Global Health Care Challenges Essay -- World Health Organization, Poor

When analyzing the global health care crisis, one should pay particular attention of the problem from both the macro and micro scale. Overlooking either side of the issue wastes both valuable time and resources during an era that cannot afford such loss. Some argue that health care is a fight that politicians must win to enact change. Others say the crisis is simply another economic matter that will eventually resolve itself under the theories of supply and demand. When we look at these explanations without seriously considering the issues that arise in the microcosm, we expose ourselves to moral hazard. In Banker to the Poor (1), Nobelaureate Muhammad Yunus describes how a great deal of change can result from looking at the problem from a smaller perspective. A Lack of Labor In 2006, the World Health Organization released a report that assessed the global health workforce and concluded that the health care crisis was in part due to the lack of health care workers in many regions around the world. It is important to note that the WHO report defines health workers as individuals who act with the intent of improving health. This means that even a mother caring for a sick child is essentially a health worker. However, the WHO report recognizes the difficulty in drawing accurate conclusions from this broad definition and decided to hone in on two special types of health care workers. An example in the report compares a doctor working for a mining company and a painter working in a hospital. Ultimately, the report concludes that it would be best to count the two as health care workers, the doctor providing direct services and the painter providing indirect services. This definition assumes that without the support of the ... ...ever, even an increase for funds dedicated to health care is insufficient to meet the MDGs. Short-term and long-term plans must be implemented in both the micro and macro scale of the problem to ensure an even distribution of resources. Focused surge of health workers into key regions over time and improved access to information are both powerful solutions that will make all the difference within a few years. As Muhammad Yunus said, â€Å"my greatest challenge has been to change the mindset of people. Mindsets play strange tricks on us. We see things the way our minds have instructed our eyes to see.† Similarly, a lack of information has given many people certain mindsets that often lead them to become prone to illness. Information is practically free; why not distribute it to those who would benefit from its presence the most and save something as precious as a life.

Bans on Cigarette Advertising Does NOT Stop Smoking :: Argumentative Persuasive Example Essays

Bans on Cigarette Advertising Does NOT Stop Smoking   Ã‚  Ã‚  Ã‚  Ã‚  Since 1971, the cigarette industry has not been allowed to advertise on radio and television. However, the ban has not worked as well as it was planned to work. The reasons are that advertisements are not the primary reason that teens take up smoking. Another reason is that the industry has gotten around the ban by using forms of hidden advertising and corporate sponsorship. The industry has also heavily relied on the print media to advertise its product. Smoking has become influential due to many different forms of advertising.   Ã‚  Ã‚  Ã‚  Ã‚  Up until 1971, cigarettes had been advertised like any other consumer product, but health concerns led to a government-imposed ban on broadcast advertising. â€Å"July 27, 1965, Congress approved the Federal Cigarette Labeling and Advertising Act. The Federal Cigarette Labeling Act and Advertising Act was passed to establish a comprehensive program to deal with cigarette labeling and advertising† (Holak 220). â€Å"This law made it impossible for any person to manufacture, import or package cigarettes without the following statement clearly labeled on the box: Caution: Cigarette Smoking May Be Hazardous To Your Health† (Altman 95). Any person or company that was found guilty of violating this Act upon conviction was subject to a fine of not more then ten thousand dollars. Cigarettes manufactured or packaged for export form the United States were not required to label this. The Federal Cigarette Labeling and Advertising Act took effect on January 1, 1 996.   Ã‚  Ã‚  Ã‚  Ã‚  Four years later, Congress approved another Act: the Public Health Cigarette Smoking Act of 1996. There were two major changes. First, the statement required on cigarette packages was changed to â€Å"Warning: The Surgeon General Has Determined That Cigarette Smoking Is Dangerous To Your Health† (Altman 97). Second, it stated that after January 1, 1971 it shall be unlawful to advertise cigarettes on any medium of electronic communication.   Ã‚  Ã‚  Ã‚  Ã‚  Fifteen years later, Congress approved the comprehensive Smoking Education Act. This Act was yet another amendment to the Federal Cigarette Labeling and Advertising Act. Once again the statement required that all cigarette packages to be changed. The packages must now have one of the following labels: â€Å"SURGEON GENERAL’S WARNING: Smoking Causes Lung Cancer, Heart Disease, Emphysema, And May Complicate Pregnancy† or â€Å"SURGEON GENERAL’S WARNING: Quitting Smoking Now Greatly Reduces Serious Risks To Your Health† or â€Å"SURGEON GENERAL’S WARNING: Smoking By Pregnant Women May Result In Fetal Injury, Premature Birth, And Low Birth Weight† and lastly â€Å"SURGEON GENERAL’S WARNING: Cigarette Smoke Contains Carbon Monoxide† (Brann 10).

Pros and Cons of Outsourcing Essay -- Research Papers, Globalization

Pros and Cons of Outsourcing. 1. Introduction Globalization has lead to increase in international trade and a greater role for multinational corporations. With the rise of globalization many companies are turning to either off shoring or offshore outsourcing. In India and China, companies like IBM, Microsoft, Hewlett Packard, and Novell choose to get services from sub-contractors in these countries or move their development and support jobs there. Outsourcing is to contract out some of company’s activities to a third party company. The company who outsourced and the third party who is going to handle the activities for the company are joined by means of an outsourcing arrangement. This practice became even more popular after the dot-com crash of the early 21st century. As many businesses struggled with cash-flow problems, many investors were leary in investing money in high-tech companies, which many felt were still vulnerable to the dot-com effect. Struggling to do more with less, companies looked for less expensive avenues of development and support. For the United States, Indiaseemed like a perfect resource for these needs since most nationals speak english. A company can hire an engineer in India, for example, for US$10,000 a year where an equally qualified engineer in the U.S. could cost $60,000-$90,000 a year. Outsourcing has been big political issue as highly educated and highly paid IT workers lose their jobs. In this competitive environment, companies have to concentrate on competency and they want to outsource everything to reduce cost so the trend toward offshore outsourcing is increasing. Outsourcing threatens that in future US will not have many technology people. As all the technical work will be ... ...ures/feature.php?wfId=1872298 http://lieberman.senate.gov/newsroom/whitepapers/Offshoring.pdf http://www.iie.com/publications/papers/kirkegaard0204.pdf http://msnbc.msn.com/id/4631368/ http://www.computerworld.com/managementtopics/outsourcing/story/0,10801,78941,00.html http://www.agilemanagement.net/Articles/Weblog/OutsourcingDebate.html http://www.infoworld.com/article/03/12/19/HNoutsourcing2004_1.html http://www.washingtonpost.com/wp-dyn/articles/A36379-2004Mar30.html http://www.iht.com/articles/127188.html http://www.aicpa.org/pubs/jofa/mar2004/miller.htm http://www.wordiq.com/definition/Outsourcing http://www.nysscpa.org/cpajournal/2004/304/perspectives/nv1.htm http://www.nasscom.org/artdisplay.asp?Art_id=1907 http://www.nasscom.org/artdisplay.asp?Art_id=2552 http://www.capgemini.com/adaptive/media/TransOutsourcePOV.pdf

Home-Style Cookies

HOME-STYLE COOKIES CASE ANALYSIS 1 Submitted by: George Ramselle P. Deposoy Georgia Hur Jinseog Noreen Rose A. Duran Garry A. Gallo Nina Jessa Marie Ladera Jan Rhett S. Simbulan Daisy Mae O. Tambolero December 13, 2012 COMPANY BACKGROUND The Lew-Mark Baking Company—Archway Cookie’s largest franchise is located in western New York State which produces fifty varieties of high-quality soft cookies with no preservatives added. The soft cookies mostly appeal to customers over 45 years old and to parents who have young children. The company has less than 200 employees, mostly blue-collar workers.The production process begins as soon as orders from distributors arrive. Furthermore, the ingredients needed for each type of cookie entered into a computer which determines the amount of each ingredient needed, according to the quantity of cookies ordered, and relays that information to storage silos located outside the plant where the main ingredients are stored. The ingredients ar e then mixed and later on, the batter is cut into individual cookies. The company has also increased the length of each oven by 25 feet resulting in an increase of production rate.The finished cookies are placed into boxes while deformed cookies are removed. This is done manually by workers. The boxes are then wrapped, sealed and label automatically. Most cookies are loaded immediately unto trucks and shipped to distributors. Some are stored in the warehouse but are shipped shortly after because of limited shelf life. CENTRAL PROBLEM The decision whether to adopt new production processes and alter some of the old ones and its effects to the entire production process as well as the product itself. OBJECTIVES To find the most favorable course of action that will benefit the entire company in the long-run * To exploit potential improvements and use it to their advantage * To improve the quality of the product SWOT ANALYSIS Strength * The product is very marketable especially to the hea lth conscious segment of the society like the elders, and parents for children since it has no added preservatives—something which gives them an edge to other competitors. * Efficient in their production Weakness * The product has a short shelf-life. * Use of broken cookies as oatmeal cookies may distort the product itself Opportunities Automation of production processes * Less delivery lead time if they employ nearer suppliers—subject to the permission of the mother company * Product expansion—still subject to the permission of the mother company Threats * The company might lag behind other companies in terms of technology and productivity since they manually do the production processes. * Growth will be stagnant if they refuse to expand their product line ALTERNATIVE COURSES OF ACTIONS Automate the packaging process Advantage/s: * Saves money, more efficient, and time-savingDisadvantages/s: * 30 workers in the production team will be rendered jobless. * Broken cookies might be included also in the packaging process since there is no one to take them off considering the shift from manual to automated. Use additives/preservatives in the ingredients to make cookies Advantage/s: * This will allow a longer shelf life to the cookies. * The company will be able to extend its current location points. Disadvantages/s: * The customers perception might change in terms of ‘quality’, knowing that the company is branded of producing ‘good food’.Sell broken cookies Advantage/s: * This will ensure that all the products produced are fresh. If all broken cookies are used to make oatmeal cookies—that is, including filled cookies—it will distort the product itself Disadvantage/s: * Waste disposal costs would increase. Use suppliers located closer to the plant Advantages/s: * This will lessen delivery lead time and transportation costs They can also test if the products of the supplier can meet the same quality of thei r original suppliers’ products Disadvantage/s: Product quality may suffer. RECOMMENDATION The first, third and fourth ACA is recommended. Since the company is highly concerned of the quality of the product, they should use fresh ingredients and not just scraps from the other ones made. With regards to the waste disposal costs, they can just sell the broken pieces as animal food to zoos or other animal sanctuaries. The fourth one is also recommended since it will allow the company to save on some expenses.If they are dubious about the quality, they may have a cookie taste test using the local products and compare it to their cookies which were made using their original suppliers’ products—that is of course subject to the approval of their franchisor. CONCLUSION Judging from the background given, the company is doing exceedingly well in the production of their products. They are highly efficient and effective as well. Their products are very marketable, inventory control is good, and their regard for quality is highly commendable. Conclusively, the over-all performance of the company is well and they are in control of the business.

Union Carbide Disaster: Bhopal, India

Union Carbide Disaster: Bhopal, India On December 3, 1984 just three miles from the City of Bhopal.. An American owned Union Carbide Pesticide Plant leaked Toxic gas in to the air killing over Hundreds of people right away. Mr. Y P Gokhale, managing director of Union Carbide in India said, â€Å"That a Methyl isocyanate gas (MIC) had escaped when a valve in the plant’s underground storage tank broke under pressure. The leak was caused by a series of mechanical and human errors in the pesticide producing plant.For a full hour the plant’s personnel and safety equipment failed to detect the massive leak, and when the alarm was sound most of the harm was already done. What was worse was that local health officials had not been educated on the toxicity of the chemicals used at the Union Carbide plant therefore there were no emergency procedures in place to protect the people of Bhopal. Panic broke out in the city of Bhopal and the areas surrounding more then tens of thousan ds of people attempted to escape. More then 20,000 people required hospital symptoms including swollen eyes, frothing at the mouth and breathing difficulties.There we thousands of dead animals just covering the streets of Bhopal. The Indian government sued Union Carbide in a civil case and settled in 1989 for 470 million dollars. The Union Carbide which shut down its Bhopal plant after the disaster has yet to clean up the site completely. More then thousands of people died instantly and over 2,000 people died during the aftermath. In 1999 a voluntary group in Bhopal which believed not enough had been done to help the victims, filed a lawsuite in the United States claiming that Union Carbide violated international law and human rights.In November of 2000 Warren Anderson was charged of â€Å"Culpable homicide† for cost cutting at the plant which is alleged to have compromised safety Standards. In 2004 the Indian Supreme Court approved a compensation plan drawn up to help more t he 570,000 Victims of the disaster. The welfare commission paid well over 350 million dollars. The Bhopal disaster in 1984 was one of the worst industrial accidents in history. However after 3 decades later toxic waste is still being stored on the site under poor conditions.Today the people in Bhopal still live with the consequences of the gas cloud and are still fighting for compensation. Almost 28 years after the accident, a group of cabinet ministers in New Delhi decided to sign over the disposal of the toxic waste from Bhopal to the German technicians. The old factory in Bhopal with its rusty tanks and dilapidated clusters of buildings, is like a ghost factory. People in the area of Bhopal are still dying from the toxic gas leak more then 300,000 have died from it over the years and more are expected to die as well.This was one of the deadliest Toxic gas leaks in the world I can’t believe that this happen. And what hurts the most is that it took them over 28 years to fina lly take care of the matter and I doubt its all just quiet yet as they are hitting the 29th year since the gas leak. Germany was nice to move in and help them out by taking this stuff and getting rid of it for them. I on the other hand think something should have been done about it many of years ago. On the 20th anniversary of the Mascara a man claim to have said that the Company Dow was going to pick up the waste and get rid of it.When the news people called to ask the man question there was no one by that name that had worked for them and that the guy was an imposter that they had no intention to pick up the waste. Work Cited 1. http://www. spiegel. de/international/world/germany-plans-to-dispose-of-bhopal-toxic-waste-a-840791. html 2. http://topics. nytimes. com/top/news/international/countriesandterritories/india/bhopal/index. html 3. http://www. history. com/this-day-in-history/the-bhopal-union-carbide-disaster 4. http://news. bbc. co. uk/onthisday/hi/dates/stories/december/3/n ewsid_2698000/2698709. stm

Happiness in Marriage Essay

What changes did Sanger describe in married relations in recent generations? Marriage was synonymous with maternity. But the pain, the suffering, the wrecked lives of women and children that such a system caused, show us that it did not work successfully. Like all other professions, motherhood must serve its period of apprenticeship. What changes did Sanger hope would come about if unplanned pregnancies still occur in the United States? Sanger hoped if unplanned pregnancy could be prevented it would allow the husband and wife to become more stable before planning a decision of having a child. That in the end it would help them to support and afford proper care for the child. Do debates concerning birth control and unplanned pregnancies still occur in the U. S.? Yes debates still occur in the United States some churches still don’t recognize birth control and don’t allowed abortion. Are Sanger’s points still relevant and explain your decision? I would say yes, it’s still relevant because of high number of young adults having unplanned pregnancy without knowledge of the future and the risk of having a unborn child at a young age. How do Sanger’s views on marriage apply to today’s definition of ‘marriage’ (single parents, same sex parenting, and blended families). Sanger ‘s definition apply to a happy relationship between husband and wife, but for today society we have different types of parents some are in same sex, divorce and single parent who are just happy to have a children and do the responsibility of the parent even if the child is theirs or not, but for me I will not include the â€Å"OctoMom† Nadya Suleman on the single parenting because she cannot support those kids and now that it’s the tax payer’s money is suffering from her wrong doing.

Holistic Care Nurse

The name and other identifying information about the patient included within this piece of work have been changed to protect confidentiality, as required by The Code of Professional Conduct (Nursing and Midwifery Council, 2008). For this reason, the patient included in this case study will be given the pseudonym of Sam Jones. The purpose of this assignment is to identify one client problem and provide an evidence-based plan of care for the individual. The purpose of care planning is to show a logical and systematic flow of ideas through from the initial assessment to the final evaluation (Mooney and O'Brien, 2006).The nursing model that will be incorporated in this care plan will be the Roper, Logan and Tierney's model (2000). This model was chosen because is it extremely prevalent in the United Kingdom and is the most widely used model familiar to nurses. The model of nursing specifies 12 activities of daily living which are related to basic human needs and incorporates five dimensi ons of holistic care, physiological, psychological, sociocultural, politicoeconomical and environmental (Roper, Logan and Tierney's model, 2000).Care plans are based on evidence-based practice, allowing the nurse to determine the est possible care and rationale for the chosen nursing interventions (Roper, Logan and Tierney, 2000). They take into account the psychological, biological and sociological needs of the person and therefore provide a holistic approach to care (Roper, Logan and Tierney, 2000). The main activity of living that will be affected within this care plan will be maintaining a safe environment as Mr. Jones may have a potential problem of death, due to hypovolemic and/or metabolic shock caused by ketoacidosis.Diabetic ketoacidosis (DKA) usually occurs in people with type 1 iabetes mellitus, but diabetic ketoacidosis can develop in any person with diabetes (Diabetes I-JK, 2013). DKA results from dehydration during a state of relative insulin deficiency, associated wit h high blood levels of sugar level and ketones (Diabetes I-JK, 2013). This happens because there is not enough insulin to allow glucose to enter the cells where it can be used as energy so the body begins to use stores of fat as an alternative source of energy, and this in turn produces an acidic by-product known as ketones (Diabetes I-JK, 2013).It is evident that DKA is associated with significant isturbances of the body's chemistry, which should resolve with appropriate therapy (Diabetes I-JK, 2013). Severe metabolic acidosis can lead to shock or death (Dugdale, 2011). The specific problem was chosen because there are measures that can significantly reduce the risk of metabolic and hypovolemic shock which can be caused by severe metabolic acidosis (Dugdale, ) Within the care plan relevant care interventions will be identified to prevent the possible development of shock for Mr.Jones. In practice the interventions would happen contemporaneously. The interventions involve identifyin g the potential risk factors for the development of hock by using specific assessments. This will be done by following an assessment which includes planning, assessing, implementing and evaluating the care that will be provided to Mr Jones and to evaluate its effectiveness (Mooney & O'Brien, 2006). Once the diagnosis was made, specific, achievable, measurable, realistic and time limited goals of care for Mr.Jones were made. The NHS foundation trust specific guidelines for adult diabetic ketoacidosis suggest a series of immediate actions and assessments for suspected DKA which will allow for appropriate interventions to be ade and will provide a baseline which will provide a measure of the effectiveness of the treatment (The Joint British Diabetes Societies Inpatient Care Group, [JBDS], 2012). Mr Jones will need fluid and electrolyte management to clear ketones and correct electrolyte imbalance (Nazario, 2011).