The Impact of 2010 IOM Report on the Future of Nursing Essays

The Impact of 2010 IOM Report on the Future of Nursing Essays The Impact of 2010 IOM Report on the Future of Nursing Paper The Impact of 2010 IOM Report on the Future of Nursing Paper As time goes on, the nursing profession is becoming more and more popular. The number of new graduates becoming licensed year-to-year evidences this. In addition to becoming more popular, nursing practice has changed enormously over the past 20 years. In order to stay current with the continuously evolving healthcare system, nurses have to evolve as well. The 2010 IOM report offers its recommendations to maximize the quality, availability, and accessibility through improving nursing education, providing opportunities for leadership positions, and ensuring nurses practice to the full extent of their education (National Research Council, 2011). The IOM was able to achieve change in part due to funding from the Robert Wood Johnson Foundation (RWJF) (American Nurses Association, 2014, para.1). This paper will focus on the impact of the IOM report on nursing education, nursing practice, and leadership roles for nurses. Nursing Education The 2010 IOM report focused on improving the education system to accommodate the healthcare system dealing with an older and more diverse population than before (Institution of Medicine (IOM) 2011, para.4). In addition, healthcare is focused more on chronic conditions than acute illnesses (IOM, 2011, para.4). Due to this, the IOM report recommended the education system become adaptive enough to change as the needs of patients’ change (IOM, 2011, para.6). Because of these recommendations, states nationwide have already implemented change in their programs. In Minnesota, a completely new education program was developed to increase student accessibility to a baccalaureate program, which allows students to obtain a higher level of education easily (Robert Wood Johnson Foundation, 2013). In addition, Medicare has agree to pay to support the training of nurses with the launch of their $200 million demonstration project that takes place in five hospital systems (RWJF, 2013). Furthermore, hospitals have introduced mandatory training programs and optional seminars to further nurse education post licensure. Only three years have passed since the IOM report and the amount of improvements made in nursing education has only continued to increase. Nursing Practice According to the National Research Council, the healthcare system must be transformed prior to providing personalized and unique care to each patient (National Research Council, 2013). In order for this to be effective, outdated policies, regulations, and cultural barriers will need to be removed (National Research Council, 2013). The effect the IOM Report has on primary care is its possible merger with health promotion (IOM, 2012). Because primary care and health promotion are such different entities, a complete merger would be ineffective. Rather, cooperation between the two was deemed more effective (IOM, 2012). This way primary care and health promotion can remain separate entities still. In order to meet the goals of the IOM report, I would encourage my practice to expand the diversity of the staff. The more diverse a practice is, the fewer the cultural barriers we need to overcome. In addition, I would stress the importance of individualized care given to each patient. To accomplish this, I would put a stronger emphasis on the individualized care plans for each patient. Nursing practice must evolve as our population and society in general evolves to ensure the most updated, individualized, and relevant care possible. Nursing Leadership Roles The 2010 IOM Report recommended nurses to pursue leadership roles in their healthcare setting. In addition, the report also recommends nurses to be full partners with the physicians and other members of the healthcare team to effectively increase the quality of care given to the patients (National Research Council, 2013). Because nurses are such strong advocates for patients, it would truly benefit the patient to have nurses participating in leadership roles. According to the American Association of Colleges of Nursing, embedding leadership development into the nursing curriculum will have a positive effect on the amount of nurses fulfilling leadership roles in their healthcare setting (American Association of Colleges of Nursing, n.d). As a nurse, I have seen plenty of new graduates over the years. As time goes on, it is evident how better prepared and more motivated the new graduates are from the previous graduates for these leadership roles. Conclusion Based on the 2010 IOM Report, our nation is more than capable of accomplishing a complete reformation of our healthcare that will maximize the availability, accessibility, and quality of care given to patients. Nurses, especially, have the opportunity to play the most vital role in the reformation process. Changes in nursing education, nursing practice, and the increase in nurse leadership roles are only a few of the ways change can occur.

How to Avoid Freshman 15 in a Healthy Way

How to Avoid Freshman 15 in a Healthy Way It’s known as the freshmen 15, 20, 25, or even 35. Young folks walk into college and gain weight because of the dramatic changes to their internal schedules, as well as diet and exercise regimen. In this article we’ll look at 10 ways to stay trim as a college newbie. They’ll help you minimize the excess weight gain that many experience. Staying in great shape throughout your freshmen year doesn’t have to be a hassle! 1. You’re Probably Paying for the Gym – Use It! For most colleges, a part of your tuition money goes to paying for things like fitness centers and the on-campus gym. As a student you should be able to go workout whenever you want, and you should. Instead of vegging in your dorm room you can go get in shape, stay fit and mingle with others who have the same mindset. 2. Stay Away from Handouts From welcome baskets and bags to free candy, soda and tons of movie nights with endless amount of butter dripping microwave popcorn. Stay away from the cheap and easy food that gets handed out to freshmen. They’re just trying to welcome new students, make them feel at home and show them quality attention. This stuff adds up, especially drinks that are something other than water. 3. Structure Be Mindful The main reason freshmen gain weight is because they have no idea how to structure their eating regimen. They tend to max out their on-campus dining cards way too soon. They tend to buy way too much â€Å"dorm room goodies.† The cafeteria food is always right there, or they eat way too much than they normally would because they face a buffet four time a day. Take some time to plan out your eating schedule to avoid weight loss and you’re sure to do far better than everyone who isn’t. 4. Healthy Snack Grazing Invest in tons of healthier snacks from the student store or your college’s version of eat street. These days it shouldn’t be hard to get some healthy options that are both nutritious and lower in the fattening department. Focus on 3 square meals a day with three low calories snacks mixed in so that you’re never starving and tempted to gorge. This student grocery list will help you organize a healthy diet plan. 5. Avoid Pizza Late Snack Food For two hours on most nights there’s always somewhere on-campus to go get some. Avoid pizza and high energy foods later at night. If you’re trying to give yourself energy for studying, then choose some fresh fruit! Remember, what you don’t burn you gain and for some reason freshmen tend to do more snacking. The juniors and seniors have learned to steer clear. 6. Eat Your Breakfast! Do NOT skip breakfast. You’re body needs to break the fast from the night before and the sooner you can get your metabolism moving the more calories you’ll burn throughout the day. Furthermore, eating a balanced breakfast means you’ll be more alert and aware during the earlier and later afternoon classes. 7. Get Involved in Sports If you avoided sports in high school, then now’s the time. It doesn’t have to mean playing for any official school teams either. There are lots of sports activities coordinated through clubs, student groups and organizations throughout the year. Don’t forget about them! They’re a great way to stay fit and make lots of friends you wouldn’t otherwise met. 8. Alcohol Adds Up! Let’s be honest, a good amount of freshmen once set free from home, tend to drink too much. Or they drink just a little bit far too often and it all adds up quickly. One night of drinking can calorically undue all the hard work throughout the week. Remember, 3500 calories are equal to roughly one pound of body fat. That’s roughly 23 beers. How many beers to freshmen guzzle throughout their first year? How many pounds is that for you? Stay away from as much alcohol as possible freshmen year. Instead focus on making real friends, getting fabulous grades and making the most of your time. 9. Make Sure to Sleep Sleeping patterns are absolutely critical to just about everything when it comes to human physiology. From your memory and ability to study, to your ability to build muscle and stay lean. Shoot for at least a minimum of 6 quality hours a night, but 8 would be ideal. That can be hard, but just do the best you can. 10. Take Exercises Classes Every Quarter Every single quarter there are tons of different exercise-based classes. This could be actually workout classes, sports classes, nutrition etc. They’re great for extra and easy credits! If you can, fit one in each quarter during your freshmen year. It’s going to lay a solid foundation for the rest of your undergraduate adventure. There are many other ways to stay fit. Do you know any of them?

Modernism to Postmodernism in Fashion and Design Essay

Modernism to Postmodernism in Fashion and Design - Essay Example The essay "Modernism to Postmodernism in Fashion and Design" states modernism, postmodernism and its relation to fashion and design. In the 1930s, a great deal of the art being produced throughout Western Europe was typically classified as Modern art, although it was then further divided into several different subcategories such as Impressionism, Fauvism, Expressionism, Art Nouveau, Art Deco, Surrealism and Abstract art. The characteristic feature of most of these art forms was that they sought to pursue the ideas behind the art rather than seeking to portray a life-like rendition of the subject matter. They also broke the rules of art, which had, until this time period, conformed to specific rules of creation and was always created within a studio where all elements could be controlled. The movement began with Impressionism, which focused on the effect of light on objects and typically portrayed scenes such as landscapes and daily life. Recognizable works from this genre include tho se of Claude Monet, Edouard Manet, Edgar Degas and Pierre Auguste Renoir. Manet’s painting, Dejeuner sur l'herbe, created in 1863, is roughly considered to be the start of the Impressionist, and therefore the Modern, movement. Fauvism represented a wilder side of Impressionism in its use of strong, vivid colors and simplified designs in expressive, meaningful ways. Artists in this movement were Henri Matisse, Andre Derain and Maurice de Vlaminch. The Expressionist movement, existing as the step-sister to Fauvism.

Threat of the over use of technology ( computer ) in teaching student Research Paper

Threat of the over use of technology ( computer ) in teaching student in primary schools - Research Paper Example hnology offers a variety of benefits to enhance the quality of education and make the process of learning more convenient and interesting both for the teacher and the students, overuse of technology in teaching students in primary schools poses several kinds of threats as well. â€Å"Family, school, and workplace environments are now on the verge of what can be termed the â€Å"Triple Disconnect† – from self, others and nature† (zonein.ca, 2014). The Canadian Society of Pediatrics and the American Academy of Pediatrics state that infants between 0 and 2 years of age should not be exposed to any kind of technology at all, children from 3 to 5 years of age should not be exposed to technology for more than just one hour per day, whereas the exposure of children in the age-range of 6 to 18 years to technology should be limited to 2 hours per day (Rowan, 2014). Threats posed by the overuse of technology in primary schools include but are not limited to the social chal lenge of isolation, reduced motivation for the studies on the part of the students, and increased tendency to have negative effects of using technology on their health. Overuse of technology in the classroom can be a cause of isolation of the students. â€Å"[C]ritics have written and spoken extensively of their beliefs that schools should not use technology for a variety of reasons ranging from creating social isolation to preventing students from learning critical basic skills† (ncrel.org, 2005). Students of primary schools are essentially children. Children as students need close supervision and monitoring in order to have their attention directed solely towards the studies. With the growing literacy rate, the population of students in the primary schools has increased over the years. This has raised challenges for the school administration in general and for the teachers in particular. Teachers today have more students to supervise than they used to have in the past. However, the increased strength of

Space Weather Essay Example for Free

Space Weather Essay Space weather is what happens in space and how it affects the Earths weather. Even though in space it may not look like a big thing but when those effects reach Earth it can make a huge impact on the Earths weather. It can cause natural disasters such as floods, hurricanes, etc. Space weather doesnt just affect the Earths weather but it can also affect new technology. Its been causing problems with new technology as early as when the telegraph was invented in the 19th century. Solar flares can disrupt power grids, get in the way of high-frequency airline and military communications, disrupt GPS signals, interupt civilian communications, etc. Space weather can cover the Earths atmosphere with a hazardous and dangerous radiation. Even the technology we use like traffic lights, cell phones, street lights, etc could be affected by a solar flare. Furthermore stuff like solar flares have been occuring more often since global warming started to become more gruesome. This is because of the amount of carbon dioxide in the atmosphere along with other gases and these gases are trapped in the Earths atmosphere and the more gases are trapped in the atmosphere the less gases are let out into space. This can create problems like species extinction, flooding around coastal areas, make seasons longer then they should be, more frequent and severe storms, and alter temperature patterns. Along with solar flares, solar winds can also affect the Earhs weather. This is because the intense clouds of high energy particles which are often made by solar storms and make their way to Earth in about 3 to 4 days it collides with the Earths magnetic field. The particles enters Earths magnetic field near both north and south poles. When that happens it causes many problems with technology. Like solar flares and solar winds magnetic storms can also cause damage to our way of life on Earth espically now since we rely on technology so much. Magnetic storms can pump extra electricty into our power lines and pipelines causing blackouts and gas leaks. For example, in March 1989 a magnetic storm caused a thirty-six million transformer in New Jersey collapsed the entire power grid in Quebec, Canada. When that happened it left six million people without electricity. Space weather can also be very hazardous for astronauts. For example, in between the flights for both Apollo 16 and Apollo 17 an intense solar flare occurred. This would have killed the astronauts on board Apollo 16 and Apollo 17 if they had been on their way to go to the moon during that time. These are just some of the many things on how space weather can affect the Earth and the Earths weather. Just to remind you space weather is what happens in space and how it affects the Earth and its weather. It can make a huge impact on Earths weather and Earth even though in space it may not look like a big deal. These are some ways space weather affects the Earth and its weather.

British Airways Financial Analysis :: Case Study Analysis, solution

British Airways Financial Analysis The following pages comprise of a financial analysis of British Airways for the financial year ending March 31, 1999. British Airways is a well-established company and has enjoyed high profits for the majority of its existence. However, the most recent accounts that have been published tell a different story of how the year has been. British Airways produced a pre-tax profit of  £225 million. This is  £355 million less than in 1998 which illustrates the decline in demand for British Airways services. Although this decline in profits of 61% seems unacceptable it was caused by a variety of abnormal expenses. For example the company spent  £35 million on computer systems to ensure that they are â€Å"year 2000 compliant†. British Airways also entered the low cost air travel market during the year with the launch of â€Å"Go†, which is running at a loss as it tries to establish itself in a highly competitive business environment. Lower fuel prices and the strength of the Pound benefited British Airways, and as a result the company stocked up on 45% of its fuel requirement for the next financial year. This also contributed to the fall in profits for the year. Operating Profit Fell from  £504 million in 1998 to  £442 million in 1999. The return on capital employed or primary ratio was just 17.06%. This is a great deal smaller than the 1998 figure of 61.2%. These figures both show that the business is achieving a return higher than that which could be achieved in a non-risk investment such as a high interest no access bank account which would only give a return of 7 to 9%. British Airways has a working capital of 5.1, which shows that it has high solvency. Overall, although the firm has incurred a loss of  £355 million in the financial year it is still a healthy business that shows promise of high profits in future years.

A Paper Against School Prayer

The term â€Å"school prayer† is understood to refer to a state sanctioned prayer in public school classrooms. This would mean either that the state allowed for a time of prayer in the classroom, and/or a set of allowed invocation to be led either by the teacher or one of the students.Actually, school prayer has been a part of American classrooms for more than a century until the Supreme Court ousted such a practice in 1962 and 1963 (Neiberger, par. 13). From the time that such a practice was declared to be contrary to the first amendment establishment and free exercise clauses, the issue never really died down.Some people rejoiced over the eradication of such an exercise, while others have continuously blamed the present moral crises and poor SAT scores on the elimination of school prayer (Gaylor, par. 23). In this paper, I would want to argue that the elimination of school prayer is true to the essence of the American Constitution.   I will argue on this point by showing t he constitutional and legal bases of claim.The Legal Bases of the Abolition of School PrayerThe First Amendment specifically says that â€Å"Congress shall make no law respecting the establishment of religion [known as the Establishment Clause] or prohibiting the free exercise thereof [known as the Free Exercise Clause]† (The Constitution of the United States). The Establishment Clause acts as the guardian for the separation of Church and State, while the Free Exercise Clause protects the right of individuals to practice religion or to not practice any at all (â€Å"School at Prayer: A Community at War,† par.1). The Establishment Clause and the Free Exercise Clause guarantees the right of religious practice of everyone, and that means students included, but such a practice should not interfere nor infringe on the free exercise of others. In the school setting, this would mean that â€Å"Students have the right to engage in voluntary individual prayer that is not coerc ive and does not substantially disrupt the school's educational mission and activities† (Anti-Defamation League, par.2). This also means that teachers may not, acting in their office as teachers, promote any religion nor initiate or encourage prayer among the students: â€Å"When acting in their official capacities as representatives of the state, teachers, school administrators, and other school employees are prohibited by the Establishment Clause from encouraging or discouraging prayer, and from actively participating in such activity with students† (US Department of Education).  As a public school teacher, neutrality to religions would have to be practiced; one’s individual faith or lack of it should not intervene in the exercise of neutrality in schools. To make our point clear, we could cite some cases that should exemplify this neutrality at the same time this right to free exercise of religion. The Anti-Defamation League gave some examples so that this p oint could be understood. We would cite some of these examples.A student may, in the exercise of her religion, pray personally inside the classroom or before eating meals as long as such an exercise is neither disruptive nor coercive. This would mean that a student may not pray when being called upon for recitation. This would also mean that students may not broadcast prayers in the school intercom. Forcing other co-students to pray or to engage in some other religious activities would likewise be unconstitutional.A student-initiated and school sanctioned prayer before an athletic event or similar activities would clearly be coercive at the same time potential exclusive of students who do not practice any religion or whose religious foundations are radically different from those students who have initiated the prayer. The same caution should also be practiced by the faculty members and staff. The case of Central Valley High School football championship was cited as an exemplifying c ase.On the day of the Central Valley High School football championship, the coach gave the traditional pep talk to the Bulldogs, and afterwards asked his team to do a prayer together. Richard Nelson, an atheist student, felt uncomfortable. The coach simply told him that he could either not join in the prayer or step out for while as the remaining members of the team do their prayer. In such a case, the coach’s actuations would clearly be unconstitutional since promoting prayer would be endorsing a religion, or at the very least, religiosity. It is the coach’s responsibility to remain neutral. His actions showed partiality, and at the same time isolated Richard Nelson from the team.Another case that is worth citing would be the case of Jessica Lewis. Jessica Lewis makes it a point to pray during recess and even engages her classmates into a religious conversation. The school officials were alarmed and hence forbade Jessica from praying and engaging in religious conversa tions during recess. Actually, the school officials should not keep Jessica from praying and engaging in such conversations as long as her practices are not disruptive nor coercive.As long as she does not interfere in school activities and does not force her classmates to converse with her, there would be nothing unconstitutional in Jessica’s actions. In this case, Jessica’s acts would not constitute school prayer; it would plainly be a voluntary, personal prayer that is fully protected by the Free Exercise Clause.

Jamestown and Massachusetts Bay Essay

Both the colonies of Massachusetts Bay and Jamestown were different in that Massachusetts Bay consisted of mostly puritans; Massachusetts Bay was settled by Europeans. Both settlements struggled to survive at first. They both also encountered natives living there before they arrived. In Virginia there were the Native Americans and in Massachusetts Bay there was a large number of Puritans. Although there were many differences between the two colonies it comes to no surprise that they are very much so related, mostly in their hardships. Such as in Virginia there was disease, famine and continuing attacks of the neighboring Native Americans which took a tremendous toll on the population. Only sixty out of the original two hundred and fourteen settlers at Jamestown survived. While at the Massachusetts Bay, the settlers had their hardships too. The long, harsh winters, the unfertile soil, and the unfriendly relationship with the puritans surely made the population shrink. Both colonies struggled with finding nourishment. They survived mostly on the crops that they grew or wild berries and vegetables found in the wilderness. In the winter the crops soon started to die and there was nothing for the settlers to eat. This famine therefore, being the main cause of the population decrease. In the winter, the temperature would drop so low that if you didnt wear several coats of animal fur to keep you warm, you wouldnt stay alive. In Jamestown (Virginia) the settlers were being faced with the danger of the being under attack every day. The Native Americans did not take kindly to the settlers and found it an invasion of land. They were under the impression the settlers were only staying a short time, and would not take over the territory. The settlers had other plans however, to claim the land for King James. In summary, the colonies of Massachusetts Bay and Jamestown were alike in their hardships. Their population downfalls were also quite similar. They were different, in the people in which they had living in each colony, also the enemies that both colonies established. Jamestown and Massachusetts Bay  were great civilizations that started our society as a whole, where would we be without them? Sources http://www.nps.gov/jame/historyculture/jamestown-and-plymouth-compare-and-contrast.htm

Sister City Program Dalian and Oakland Cities

Sister City Program Dalian and Oakland Cities Introduction In the international system, the idea of sister city program was established in 1958, even though little emphasis was placed on international trade and economic cooperation. In the mid 1960s to early 1970s, the focus shifted on economic, trade, and cultural cooperation.Advertising We will write a custom research paper sample on Sister City Program: Dalian and Oakland Cities specifically for you for only $16.05 $11/page Learn More This was attributed to the increased participation in the plan by Chinese and Japanese cities, which were considered some of the best places to conduct business in the world owing to the massive business opportunities and expansive markets. Chinese cities, including the Dalian city, are taking part in the program due to China’s official entry into the World Trade Organization in 20011. China’s decision to join the sister city program is motivated by the special features, which are relevant to the American- Chinese relations. The main aim Dalian and Oakland cities is to engage in economic cooperation, which in their context means an obligation to augment financial and commercial interests in the two cities on a reciprocally beneficial terms. The two cities perceive the sister program as a centre or preliminary level for the establishment of a wider system of joint engagements (memoranda of understanding). The cooperation of the two cities is a prove that business and cultural and business practices in China are gradually changing in a way consistent to the western practices. However, the cultural practice of guangxi, popularly referred to as the personal networks, is one of the major impediments that are usually considered when designing policies that would govern the relations between the two cities2.Advertising Looking for research paper on international relations? Let's see if we can help you! Get your first paper with 15% OFF Learn More In the United States, the idea of sister cities was brought into light by the former president, Dwight Eisenhower. His statement signified that the major objective of the sister city program was to encourage durable developmental networks in terms of communication, which would automatically reduce conflicts and misunderstandings. This paper analyzes the cooperation between Oakland city situated in California and Dalian city in China. Major Negotiations The major negotiations between the two cities entail education and culture, which have led to the establishment of additional negotiations related to business connections. The city of Oakland have established negotiations aiming at strengthening ties between universities, which is one way of strengthening cultural ties3. The Liaoning Normal University in China is one of the institutions of high learning cooperating with the Oakland city to strengthen cultural ties between the Oakland city and Dalian city. Furthermore, the chambers of commerce of both citi es are under negotiations to strengthen business connections, which would definitely strengthen economic development between China and the United States.Advertising We will write a custom research paper sample on Sister City Program: Dalian and Oakland Cities specifically for you for only $16.05 $11/page Learn More In 2004, the chamber of commerce in Oakland city and the chamber of commerce in Dalian city signed an agreement that would enable them cooperate in matters related to conducting exchange programs in business, which was meant to generate business development in the two cities. The companies in Oakland city would move to China in partnership with the Dalian entrepreneurs to open up joint business that would open up Dalian city to the global investors. The role of the Oakland companies was to stimulate trade by leading as an example to the local companies. A delegation of Oakland city’s professionals have been visiting the Dalian city each ye ar to evaluate the effectiveness of the trade agreement signed in 2004. Through the cooperation of the two cities, string links have been established in the field of food processing, monetary services, and automotive trade. Culturally, the two cities have negotiated a deal that would allow American trade mission participants to return home with massive knowledge of the Chinese market and vice versa. American firms have been performing dismally in China due to the differences in culture between the two countries. Understanding the behavior of the market is one of the strategies that would help a company or an organization to outdo others in the market. Therefore, the city of Oakland came up with a plan that would enable American investors to participate in cultural shows and programs in China to help them understand the Chinese market. The American investors have come to the realization that it would take them time to learn and understand the Chinese culture. In this regard, the city of Oakland came up with a program to facilitate easy flow of trade, without considering cultural differences4. In the Dalian city, students from Oakland have an opportunity of interacting with their follow students at the Missouri State University branch.Advertising Looking for research paper on international relations? Let's see if we can help you! Get your first paper with 15% OFF Learn More This implies that the two cities have allowed their universities to negotiate over the possibility of establishing branches in the two cities. The interactions are vibrant because they promote future business connections. Liaoning Normal University and Missouri State University operate jointly a business program at the Missouri University in Dalian city5. Chinese students are encouraged to pursue a course in business with supervision from the Missouri State University. It is established that the corporate culture of Chinese and Americans is very different. The combination of the two corporate cultures would be beneficial to students and business executives. In 2005, the two cities negotiated a deal that would see Chinese students learning English language, a program referred to as the English Corner. Similarities between Dalian City and the Oakland City Dalian city was given full authority to operate as an independent city given its potential and ability to expand. It was to serve a s a coastal open-up city, with a separate economic plan introduced in 1985, whose decision-making authority would come from the provincial headquarters. The urban population of the city is over fifty-seven percent implying that it has a good market for the finished products, given the fact that urban people spend differently from those living in rural areas. The city has favorable environment for investment, with an average temperature of less than 11 decrees. It has one of the reliable airports in the region, which serves both local and international citizens. Dalian Zhoushuizi Airport is situated at northwest of the town center6. It has direct flights to the mainland Chinese towns, as well as flights to other major international cities, including Seoul, Hong Kong, and Osaka. In the recent past, the economic strength of the two has gone up, with an approximated GDP growth of 257 billion Yuan. Since 1996, the city has experienced a growth in the growth domestic product. Industrial g rowth is approximated to b 21 billion Yuan. In other words, the growth of the city is ever growing as indicated by the GDP indicators. The city has experienced massive growth in agriculture, trade, tourism, and processing. In sports, the city has attracted various investors and sportsmen, which has boosted the economic growth of the city. The city has one of the greatest natural harbors, which has helped it in attracting investors and tourists. The harbor does not slit. It does not freeze either. Investors in the northern China region, as well as other investors from various parts of Asia rely on the harbor. The city is also rich in culture given the fact that Chinese paper cuts considered rich in content. People from the region believe that auspicious designs are the sign of luck. The designs are also known to keep the devil at bay. Other designs, such as the child, lotus, and bottle gourd are believed to represent the presence large families. The city engages in various economic a ctivities, including domestication of birds, rearing of livestock, and fish keeping. These activities have boosted the growth of the city. Oakland city shares a lot with the Dalian city in China. Just the way Dalian city is depended upon on many things, Oakland city is also valued in the US because it is considered the seventh developed city in the country7. A report released by Forbes Magazine placed Oakland city at number ten as the best city to invest. The population of Oakland is favorable to business because the average age of population in the city is 25 percent. The temperature of the city can be compared to that of Dalian because it is also favorable to business and tourism. Many investors and tourists prefer the city because it has cool weather for business. Oakland International Airport is similar to Dalian Airport because it serves very many people from domestically and internationally. For instance, the Oakland Airport served 13.5 million passengers and 0.6 million tons of cargo in 2003 alone. The 2003 airport passenger data shows that the city is a major hub for international businesses and tourists. Oakland boosts of a bay area while Dalian is well known for its harbor. This implies that the two cities have been able to grow due to their proximity to the sea. The bay area is usually relied upon in terms of information technology, biotechnology, and investment. In fact, other cities are fighting so hard to be like Oakland city meaning that it serves as an example to other cities in the US. The city is endowed with young talented labor force, developed real estate business, strong administration, and developed infrastructure. This has attracted investment and tourism. The port of Oakland is among the largest in North America in the world. The port serves many states in the US and other neighboring countries. The city is compared to Dalian city because they both influence transport in their respective regions. Just as Dalian city boosts of rich work s of art and design, the city of Oakland is also known for its internationally acclaimed Museum, which has an excellent Babylonian style roof. The museum is dedicated to promoting natural sciences and history. Any information regarding the city of California can easily be retrieved from the museum’s database. One of the publishing firms, Prentice Hall, rated the museum the best in the country. This has strengthened the ties between the city and other cities in the world. International Trades International refers to the exchange of goods and services between or among investors from different countries. The Oakland city and the Dalian city are involved in various international trades, including inter-firm trade, intra-industry trade, and intra-industry trade. It should be understood that all forms of international trades entail importation and exportation of goods and services. The two cities are seriously engaged in importation and exportation of finished goods and human labor . However, the modes of importation and exportation of goods are different since entry of goods and exit of goods in a country is controlled by the state due to security reasons. The two cities engage in intra-industry trade because goods produced exported to the city are similar to those produced in the same city. Intra-industry trade means that an investor orders goods from another country, which are similar to what are produced locally. This has been advocated to boost the production and quality standards of goods produced in the two cities. In the United States, goods produced locally are usually expensive due to the costs involved in producing them. For instance, food produced locally is extremely expensive because of the costs related to labor and importation of raw materials. Similar goods are cheaper when imported from China because the cost of producing them there is very low. The city of Oakland imports automobiles from China because they are cheaper when compared to those produced in the country. Similarly, the city of Oakland exports food to China because the production of food in the US is cheaper8. Regarding intra-firm trade, the city of Oakland has entered into trade agreements with Chinese firms to produce goods with similar standards as those produced in the city. The same case applies to the Dalian city, which has various outlets in Oakland producing goods that are similar to those manufactured in Dalian city. The Oakland city exports materials to the Dalian city while investors in the Dalian city import unfinished products from Oakland city. This is inspired by the fact that the two cities differ in terms of technology9. A product manufactured in Oakland may demand that a certain special skill or machine is imported from Dalian city. Instead of importing labor and machinery, it would be cheaper to export the raw material. It is the role of the commerce chambers of the two cities to agree on the modalities of importing and exporting goods. Ma intaining Relationships The existing economic and cultural cooperation between the two cities can only flourish if a strong conflict resolution mechanism is established. The main conflicts that would probably derail the cooperation between the two cities are related to trade, such as unfavorable balance of trade whereby one of the cities would perceive that it is not reaping maximally from the relationship. In this regard, it is the responsibility of the cities’ managements to ensure that conflicts are resolved before they escalates into something complex that would impede the relationship of the two cities. In the current international system, the major challenges include the security problem, which has been complicated by the terrorist organizations and Islamic extremism. The 9/11 incident showed that terrorism and extremism are the major threats to world business and cooperation. The two cities cannot coexist in case they do not come up with ways of stemming out terrorism because they are all affected. Terrorism is one of the challenges referred to as the global common because no state is safe as far as the activities of terrorism are concerned. Cooperation between the two cities could be brought to a halt in case they do not address the issue of terrorism. In this case, they should consider formulating policies that would be applied in the two cities. This is mainly because terrorists can take advantage of the free movement of goods and people to exercise their heinous acts of terrorism. If security prevails, the two countries will continue cooperating, but if something related terrorism occurs, they will have no option, but to cut their cooperation. Another issue that the two cities need to address in order to further their relations is the issue of trust, understanding, and civilization. They have to come up with clear policies that would govern their relations as regards to investment because Chinese investors have always complained that their Am erican counterparts are given undue advantage because they are favored by the organization in charge of trade in the world (WTO)10. Lastly, the two states can do well economically if they realize that global financial crisis is a threat to their cooperation. Future International Business Projects Through research, it is established that the two cities have great future in case they maintain their cooperation. However, they have to do more in order to boost their cooperation in the future. They have to come up with joint business projects to facilitate their growth. The two cities should come up with a taxation system that would be applied uniformly within the borders of the two cities because it would encourage investors to shift freely from one city to the other. Moreover, they should enact business laws that favor investors in the two cities. Investors from the two cities should be involved in the designing of laws to prevent any complaints in the future. Bibliography Bagwell, Bet h. Oakland: The Story of a City. Novato: Presidio Press, 1982. Eltschinger, Cyrill. Source Code China: The New Global Hub of IT Outsourcing. New York: John Wiley and Sons, 2007. Haft, Jeremy. All the Tea in China: How to Buy, Sell, and Make Money on the Mainland. New York: Penguin, 2007. Jessen, Gene. The Powder Puff Derby of 1929. New York: Sourcebooks, 2009. Lippincott, Jonathan. The World is flat. New York: Farrar, Straus, and Giroux, 2006. McKnight, Tom. Geographica: the Complete Illustrated Atlas of the World, 3rd revision. New York: Barnes and Noble Books, 2001. Perrins, Robert. Great connections: The creation of a city, Dalian, 1905–1931. Quebec: York University, 2005. Siegelman, Stephen. Trader Vics Tiki Party! Oakland: Ten Speed Press, 2005. Tramble, Thomas, and Wilma Tramble. The Pullman Porters and West Oakland. New York: Arcadia Publishing, 2007. Ulrich, Allan. â€Å"Oakland Ballet Company review: Witty and eclectic.† San Francisco Chronicle 3.1 (2011): 29- 65. Footnotes 1Jonathan Lippincott, The World is flat (New York: Farrar, Straus, and Giroux, 2006), 37. 2Tom McKnight, Geographica: the Complete Illustrated Atlas of the World, 3rd revision (New York: Barnes and Noble Books, 2001), 19. 3Stephen, Siegelman, Trader Vics Tiki Party! (Oakland: Ten Speed Press, 2005), 78. 4Allan Ulrich, â€Å"Oakland Ballet Company review: Witty and eclectic,† San Francisco Chronicle 3.1 (2011): 35. 5Robert Perrins, Great connections: The creation of a city, Dalian, 1905–1931 (Quebec: York University, 2005), 15. 6Cyrill Eltschinger, Source Code China: The New Global Hub of IT Outsourcing (New York: John Wiley and Sons, 2007), 39. 7 Gene Jessen, The Powder Puff Derby of 1929 (New York: Sourcebooks, 2009), 78. 8 Thomas Tramble and Tramble Wilma. The Pullman Porters and West Oakland (New York: Arcadia Publishing, 2007), 24-57. 9Beth Bagwell, Oakland: The Story of a City (Novato, CA: Presidio Press, 1982), 48. 10Jeremy Haft, All the Tea in Chin a: How to Buy, Sell, and Make Money on the Mainland (New York: Penguin, 2007), 88.

Character Study of Reverend Parris in The Crucible

Character Study of Reverend Parris in The Crucible Reverend Parris, a character in  Ã¢â‚¬â€¹Ã¢â‚¬â€¹The Crucible play by Arthur Miller is considered to be despicable in many ways. This town preacher believes himself to be a pious man. In truth, he thirsts for power, land, and material possessions. Many of his parishioners, including the Proctor family, have stopped attending church on a regular basis. His sermons of hellfire and damnation have shunned many of Salem’s residents. Because of his unpopularity, he feels persecuted by many of the citizens of Salem. However, many residents, such as Mr. and Mrs. Putnam, favor Rev. Parris harsh sense of spiritual authority. He often bases his decisions off of self-interest, though he camouflages his actions with a faà §ade of holiness. For example, he once wanted his church to have gold candlesticks. Therefore, according to ​John Proctor, the Reverend preached only about the candlesticks until he attained them. In addition, Proctor mentions that Salems previous ministers never owned property. Parris, on the other hand, demands to have the deed of his home. He fears that the residents might cast him out of the town, and he, therefore, wants an official claim to his property. It is no coincidence that he considered all of the defendants enemies long before they were accused of witchcraft. He becomes even more pathetic during the play’s resolution. He wants to save John Proctor from the hangman’s noose, but only because he worries the town may rise against him and perhaps kill him in retaliation. Even after Abigail steals his money and runs away, he never admits fault, making his character all the more frustrating to behold.

Ethical Issues in Healthcare Assignment Example | Topics and Well Written Essays - 250 words

Ethical Issues in Healthcare - Assignment Example In terms of impact, it is estimated that widespread use of EHRs will save about $77.8 billion in healthcare cost annually, which is about 5% of the total health care expenditure in the U.S. (Baron, Fabens, Schiffman & Wolf 225). Implementing HITECH will involve careful planning and training of health care professionals. Regular quality checks and audits must also be conducted to ensure accuracy and data integrity. 3. The main components of communication are context, sender, message, medium, recipient and feedback. The primary purpose of communication is to disseminate information and express one’s thoughts or emotions. 4. Factors essential for shared decision making are: appreciation of the patient’s rights and responsibilities in the decision making process, adequate knowledge about patient condition and awareness about various options and implications of the choices made (Clark, Nelson, Valerio, Gong, Taylor-Fishwick & Fletcher, 2009). Shared decision making is critical in nursing as it ensures commitment, ownership, accountability, and responsibility for the process and outcomes in patient care (Hannon, 2009). 5. In my interaction with an ICU patient, the patient was unable to speak and provide feedback verbally. Therefore we relied on gestures, head nods, and mouthing words to communicate with each other. To confirm her responses, I replicated her gesture to affirm the meaning. This patient interaction made me realize that feedback is very