Shouldice Hospital Limited Essay Example

Shouldice Hospital Limited Essay Shouldice is a private hospital founded by Dr. Earle Shouldice in Toronto in July 1945. The hospital started out as a six-room nursing home in downtown Toronto. As demand increased for hernia operations, he expanded the facilities to a capacity of 36-beds, which turned into a 89-bed facility after adding a large wing. Dr. Shouldice devised a method called the Shouldice method to increase the efficiency and the overall experience of the surgery and the post surgery recovery period. The hospital specializes on external hernia cases and will not treat internal hernia patients. The method proved to be a big success. In this case, we will analyze the process flow of the hospital, determine the bottlenecks and finally offer recommendations. Background: Dr. Earle Shouldice is a famous operator for his private method of hernia surgery. Unlike normal methods, his way allowed the patient to walk around right after the end of surgery, and move freely at the end of the day. When the number of patients he had increased, he decided to exploit this by founding his own hospital. He died in 1965, but his hospital continued to grow, and at the end of 1982, his hospital had 6850 operations per year. Analysis: Initially, the hospital sends out a medical questionnaire to figure out whether the patient has hernia. If the patient requires the operation, they were sent a confirmation card for the surgery. However, after initial examination at the hospital, some of the patients were found healthy, so they were also sent back. After the examination, an administrative personnel checks the insurance of the patient. We will write a custom essay sample on Shouldice Hospital Limited specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Shouldice Hospital Limited specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Shouldice Hospital Limited specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Then, a nurse takes blood and urine samples from the patient, and sends the patient to his room. All this is done by 5PM, after which there is an information session regarding the operation. The patients are sent to bed at 9:30PM, and waken up at 5:30AM. The operation takes 1 hour (although the recurring ones take up to 90 minutes, but theyre rare so are not included). The patient then stays in the hospital for 3 more days, but since the resource (nurse, doctor etc) requirements would be low (and are not stated in the case). Shouldice was successful because of the following strategies: 1) Unique and well defined surgical procedure (cannot be varied), 2) Operation and recovery time lower than industry average, 3) Educated, experienced, and efficient surgeons (600 surgeries per year as opposed to 25-50), 4) Lower nurse to patient ratio (reduces costs), 5) Efficient, good quality, and uniform service (dependable), 6) High demand from reputation, 7) Higher pay than union standard for employees, 8) Being selective with patients ensures speed and better outcomes The bottleneck of pre-operation is Insurance check, as shown in Exhibit 2. The second bottleneck is the number of surgeons available to perform surgery and keep patients flowing through the system. Once people have a place in the system, the next wait is for a surgeon to become available. Bottlenecks are both a burden and a blessing in this scenario. We build up a queue because people want the service but we are forced to find a way to alleviate the pressure on the bottlenecks. Recommendations: Simply adding capacity may upset the current balance that exists and lower the quality of the process. If the company would simply expand to add beds or create more hospitals, quality would eventually be lowered because you would be hiring doctors you would have eliminated for the first hospital. One possible improvement to the process would be to minimize idle time of surgeons spend doing anything other than surgeries. Since they are a bottleneck, Shouldice should make surgeons not waste time doing a job that a nurse or someone with a less important role can do. This way throughput rate is lowered because surgeons can get more operations done at the end of the day without affecting the systems balance. Another solution to improve throughput without physically expanding would be to include working on Saturday and Sunday. Shouldice can rearrange its resources to keep the hospital running weeklong. This would alleviate the burden on the bottleneck so that buildup is minimized and more patients are put through the process. One of the major limits to expansion is the number of beds available for patients. Therefore, a possible area of capacity expansion is creating an additional facility where more beds can be put for patients. But  to accommodate the increased amount of demand a bigger kitchen and a dining room would be necessary. Moreover, an additional staff should be hired as long as the amount does not exceed the current staff per patient ratio in order to keep the operational costs from increasing too much. Another limiting factor is the number of doctors. Thus, the more doctors there are, the more patient acceptance will be. However there would be a limit on the amount of additional surgeons hired since each surgeon should at least perform three surgeries a day. Additionally, having a new facility outside of Canada dealing on a different specialty is a good option for capacity in which case a careful analysis should be done to make sure that the successfulness of the additional facility is not lower then the original one. Exhibit 1: The process flow chart is attached. Exhibit 2: Examination ? 17. 5 minutes per patient X 6 ? 20. 57 Patients per Hour Insurance ? 10 minutes per patient X 2 ? 12 Patients per Hour Blood/Urine ? 7. 5 minutes per patient X 2 ? 16 Patients per Hour.

An observation report discussion about the behavior of a Siamas (Hylob

An observation report discussion about the behavior of a Siamas (Hylobates Syndactylus) Specie: Hylobates Syndactylus Order: Primate Diet: fruits, leaves and insects Location: Zoo Negara Time: 12pm- 3pm Date: 05 February 2010 Colour: Black Gender: Male I visited Zoo Negara Negara to observe the Siamang which is a gibbon. Siamang has a large inflated larynx sac which looks grey in colour which it uses to make loud sounds and is located right below its chin. It usually makes the sounds in the morning. It is categorized as an ape because, it has no tail and is very intelligent. It is similar to other gibbons in the sense that it has ischial callosities which is the horny pads on its buttocks which are very tough. I was mainly interested in observing its interaction with me and other humans, also with its neighboring animals, which was placed right next to its cage in both the left and the right side, the cage was next to other gibbons, the one on the left was the same type of species called Hylobates Syndactylus and it looked like as if it was a mother and her child. The other one in the right was a genus Hylobates ape which was also a mother and her child. I also wanted to observe how it shows that it was desperately in need of food, the way it excrete, its facial features and body signals. I prepared everything that I needed to carry out the observation. I took a pen and my new diary which I used to record everything that I saw the gibbon doing that was applicable to what I specifically wanted to observe. At first I had assumed that the zoo cage would not be that much well facilitated and to my surprise I was wrong. As I approached the Siamang cage, there were trees inside the cage, robes that was hanging from different position and there were some that was designed like a swing so that the animal can play around in the cage. Above the ground, next to the tree branches was a bed designed like a swing which looked like it was his resting place. At the end of the cage there was a cemented place where there were holes on the wall to insert its food. When I arrived it was setting down but immediately when it saw me, it came running towards me and held the fence with both hands and attached its legs to the fence. When it noticed that I was eating pop corns, it started licking its left hand and its mouth widely open and touched its lower jaw from the inside with its left hand fingers. It then reached out its left hand out of the fence with its fingers fully stretched. I ignored it and it ran to its food placement to check if the workers have placed any food for it and luckily after a long search it came back with a banana. It was walking with both of its hands lifted up with its fingers facing down. It was looking at me when it climbed on to a tree to eat. It heard the sound of my pop corn plastic and it came running to beg again. I ignored it again. It then began lick its hands again and started eating fresh leaves which it cut from the plant just next to its cage. It detached a branch from the plant and held it with its hands and legs while sitting down and ate the leaves with its mouth. It then started to shake both hands when it finished and sat down for some time. Then I cut leaves from the plant and threw them near its cage and it was watching me and the leaves on my hand. It watched where they fell first, the two of them and when it saw that I have stopped, it then searched for them and ate them one at a time. When searching for the leaves, it actually searched close to where they fell. After it finished eating the leaves, it saw its neighboring apes eating their food, it ran to watch them and after a while went to check if its own food

Free Essays on Minimum Driving Age

As most may already know, Alabama is considering altering the requirement for attaining a driver’s license. The alteration would mean that all teenagers would have to wait to get their license until they are eighteen, opposed to sixteen. â€Å"According to the American Academy of Pediatrics, 16 year olds are more than 20 times as likely to have a crash as other drivers. For every million miles driven, 16 year olds have 43 crashes. While other a driver over 19 have only 5 crashes. (Lynn, 48-51.) For example, in Europe the driving age is 18, New Jersey makes teenagers wait until 17; six other states allow 14 and 15 year olds to get licenses and 43 other states permit16 year olds to drive alone. (Lynn, 48-51.) â€Å"These new laws, called â€Å"graduated licensing laws† are catching on all over the world. Six months after its graduated licensing laws went into effect; New Zealand’s driving fatalities for 15-17 year olds dropped by nearly one third. This is how the new graduated licensing laws work: Beginning drivers have to â€Å"graduate† through stages of â€Å"restricted driving† before they are allowed to get their unrestricted adult licenses (Lynn, 49). In Kentucky a prospective driver must be at least 16 years old to get a permit and any licensed driver may provide supervision. Also, a learner’s permit must remain in effect only a month before full licensure. (Ellers, 1B.) In Hartford Connecticut under one bill, teenagers could not obtain learners’ permits or driver licenses until they turn 17 years old. Even after obtaining a license at 17, teenagers could only drive from 6a.m. to 11p.m. until they turn 18. It seems as though most teenagers have the same feelings as Tim Marciniak expresses in this statement, †I just think they keep raising the age because society sees us as corrupt. I think the media portrays us as being negative. It’s always something negative toward teenagers. They never show the good we do, society-wise.... Free Essays on Minimum Driving Age Free Essays on Minimum Driving Age As most may already know, Alabama is considering altering the requirement for attaining a driver’s license. The alteration would mean that all teenagers would have to wait to get their license until they are eighteen, opposed to sixteen. â€Å"According to the American Academy of Pediatrics, 16 year olds are more than 20 times as likely to have a crash as other drivers. For every million miles driven, 16 year olds have 43 crashes. While other a driver over 19 have only 5 crashes. (Lynn, 48-51.) For example, in Europe the driving age is 18, New Jersey makes teenagers wait until 17; six other states allow 14 and 15 year olds to get licenses and 43 other states permit16 year olds to drive alone. (Lynn, 48-51.) â€Å"These new laws, called â€Å"graduated licensing laws† are catching on all over the world. Six months after its graduated licensing laws went into effect; New Zealand’s driving fatalities for 15-17 year olds dropped by nearly one third. This is how the new graduated licensing laws work: Beginning drivers have to â€Å"graduate† through stages of â€Å"restricted driving† before they are allowed to get their unrestricted adult licenses (Lynn, 49). In Kentucky a prospective driver must be at least 16 years old to get a permit and any licensed driver may provide supervision. Also, a learner’s permit must remain in effect only a month before full licensure. (Ellers, 1B.) In Hartford Connecticut under one bill, teenagers could not obtain learners’ permits or driver licenses until they turn 17 years old. Even after obtaining a license at 17, teenagers could only drive from 6a.m. to 11p.m. until they turn 18. It seems as though most teenagers have the same feelings as Tim Marciniak expresses in this statement, †I just think they keep raising the age because society sees us as corrupt. I think the media portrays us as being negative. It’s always something negative toward teenagers. They never show the good we do, society-wise.... Free Essays on Minimum Driving Age As most may already know, Alabama is considering altering the requirement for attaining a driver’s license. The alteration would mean that all teenagers would have to wait to get their license until they are eighteen, opposed to sixteen. â€Å"According to the American Academy of Pediatrics, 16 year olds are more than 20 times as likely to have a crash as other drivers. For every million miles driven, 16 year olds have 43 crashes. While other a driver over 19 have only 5 crashes. (Lynn, 48-51.) For example, in Europe the driving age is 18, New Jersey makes teenagers wait until 17; six other states allow 14 and 15 year olds to get licenses and 43 other states permit16 year olds to drive alone. (Lynn, 48-51.) â€Å"These new laws, called â€Å"graduated licensing laws† are catching on all over the world. Six months after its graduated licensing laws went into effect; New Zealand’s driving fatalities for 15-17 year olds dropped by nearly one third. This is how the new graduated licensing laws work: Beginning drivers have to â€Å"graduate† through stages of â€Å"restricted driving† before they are allowed to get their unrestricted adult licenses (Lynn, 49). In Kentucky a prospective driver must be at least 16 years old to get a permit and any licensed driver may provide supervision. Also, a learner’s permit must remain in effect only a month before full licensure. (Ellers, 1B.) In Hartford Connecticut under one bill, teenagers could not obtain learners’ permits or driver licenses until they turn 17 years old. Even after obtaining a license at 17, teenagers could only drive from 6a.m. to 11p.m. until they turn 18. It seems as though most teenagers have the same feelings as Tim Marciniak expresses in this statement, †I just think they keep raising the age because society sees us as corrupt. I think the media portrays us as being negative. It’s always something negative toward teenagers. They never show the good we do, society-wise....

Akindele Owolabi Essays (1010 words) - Free Essays, Term Papers

Akindele Owolabi Essays (1010 words) - Free Essays, Term Papers Akindele Owolabi Jovonne Bickerstaff English 104-25 November 30, 2015 Ebola in Africa The social issue that I am presenting is Ebola in west Africa. Ebola is a dangerous disease that affected the world population as a whole, and it struck the hardest in West Africa. This was extremely bad because the countries in west Africa have some of the lowest gross domestic products per capitas in the world. This means that they have a lack of means to treat people when they get the disease. Taking into consideration the lack of treatment for the virus and how contagious it is, it's easy to realize why this virus became a pandemic. People were dying at such high rates that the available treatment in western Africa could not keep up with the rate at which people were getting infected. This became a major concern for me because although I no longer live in Nigeria, my grand-mother, uncle, father, and other family members still live in the first infected city of Nigeria. The part of my multi-modal assignment that would be considered the "respectable" portion was a documentary done by Vice news. The documentary took place in Liberia: the start up location for the new cases of Ebola. The documentary definitely puts the issue into perspective by showing it from the outside looking in, as well as the view point of the actual citizens of Liberia. I put certain excerpts from the documentary into my project that I thought held value. The first one was Barack Obama giving a speech about how dangerous Ebola can be and that it is spreading rapidly all around the globe. I also included some interviews that the journalist did in that same documentary where he interviewed the people of the country of Liberia. The journalist asked a man how he feels about the current situation and he responded saying that it is sorrowful that his people are just dying on a daily basis. Also included is the note that there is a complete shortage of medical professionals and he althcare facilities to treat this disease. The people call ambulances and police and get no reply. Their people are just left to die. When someone is infected in the community, they have nowhere to go, being forced to stay in their community. This is the main cause of the disease spreading. That's the main aspect of the documentary; it tells specifically what the diseases is, how hard it is to treat, and how fast the people that are infected are dying. The song portion of my project, or the "ratchet" part is a song made by a native of Liberia that goes by Shadow. The name of the song is Ebola in town. The song is written partly in pidgin English, so it might be a little difficult to understand for some. The main point of the song is that Ebola is highly contagious. The song is supposed to be sort of a comical song stating the facts about Ebola. Some lines are that "Ebola can kill you fast, no touching your neighbors, no eating bush meat like bat and monkey meat" because they tend to have the virus in them. The song also says you can't run from it. You can go to Guinea but the virus is still there. Everywhere you go the virus is there. I feel like the documentary and the song add important aspects to one another. The documentary is more for outsiders and non natives that aren't aware of the situation going on in west Africa and the song is clearly made for natives considering the fact that the artists uses pidgin English. The song also shows the how some Liberians see the disease. Below I have written the lyrics of the song so if its hard to understand, you can follow along with it. Please enjoy! Something happen Something in town Oh yeah the news I said something in town Ebola Ebola in town Don't touch your friend! No touching No eating something It's dangerous! Ebola Ebola in town Don't touch your friend! No kissing! No eating something It's dangerous! (Repeat) I woke up in the morning I started hearing people dem yelling "Da what thing happen?

Case study Example | Topics and Well Written Essays - 1000 words - 17

Case Study Example Labor standards cost is another bottleneck as it is high. Maintenance of the machinery requires people to do the work. These people consume funds that drain the company (Truckseat Case Study, 3). The production line is a bottleneck in the sense that the cost of raw materials has increased by double digits. This impacts negatively on the company has the company is forced to pay more for materials that previously cost less. At the same time the quality of products produced are below the customer expectations. When customer expectations about the product are lowered, loyalty becomes elusive (Truckseat Case Study, 3). The bottlenecks drain the company immensely. The reason for bottlenecks is because when the company does not make maximum gains from the products while spending as much to settle labor cost, maintenance of machines not to mention the quality of the products. Bottlenecks are eminent in the delivery section as well. Case in point is that there is no clear determination as to when products should be made and availed to the customers. Consequently, there is a disconnect in the sense that there is no proper market survey to establish demand and supply chain. So in essence, what happens is that sometimes products are sometimes manufactured and not delivered for the simple reason that there is no ready market to have the goods. Another bottleneck arises when the customers are in need of the products but the production levels are low. This happens due to poor forecasting of the market to determine market needs and wants. The level of customer satisfaction is below average in the sense that the quality is not up to the standards expected by the clients. The qualitative analysis figures are in the appendices. 2. Stocks can be an effective lever to remove the bottleneck: select where (along the production flow) to position the decoupling  point: Compare different feasible alternatives of decoupling

Community Involvement Program Essay Example | Topics and Well Written Essays - 250 words

Community Involvement Program - Essay Example Community Academy Public Charter Schools (CAPCS) and Northwestern University have implemented community involvement programs as part of the learning process. CAPCS incorporates parent involvement in teaching young children at the elementary level. The Amos 3 campus at CAPCS provides early childhood programs that give children a firm academic career foundation (CAPCS, 1). The program focuses on basic concepts of math and reading as part of educational introduction. Social development, respect, good behavior, and passion for learning are promoted at the campus. Parents team up with teachers and administrator to assist the development process. CAPCS has been successful by concentrating on science and technology to emphasis hand-on problem solving skills. Children learn critical thinking and problem solving and acquire basic knowledge required in all academic fields. This has been instrumental in preparing children academically and socially before venturing into secondary school, which h as led to successful academicians from Amos 3 campus (CAPCS, 2). Northwestern university has several programs within their community involvement program that provides students with local and international opportunities. The Applied Medical Society provides events targeting students with interest in healthcare provision. Participants learn basic skills such as CPR in these events (NU, 1). Campus kitchens employ volunteer students who learn the process of recycling un-served food into nutritious meals for seniors, community organizations, and youth programs. Graduates and undergraduates also participate in exchange and capacity building programs with cohorts from over 50 universities in over 40 countries. These workshops provide mentorship and prepare students for career opportunities. Most activities are centered on students and there is little participation from parents. The program prepares students for career ventures and student organizations within the campus have been instrumental in the success of the community involvement program.

Sociology - analysis on social class Research Paper

Sociology - analysis on social class - Research Paper Example The upper class consist of the elite and aristocratic people , an upper middle class consist of highly educated and wealthy professional, a lower- middle class are those doing white collar jobs , working class are those with clerical jobs and poor are the underprivileged and unemployed lot. The life style of people drastically deviates according to their status and power. Their spending power and habits are enormously different and a comparison is less possible. It can be seen that upper class people find enough time for leisure activities and pastimes whereas the poor class hardly have means to survive. People of the upper class have the habit of reading as they are well educated but the poor are not of the habit of reading much. Even though reading materials are at large which cater to the rich and the poor? The magazines and books which the elite read are more parallel with their life style and activities. The business men and women are more loyal to magazines which elaborate on business news and political scenario of the globe. Business people are all time indulged in their profession and when find time they are interested in flipping through the pages of magazines which give a glimpse about business activities and financial updates. Forbes is one of such magazine which has acclaimed to be at the top list for its quality and high demand among the elite class. â€Å"Forbes has some of the best financial articles Ive ever read. The articles are deep, academic, and extremely well thought out†(Schlimmer ,2007). This magazine covers very well the financial and business news and that attracts the men in the upper class. The magazine also gives latest update on the rich list and powerful people in the society which is a big concern of the elite class. Forbes magazine gives a great insight to the industrialist with relate to the investment and stock market. It is a very trusted

Energy Sources In the 21st Century Research Paper

Energy Sources In the 21st Century - Research Paper Example lly and it is a mixture of hydrocarbons primarily methane and other higher alkanes in various proportion and it also contains nitrogen, carbon dioxide and hydrogen sulfide in lesser proportions. It is found in deep underground formations of natural rock along with other hydrocarbons like coal, methane clathrates, etc. (b) Natural Gas Reserves According to a recent assessment by the Potential Gas Committee the reserves of natural gas in the US have increased by 26 percent by the end of 2012 than it used to be in 2010. Now the present estimated reserve is 2,384 trillion cubic feet. The reserves of the natural gas in the US are primarily located in Texas, the Gulf of Mexico, Federal Offshore, Alaska, California, and North Dakota and Texas is the largest reserve (Cathy Proctor, 2013). Extracting natural gas from the ground is a complicated and expensive process. The gas is odorless and colorless requiring extra precautions. Extracting the gas from deep underground decreases the pressure in the reservoir and decrease in pressure might cause sinking of the above ground affecting ecosystem, water and sewer systems, water ways, foundations, etc. The process used to release the natural gas from low-permeability reservoir is called hydraulic fracturing or "hydrofracking". Water is forced inside the shale to release the natural gas which breaks or fracks the shale for releasing the gas. Sand and chemicals are added to the frack fluid for reducing friction and combating corrosion. It is a challenge to deal with fracking fluid (Cathy Proctor, 2013). (c) Transportation The reserves of the natural gas in the US are primarily located in Texas, the Gulf of Mexico, Federal Offshore, Alaska, California, and North Dakota and fortunately most of them are close to either major cities or... This essay stresses that the major sources of energy in the United States are fossil fuels like oil, natural gas and coal which are used for generating electricity, driving cars and other vehicles, running industries, etc. The fossil fuels are non-renewable sources of energy which constitute for major consumption while renewable sources such as solar energy or wind energy contribute marginally to the total energy consumption in the United States. This paper makes a conclusion that extracting natural gas from the ground is a complicated and expensive process. The gas is odorless and colorless requiring extra precautions. Extracting the gas from deep underground decreases the pressure in the reservoir and decrease in pressure might cause sinking of the above ground affecting ecosystem, water and sewer systems, water ways, foundations, etc. The process used to release the natural gas from low-permeability reservoir is called hydraulic fracturing or "hydrofracking". Water is forced insid e the shale to release the natural gas which breaks or fracks the shale for releasing the gas. Sand and chemicals are added to the frack fluid for reducing friction and combating corrosion. It is a challenge to deal with fracking fluid. natural gas can help in solving some major environmental issues like Greenhouse Gas Emissions, Smog, Air Quality and Acid Rain, Industrial and Electric Generation Emissions, Pollution from the Transportation Sector - Natural Gas Vehicles. Etc.

Operations management Essay Example | Topics and Well Written Essays - 2000 words - 1

Operations management - Essay Example As a result of this, the company has now taken to more sustainable methods – it ships the scampi to Thailand, where it is hand peeled. This creates more job opportunities and the carbon dioxide emission in the shipping transport from Scotland to Thailand is the same as the machine co2 emissions. Thus, the company managed to successfully cut down at least one of the significant tradeoffs in its business. To remain competitive, Young’s Seafood has some strict criterion for order qualifiers and order winners so that it gets a higher edge in the market competition. Young’s seafood has been very focuses as result of which the order winners have become the order qualifiers for the company. As already stated above, the main order qualifiers for the company are faster and higher quality food with efficient services at low costs to the client. In order to achieve those order winners / qualifiers and gain an upper edge from its competitors, the company has done a number of changes in its operational chain and logistics. Better stock management, demand prediction, centralized distribution, order batching are some of the methods that were used by the management to convert itself into the main option for purchasing seafood in the market. Q3. Facility based services are those where the clients approach the company to utilize their services, while the field based services include those where the company sends its representatives to cater to clients. Young’s sea food originally started as a field based service where it used to only dispatch its food products to clients at the preferred destination. This required intelligent scheduling and dispatch management of products and representatives. At the same time, cost was... Facility based services are those where the clients approach the company to utilize their services, while the field based services include those where the company sends its representatives to cater to clients. Young’s sea food originally started as a field based service where it used to only dispatch its food products to clients at the preferred destination. This required intelligent scheduling and dispatch management of products and representatives. At the same time, cost was an overriding factor for the company. This also requires a mobile system that connects the delivery representative with the office. The mobile system reduces the paper work, manual errors, offers effective time management, however, it was not an option for the company when aiming to expand its services in the continent. Subsequently, the company has opened many outlets and restaurants ( facility services) where clients are served and can also buy the young’s seafood products. Youngs seafood has al so tied up with other retailers to keep its products and sell them. Also, this has helped in the brand building of the company in the market.

Profit And Loss As Index Of Company Success Assignment - 12

Profit And Loss As Index Of Company Success - Assignment Example The business had total expenditure of $20,756 which includes non-cash expenses of $175 for depreciation on equipment. Although depreciation does not involve the movement of funds it represents a charge for the use of the asset. This charge should not be deducted for income tax purposes. However, the charge is reflective of the use of the asset in the company. The charge was calculated for two months based on a 5-year straight-line method of depreciation. It is expected that the useful life of equipment which includes a computer, fax machine and a copy straight-line longer than 5 years. The Internal Revenue Service (2012) indicates that businesses must prorate depreciation deduction based on the months in use. The items of equipment were in use for 2 months and so the charge in the accounts is based on this fact. Other expenses of note include bad debt expense which includes write-offs as well as provisions made for debts that may not be collected. The two bills representing a total o f approximately $11,000 and due from Delta Company is not collectible since the company is bankrupt. A total of 25% of the debt of $8000 (that is $2,000) due from Baker Company for consultancy fees and $763.86 for reimbursable are also not considered to be recoverable based on previous experience with the client. Additionally, $432.78 for costs may not be recovered from Charlie Company. These amounts have been included as a provision for doubtful debts and included in Bad debt expense. The total amount of bad and doubtful debts expensed represents 40 per cent of income. The company made a net profit of $15,686 which represents 41 per cent of total income. Depreciation of $175 will be added back to the net profit figure. Income tax has not been accounted for since the proprietor’s will include this profit when filing his personal income tax returns. This will be filed on the appropriate form for business proprietors.

Personal Reflection Of A Nurse Nursing Essay

Personal Reflection Of A Nurse Nursing Essay My love and deep-rooted passion for nursing education enable me to serve my patients well. I must confess that I have always had a passion for helping my clients, managing health care plans, learning new things and a curiosity for investigating medical conditions. As a child, my dream of becoming effective health care provider is still alive up to these days and I am determined to pursue this dream by putting my plans into a reality. My background has prepared me for multiple, diverse challenges in communicating internationally, paying strong attention to detail, and in producing essential therapeutic communication. I earned my Emergency Room / Critical Care Technician Training Course at Florida Community College, Jacksonville, FL. I also gained additional courses in English, Math, Psychology, Spanish, Music, Earth Science, Sociology, Computer Concepts, and History at Three Rivers Community Technical College, Norwich, CT. My unique mix of previous work experience in health education and my current status in different health care institution enhance my skills, knowledge and personality in managing patients and communicating effectively. In the increasing demand for nurses worldwide, there is also apparently increase in the demand in training. There are current and projected shortages in many health professions, especially nurses. Factors that contribute to these shortages are varied and complex. Some of the contributing factors include the state of the economy; decreased interest and increased enrollment in the health professions. This shortage caused health care institution to hire nurses with not enough experience and lack competency in clinical field. Proper training and professional and clinical empowerment is very imperative. In my workplace, nursing education program have responsibility is the assurance of appropriate health care provider preparation to which it entrusts its patient in clinical practice. I have attended several trainings, workshops or programs that were properly planned and outlined to provide information and instruction in the principles of giving care and learning different skills, pedagogic al styles, and valid evaluation techniques. This increases my professional empowerment and autonomy in my workplace. These workshops and proper trainings imparted knowledge and skills essential for success in the clinical setting. I am embracing that knowledge and acquired skills in a familiar environment that provided me with an increased level of confidence and autonomy in the practice and educational development in my profession. I am fascinated whenever I encounter people who have their Nursing Degree when I was working in a hospital setting. I am always inspired by these people and I always told to myself that someday my dream of earning my own nursing degree will come in a reality. Currently Im on the process of achieving my Nursing degree. My limitless inspiration fuels my desire to gain more wisdom and knowledge in these fields. As peer health educator, some of the activities practiced in my educational setting is the provision of the most current information possible for the using the collaborative approaches. During the teaching session and actual learning practice, the provision of clear explanations of the pathophysiological condition and processes of human illness and injury integrating all information as vital component of clinical practice and evidenced based practice. I always emphasize the prioritization of diagnoses and interventions specific to altered responses to illnesses and disease conditions, providing case studies for each case so that we can envision the client as a person needing and requiring care and acquire knowledge regarding the specific case. I also learned how to foster critical thinking and decision making which very important for every health care professional in clinical practice. The Teaching sessions and discussions in clinical practice are very important because I learned how to maximize my learning through acquiring knowledge derived from the application of concepts and theories. I can actually discuss and clarify some information and clinical practices during these sessions. Helping one another in achieving proper knowledge and competency in nursing practice is also innate with this kind of forums. Focuses on diversity and demonstrate the contributing factors are also a necessary in improving my basic knowledge and application of nursing theories and principle. My education in different subject areas, as well as my strong decision-making, problem-solving, and action-driven leadership skills combined with my working experiences, makes me an excellent professional in the field I chose. Im looking forward to help building the society by educating people and developing their character through effective educator. My career interests include clinical/pharmaceutical research protocols for seizure, burn, HIV/AIDS and trauma. Presently, I handle various roles and responsibilities such as Emergency Room Technician, Critical Care Technician, Medical Assistant, Psychiatric Technician and Phlebotomist My clients and my dearest family helped and continually inspire me to pursue this career path further. They were my inspiration in practicing and teaching healthcare and wellness for several years and these experiences brought me bundles of wisdom and enough knowledge to face the challenges. Through the years of my education, I realized this profession requires patience and self confidence which is automatically injected to me when I decided to do so. My current position in various health care setting serves as effective training ground and career enhancement. I have enough experiences in providing basic and complex nursing care and procedures to all age groups and administering emergency medical care t o patients during emergency situations in the emergency trauma center. I enjoy delivering front-line interventions in acute and primary care in hospitals other health care settings, and perform basic health services as diagnosing and treating common acute diseases, illnesses and injuries with advanced degree on practicing the profession in clinical or educational settings, teaching theoretical and clinical knowledge, clinical skills and interventions and conducting research and study. I believed I was used as an instrument in developing my clients ability and maintaining their health. I believe this internship program will give me more opportunity to improve and sustain my competency. Programs related prevention, education, outreach enhance my interpersonal communication skills and willingness to support works to help individual patient recognize and modify their risk-taking behaviors. My education interventions are based on theories of social learning, community and peer support for incremental risk reduction and understanding of the disease process. My goal is to provide education strategy to increase and support prevention programs especially among the most vulnerable population groups and their environment. Improving general understanding of the public through encouraging protective individual behaviors will promote individual and collective vulnerability to any diseases. My personal and professional goal is to help reduce the risk of every individuals acquiring disease and to maintain patients wellbeing. My educational background, hard work, professionalism, and dedication to employer success have resulted in significant accolades and increased responsibilities. My superb organizational skills, firm understanding of nursing care, management, regulations, and awareness of the bottom line proved highly beneficial in my recent career. I had been teaching health care for several years. Teaching developed my character and enabled me to acquire knowledge necessary in molding my personality. The role of institutional organization and structure where I am currently employed would be to increase my ability, knowledge and skills in clinical setting and education. In short, nursing empowerment is the main objective. The need for empowerment and organizational orientation in the hospital setting is essential in sharing knowledge, training and supervising other nurses in actual situations. As health professional, tangible skills and knowledge in a hospital setting is very important in managing clients and supervising their needs. In general, my role is focused on providing effective, quality care. Hence setting personal goals and philosophy advances the means of preparing myself to supervise and educate my students and subordinates. In our workplace, emphases on these areas are well implemented and give me the room for improvement and increase my self confidence and empowerment. Skills, Knowledge and ability are very important part of health care personal traits and the main armor of every health care professional whenever facing in the battlefield of care management. Competency and Autonomy is essential. As part of the team, empowerment is vital and these three factors are the most important thing in hand before going to the battle. My ability is incorporated with decision making and critical thinking ability. When achieving the empowerment and my personal professional traits, change is very important, especially in behavior and attitude. Change requires adding new forces for change or removal of some of the existing factors that are at play in perpetuating the behavior. I participated in professional activities that aid in making the change that include imitation of role models and looking for personalized solutions through trial-and-error learning. My personal mission and vision are crafted toward this goal; especially in patient management and professional advantage. I have developed behavior toward work and patient that becomes habitual, which includes developing a new self-concept identity and establishing new interpersonal relationships. This personal competencies and experiences are applicable to all health care professionals in identifying problems because it addresses the changes required to achieve organizational goals. This concept is important because of its nature in terms of change process and behavioral approach method. Behavior, personal traits and knowledge can be addressed through the utilization of change. My career plans are centered in the future of developing my ability to self determination and freedom in choosing and implementing my own decisions free from deceit duress, constraints or coercion. This trait is also known as autonomy. I have developed this competency through professional independence and decision making skills with the aid of critical thinking ability. As nursing student, entering into a new environment not knowing what to expect is difficult. Yes, patient care is the same everywhere, but they must be comfortable with the environment they are placed in. Adaptation is crucial in the clinical arena. My goal in this area is to be familiarized in protocols through use of an orientation plan in hospital settings before my clinical experience may become a highly useful and an effective strategy in clinical education will be carried out. I become less apprehensive about the clinical environment and become more patient focused, therefore increasing the effectiveness of self empowerment and autonomy. This also provides me with the opportunity for role modeling as the patient maintains and develops standards of practice and competent care in a familiar environment. In my current learning environment, nursing managers and supervisors let nurses decide for their patient in a professional and proper way with accordance to protocols and policy o f the institution. I learned how to communicate effectively at all levels which is a common barrier in the implementation of change among health care in various settings. Communication practices were also addressed in order to identify and effectively set the goals. I also was lucky to be granted with the blessing of being able to work with some exceptional health care professionals that really cared for and about their clients; Health care professionals that would do everything in their abilities and power to make their patient feel better physically and emotionally. That is what I hope to be able to do in the future: providing extraordinary care everyday. Maybe someday I can be a role model and inspiration to other people to strive for a higher level of competence just as those I look up to were for me. In pursuing this education, my purpose is to help patient achieve their wellbeing and achieving their maximum potentials. Developing the health care society serve as a deep challenge to study further and gain enough knowledge, more information about the life itself and definitely to be an effective and productive member of the society and furthermore, helping my peer to gain more knowledge. In my workplace and learning environment, superiors initiates the development of a clinical practice programs based on the goals or mission of the institution given to us. These development programs increases my professional autonomy, confidence, knowledge, skills and competency and allows me to understand the importance of my roles. The program helps me in my transition into different roles by assisting in understanding effective methods of delivering care to patients in the clinical setting. It stresses the importance of utilizing the nursing process in the care of individuals, families, and community by assessing the client health care status, planning with client or significant others the action based on identified needs and problems, implementing appropriate nursing interventions wholly compensatory, supportive and educative, modifying interventions and evaluating the results of nursing interventions accordingly based on criteria established. These criteria help me to produce co mpetent effective qualities and ability to sustain the demand for care in response to increasing numbers of patients. The utilization of my personal and professional process serves as guidelines in implementing my roles. I believe that the essence of my profession is having the possession of knowledge and competency in performing skills and interventions. It involves a combination of many disciplines, including aspects of biology and psychology to promote the restoration and maintenance of health in our clients. And at the end of the day, behind the vital signs and doctors order, what will count the most is how much you really cared. Yes- this caring which made this profession unique in the first place? The genuine reward of this work comes from the distinct gleam of the clients eyes every time we perform what we have sworn to do. Although it is sad fact that some nurses are quite amnesic to why they become nurses in the first place, the future nurses of today still, should rise and take the challenge of being real nurse. My late mother and my dearest family helped and continually inspiring me to study further. They were my inspiration in teaching for several years and these experiences brought me bundles of wisdom and enough knowledge to face the challenges. Through the years of my teaching, I realized this profession requires patience and self confidence which is automatically injected to me when I decided to do so. I believed I was used as an instrument in developing my peers ability and molding their character. That is why I did my very best and I gave whatever I may give to them. This profession gave me more opportunity to improve and sustain my competency. The years of experiences in hospital setting allowed me to possess  a substantial background to keep my ambitions alive. It has been very interesting and I find myself loving what I do as well as my patients. But amidst of these thing, I am not exempted in the test of hard work, motivation and challenge to be strong. These obstacles gave me a room to develop my full maturity, learn to become team player and to enhance my critical thinking ability. With this ability and character that I possess I was able to improve my own capability inside and outside the classroom and workplace. I am very proud to be able to share different aspects of my life that are not apparent from my professional and academic record. After being encouraged to continue my degree by both family and friends, I found that pursuing career and education are character-defining time in my professional and personal life, causing me to face different challenges such as personal and financial hardship and manage roles and responsibilities associated with work, school and family. I am very excited and enthusiastic about this coming year, I know I can face challenges because of the determination and motivation to achieve my goals and desired career. It would create and open a gateway of opportunities and I know I could achieve my dreams and I want to pursue my ambition in the field of nursing.

how to make a justification report

how to make a justification report Justification Report 1. Introduction I have been appointed as a project manager of MPAG (Mostper Park Automobile Group Ltd) which is a fast growing campany formed by the merger of a number of garages who sell used cars. As the newly formed MPAG, the garages then became dealers for the Average Autos Car manufacturer. Subsequetly, as the business of each garage has expanded to cover the sale of new vehicles, the parts and servicing side of the business has also developed. The primary business of each garage is currently considered to be in car sales; each garage deals in both new and used cars. The used cars held at a particular garage come from a variety of sources; some from customer trade-ins at that garage, some from exchanges with other MPAG garages. Each garage aims to keep a limited number of second-hand cars in stock, depending on current trends within the group as well as local sales patterns. Cars are frequently moved between the five MPAG garages in the Mostper Park Automobile Group to avoid any car remaining on a forecourt for any great period. In addition to used cars, each garage keeps a limited supply of new cars. These are available for customers to test drive or purchase. A record is maintained of all new cars on stock within the MPAG. If a customer requires a particular car and the local garage does not have the desired model or specification, the sales staff can check if another garage in the MPAG has one in stock. If one can be located then a transfer/exchange between garage is aranged by the manager. If not, in the case of a purchase requirement, they can place an order with the Average Autos manufacturer. Although members of the sales staff can take bookings for test drives, the final authorisation rests with the manager of the garage. Each garage has a number of other departments; parts, servicing and administration. The primary purpose of the parts department is in supplying the service department and supporting car sales if any optional extras are required which are not factory fitted. The parts department can also trade with customers directly. The service department at each garage has a variety of functions such as basic car servicing and valet service. A number handle MOTs. The small admin department takes care of staff administration functions. The admin department may also handle booking in cars for the service department and switchboard activities. The company decided to develop an online service and appointed a project manager to control the project. So my first tasks as a project manager would be; choose appropriate agile method in order to develop the solution and manage the project, guide the systems analyst to produce analysis and design documents which help to visualise the project well before the development, and Guide the developer to produce the software which meet all the user requirement. Comparing with last couple of decades, todays Information Technology (IT) manager is under ever-increasing pressure to deliver results in the form of applications that drive improvements to the bottom line even while IT budgets are being significantly slashed. Meanwhile, despite the fall of the Internet economy business environments continue to change at a rapid pace leaving many IT shops struggling to keep up with the pace of change. These changes have led to an increased interest in agile software development methodologies with their promise of rapid delivery and flexibility while maintaining quality. Agile methodologies such as extreme Programming (XP), SCRUM and Feature-Driven Development strive to reduce the cost of change throughout the software development process. So after the discussion of requirement gathering, the methodology will be decided to the above mentioned case study scenario. 2. List of Requirements This is the list of requirements for MPAG written below. The first sets of requirements can be considered as the main/ general requirements for every user without specifying their need. 1. The users should be able to create an account using Sign Up process. 2. Once a customer opens an account, he should be able to login using his user name and password. 3. The customer should be able to see online where the nearest garage is (The geographical location). 4. Then the user requirements are going to be categorized according to their major requirement of the time. After the main requirements, I have categorized the user requirements according to their wants and needs stated below. Service Department 1. Once signed in, the customers should be able to do a booking for their car service. 2. When the car(s) are garaged, the car owner should be able to see the progress online. 3. The customer should be able to store private data, such as VIN or license info, for easy access online. 4. The customer should be able to retrieve the history like the last time a repair was performed, with searchable repair forms. 5. The online profile should allow them to display their vehicle in virtual showroom. Sales Department 1. Once signed in the customers can search for used/new cars using advanced search options like manufacture, made, color, etc for the purpose of purchase before they visit the garage. 2. Once signed in the customers can search for used/new cars using advanced search options like manufacture, made, color, etc for the purpose of test drive before they visit the garage. 3. If the customers choice of car is not available in the nearest garage for purchasing or test drive, they should be able to send a request to the garage to get the specific car as soon as possible. 4. If the garage received the customer requested car from another branch, the customer should be acknowledged by sending an email. Parts Department 1. Customers should be able to search for a specific car part online in general (In the entire garage network) 2. Customers should be able to see a list of garages where a specific car part is available for purchasing. 3. They should be able to order it online, if they wish, as an online transaction so the goods will be delivered to him. Administration Department 1. Administration Department should be able to communicate with all the branch administrations as a network. 2. Handle booking in cars for the service department and switchboard activities. 3. The customers should be able to reach the main administration department for inquiry and customer service purpose. 3. Justification Report on Development Customer service is the best customer retention investment organizations can make. Customers expect immediate response and if dissatisfied can disappear. Therefore I am concluding my decision about the development stage of MPAG as I go in below written explanations considering those key facts. Investment in Business Outsourcing is the most effective way to ensure your customers are getting the response they require without a huge capital investment. The right partner adds value to your customer service program. Managing customer services takes special skills training, administration, systems, sales, creative work, legal assistance, and response and tracking technology. A service bureau, with its large volume of work and varied client base, can attract and retain the top specialists in the field. PROVEN PROCESS The outsourcing approach to customer service solutions is a powerful business model because it allows our clients to focus on their core competencies while allowing EMS to focus on ours customer service. You can concentrate on your business while we maintain and enhance your client base through the management of all types of electronic communications without the expense incurred by in-house, customer care programs. SCALABLE OPERATIONS Its hard to build as you go. The flexibility of a modular and scalable environment allows seamless support of your programs and grows with your needs. A service bureau already has the infrastructure and management team in place, so companies can buy the capabilities they need right now, without paying for what might be needed down the road. TECHNOLOGY PRODUCTIVITY MANAGEMENT Many companies look to outsourcing because its just too expensive to keep up on todays technology treadmill. As a result, powerful new products and services are made available to our clients way before such solutions would be possible under an internal development environment. FLEXIBLITY Outsourcing solutions are ready to be deployed very quickly, providing our clients with a clear advantage in time to market. Outsourcing allows clients to manage the growth of their business and improve customer contact, while we respond to, route and track customer electronic communications. 4. Justification Report on chosen Methodology After doing few research studies, I am coming to the conclusion of using SCRUM as the methodology. The main reasons for my choice of SCRUM can be stated as: Scrum delivers value to the business Scrum helps form high performing teams Scrum helps motivate and focus team members So giving an explanation note to each one of those above motioned facts I would like to start with the most important fact for the project manager: delivering values to the business. Scrum delivers value to the business through: Every iteration the product is ready to ship. Adapt to changing requirements: Short iterations mean that the Product Owner provides frequent feedback. As result there are frequent small course corrections as opposed to massive changes late in the project. Visibility of progress: delivering a working product at the end of every iteration means that the customer, executive sponsors and other interested parties can see the product take shape. They are not surprised six weeks before release. Accurate tracking of how much work is left before release: the combination of the product backlog and the teams velocity means that you tell how much the team will get done by the release date. Lightweight requirements: Since the team is in frequent (preferably daily contact) with the Product Owner, she spends less time writing detailed requirements. Instead she is able focus on making decisions and answering questions from developers. Process improvement mechanism to meet business needs: As business needs change SOX, FDA compliance, through the retrospective the Scrum process can be improved and adapted to meet goals and needs in changing environments. Apart from SCRUM, XP was also a considerable option for this project until I came across that XP is geared toward a single project, developed and maintained by a single team and it is particularly vulnerable to developers who are actually not very good at team working. Because in this project where I am going to be the project manager for MPAG, I would really appreciate the team spirit and gathering around for one motivation. And especially XP will not work in an environment where a customer or manager insists on a complete specification or design before they begin programming and it will not work in an environment where programmers are separated geographically as well which I think is one of the crucial reasons for this project where we definitely have to deal with different geographical locations of garages. And XP has not been proven to work with systems that have scalability issues (new applications must integrate into existing systems) which I think will be a drawback for the future development. So in conclusion, scrum provides a way for the business to maximize its ROI by using iterative development to rapidly create working software. It ensures that the team is always working to deliver the highest priority features which concludes any decision of using SCRUM for this project. Motivation Conclusion Concluding this justification report, so far I have gathered the requirements of MPAG, categorizing them to appropriate departments. Then I have finalized the methodology that I am going to apply for this project and how the development should be carried on. In this stage activities like last debugging, marketing and promotion havent taken place yet as this is the very initial stage I am reporting for. By finishing this activity the project will not be closed. But because of the unpredictability of the software development process its not possible to define exactly when this activity will take place and so the project may take shorter or longer than planned. But by using the controls given by Scrum, the project is now of course in the right route.

Philosophy of Education :: Philosophy of Teaching Statement

Philosophy of Education As a future educator, there are many pieces of knowledge that I hope to impart on my future students. I also believe that there are many different ways in which to give this knowledge. I relate myself mostly with the Social Re-Constructionists. They believe in a wide curriculum, covering more than the basics, which I feel is very important. One thing that I do find very important is practical educational experiences. As an elementary teacher, I will not get to see this put to much use, but I hope that my students will have future opportunities to complete internships, work-studies, and many other opportunities along those lines. I am also a very optimistic person when it comes to children and their abilities to learn. I firmly believe that every child can learn just as much as another, they just need to go at their own pace and level. Today, too many teachers pass off children that learn slower as problems in their classroom. This is simply not the truth; everyone should have equal opportunities to learn. I believe in giving children feed back. After they complete a test, I want to give them stickers and smiles for good grades, and sit down and talk with them about bad ones in order to see what we can do to fix the problem. I also want to be in constant contact with the parents, no matter how bothersome they are. I also enjoy change. It keeps things from becoming boring and repetitive. I would welcome other teachers and parents ideas to change my classroom and the way I run it. I feel that too many people disagree with my philosophies, when they are things I feel like every teacher should believe in. These are the reasons I want to be an educator. I want to give kids a chance that may not have had one. I want children who have been told they are stupid to realize that it is the other person’s insecurities, not their own problems. That is why I want to teach; I want to teach children that no matter what they want to do, they can do it. My classroom will be very democratic. Everything, except for the basic rules, will be discussed with my students.

The Role And Functions Of New Zealand Government Essay -- essays resea

The New Zealand Government has made significant changes to the economy throughout the last 15 years. The operation and organisation of business activity in New Zealand has been affected by this changing economy. All aspects of the New Zealand Government have been altered. The reason for this change was to improve the performance by being more efficient. The key reforms are privatisation and corporatisation of State Owned Enterprises (SOEs) and restructuring government agencies. The most significant change was the election of the Labour Party in 1984, which ended the Muldoon Administration. At this time, New Zealand was in a rut because of poor economic management by the previous Government. Unemployment was high in 1983 and still climbing, real GDP was only 1.15 between 1976 and 1984, and international debt was at 41% of GDP in 1984. The United Kingdom (the major New Zealand export market) had join the European Union in 1973, and since had to endorse a quota where they could only import a certain number on overseas products. Under the National Government, New Zealand was close to self-sufficiency because the government refused to import products from overseas. The public were to losers in this situation as there were a limited number of products offered for sale, and they were also quite expensive too. This called for some desperate transformation. When the Labour Party was elected under David Lange, they immediately changed the sectors that they thought needed urgent attention. They were Capital Markets, Financial, Industry, and International Trade. Other reforms occurred in 1985 (Monetary), 1986 (Tax and Corporatisation), 1988 (Privatisation), 1989 (Public Expenditure), 1990 (Labour Market), and 1991 (Resource Management and Social Services). In fact all state sectors underwent some sort of alteration at some stage. The period from 1984 – 1994 was dubbed â€Å"a period of radical change.† These reforms occurred simultaneously and some are still being refined now. From 1995 onwards there was a second period of â€Å"slower paced evolutionary† activity. (1999, OECD Government Reform) The key idea in the reform process was to â€Å"roll back the state† – in other words focus more on what a government should do which is, governing the people. Defining a government’s core business can be difficult because in every country it is different, even in New Zealand. It is also d... ... the long run. Bibliography Bollard, Allan, Lattimore, and Silverstone (1996). Chapter one in A Study of Economic Reform: The Case of New Zealand. Elsevier Science Publications. Boston, J et al, (1996) Public Management: The New Zealand Model. Chapter three: The Framework of Government and the Evolution of the Public Sector. Oxford University Press. Clarke. L (March 2000) Face The Nation. Television New Zealand Ltd. New Zealand Employment Relations Service (October 2000). â€Å"The Employment Relations Act 2000 and Good Faith† Pamphlet of the NZ Department of Labour. New Zealand Country Paper (1999). Government Reform: Of Roles and Functions of Government and Public Administration. OECD New Zealand Employment Relations Law (2000) Overview [Online] Available: <a href="http://www.executive.govt.nz/era/erl_over.htm">http://www.executive.govt.nz/era/erl_over.htm [2001, April 29] Palmer, G. and Palmer, M. (1997) Bridled Power: New Zealand Government Under MMP. Chapter one: The Changing System of New Zealand Government. Auckland: Oxford University Press. TV3 (March 2000) 3 News, Television 3 and 4 Network Services Ltd. TVNZ (March 2000). One News. Television New Zealand Ltd.

Artificial Sweeteners Are Really Bad Essay

Artificial sweeteners are chemicals or natural compounds that replace the sweetness of sugar, without all of the calories. But sometimes the label ‘sugar-free’ masks calories present in the food or drink. Aspartame, which is in Equal is a common chemical sweetener with crazy possible side effects. Effects include hallucinations to seizures and brain tumors; it is hardly worth consuming for the sake of saved calories in my opinion. Then you also have Sucralose, which is known as Splenda. Recent research suggests that Splenda can enlarge both the liver and kidneys and shrink the thymus glands. Splenda reportedly can cause skin rashes, panic, diarrhea, headaches, bladder issues, stomach pain, and those side effects don’t even sum it up. In addition to all of this, consider the waste involved in the industry of artificially sweetening. Ever stepped into a coffee shop and noticed a mound of sugar substitute packets building on the counter or in the trash? We’ve been wasting one of our most precious resources for the sake of a sweetener that can harm our bodies and prevent weight loss. So what you can do instead to get your sugar fix? Turn to natural sweeteners for your drinks and food alike. Honey, agave nector, organic maple syrup, brown rice syrup, and stevia are just a few natural sweeteners you can turn to. Not only will they wreak your body less, but your support of these sweeteners instead will, eventually, help to slow the production of toxic artificial sweeteners. I am interested in this topic because so many people that I know use artificial sugar. My mom however, has never let us use things like sweet and low or splenda because she was always aware of the bad things that happen in your body because of these artificial sugars. I want to be able to answer the question â€Å"well why is it bad?† when people ask me why they shouldn’t use splenda and sweet and low. I will approach this as an informative paper, letting the audience know why it is bad, but also trying to convince people not to use it at the end.

Odyssey and Brother Essay

Specifically, three parallels surface in the discussion of the similarities between Homeris classic epic and iO Brother Where Art Thou? The Cyclops encounter for instance, is transcendent between both works. Furthermore, each story contains a comparable perspective of the Lotus Eaters. Finally, the strongest parallel between the iOdysseyi and iO Brother, Where Art Thou? i is the mystical call of the Sirens and the powers of the witch goddess Circe. The Cyclops encounter is transcendent between both works. The Cyclops, in the iOdysseyi and iO Brother, Where Art Thou? i has obvious physical traits that connect the two pieces of work. The Cyclops in each story is a large man, who only has one eye. One website describe the Cyclopes race as, ia rough and uncivilized race of one-eyed giants. i(Spark notes p1) Odysseus describe the giant as, i A prodigious man who slept in his cave alone, and took his flocks to graze afield—remote from all companions, knowing none but savage ways, a brute so huge. i(Wilkie p378) The encounter of the Cyclops shows a great similarity in both of these stories. Odysseus, the main character of the iOdysseyi and Ulysses, the main character of iO Brother, Where Art Thou? i are taken from of state of tranquility and savagely attacked. As described by Odysseus, iSo there all day, until the sun went down, we made our feast on meat galore, and wine. i(p 377) This quote describes Odysseus and his men relaxing and enjoying a feast. Quite similar in iO Brother Where Art Thou,i Ulysses was enjoying a picnic when the savage Cyclops attacked him. When Ulysses and Odysseus were about to enjoy a peaceful day they are overtaken by the Cyclops either imprisoned or robbed. Both Ulysses and Odysseus mentality of a warrior allows them to fight back and eventually defeat the Cyclops. In each story an attempt to blind the creature offers a distraction for each character to escape from the Cyclops. Secondly, each story contains a similar perspective of the Lotus Easters. When you eat the intoxicating fruit of the lotus, as described in the Odyssey, the thought of home, purpose of voyage, and memories of the past are no longer important. Odysseus and his men arrive at the land of the Lotus-Eaters and become addicted and drawn to the fruit. They are so leered to the fruit, that it becomes a mindless obsession. iO Brother, Where Art Thou? becomes parallel to the story of the Lotus-Eaters when Ulysses and his men are baptized. Websteris dictionary defines baptism as, ithe Christian sacrament of sin and spiritual rebirth as a Christian. i Both the iOdysseyi and iO Brother Where Art Thou? i describe a rebirth and new thinking. The things of the past are no longer important. Rebirth of the soul and becoming filled with the spirit are identical to the intoxication of the f ruit. Therefore, the producers of iO Brother, Where Art Thou? i are describing baptisms as a new beginning and new thought, then comparing it to the lotus eaters of the iOdyssey. i Finally, the strongest parallel between the iOdysseyi and iO Brother, Where Art Thou? i is the mystical call of the Sirens and the powers of the witch-goddess Circe. This parallel is the strongest element of comparison because it is very similar how each story describes the Sirens. Odysseus is told in the iOdyssey,i iSquare in your shipis path are the Sirens, crying beauty to bewitch men coasting by. i (p 421) Both Ulysses and Odysseus use wax to avoid the Sirens. Ulysses hair smelling of wax, (hair wax) and Odysseus instructing his men to put wax in their ears is enough to avoid the Sirens seductive song in each story. Avoiding the Sirens allows both Ulysses and Odysseus to continue on their purpose of journey, to get home. Another striking similarity is the witch goddess of Circe. In the iOdyssey,i Circe turns one of Odysseus men into a pig. Parallel to the Homeric epic, one of Ulysses men was supposedly turned into a frog. These two strong parallels sum up an obvious influence of Homeric work in iO Brother, Where Art Thou? i The movie iO Brother Where Art Thou? i is strikingly similar to Homeris iOdyssey,i in both plot and character description. Specifically, three parallels surface in the discussion of the similarities between the iOdysseyi and iO Brother, Where Art Thou? i The Cyclops encounter for instance, is transcendent between both works. Furthermore, each story contains a similar perspective of the Lotus Eaters. Finally, the strongest parallel between the iOdysseyi and iO Brother, Where Art Thou? i is the mystical call of the Sirens and the powers of the witch-goddess Circe. Thus, we find the modern film depiction of the trouble of a man during the depression is being shaped by the ancient struggles of Odysseus in Homeris iOdyssey. i

Dwecks Growth Mindset to Close the Achievement Gap

Dweck's Growth Mindset to Close the Achievement Gap Teachers often use words of praise to motivate their students. But saying â€Å"Great job!† or â€Å"You must be smart at this!† may not have the positive effect that teachers hope to communicate. Research shows that there are forms of praise that may reinforce a student’s belief that he or she is either â€Å"smart† or â€Å"dumb†. That belief in a fixed or static intelligence may prevent a student from trying or persisting at a task. A student may either think â€Å"If I am already smart, I don’t need to work hard,† or â€Å"If I am dumb, I won’t be able to learn.† So, how can teachers intentionally change the ways students think about their own intelligence? Teachers can encourage students, even low-performing, high-needs students, to engage and achieve by helping them to develop a growth mindset. Carol Dwecks Growth Mindset Research The concept of a growth mindset was first suggested by Carol Dweck, a  Lewis and Virginia Eaton Professor of Psychology at Stanford University. Her book, Mindset: The New Psychology of Success  (2007) is based on her research with students that suggests that teachers can help develop what is called a growth mindset in order to improve student academic performance. In multiple studies, Dweck noticed the difference in a students performance when they believed that their intelligence was static versus students who believed that their intelligence could be developed. If students believed in a static intelligence, they exhibited such a strong desire to look smart that they tried to avoid challenges. They would give up easily, and they ignored helpful criticism. These students also tended not to expend efforts on tasks they saw as fruitless. Finally, these students felt threatened by the success of other students. In contrast, students who felt that intelligence can be developed exhibited a desire to embrace challenges and to demonstrate persistence. These students accepted helpful criticism and learned from advice. They also were inspired by the success of others. Praising Students Dwecks research saw teachers as agents of change in having students move from fixed to growth mindsets. She advocated that teachers work intentionally to move students from a belief that they are â€Å"smart† or â€Å"dumb† to being motivated instead to â€Å"work hard† and â€Å"show effort. As simple as it sounds, the way teachers praise students can be critical in helping students make this transition.   Before Dweck, for example, standard phrases of praise that teachers might use with their students would sound like, I told you that you were smart, or You are such a good student! With Dwecks research, teachers who want students to develop a growth mindset should praise student efforts using a variety of different phrases or questions. These are suggested phrases or questions that can allow students to feel accomplished at any point in a task or assignment: You kept working and concentratedHow did you do that?You studied and your improvement shows this!What do you plan to do next?Are you pleased with what you did? Teachers can contact parents to provide them information to support a students growth mindset. This communication (report cards, notes home, e-mail, etc.) can give parents a better understanding of the attitudes that students should have  as they develop a growth mindset. This information can alert a parent to a students curiosity, optimism, persistence, or social intelligence as it relates to academic performance. For example, teachers can update parents using statements such as: Student completed what she began Student tried very hard despite some initial failure Student stayed motivated, even when things didn’t go wellStudent approached new tasks with excitement and energyStudent asked questions that showed he or she had a desire to learn  Student adapted to changing social situations Growth Mindsets and the Achievement Gap Improving academic performance of high needs students is a common goal for schools and districts. The U.S. Department of Education defines high needs students as those who are at risk of educational failure or otherwise in need of special assistance and support. The criteria for high needs (any one or combination of the following) include students who: Are living in povertyAttend high-minority schools (as defined in the Race to the Top application)Are far below grade levelHave left school before receiving a regular high school diplomaAre at risk of not graduating with a diploma on timeAre homelessAre in foster careHave been incarceratedHave disabilitiesAre English learners High-needs students in a school or district are often placed in a demographic subgroup for purposes of comparing their academic performance with those of other students. Standardized tests used by states and districts can measure  the differences in the performance between a high needs subgroup within a school and the statewide average performance or a states highest achieving subgroups, especially in the subject areas of reading/language arts and mathematics. The standardized assessments required by each state are used to evaluate school and district performance. Any difference in the average score between student groups, such as regular education students and high needs students, measured by standardized assessments is used to identify what is called the achievement gap in a school or district. Comparing the data on student performance for regular education and subgroups allows schools and districts a way to determine if they are meeting the needs of all students. In meeting these needs, a targeted strategy of helping students to develop a growth mindset  may minimize the achievement gap. Growth Mindset in Secondary Schools Starting to develop a students growth mindset early in a students academic career, during pre-school, kindergarten, and the elementary school grades ​can have long-lasting effects. But using the growth mindset approach within the structure of secondary schools (grades 7-12) may be more complicated. Many secondary schools are structured in ways that may isolate students into different academic levels. For already high performing students, many middle and high schools may offer  pre-advanced placement, honors, and advanced placement (AP) courses. There may be international  baccalaureate (IB) courses or other early college credit experiences. These offerings may inadvertently contribute to what Dweck discovered in her research, that students have already adopted a fixed mindset - the belief that they are either â€Å"smart† and able to take high-level coursework or they are â€Å"dumb† and there is no way to change their academic path. There are also some secondary schools that may engage in tracking, a practice that intentionally separates students by academic ability. In tracking students may be separated in all subjects or in a few classes using classifications such as above average, normal, or below average. High needs students may fall disproportionately in the lower ability classes. To counter the effects of tracking, teachers can try employing growth mindset strategies to motivate all students, including high needs students, to take on challenges and persist in what may seem difficult tasks. Moving students from a belief in the limits of intelligence can counter the argument for tracking by increasing academic achievement for all students, including high needs subgroups.   Manipulating Ideas on Intelligence Teachers who encourage students to take academic risks may find themselves listening to students more as students express their frustrations and their successes in meeting academic challenges. Questions such as Tell me about it or Show me more and Let’s see what you did can be used to encourage students to see efforts as a path to achievement and also give them a sense of control.   Developing a growth mindset can happen at any grade level, as Dweck’s research has shown that student ideas about intelligence can be manipulated in schools by educators in order to have a positive impact on academic achievement.

Hit song about Sept. 11 truly misses the mark essays

Hit song about Sept. 11 truly misses the mark essays Hit song about Sept. 11 truly misses the mark This article is the authors opinion about a controversial song written by Toby Keith in the days following the September 11th attacks on America. Julia Keller, the author, describes "Courtesy of the Red, White, and Blue (The Angry American) as "odious" as well as "a crude caricature of true American values, as it snarls with schoolyard braggadocio and bristles with taunts and threats and coarse language". She is saying that this song does nothing but reflect the same ideas as the people who committed the heinous acts of terror on September 11th. She compares the "silly, chest-thumping antics" to two other songs written about the same thing, just with a different tone. The songs "Where Were You (When the World Stopped Turning)" by Alan Jackson and "American Child" by Phil Vassar, received a glowing retort from Keller by saying these songs are "thoughtful" and "a starker contrast to Keiths macho bluster". She states, "Do we need to punish those responsible for Sept. 11? Of course. A nd were doing that . But the idea that the only legitimate response to that terrible day is to become as blind, bloodthirsty, and bombastic as the terrorists themselves the essence of Keiths song is insulting. Our nation seeks justice, not vengeance." Keith received much publicity when ABC decided not to feature the song on its Fourth of July special. "He got to act all dissed and outraged, and got himself booked on radio and TV shows to whine about it", Keller says. She believes it takes men and women of sincere courage to assimilate a tremendous blow like the events of September 11th, feel a surpassing grief, and then use those emotions as fuel to make wisdom. When I read this article I was dumbfounded. Apparently the author doesn't know what true patriotism and love for your country is. Nor does she know how the majority of the American public feels about the events that t ...

Myths Involving the Greek God Hades

Myths Involving the Greek God Hades Hades, called Pluto by the Romans, was the god of the Greek underworld, the land of the dead in Greek and Roman mythology. While some modern-day religions deem the underworld as Hell and its ruler as the incarnation of evil, the Greeks and Romans saw the underworld as a place of darkness. Although hidden from the light of day and the living, Hades himself was not evil. He was, instead, the keeper of the laws of death. Key Takeaways: Hades Alternate Names: Zeus Katachthonions (Zeus of the Underworld), Epithets: Aà ¯des or Aà ¯doneus (The Unseen One, The Invisible), Plouton (the Wealth-Giver), Polydegmon (The Hospitable), Euboueus (Wise in Counsel) and Klymenos (the Renowned)  Culture/Country: Classical Greece and Roman EmpirePrimary Sources: Homer  Ã‚  Realms and Powers: The Underworld, ruler of the deadFamily: Son of Kronus and Rhea, brother of Zeus and Poseidon, husband of Persephone Origin Myth According to Greek mythology, Hades was one of the sons of the Titans Cronus and Rhea. Their other children included Zeus, Poseidon, Hestia, Demeter, and Hera. Upon hearing a prophecy that his children would depose him, Cronus swallowed all but Zeus. Zeus managed to force his father to disgorge his siblings, and the gods embarked on a war against the Titans. After winning the war, the three sons drew lots to determine which would rule over the Sky, Sea, and Underworld. Zeus became the ruler of the Sky, Poseidon of the Sea, and Hades of the Underworld. Zeus also maintained his role as King of the Gods. After receiving control of his realm, Hades withdrew, and living an isolated existence, had little to do with the world of the living humans or gods.   Appearance and Reputation Although rarely appearing in Greek art, when he does, Hades carries a scepter or key as a sign of his authority- the Romans illustrate him carrying a cornucopia. He often looks like an angry version of Zeus, and the Roman writer Seneca described him as having the look of Jove when he thunders. Sometimes he is illustrated wearing a crown with rays like the sun or wearing a bears head for a hat. He has a cap of darkness that he wears to become dark.   Hades has a number of epithets, because Greeks, in general, preferred not to speak directly of death, particularly concerning their family and friends. Among them are Polydegmon (also Polydektes or Polyxeinos), all meaning something like the receiver, the host of many or the hospitable one. The Romans adopted Hades for their mythology, calling him Pluto or Dis and his wife Proserpina. Role in Greek and Roman Mythology In Greek and Roman mythology, Hades is the ruler of dead, grim and mournful in his character, and severely just and unyielding in the performance of his duties. He is the jailer of the souls of the dead, keeping the gates of the netherworld closed and ensuring that dead mortals who entered his dark kingdom never escape. He only left the kingdom himself to abduct Persephone as his bride; and none of his fellow gods visited him except for Hermes, who ventured in when his duties demanded it.   He is a frightening but not a malevolent god, with few worshipers. A handful of temples and sacred sites are reported for him: there was a precinct and temple at Elis, which was open one day during the year and even then only open to the priest. One place associated with Hades is Pylos, the gate-place of the setting sun.   Realm While the underworld was the land of the dead, there are several stories including The Odyssey in which living men go to Hades and return safely. When souls were delivered to the underworld by the god Hermes, they were ferried across the River Styx by the boatman, Charon. Arriving at the gates of Hades, souls were greeted by Cerberus, the terrible three-headed dog, who would let souls enter the place of mists and darkness, but would keep them from returning to the land of the living. In some myths, the dead were judged to determine the quality of their lives. Those judged to be good people drank of the River Lethe so that they would forget all bad things, and spend eternity in the wonderful Elysian Fields. Those judged to be bad people were sentenced to eternity in Tartarus, a version of Hell. Hades, Persephone, and Demeter The major myth associated with Hades is how he obtained his wife, Persephone. The most detailed is recounted in the Homeric Hymn to Demeter. Persephone (or Kore) was the only daughter of Hades sister Demeter, the goddess of corn (wheat) and agriculture. One day, the maiden was gathering flowers with her friends, and a wonderful flower sprang from the ground on her path. When she reached down to pluck it, the earth opened up and Hades emerged and took her away in his golden chariot driven by swift deathless horses. Persephones cries were only heard by Hekate (goddess of ghosts and pathways) and Helios (god of the sun), but her mother grew anxious and went looking for her. Using two torches from the flames of Etna and fasting all the way, she searched fruitlessly for nine days, until she met Hekate. Hekate took her to see Helios, who told Demeter what had occurred. In grief, Demeter abandoned the company of gods and hid among mortals as an old woman.   Demeter remained absent from Olympus for a year, and during that time the world was infertile and famine-stricken. Zeus sent first the divine messenger Iris to instruct her to return, then each of the gods to offer her handsome gifts but she adamantly refused, saying she would never return to Olympus until she had seen her daughter with her own eyes. Zeus sent Hermes to talk to Hades, who agreed to let Persephone go, but he secretly fed her pomegranate seeds before she left, ensuring that she would remain bound to his realm forever. Demeter received her daughter and, forced to compromise with Hades, agreed that Persephone would remain one-third of the year as the consort of Hades and two thirds with her mother and the Olympian gods (latter accounts say the year was split evenly- the references are to the seasons of the year). As a result, Persephone is a dual-nature goddess, queen of the dead during the part of the year she resides with Hades and a goddess of fertility the rest of the time.   Other Myths There are a few other myths associated with Hades. As one of his labors for King Eurystheus, Heracles had to bring Hades watchdog Cerberus back from the Underworld. Heracles had divine help- probably from Athena. Since the dog was only being borrowed, Hades was sometimes portrayed as willing to lend Cerberus- so long as Heracles used no weapon to capture the fearsome beast. Elsewhere Hades was portrayed as injured or threatened by a club and bow-wielding Heracles. After seducing a young Helen of Troy, the hero Theseus decided to go with Perithous to take the wife of Hades- Persephone. Hades tricked the two mortals into taking seats of forgetfulness from which they could not get up until Heracles came to rescue them. Another from a late source reports that Hades abducted an ocean-nymph called Leuke to make her his mistress, but she died and he was so distressed that he caused the white poplar (Leuke) to grow in her memory in the Elysian Fields.   Sources Hard, Robin. The Routledge Handbook of Greek Mythology. London: Routledge, 2003. Print.Harrison, Jane E. Helios-Hades. The Classical Review 22.1 (1908): 12-16. Print.Miller, David L. Hades and Dionysos: The Poetry of Soul. Journal of the American Academy of Religion 46.3 (1978): 331-35. Print.Smith, William, and G.E. Marindon, eds. Dictionary of Greek and Roman Biography and Mythology. London: John Murray, 1904. Print.

Bernard Surname Meaning and Origin

Bernard Surname Meaning and Origin The common Bernard surname derives from the Germanic given name Bernhard or Beornheard, meaning strong or brave as a bear, from the elements beran, meaning bear and hardu, meaning brave, hardy, or strong. The Bernard surname has appeared with several dozen different spelling variations, originating in a number of different countries. Bernard is the 2nd most common surname in France.   Alternate surname spellings:  Barnard, Bernart, Berndsen, Bernhard, Bernhardt, Bernaert, Benard, Bernat, BernthSurname origin: French, English, Dutch   Where in the World Do People With This Surname Live? According to surname distribution data from Forebears, Bernard is the 1,643rd most common surname in the world- most prevalent in France, and in countries with a French-speaking population or French histories such as Haiti, the Ivory Coast, Jamaica, Belgium, and Canada.  WorldNames PublicProfiler also has the surname as most common in France, followed by Luxembourg and Canada (especially on Prince Edward Island). Geopatronyme, which includes surname distribution maps for different periods of French history, has the Bernard surname as fairly common throughout France during the period 1891–1915, although slightly more common in Paris, and the departments of Nord and Finistà ¨re. The popularity in Nord has continued to increase, now topping the list by a large margin. Famous People With This Last Name Claude Bernard -  French physiologist; pioneer in the introduction of blind experiments and the discovery of homeostasisCatherine Bernard - French novelistÉmile Bernard  - French painterÉmile Bernard  - French composerTristan Bernard - French novelist and playwright Genealogy Resources How to Research French Ancestry - Learn how to research your French family tree with this guide to genealogical records in France. Includes information on both online and offline records including birth, marriage, death, census and church records, plus a letter writing guide and tips on sending research requests to France.Family Genealogy Forum - Search this popular genealogy forum for the Bernard surname to find others who might be researching your ancestors, or post your own Bernard genealogy query.FamilySearch - Explore over 2.3 million historical records which mention individuals with the Bernard surname and its variations, as well as online Bernard family trees.GeneaNet - Includes archival records, family trees, and other resources for individuals with the Bernard surname, with a concentration on records and families from France and other European countries. References Cottle, Basil.  Penguin Dictionary of Surnames. Baltimore, MD: Penguin Books, 1967.Dorward, David.  Scottish Surnames. Collins Celtic (Pocket edition), 1998.Fucilla, Joseph.  Our Italian Surnames. Genealogical Publishing Company, 2003.Hanks, Patrick and Flavia Hodges.  A Dictionary of Surnames. Oxford University Press, 1989.Hanks, Patrick.  Dictionary of American Family Names. Oxford University Press, 2003.Reaney, P.H.  A Dictionary of English Surnames. Oxford University Press, 1997.Smith, Elsdon C.  American Surnames. Genealogical Publishing Company, 1997.

A Seven Day Cyclical Menu Planinig for a Hospital Patient Research Paper

A Seven Day Cyclical Menu Planinig for a Hospital Patient - Research Paper Example The technician would then make a decision on whether there should be adjustments to the already prescribed diet. An initial assessment may assimilate data including nutrition related to food history; medical tests, biochemical data and procedures, nutrition focused physical findings, client history and anthropometric measurements. There might be a number of questions that may loom in one’s mind as one makes a visit to his physician. These may range from weight gain or loss, abnormal lab values, trouble in swallowing food, tube feeling or even appetite loss. The dietician may then make his diagnosis to the patient and recommend an appropriate diet order suggesting the probable corrective solutions to the nutrition issue. The process that sees the determination of a patient’s diet might be called the Nutrition Care Process thus may be implemented within several hospitals. The extensions may include low sodium, renal diets, low fat, pureed and low phosphorous. In case oneà ¢â‚¬â„¢s diet fails to appear into the existing menu extensions, there would be a notification to the nutrition associates who would then make a report to the diet technicians. Thesis statement Within the past recent years, there might have been a considerable increase in health issues within patients in hospitals as a result of inappropriate diet given to them by the hospital administration. It may be crucial to note that an aspect of nutrition might not just be significant for growth and enjoyment but for the nourishment of the body organs and tissues together with their nourishment too. The question that might hover within everybody’s mind would be; would it be possible to determine a diet for a specific patient? If so, how best would it be done? Why wouldn’t every patient be served the same food within the entire hospital? Objectives To obtain a means of determining a patient’s diet. To make use of appropriate diets in assisting patients attain quick recover y. To plan a menu for a hospital patient. It might be extremely crucial to note that there might be a couple of varying choices to make as regards menu for patients within a hospital. Selections, however, may be made possible so as to make sure that all the parameters within the diet are effectively fit. So as to make a determination of the appropriate food required within a menu, nutrient analysis would be used for every item. The palm pilots may often be utilized by nutrition associates in order to check and ensure that every meal is compliant and appropriate to the specific, restrictive diet. In case, a hospital fails to have a specific supplement or food required, it may often opt to make visits to the nearby grocery stores e.g. whole foods, stop and shop, fairway, etc so as to purchase food. It might be appropriate for the nutritionists to consider the fact that patients may differ in religion, status and culture hence the need to come up with steps that may aid in the food pro vision for each of them. Well educated nutrition associates would be more efficient than the quack type. This may be because they may be considered the first contact with patients as regards their diet. The cultural practices may be typically determined upon patient arrival thus even the first meal