enrolled in OBT are to obtain my GED, get enrolled on a good college, and to get a good job. The main reason why I’m here is because high school didn’t really work out for me. I was always getting into trouble and everything else you can imagine. I was just a problem child but I hope I can get through OBT. I have faith that I can.The first reason why I chose to enroll in OBT is to get my GED. I feel that high school really wasn’t for me. Why you ask? Well, when I was in high school, I used to get in lots of trouble like fighting, hanging around with the wrong crowd, and getting locked up. I feel that OBT will help me obtain my GED because the staff here no only help you with school work they help you get ready for the business world as well. I think these skills will help me surviv e because in the real world you need business skills and school smarts to survive.My second reason why I enrolled into OBT is to get a job. The reason why I want a job is to help my grandmother out around the house, with bills and rent. I’m also looking to get a job so I can support myself like buying stuff that I need. Another reason why I’m looking to get a job because this will be the first job I ever had. I had previous chances to work for summer youth but I messed those chances up by getting locked up. But the main and most important reason why I’m hoping to get a job is so I can take care of my grandmother because she is very sick.The third reason why I go enrolled in OBT was to get into a good college. I’ve always wanted to go to college but I wasn’t the brightest kid in the world. One of the colleges I would like to go to is Hunter College. I would like to go to college to study computer networking, law, and nursing. The reason why I want t o study computer networking is because I love computers and I want to learn how to network one. The reason why I want to study in law is because I’m a good speaker and I fight for what’s right also I know how to hold a good argument.The reason why I want to study in nursing is because I want to give back to the community like I want to help old people get better when they are sick. In conclusion, I enrolled in OBT to get my GED, get into a good college, and to get a good job. I just hope that I can make it through this program without any slip-ups or anything. I really have faith that I can make it through these 23 weeks and get my GED and do something productive with my life instead of doing wrong. I’m glad that I’m a student/trainee at OBT its going to open new doors and opportunities for me in the future.