Thursday, October 31, 2019

Contemporary Approaches to Christian Education by Jack L Seymour and Essay

Contemporary Approaches to Christian Education by Jack L Seymour and Donal E Miller - Essay Example Literature available on this book suggest that there has been very little innovation or even slightly interesting breakthrough in the field of religious-teaching publishing for the last couple of years. It may be quite in order to point out that theological work has remained unchallenged for sometime now. Ordinary themes as well as common ground in the field of contemporary religion have been studied over and over again, but regrettably all have earthed up very little generative insight or research innovation. Through out the years, it has become evident that spiritual educationists have been unable to fully understand the broad disciplines of educational research as well as the various branches of psychology. In fact the truth of the matter is that fewer of these religious educators possess an adequate understanding of the contemporary philosophy or theology (Westerhoff and Neville). In view of this, various authors have tried to grapple with this unending lack of insight into the contemporary divinity. The Mighty Stories and Dangerous Rituals which is a text done by Anderson and Foley is found to be such an extremely important as well as opportune, and most insightful piece. In addition to being engaging theologians, these two authors also have a considerate and convincing vision of education in theology that is capable of breaking free of the general melancholy of the contemporary field. Taking their work seriously could truly mark a significant breakthrough for injecting new life and direction to an otherwise gray field. Looking at the text, one finds out that it is not only affluent in its application of a wide variety of scholarly research, but also in its depth and maturity of thought (Westerhoff and Neville). To further still give an understanding into the contemporary religion, (Westerhoff and Neville) argues that Jack L. Seymour and Donald E. Miller in their book seek to explore the relation of narrative story and ritual. According to these

Tuesday, October 29, 2019

Fasibility on Generic Pharmacy Essay Example for Free

Fasibility on Generic Pharmacy Essay INTRODUCTION According to http://en.Wikipedia.org/wiki/Pharmacy DRUGSTORE is a common American term for a type of store centrally featuring a pharmacy. Drugstores sell not only branded and generic medicines, but also miscellaneous items such as candy, cosmetics, and magazines, as well as light refreshments. During the height of the war on drugs, many stores removed the term Drugstore from their signage and replaced it with the more politically correct term Pharmacy. A PHARMACY is the health profession that links the health sciences with the chemical sciences and it is charged with ensuring the safe and effective use of pharmaceutical drugs. The scope of pharmacy practice includes more traditional roles such as compounding and dispensing medications, and it also includes more modern services related to health care, including clinical services, reviewing medications for safety and efficacy, and providing drug information. From http://en.Wikipedia.org/wiki/Drugstore A GENERIC DRUG is a drug defined as a drug product that is comparable to brand/reference listed drug product in dosage form, strength, route of administration, quality and performance characteristics, and intended use. It has also been defined as a term referring to any drug marketed under its chemical name without advertising. Although they may not be associated with a particular company, generic drugs are subject to the regulations of the governments of countries where they are dispensed. Generic drugs are labeled with the name of the manufacturer and the adopted name (non-proprietary name) of the drug. A generic drug must contain the same active ingredients as the original formulation. http://en.Wikipedia.org/wiki/Generic_Drug BRAND-NAME DRUG a drug that has a trade name and is protected by a patent (can be produced and sold only by the company holding the patent). http://audioenglish.net/dictionary/brand-name_drug A DRUG is a substance which may have medicinal, intoxicating, performance enhancing or other effects when taken or put into a human body or the body of another animal and is not considered a food or exclusively a food. http://en.Wikipedia.org/wiki/Drug In addition to being operated as a private business and selling affordable medicines, our pharmacy are also catering free services such as free medical consultations and check-ups. We are willing to help our fellow Filipinos by giving discount in their medicines especially in terms of calamities like those people who is flood victims and typhoon, our pharmacy is willing also to give substantial discounts to those who would like to buy medicines for donation purposes. In recent years, people demanded for cheaper medicines because of the change in the quality of living. At the same time the generic medicines industry is growing through the years and there are provisions that supports the selling of generic drugs in the Philippines which is R.A. #6675 which is an act to promote, require and ensure the production of an adequate supply, distribution, use and acceptance of drugs and medicines identified by their generic names. Our business proposal is a generic pharmacy. 1.1 COMPANY DESCRIPTION The proponents, Ms Asio, Charis Ann, Ms. David Divine Grace, Ms. Garay, Rosalie, Ms. Llanza, Buengie, Ms. Manto, Noreen and Mr. Montallana, Reynaldo will manage and supervise the entire operation of the Medicure Generic Pharmacy, an unlimited liability company. The proponents combined efforts in the creation of Medicure Generic Pharmacy have serve to come up with detailed plan that encompass the important elements required to succeed in today’s competitive pharmacy environment. In closing, we feel the business plan for Medicure Generic Pharmacy represents a realistic expectation of success for all parties involved. Moreover, we will be providing a benefit to the community by providing a great product and secure jobs to community residents. LOCATION The proponents decided to place the pharmacy in the corner of Jalleville Subdivision along Quirino Avenue San Dionisio Paranaque City based upon the facts that all potential pharmacy locations is far from the Our Lady of Peace Hospital. Our propose location are located in closest to hospital and also it is in the corner which many Barangay’s are located. It is also along in the Quirino Avenue which is most of the passengers and car owners from Las Pinas, Pasay and Paranaque City are pointing this road. CAPITALIZATION Establishing a Generic Pharmacy apparently needs capitalization. In approximation, the proposed business will cost P 1,390,000.00. The 65% of capital will be funded by the proponents and the remaining 35% are loan from the bank. Charis Ann AsioDavid Divine Grace| Php 150,583.33 150,583.33| Garay Rosalie| 150,583.33| Llanza Buengie| 150,583.33| Manto Noreen| 150,583.33| Montallana Reynaldo| 150,583.33| Capital ContributionBank LoanTotal Capital Investment| 903,500.00 486,500.00 Php 1,390,000.00| START-UP SUMMARY The Medicure Generic Pharmacy will incur the following needed start-up cost. * Office Furniture’s and Fixtures * Chairs * File cabinets * Desks * Machineries and Equipments * Computer server with a laser printer, and a back up system, installed with software; Microsoft Office, QuickBooks pro, drug interaction software, Physician Desk, Reference Software detailing side effects and other information pertinent to the customers * Two front counter, storage bins, cash registers * Refrigerators * Air-condition * Store Supplies * Envelopes * Ribbons * Bond papers * Ball pens * Tape * Staples and stapler * Trays * Plastic bags etc. * Store front build out * Signage * Logos * Paints etc. * Lease * Star-up inventory * Generic medicines * Miscellaneous items * Working capital * Contingency fund * Legal fees * * BIR * SEC * MAYORS PERMIT * BUSINESS PERMIT * MERALCO * NAWASA BREAKDOWN OF START-UP COST Office furniture’s fixtures Php 160,000.00 Machineries Equipments160,000.00 Store Supplies 50,000.00 Store Build Out200,000.00 Start-Up Inventory450,000.00 Legal Fees 70,000.00 - Working Capital300,000.00 Total Capital RequirementPhp1, 390,000.00 VICINITY MAP Medicure Generic Pharmacy 1.2 BUSINESS CONCEPT MISSION †¢ To offer the widest range of quality affordable generic medicines putting customer satisfaction above all by serving our clients’ needs efficiently, effectively, providing friendly and professional counseling. †¢ To recognize the importance of our employees in achieving our aspirations, and to keep them highly motivated based on the principles of fair compensation, meritocracy and respect. †¢ To educate the public about quality generic medicines and to provide various community services to fulfill our social responsibilities to our countrymen. VISION THE MEDICURE GENERIC PHARMACY aims to be the leading national chain of drugstores offering quality and affordable generic medicines with superior customer service that will satisfy the customers need. VALUES * Integrity We will commit to truth and honesty in what we say and do, and practice high standards of fairness and ethics at work and in our relationships. * Customer Satisfaction We will serve and interact with our internal and external customers as best as we can, in a professional and friendly manner. We constantly look for innovative products and services that will answer their needs. * Excellence We will aim high in everything we do and continuously seek to improve our level of performance. * Team work We will communicate and cooperate with one another, working together in an harmonious way to achieve the company’s goals. * Respect for the Individual We will show respect, appreciation and concern for every person. We engage in positive relationships based on mutual trust. * Social Purpose We will do believe that it is our responsibility to help the community and our countrymen. We recognize that the nature of our business, especially the corporate focus on quality affordable generic medicines, gives us a unique opportunity to make a very positive contribution to the health of the communities that we serve. TAGLINE Mabisang Gamot at Serbisyong Maaasahan GOAL The Medicure Generic Pharmacy long term goal is to become the number 1 generic drugstore in the Philippines offering a very effective and efficient customer service and having a strong sense of social purpose. HISTORY The proponents come up with an idea of putting up a Generic Pharmacy catering to customers when some of the proponents made a research in one of our major subjects which was Marketing Research. The research was entitled The Perception of the Consumer on the Effectiveness of Generic Medicines in a selected Barangay in Paranaque City. This completes its essence of the outcome of the research and will serve as a basis for future studies on business. We also agreed to come up with a business that was related to our research as mentioned which is a Generic Pharmacy. Since we already have the idea that this kind of business will have a chance in the market due to the needs of the consumers of affordable quality medicines. Since we are Business Administration students major in Marketing Management we are applying all what we have learned. The propose name of our business would be Medicure Generic Pharmacy. â€Å"Medi† is a short word of medicine and â€Å"Cure† means recovery or relief from a disease. We decided to have this catchy for an easy retention to our clients or customers. VENTURE DESCRIPTION The proposed establishment is a generic pharmacy named Medicure Generic Pharmacy. We will be able to sell generic drug prescriptions at reduced prices by carefully maintaining efficiencies and effective operations and by targeting a specific segment of the market or with over the counter and prescribed medication to our customer. Aside from catering generic medicines, we will be able to sell miscellaneous items such as cosmetics, tissues, toothbrush, candy, magazines, as well as light refreshment and etc. We believe that providing over†the†counter (OTC) medications that compliment prescription and miscellaneous items can create a â€Å"one†stop†shop† for the customer. For employees, a more comprehensive line of front†end and over the counter items that consist of items that may be needed during the work day such as tissues, toothbrush can create an added customer convenience. In both instances, providing non†prescription items can eliminate the need for the customer to travel to other settings that offer prescription services. When considering non†prescription items for product placement, durable medical equipment (DME) should also be considered for resell. By focusing on this segment it gives us additional efficiencies we avoid disruptions in cash flow often associated with insurance payments and we can eliminate unnecessary services for the type of knowledgeable, repeat customer taking maintenance-type medication. Our pharmacy will operate from one store that will serve walk-in customers or those persons visited personally and buying over the counter. We will thrive by employing friendly and knowledgeable personnel, which, along with our great prices, will drive the repeat business that we will rely upon. We only expect that as the price of medication continues to skyrocket, the pharmacy will appeal more and more to the customers sense of value and convenience. Concept Description and Statement The Medicure Generic Pharmacy is a business venture that sells generic medicine to customers prescribed medication. We sell also miscellaneous items such as candies, cosmetics, toiletries, baby care products and medical or surgical products to customers for a one-stop-shop experience. We believe that in selling other merchandise assortments except for a generic medicine will serve convenience to our target customer. Our propose location is in the corner of Jalleville Subdivision along Quirino Avenue San Dionisio Paranaque City with a lot area of 25m long and 20m wide. It consists of two (2) POS, shelves, waiting area with seats, parking lot, fire extinguisher in case of emergency and a room for employees with one (1) comfort room. We put three (3) computers with systems including the price per quantity item. This will help the customer to canvass the price for their prescribe medication and other items by asking a pharmacist. We put a storage area where we can store our new delivered products. The pharmacy is fully air conditioned to maintain the quality of our products especially medicines. We hire people to man the pharmacy in a day to day operation. It consists of a one (1) General Manager, Supervisor, Registered Pharmacist, and three (3) Pharmacy Assistant. The Medicure Generic Pharmacy anticipates serving continuously from seven (8) o’clock in the morning up to nine (9) in the evening everyday from Mondays to Sundays. The expected table of operation are as follows.

Sunday, October 27, 2019

Mental Health Strategies in Northern Ireland

Mental Health Strategies in Northern Ireland This text demonstrates that Northern Ireland has a 25% higher record of reports of mental health issues than the remainder of the United Kingdom (UK). It is illustrated that women on average tend to report more mental health problems than men depending on the age category of that person. For example, in almost all cases of the age groups, women recorded to have a higher percentage of showing signs of mental health issues than men. Two age groups which have demonstrated that men have a higher percentage are of the 25-34 and 55-64 age categories. This could be due to a number of reasons as at this age they could be encountering financial or family pressures and issues which could lead to stress or other related mental health illnesses. It is also displayed that as a person increases in age the percentage of people with mental health problems decreases over time and the mental health of a person would improve. The highest and most common form of mental health problems in 2013 reported w as anxiety disorders with 14.3% while mood disorders were recorded as 9.6%. Over a period of a year a high 60% of individuals who were suffering from a mental health disorder went untreated. This was more than half of those who required treatment. Those whom did receive medical attention felt as if they didnt receive help that was of a beneficial standard. Between 2010/11 and 2014/15, the number of patients who were admitted to hospital for further examinations and monitoring had decreased by 13.3% which suggests that the number of people without any mental health problems were improving. However, the number of beds available to mental health patients had too decreased being a contributing reason as to why the number of people with mental health disorders had decreased, because they were unable to be given any treatment. Of those who were administered to hospital, over half (54.5%) were males. The amount of medication prescribed for mental health issues such as for anxiety disorders increased by a fifth over four years. With relation to the level of prescriptions for antidepressants, Northern Ireland has higher levels of depression than that of the UK. This has resulted in an increase in the amount of money being spent on the prescriptions. Between 2010 and 2013, Northern Ireland was recorded to have spent the most on prescriptions than England, Scotland and Wales. This suggests that the people of Northern Ireland are experiencing the greatest amount of mental health issues and need an increased amount of anti-depressants. In 2013 it was recorded that two thirds of women were suffering from mood and anxiety disorders and were receiving more antidepressant and antianxiety medication than men and this was twice as high for those in the higher levels of socioeconomic deprivation. In urban deprived areas of Northern Ireland people were 75% more likely to have received medicati on for anxiety. The Northern Ireland Young Life and Times survey reported that 29% of 16 year olds have experienced serious personal emotional or mental health difficulties. Child health in Northern Ireland can be classified as some of the poorest in the eastern areas of Europe. In 2008 in Northern Ireland, 90% of young people admitted that they had never self-harmed. This decreased to 87% in 2013 which demonstrates an increase the amount of young people who self-harm in 2013.It is predicted that the number of people with dementia in Northern Ireland in 2010 will increase by 40% in 2021. It is also recorded that in Northern Ireland the elderly population living in nursing homes is 3.5 times higher than in England. Reports for mental health problems in men aged 65 and over have been higher in those living in deprived areas. Same-sex couples in Northern Ireland who have children have been involved in discrimination and injustice. In Northern Ireland same-sex marriage is not legal unlike in England, Scotland and Wales. In 2013, 29% of people in Northern Ireland disagreed with same-sex marriage.Evidence has found that 35.3% of Lesbian, Gay Bisexual /Transgender (LGB/Ts) in Northern Ireland encountered self-harm whereas the remainder of the UK is lower with 13 per cent. LGB/T people who are living in rural areas have a higher level of experiencing depression with more than 5 in every 8. In Northern Ireland, ethnic minority groups have lower rates of employment. Unemployment rates for Black groups were 12.4% while the non-ethnic groups of Northern Ireland who are of the working age were lower at 5%. In 2015, females in Northern Ireland achieved 83.4% grade C or above GCSEs results which was higher than that of males which was 71.4%. On the contrary, men had a higher employment rate with 71.4% while the women s was 61.9%. Mental health problems have been identified as the main reason for leave to be granted from the workplace with 39.1% related to Northern Ireland. This too demonstrates that a higher percentage of females would be encountering mental health issues as there are more males employed in work. Northern Ireland have been recorded with the highest number of suicides with 16.4 per 100,000 population compared to the UK with 10.3 in England, 9.2 in Wales and 14.5 in Scotland. Males in Northern Ireland were reported with the highest rates of suicide in the UK with 75% in 2014. It has been recorded that male travellers have a suicide rate which is 6.6 times more than the suicide rate of males who arent travellers. This could be due to them suffering from mental health illnesses which went untreated. The current suicide rate of 27 per 100,000 for males is the highest since 2010. Self-harm has been recorded at its highest in Northern Ireland compared to the rest of the UK. In 2013, 10% of self-harm medical treatment in hospitals wasfor those under the age of 18.Girls have had a higher recording of self-harm of 15.5% compared to boys with 5.1%. Girls of this age may be experiencing difficulties, for example emotional issues, which lead to stress or mental health problems which they deal with by self-harming. According to the Northern Ireland Study of Health and Stress over half of the people asked said they have experienced a traumatic event at some stage of their life and 32% of those who had been involved with trauma have had a mental health issue. Social determinants may be a contributing factor to mental health disorders. Oxfam have reported that in January 2014 in Northern Ireland 32% lived in poverty along with a quarter of the population earning less than the living wage. Evidence shows that those people living in the most deprived areas are two times more likely to develop mental health problems than those who are not. In 2009 in Northern Ireland 1.47% of people were found to be homeless and this is similar to Scotland with 1.56% whereas 0.19% was in England and 0.45% in Wales. These statistics have increased each year over the five year period in Northern Ireland. Strategies: Investing for Health-Promoting Mental Health Strategy and Action Plan 2003 2008 This strategy was developed to provide help and support to sufferers of mental illnesses. They have an aim to reduce the mental problems people are experiencing and to increase the support available to the individual and their families of those with mental health issues. This includes their target to ensure that there is increased recognition of the support materials and organisations available to sufferers of mental illnesses so that they are able to achieve a reduction in the stress they could have. They also aim to decrease any injustice and discrimination towards people with mental health difficulties which may occur. They anticipate working with other organisations in the public and private sector to achieve a reduced number of people with mental health issues. Initiatives: CAMHS CAMHS is an abbreviation of Child and Adolescents Mental Health Services. They provide help and support to young people aged up to eighteen and their families who are experiencing problems in their family life for example, behavioural and emotional issues concerning their wellbeing. Help can be received through consulting the childs GP or a teacher at school for advice. Trained specialists such as psychiatrists work to overcome any difficulties through understanding the problems being faced and closely working with the young person individually and with their family. This would take place in a community environment or in selected departments of a hospital. It allows each member of the family to express their views and feelings to solve the problems affecting them. http://www.youngminds.org.uk/for_parents/services_children_young_people/camhs/what_are_cahms http://www.nhs.uk/nhsengland/aboutnhsservices/mental-health-services-explained/pages/about-childrens-mental-health-services.aspx AWARE AWARE is a charity in Northern Ireland which aims to provide support to sufferers of depression. Support groups are offered by volunteers who are trained in specific areas in relation to dealing with people with depression. They bring together other people who are suffering from a similar illness to give them a chance to talk and share their feelings and experiences.AWARE provides group sessions for all ages on problems associated with wellbeing and mindfulness. The wellbeing programmes have a number of divided groups with regards to the individuals age. For example, the programme for young people aged between fourteen and eighteen years old gives an opportunity for them to learn more about mental health and to understand the signs of depression and emotional difficulties related to their mental health. This will provide further education on mental illnesses and problems. Mindfulness is another group session involved in the AWARE charity. Here, people learn to deal with difficult tasks they may face on a day to day basis in a peaceful and stress free manner. This is accomplished through a form of meditation which allows a relaxation period for any worries and depressive thoughts to be overcome. https://www.aware-ni.org/ MINDING YOUR HEAD Minding your head is a mental health awareness initiative which provides help to people who may be suffering from poor mental health. They do this by supplying a variation of information with relation to organisations who could offer support in communities in Northern Ireland for example Action Mental Health. This could be achieved through support groups to help people to overcome their problems and difficulties associated with mental health. It also provides information on how to maintain and improve mental health to minimise the chances of illnesses regarding mental health in the future.5 steps to wellbeing is an example of a resource developed through MINDING YOUR HEAD to help deal with mental health difficulties a person may be experiencing. This initiative outlines a variety of strategies and procedures to follow which could play a contributing role in a persons mental health. The five steps include: Connect Be active Take notice Keep learning Give

Friday, October 25, 2019

Complementary and Alternative Medicine Essay example -- Health, Medici

Introduction In recent years, there has been an increasing interest in complementary medicine, and indeed alternative medicine (Lee-Treweek 2002, Andrews 2004, Barry 2006). Moreover the number of professionally trained therapist and practitioners has increased giving the patient/client a better choice and at more competitive rates (Smallwood, 2005). In this essay a critical assessment of the view that ‘patients use of complementary and alternative medicine, can be understood as part of the individualisation of responsibility for health’ will be made and argued, that there are many aspects which influence the uptake of such therapies. Responsibility for health has changed and this will be discussed by examples of sociological theories. Medical sociologists have been previously concerned with illness rather than health. Functionalists such as Parsons (1951) suggested illness was a deviance and had the effect of disruption on society which had to be controlled. He used the sick note to illustrate that the sick person was excused from performing normally, but this had to be kept to a minimum and the sick person had to want to get better. The function of the medical profession was to socially control the use of the sick note to those genuinely sick (Webb, Westergaard, 2004). However in today society the working pers on aims to keep working during some illnesses or at least limit the time spent away from work. To do this it involves taking some responsibility for keeping healthy and reducing the time actually being ill. Therefore by choosing to use CAM and alternative medicine, it could provide an additional method which may combat illness and help speed up recovery (Lett, 2000). 08015960 Possible reasons why patient/clie... ...t approach of dictating the direction the Nation Health Service should follow. This caused a vast change in how services were delivered, with cost influencing many decisions. Clinical governance emerged in the late 1990’s when New Labour took power, and evidence based practise became the norm. Netteleton (2010) likens clinical governance to Foucault’s term of ‘governmentality’ whereby collective objectives are kept in check. Evidence- based practise is an aspect that has been the most difficult for CAM and alternative practises to combine with, as measuring and gathering quality evidence is difficult to obtain. The integration into conventional health care will depend upon finding a balance between the two disciplines. However if individualism proves to favour CAM and alternative methods then social pressure may yield quicker than the academic struggle.

Thursday, October 24, 2019

Types of Beam

Introduction to Structural Analysis Contents Introduction . †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 Type of beam †¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦4, 5, 6 & 7 References†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦8 Introduction A beam is a structural member which carried load. These loads are most often perpendicular to its longitudinal axis, but they can be varying types. A beam supporting any load develops internal stresses to resist applied loads. The types of beam is determined by the kind of support the beam has at its ends or anywhere along its length. This is because each type of support generates of specific kind and combination of reactions.Types of beam A. Cantilever beam Used to create the floating or hovering effect. This is used to create of a bay window, balconies, and some bridges. The weight load is spread back to the main beams of the structure in the cantilever beams and allowing a portion of the structure to go beyond the supported perimeters of the structure foundation. Building in downtown area Cincinnati. Overhang in building is supported on variable depth cantilevers. Loading on the cantilevers primarily tip loading due to outside columns. (Cincinnati, Ohio) Entrance to stadium taken during construction.Roofing supported on variable depth glue-laminated cantilevers. Loading due to roof weight, wind, and snow. (Berne, Switzerland) World Trade Center. Further example of building overhang supported on variable depth cantilevers. Note that adjacent cantilevers have common tip displacement. (New York City) B. Steel I beam 1. B. Steel I Beam Very popular choice in the construction is no other than steel I-Beam. The I-Beam is also known as W shape. This is widely used in the steel construction. This I-Beam design is common fundamental beam design in commercial structures, but it can be used in the residential design also.Continuous steel plate beam bridge. This 3-span bri dge has a composite section consisting of the steel girder and the concrete roadway on top. The I-beams were fitted with shear keys as in the structure. (Near Lausanne, Switzerland) Quai Bridge. Variable depth continuous riveted steel I-beam highway bridge under construction. In addition to the vertical web reinforcement on the outside girder, note the compression web reinforcement on the inside of the left girder. (Zurich, Switzerland) Continuous I-section plate beam bridge. Detail of bridge showing hinged bearing on intermediate pier.This is the fixed point of the bridge for longitudinal temperature expansion. (Decatur, Illinois) C. Flitch beam Used for coating steel and wood to create a lightweight beam with adequate strength, so this beam design are composite beams. The addition of the wooden elements will allow the beam to be fixed to existing wooden structures. While maintaining the strict construction budget, this is used to support the heavy vertical loads. Flitch beam is ve ry useful when the additional load carrying capacity to an existing beam. Project that involved flitch beamD. Hip beam Project that involved hip beam The hip beam is one among the types of beam; it is very popular in roofing design. A hip beam will provide support for other load bearings beams branching off at symmetrical angles. This is more often used in the residential constructions. References http://nisee. berkeley. edu/godden/godden_a. html/ http://classof1. com/homework_answers/civil_engineering/types_of_beam/ https://www. google. com. my/search? q=type+of+beam&oe=utf-8&aq=t&rls=org. mozilla:en-US:official&client

Wednesday, October 23, 2019

Nursing Home Administrator Essay

The delivery of Healthcare is a high touch enterprise that calls for interaction among every stakeholder within the healthcare sphere. Communication, whether interpersonal or intrapersonal, is a crucial part of these dealings and may be transformed by the intellectual use of communication tools. Information is the means of support of healthcare. Therefore, communication systems are the backbone that supports the whole idea. Care of patients in the nursing homes now almost unavoidably entails many different people, all with the need to share patient information and talk about their organization. As a result there is an ever increasing attention in the information and communication technology that sustain health services. There exists a huge gap in the wide understanding of the function of communication services in the delivery health care. This paper will review different types of communication methods for the health care organization, including the advantages and disadvantages of using traditional, electronic, and social media for health care communication. The review will then discuss effects of HIPAA and other regulations on the use of these media for health care communication. The significant role that communication plays among people in healthcare is often neglected. Basic and very important to all healthcare managerial functions, communication is the means used in the transmission of information and additionally makes an individual understood by the target audience. In a situation in which a nursing home faces transition of management and the residents are unable to communicate effectively, have no local family, and have not indicated that they approve the release of their medical information is a crisis many health care administrators face every day. In such situations, communication is a key challenge for administrators for they are solely mandated to provide information, which consequently affects performance in the organization. A communication system is any formal or informal structure that an organization uses to sustain its communication requirements. The system involves components like people, the message that is needed to be conveyed, the technology that mediates a conversation, and an organizational structure that characterizes and limits the conversation that occurs. They are therefore bundles of different kinds of components and the utility of the general system is measured by the correctness of all the components combined. The situation above poses a challenge due to the barriers between reception and feedback. Most of the people to be displaced have no idea why and may even lose their privacy in the process. In order to solve the crisis above, it is mandatory to review the pros and cons of different kinds of communications. Electronic communications are fast, they are cost-effective and quite convenient. However, these attributes enclose intrinsic disadvantages. The technology that helps people to keep on the go also may invade privacy and cut into valuable time meant for other social activities. Devices such as cell phones with mobility technology and portable computers facilitate communication at all times. This allows one to work and visit sites in public locations, such as trains and other social gatherings. This has enabled people to stop traveling long distances to work and may do so from home. The technology also encourages productivity, for instance, a person intending to meet a professional deadline may save valuable time by working on a mobile gadget before getting to the workplace. Electronic communication is also convenient and instantaneous. It distributes with the need to mail or fax a document that can be stored online or on a portable electronic device to protect it against any kind of loss. These advantages facilitate learning and research. A visit to a clinical website may help out an individual with a complicated health problem. Despite the good attributes, modern electronic communications leave individuals vulnerable to cyber-attacks and other forms of online criminal attacks. Additionally, online conversations may pose a physical threat to children. It also exposes people to violent materials and pornography that may become addictive and eventually a health issue. Interruptions and distractions brought about by the modern electronic communications compromise quality time and if left unchecked may damage an individual’s intelligence quotient. Another platform that has received a lot of attention lately is the use of social media in addressing health care issues and extraction of patient information readily available in the social sites. The social media outlets are widespread. An advantage of using it is that it is wide-reaching, user-centric and collaborative in nature. If health care centers embraced the platform, then an interactive channel is guaranteed as most of the users are cooperative. The social sites include blogs, wikis, videoconferencing, multimedia blogging, and the diverse websites. Traditional media usage in health care communication is well embraced due to the minimal threats contained. Traditional methods have a simple system of getting information and allow one to make informed decisions. They are simple to learn and understand. However, the traditional media cannot cover all the patients’ needs because of the lack of services and the one way channel. The traditional means is not interactive and may not always target the right audience. It does not always give accurate information and may be biased. The Health Insurance Portability and Accountability Act (HIPAA) created in 1996 is a charter with mandated regulations that institute standards to guard the privacy of every individual’s independently exclusive health information. Health care centers must conform to these privacy regulations and all the rules on the subject of the way health centers may or may not use or disclose protected health information (PHI). The regulations intend to shelter the identity, personality and privacy of healthcare patients. Consequently, specific aspects of the healthcare employee culture are needed to change in the manner that employees distribute information and discuss their clients. Healthcare establishments are also mandated to put into effect HIPAA fulfillment from within. This creates additional administrative and training costs. Knowledge of HIPAA effects on healthcare organizations helps to assess the costs, effectiveness, and benefits of the HIPAA regulations. Patients must make contact with the administration so that permission for healthcare providers to share information with each other is obtained. It is illegal for healthcare providers to acquire records from social networks. This only poses as a barrier to effective communication. According to this paper, communication is essential for any administrator to solve a health care crisis. Whether the health care patient in a nursing home understands the consequences of a new management or not, he or she is entitled to correct information regarding how the process will transpire. Organizations like the Health Insurance Portability and Accountability Act (HIPAA) are a good establishment to protect their (patient) privacy. However, certain sections of their standard regulations need to be changed for the sake of the illiterate persons without local families and completely unaware of whether to consent to his or her information being shared. With new developments in communications, health car e providers should face smooth communications rather than the old hard system. References HIPAA Compliance Guide: http://www.hipaacomplianceguide.com/ U.S. HHS, Administrative Simplification in the Health Care Industry: http://aspe.hhs.gov/admnsimp/