Thursday, August 27, 2020

Battle tactics of the U.S. Civil war Essay Example | Topics and Well Written Essays - 2500 words

Fight strategies of the U.S. Common war - Essay Example War broke out and the rifles turned into a significant strategic weapon of this war. (Dupuy, 82) The military chiefs of that time knew that the utilization of the improved rifles in the war would unquestionably change the strategies that were utilized on the front line. Toward the start of the war, the vast majority of the rifles had moderate excusal gags. In this manner, the men were assembled to shape an enormous volume of terminating unit, which would make more harm the resistance making them leave the front line. Albeit, later on, the viable scope of the rifles and different weapons improved, the fundamental development of the men continued as before. On the off chance that the men were organized in little gatherings, at that point it would be hard for the pioneers to appropriately control them and make them battle. Consequently, to stay away from such disarray, the units of men were appropriately prepared in the weaponry division. The officials endeavored to prepare the fighters with the end goal that the soldiers could convey their most extreme potential and utilize their capability appropriately to abstain from losing. For instance, the Zouaves were educated to drop down on the ground out of nowhere before the contrary unit could strike at them, at that point out of nowhere rise and accuse them of their blades. Be that as it may, when there were disappointments the soldiers, and not the strategies, were accused. Griffith makes reference to, It is by all accounts the case that strategic assaults in the Civil War accomplished their neighborhood destinations preferably less much of the time over those of Napoleonic occasions, in spite of the fact that that doesn't really imply that they were less valuable in deciding the conclusive outcome of hanks or crusades. (Griffith, 29) We likewise observed the utilization of various as good as ever military procedures in the war. There were numerous progressive improvements in the utilization of ammo and guns. The improvement in the utilization of the Mini Bullet or Mini Ball permitted an individual to stack the rifle and shoot it at a more prominent speed than what was conceivable before. The most significant advancements came in the rifles, which assumed a key job in the improvement of the strategies of the war, in spite of the fact that they were not new to the warriors. Prior a skillet of black powder was utilized in the gun. In any case, before the war the percussion top was concocted where a top was utilized to light the black powder in the gun. This made it conceivable to utilize the weapon in practically all climate types. The percussion lock additionally improved the pace of shooting of the rifle. The way where the black powder gun barrel was rifled was likewise improved. This positively affected its preci sion and range. Prior the compelling scope of the smooth bore gun was distinctly around 300 ft. Consequently, this made perils for the carrier. By and by, in the wake of rifling the barrel, the successful range was expanded to around 750 to 900 ft. Along these lines, this made the carrier of the weapon all the more destructive and hazardous. A tremendous improvement was likewise made in the gun plan of the multi-fired rifle. The 1855 model and later on the 1861 model rifles embraced the utilization of the .58 bore and made it there standard for the infantry weapons. (Woodworth, 34-7) Infantry was the essential battle segment of the military in the American Civil War. The infantry of the American Civil War basically included the infantrymen and generally had little weapons before all else. Be that as it may, as the war advanced

Saturday, August 22, 2020

Case Study of Smith and Jones Samples for Students Myassignment

Question: Talk about the Case Study of Smith and Jones. Answer: Presentation Duty arrangement of the nation assumes significant job in rising government support. The fun is used for the advancement of the nation just as for the fundamental consumption of the nation. The basic consumption, for example, the framework advancement, protection financial plan, and cost for keeping up the lawfulness inside the nation, helping the denied and elderly individuals the administration finance is utilized. The cash gathering from the expense help in this issue and consequently the administration use to acquire revision the tax collection approach as per the need of the nation. Principle study The assessable salary incorporates pay according to the standard ideas is called as normal pay. Area of ITAA 1997 remembers for the assessable pay of the citizen where the citizen is the occupant of Australia. All the conventional pay earned by the citizen all through the Australia would be remembered for the assessable salary during that time of time[1]. The capital increase charge is recognized on account of the Pre CGT land where, the benefit is delineated to be considered as the pre CGT charge and is additionally not assessable to the idea of the expense. The upgrade of the expense can be effortlessly dictated by demonstrating that the Pre-CGT charge isn't material by indicating the improvement of the nature. The thought can be effectively recognized as the upgrade of the movement which is being utilized for indicating the structure of the work and furthermore the expense of the base salary for the Smith and Jones are portrayed to be expanding in nature. This the figure essentially portrays the execution of the passage 104-10(5)(a) of the ITAA 1997 which is material to the case according to the endeavors are made[2]. In this way the upgrade of the structure can be portrayed by actualizing the capital addition burdens on the salary produced using the touching of the sheep on the land and on the improvement of the properties that ar e made on the land. According to the Assessable Income Tax Law, the applicable annual expense will be made on the capital gains as it is being found in the exercises proceeded by the Smith and the Jones. Hence the structure unmistakably portrays the suitable arrangement of the examination and furthermore the improvement of the investigation can be made by demonstrating the fitting clarifications to the contextual investigation as it is attempted in this case[3]. Aside from this, the limit of the outcome can be made by indicating the advancement costs and the contribution of the salary all through six years made by the Smith and the Jones. The previously mentioned contextual investigation it is seen that Smith and Jones are property engineer. They have bought a property eight years back, which has tremendous potential. The property is utilized for brushing reason throughout the previous six years and thenSmith and Jones have partitioned the land into 5 hectors squares and offered the land to one purchase[4]. In this situation as Smith and Jones are including in the property advancement calling and they utilize the property for brushing throughout the previous six years and afterward they exchange the property; subsequently, according to the tax collection rule in Australian tax assessment Office (ATO) they need to pay charge on the pay they earned from the touching and the upgraded estimation of the property to the government[5]. As indicated by the law it must be considered as the customary salary and the annual expense rule ought to be applied for this case. The capital addition charge is likewise applicable for this case as the property during this year built up a great deal and in this manner, the pace of the property has been expanded a ton. In this circumstance Smith and Jones need to pay capital addition charge for the benefit they make from the capital increase of the property. End The tax assessment framework underpins the basic government use. As per the expense results the different kinds of charges use to be forced on the citizens [6]. As indicated by the attempted contextual analysis both standard annual duty and capital addition assessment will be applied. References Cooper, Graeme S,Executing Income Tax(Australian Tax Research Foundation, 2008) Hurley, Annette,Tax Laws Amendment (Personal Income Tax Reduction) Bill 2008(Standing Committee on Economics, 2008) Krishna, Vern,Income Tax Law(Irwin Law, 2015) Bricklayer, Tom,Income Tax Law(Taxation Concepts, 2012) Whittenburg, Gerald E, Martha Altus-Buller and Steven L Gill,Income Tax Fundamentals(1st ed, 2013) Woellner, R. H,Australian Taxation Law 2012(CCH Australia, 2013) Graeme S Cooper,Executing Income Tax(Australian Tax Research Foundation, 2008). Annette Hurley,Tax Laws Amendment (Personal Income Tax Reduction) Bill 2008(Standing Committee on Economics, 2008). Vern Krishna, Income Tax Law (Irwin Law, 2015). Gerald E Whittenburg, Martha Altus-Buller and Steven L Gill,Income Tax Fundamentals(1st ed, 2013). Artisan, Tom, Income Tax Law (Taxation Concepts, 2012) Woellner, R. H, Australian Taxation Law 2012 (CCH Australia, 2013)

Friday, August 21, 2020

Should Students Use Free Essay Samples For Entertainment Purposes?

Should Students Use Free Essay Samples For Entertainment Purposes?The internet has made it possible for every school or university to offer various types of free essay samples. What are these samples?Free samples of essays are provided for students to help them improve their essays and improve their writing skills. Some examples of the types of essays that can be found in the free samples are essay samples about celebrity deaths, business-related essays, assignments in English as a second language, and exams. All these samples are a good way for an aspiring writer to practice their writing skills and improve upon them.Should students use these essays for entertainment purposes? It depends on the purpose and intention of the writer.Should they be used for opinion articles in various newspapers? It is considered inappropriate to use this type of sample essay for opinion articles. It is always better to use examples for learning purposes. However, if a student is using the free sample e ssays for entertainment purposes, he or she should consider the effect of his or her writings as well as its potential for spreading virus or contagion to the rest of the students.As part of the college essay writing course, students are encouraged to use free samples. The purpose is to help in the enhancement of writing skills and improve on their quality. It is not to be construed as plagiarism, since it is provided by non-commercial websites, which do not have that license to charge for its usage.Some of the other examples that are available on the websites offering free sample essays include use of resources from videos, movies, audio and poetry books. Other examples may include music and quotes from a variety of sources.There are many who would argue that the use of sample essays for entertainment purposes is no different from the ideas of plagiarism. This may be true for some cases but the fact is that the main purpose is not to make the writer rich nor is it to spread virus o r contagion in the classroom.While a person may think that the purpose of these sample essays is not important, the fact is that such samples can help writers improve their work and put it into motion. Should students consider using the samples?

Monday, May 25, 2020

Marx And The German Ideology - 874 Words

‘It is not consciousness that determines life, but life that determines consciousness’ (Marx, The German Ideology). Discuss. The life determines consciousness motif presented by Marx in the German Ideology is a representation of his view on ideological beliefs, which misrepresent the world to subjects. The theory also explains how economical life influences thinking, through notions such as interests. In this essay I will discuss the claim made above by Marx through looking at what he meant by the terms ‘life’ and ‘consciousness’. Having then looked at how life influences our thinking, I will explain the significance of the notion of interests. This will build up to the latter half of the essay where I will look at how Marx is presented with a self-defeating worry. From this, I will provide my response by explaining how life determines consciousness, concluding that Marx’s theory isn’t self-defeating and his meaning is intact. I will begin by outlining Marx’s general argument for the way economical life influences our thinking. Marx’s view of human consciousness centers on his materialist method, which looks at how the economic and social life of man, influence his actual life and his thinking . Marx’s view is thus in direct contrast to German philosophy, since he holds thoughts as being determined by extra mental entities which is our consciousness, and this is what we use to define ourselves. The notion is borrowed from his teacher Hegel, for whom consciousness was aShow MoreRelatedKarl Marx on the German Ideology843 Words   |  3 PagesKarl Marx on the German Ideology: Karl Marx and Friedrich Engels collaborated to produce The German Ideology, which was one of the classic texts generated by the two. Even though The German Ideology stands our as one of the major texts produced by the two, it was never published during Marx’s lifetime. This was a clear expression of the theory of history by Marx and its associated materialist metaphysics. One of the main reasons this text is a classic text by these philosophers is the fact thatRead MoreKarl Marx And The German Ideology1713 Words   |  7 PagesKarl Marx was born on May 5th, 1818, in Trier, Germany. (Rà ¼hle, 1943) He was a university scholar who gained knowledge in topics such as philosophy, law and history. (Rà ¼hle, 1943) Marx eventually switched from studying law to study philosophy, in which he gained his doctorate degree at Jena in. (Calhoun, Gerteis, Moody, Pfaff, Virk, 2012) Marx was known for being not only a social critic but also an economist. Marx is also known to have close working ties to Frederick Engels, a fellow sociologistRead MoreKarl Marx And The German Ideology1437 Words   |  6 PagesINTRODUCTION Long before our time, two prominent German philosophers emerged at the forefront of ideology and thinking. These two men were Karl Marx and Friedrich Nietzsche who pioneered the idea of truths, religion, reality, etc. Karl Marx’s essay, â€Å"The German Ideology,† otherwise known as Marxism, focused upon the materialistic processes that brought life into our world and the abuse of the burgeouse on the proletariat. This theory later went on to found the core beliefs of communism and playedRead MoreKarl Marx s The German Ideology2228 Words   |  9 PagesIn The German Ideology, Karl Marx explores and attempts to shape a definition of ideology. Marx says that ideology is the production of ideas, of conceptions, of consciousness, all that men say, imagine, conceive (Blunden). Marx goes on to say that this includes language of politics, laws, morality, religion, metaphysics, etc. (Leitch 655). Subscribing to the idea of base and superstructure, Marx identifies ideology as the superstructure of a civilization. The dominating ideas of a societyRead MoreThe Soul And Consciousness Of Revolutionary Politics1482 Words   |  6 PagesConsciousness 5 IV Degeneration and Global Revolution (ideology) 6 V Psychology of Political Duty and Freedom 7 VI Conclusion 7 VII Bibliography 8 I In this short paper I will be comparing and contrasting the political psychology of Plato’s Republic and Karl Marx’s political theory. Their concepts of group consciousness will be contrasted as well as how the nature and existence of ideology affect their theories. This will be concluded by a discussionRead MoreLife Is Not Determined By Consciousness, But Consciousness By Life1009 Words   |  5 Pages‘Life is not determined by consciousness, but consciousness by life.’ (Karl Marx Friedrich Engels.) What do Marx and Engels mean by this and how helpful is this idea for literary analysis? Marx and Engels both formed the theory that it isn’t what we think that decides out reality, it is instead our reality that decides what it is that we are capable of thinking. It is in essence the idea that we as human beings are refined not by what we think, but by our reality, which in turn decides the capabilityRead MoreKarl Marx s View On Race And Ethnicity865 Words   |  4 PagesRace is rarely mentioned by the three early proponents of the field of sociology, Karl Marx, Emiele Durkheim and Max Weber. However, when it is cited, these sociologists voiced very diverse opinions on the matter of race and oppression. Marx regarded race as vestige of the pre-industrial era and thus, would be superseded by â€Å"reductionism† (Cite). Emiele Durkheim believed race, which he referred to as â€Å"ethnicity,† was a factor in connecting an individual to a subgroup of society, but played littleRead MoreSocial Class Differences On The Long Run Essay1403 Words   |  6 Pagesperiod after that. The results of this study suggest that social class differences may be growing in the long run. This paper will examine this graph from the perspectives of both Adam Smith and Karl Marx. Using Marx and Smith’s findings in German Ideology and Wealth of Nations, this paper will discuss Marx and Smith’s main theories on capitalism and describe how these theories can be applied to the interpretation of the graphs in the study â€Å"Inequality in the Long Run.† This paper will also discuss theRead MoreThe Nazi Ideology Of National Socialism1355 Words   |  6 Pagesand agreeably answered by the Germans. Some, like Adolf Hitler, believed the Jews were an untrustworthy and tainted breed and, ultimately, should be terminated. This leads to the Nazi ideology of National Socialism. A philosopher by the name Martin Buber believed that Judaism was more than a nation and could not solely behave as one. On the contrary, Bruno Bauer proposed that Je ws cut their religious ties all together and become politically emancipated while Karl Marx critiques this idea and proposesRead MoreThe Communist Manifesto And Das Kapital1507 Words   |  7 PagesKarl Marx A German philosopher, economist, journalist and revolutionary scientist, Marx was best known for his work in economics. He laid the foundations for today s theories of labor and capital. The Communist Manifesto and Das Kapital were among the most famous of his published works. Born to a middle-class family in Trier, Prussia in 1818, his parents were Jewish, but converted to Christianity in 1816 due to strict anti- Jewish laws. He was baptized as a Christian at the age of six but later

Friday, May 15, 2020

Student Athletes Are Deserving Of Economic Remuneration

The seven most popular sports (in order) in the United States are: NFL, MLB, NCAAF, auto racing, NBA, NHL, and NCAAM (Rovell, 2014). Five of the sports included are professional where the athletes are paid. However, two of them--NCAAF and NCAAM--are amateur sports headed by student-athletes who are not paid. When these college sports are on par with professional organizations that are worth billions of dollars, then the amateurism behind the NCAAF and NCAAM is questioned. In fact, the NCAA generates almost a billion dollars annually. Since the athletes in question are amateur student-athletes, paying them might damage the integrity of the sports. Therefore, there is an ongoing contested debate over whether student athletes are deserving of†¦show more content†¦However, amateurism is an illusion because the NCAA â€Å"insatiably embrace[s] commercialism in all facets of intercollegiate athletics except on a single issue — athlete compensation† (Zola, 2013). The 1980s is where NCAAM and NCAAF exploded as businesses. The Supreme Court, in 1984, struck down the NCAA’s restrictions on television appearances. This coincided with the government deregulation of cable television and, ultimately, led to massive television contracts and sports stations covering NCAAM and NCAAF. As the athletic departments of universities expanded profoundly, they continued to reiterate the student in student-athletes. By doing so, they built the boundary up as an effective defense from allowing college athletes to get a cut of the newfound income. In 1988, the NCAA became an effective private institution when the Supreme Court ruled against Jerry Tarkanian and allowed the NCAA to dismiss due process during their investigations. Amateurism, in the sake of college football and men’s basketball, is a falsehood and a boundary created by the NCAA and enforced by college coaches and athletic departments. The meaning behind the category of student-athletes wa s empowered by the NCAA in the 1950s to fend off lawsuits and implement the sanctity of college sports as amateur sports. The NCAA’s moral authority lies in the term â€Å"student-athlete† and â€Å"is meant to conjure the nobility of amateurism, and the precedenceShow MoreRelatedShould College Athletes Be Paid?3174 Words   |  13 PagesShould College Athletes Be Paid? College sports are a highly paid business. It is produced sold just like all other commercial products. The NCAA generated over $70 million in the basketball tournaments. Schools who made it to the finale instantly earned over $1.3 million. $275 thousand was given to those who were invited to the tournament. Football is just the same. The (1988-89) seasons produces $53 million and $66 million and was split between all participating schools. College athletes should receiveRead MoreOverview of Hrm93778 Words   |  376 PagesHuman Resource Management (MGT501) VU MGT - 501 T his subject/course is designed to teach the basic principles of Human Resource Management (HRM) to diverse audience/students, including those who are studying this as a supporting subject for their bachelor degree program. This course is designed to provide you the foundations of HRM whether you intend to work in HRM or not, most of these elements will affect you at some point in your career. Either you will be working with some organizationsRead MoreOrganisational Theory230255 Words   |  922 Pagessterling service in bringing together the very diverse strands of work that today qualify as constituting the subject of organisational theory. Whilst their writing is accessible and engaging, their approach is scholarly and serious. It is so easy for students (and indeed others who should know better) to trivialize this very problematic and challenging subject. This is not the case with the present book. This is a book that deserves to achieve a wide readership. Professor Stephen Ackroyd, Lancaster UniversityRead MoreDeveloping Management Skills404131 Words   |  1617 Pages xvi CONTENTS P R E FA C E What’s New in This Edition? Based on suggestions from reviewers, instructors, and students we have made a number of changes in the eighth edition of Developing Management Skills. †¢ Added new skill assessments in Chapter 1 and a new case in Chapter 3. †¢ Revised parts of the book to reflect suggestions and feedback from instructors and students. †¢ Clarified instructions for scoring skill assessments and updated the comparison data for each assessment. †¢ Updated

Wednesday, May 6, 2020

Essay on Developmental Matrix - 995 Words

University of Phoenix Material Developmental Stages Matrix |Developmental Stage |Physical changes |Cognitive changes |Socioemotional changes | |Infancy |Body weight doubles by the fourth month after birth and| |Crying and contentment | | |triples by their first birthday. |Sensory motor intelligence begins with six stages of |Smiling socially. | |†¦show more content†¦|Hypothetical thought occurs – reasoning about what if |Moratorium – postpone achievement choices. | | |Body becomes bigger; a growth spurt. Eat more and gain |propositions that may or may not reflect reality. |Four aspects of identity – religion, sex, vocation, | | |weight. |Capable of deductive reasoning – begins with abstract |politics/ethnicity. (Few achieve identity achievement in | | |Every primary sex organ increases in size and matures |idea or premise that uses logic to draw specific |these areas.) | | |in function |conclusions. |Relationships are crucial with parents and non-parent adults.| | |Secondary sex characteristics develop – body shape, |Dual-process model – Advanced logical thought |Adolescents become independent and clash with the parents’ | | |males growShow MoreRelated The Characters in The Matrix Essay3889 Words   |  16 PagesThe Characters in The Matrix The Matrix (Wachowski Wachowski 1999) is a battery powering an unending chatter of thought, images, productions, and discourse. In the film, a stabbing needle penetrates the black plug mounted on the back of a human skull, and the mind is overwhelmed by the matrix, an extensive simulacral world that, to its unknowing inhabitants, is in every way the same as reality, and to those merely passing through, is a sinister, green-tinted prison. The film sets, by dialogueRead MoreA Study On Cell Adhesion Molecules3168 Words   |  13 Pagesextracellular matrix (ECM) by cell junctions. There are three kinds of cell junctions: Occluding junctions, anchoring junctions and communication junctions. Occluding junctions occur in the epithelium where the adjacent cells are so tightly sealed together that even small molecules cannot pass. Communicating junctions allow the exchange of chemical and electrical signals between cells. Anchoring junctions are the ones which attach a cell either to its neighbor or to the extracellular matrix. FormationRead MoreSigmund Freud And Erik Erikson1110 Words   |  5 Pagesindependence and can experience discouragement if feeling shame (Leggett, 2017), for instance. In his psychosocial theory, Erikson suggests that negotiations amongst the id desires and the influences of the superego, the ego creates a beneficial developmental influence, attaining ways of thinking and creating abilities which make individuals contributing and active family and community members (Dunkel Sefcek. 2009). Interestingly, Erikson writes that although the interaction between the developingRead MoreThe Effects Of Technology Enhanced Formative Assessment On Student Writing818 Words   |  4 Pageshighlighting the view that learning and development should be understood through their social environments. Miller (2011) stated that â€Å"in the Vygotskian-sociocultural view, humans are embedded in a sociocultural matrix and human behavior cannot be understood inde pendently of this ever-present matrix† (p. 166). Thus, social context and other human beings play an important role in the cognitive growth of an individual, because higher mental functions, such as logical memory, selective attention, decisionRead MoreAlice Saddy Case Study1316 Words   |  6 Pagesï » ¿Alice Saddy Case Study 1. Abstract The individual case managers, support workers and human resources manager working at the Alice Saddy Association which is a non-profit organization London and Ontario supporting people with developmental disabilities who were living individually rather than in group houses informed the executive director that the employees thought the present business structure triggered confusion, slowed down decision making ability and endangered all everyone involved withRead MoreNew Technology from 1945s to 20002151 Words   |  9 Pagesrapid changes in technology. POST WORLD WAR II AND LATE 1940s (1945-1949) Technology played a crucial role in determining the outcome of the World War II. Much of it was developed during the interwar years to 1920s and 1930s. However, the developmental changes in technology occurred in early and late 1940s. The customization of technology took place in United States while the soldiers kept on fighting abroad. Weaponry, logistical support, communications, intelligence equipment, medicine and industrialRead MoreBehavior Matrix1397 Words   |  6 PagesRunning head: Understanding Behavior Theoretical Models for Understanding Behavior Matrix Tara Brigle Grand Canyon University: Classroom Management for Students with Special Needs March 6, 2012 Comparing, Contrasting, Identifying, and Listing Major Components of the Theories |Biological Model |Very important in the medical profession | | Read MoreHuman Genetics And Molecular Mechanisms1657 Words   |  7 Pages(NCCS) Pune, one of India’s premier research institute. I worked with Dr. M.R. Wani in the project â€Å"Studies on the regulation of Calvarial Osteoblast Differentiation†. Osteoblasts are responsible for the formation and organization of the extracellular matrix of bone and its subsequent mineralization. Interleukin 3 inhibits the differentiation of osteoclasts induced by RANKL and TNF alpha in mouse hematopoietic precursors but the role of this interleukin in osteoblast differentiation is not well knownRead MoreOrgan And Tissue Regeneration And Organ Systems1541 Words   |  7 Pagesserves as an anchor for the cells based on the principle of anchorage dependence. Anchorage dependence will enable cells to form layers and communicate with one another within the scaffold just like how normal cells are attached to the extracellular matrix and in teract with adjacent tissues. Additionally, many scaffolds confer the advantage of not causing immune system rejection (ie. Graft vs Host reaction) as immune system rejection would lead to dangerous effects ranging from local discomfort to theRead MoreThe Macrosystem: From Child to Adult Essay1384 Words   |  6 Pagesillness and mental health/wellness with and ecological context. Mental health and community counseling assess for personal and ecological strengths and assets in addition to symptoms and deficits. One of the well known scholars in the field of developmental psychology, Urie Bronfenbrenner has been the primary contributor to the ecological systems theory. The ecological theory defines four types of systems which contain roles, norms and rules that shape development. The systems include a microsystem

Tuesday, May 5, 2020

Electronic Medical Record Implementation Costs and Benefits free essay sample

Electronic Medical Record Implementation: Costs and Benefits Sheryl L. Venola Assignment 3 (24 July 2011) NURS 517 Intro to Health Care Financing Saint Xavier University Professor: Dr. Roger Green, DNP, MSN, BSN Abstract This paper discusses the adoption of an electronic medical record system purchased by Howard Regional Health System in Kokomo, Indiana; the rationale behind its timing and choice in expenditure; the ramifications of not implementing the system (e. g. recent health care legislation requirements); the benefits to the organization as well as to the patients it serves, and a cost effectiveness analysis. Additionally, the American Recovery and Reinvestment Act of 2009 is discussed including compliance mandates that will require eligible providers and health care institutions to meet electronic health technology implementation deadlines or face no compensation for their implementation as well as reductions in Medicare and Medicare reimbursements. Also included are discussions of the â€Å"meaningful use† guidelines established by the Centers for Medicare and Medicaid and the differences between electronic medical records and electronic health records. Finally, the advantages and disadvantages of electronic medical records are detailed. In response to the to changes in the health care delivery system as a result of the Affordable Care Act (ACA) signed into law in March of 2010, Howard Regional Health System (HRHS) has recently purchased the Cerner electronic medical record (EMR) system at a cost of $22,000,000. According to chief executive officer, James Alender, accountable care is the focus of this change in addition to stimulus money for electronic health record (EHR) system implementation, which could offset their initial expenditure by approximately $3,100,000 based on the volume of Medicare business the organization had in 2008 (Munsey, 2011). This monetary investment comes in the wake of health information technology implementation requirements set forth in the American Recovery and Reinvestment Act of 2009 (ARRA). The Recovery Act specifies that eligible providers and hospitals with a fixed Medicare and Medicaid patient populations must adopt EHR systems by 2015 or face reduction in their compensation under these programs (Department of Health Human Services [DHHS], 2009). Additionally, the act assigned funds to the Centers for Medicare and Medicaid Services (CMS) to assess existing EHR systems and to provide incentives for eligible providers and hospitals in implementing such systems. With continued funding and legislative measures affecting the organization’s financial future, the adoption of the Cerner system seems to be one of the most important steps in ensuring its financial security in the years to come. If hospital executives and the Board of Trustees were to ignore the requirements set forth in the AARA and ACA legislation, the institution would be in serious jeopardy of losing not only is share of federal funding, but its ability to participate in health care delivery on any level at all. This would signal their demise and would certainly affect the surrounding community as it is one of two hospitals in Kokomo, Indiana, and is the only health care organization of its size in this region of the state. The patients Howard Regional serves will benefit from electronic recording of their health and medical information in many ways. Alender states that Kokomo’s â€Å"snowbirds† should have access to their records so they can be as mobile as they are, suggesting that this will reduce health care costs by reducing duplication of tests, if treatment is obtained away from home. He goes on to assert that digital records will allow more efficient movement of patients through the system allowing seriously ill patients to move more quickly through the emergency department, and other acute care departments within the system. Additionally, if that same patient requires further care away from HRHS, the treating hospital would have access to the previous records so that work already completed is not repeated (Munsey, 2011). Their medical information could be updated with each visit rather than their having to â€Å"provide the same information over and over again (Gurley, 2003). † Gurley also agrees that because patients and providers are better informed through electronic record-keeping, there is less duplication of testing as well as enhanced treatment coordination among health care providers. Along with the patients, the hospital reaps many tangible and intangible benefits from EMR as well. The information in the electronic record is easily accessible to multiple clinicians at multiple locations at the same time, with nearly immediate retrieval time. For this reason, it is updated frequently and is available for access at any workstation whenever the information is required making time spent with patients more efficient (Gurley, 2003). According to Shi and Singh (2003, p. 65), one of the most important aspects of electronic records is the integration of specific patient profiles with clinical decision making tools built into the software which provide evidence-based practice reminders and guidelines for effective, efficient treatment. This type of alert system can result in reduction of medication errors and in appropriate treatment options, saving both the patient and the clinician from harm. The data analysis capability of the EMR can also be used to identify developmen ts among patient populations allowing for early intervention when indicated. It can also be utilized to identify areas in which the organization may need to expand or scale back depending on the trends the data indicates (Dolan, 2011). Having used the Cerner system in the past, this RN noted that with the clinical record being streamlined in such a way that narrative documentation was necessary only by exception, completing it required less time, which left more time for bedside care along with completion of educational requirements, which were also mostly computerized. Hence, the savings could be significant and provide for increased nurse satisfaction related to the ability to provide more actual patient care as well as complete proficiencies without having to stay after a shift or come in on a day off. As mentioned above, EMR can reduce duplication of services, assist in fast-tracking acutely ill patients, reduce the duplication of tests and services that aren’t medically necessary (e. g. the patient’s condition has not changed substantially), allow clinicians to spend less time on documentation possibly reducing overtime, each of which can result in cost savings for the institution. According to Randall T. Huling Jr. , MD, president of Olive Branch Family Medical Center in Olive Branch, Mississippi, since switching over to EMR in January of 2010, they have increased revenue by an estimated $650,000 with an annual cost reduction of more than $85,000. Additionally, they have been able to raise provider productivity by 10,000 visits, raise their fee collection percentage from 68 to 72 percent, and increase the charges per patient from $157 to $172 (Byers, 2010). Wang et al (2003) performed a five-year cost-benefit analysis using primary data from several internal medicine clinics, using their own internally developed EMR system, utilizing a health care organization perspective framework and a conventional paper-based medical record as the reference point. Costs of implementation were approximated to be $3,400 per provider in the first year and included redesign of workflow processes, extraction of data from paper charts, and training. Yearly maintenance cost, including system and network administration and additional technical support personnel, were estimated to be $1,500 per provider annually. The temporary loss of productivity resulting from the transition to an electronic from a paper system, was interpreted using a decreasing loss rate of 20% in month one, 10% in the second month, and 5% in the third, returning to baseline in the following months. With annual averages for provider revenues, this cost amounted to $11,200 in the first year. Although their five-year net benefit per provider was $86,400 and the â€Å"net financial return to a health care organization from using an ambulatory medical record system is positive across a wide range of assumptions (Wang, et al, 2003, p. 401),† the authors cautioned that several variables could affect the net revenues organizations could expect. The patient mix can affect revenues depending on the number of capitated versus fee-for-service patients served by the health care organization. With capitated arrangements, savings to the patient resulting from decreased use of utilization of services, revenues accrue to the provider. However, less utilization of services in fee-for service arrangements result in loss of revenue to the provider, but the payer (i. e. the insurer) saves in expenses. They did postulate that these insurers might provide incentives to providers using EHR realizing that their profits could be increased with more providers utilizing these systems, The study evaluated cost savings from drug suggestions and warnings provided by the EMR software, which aided in prescribing of formulary drugs and prevention of adverse drug events. However, the study was not able to evaluate the intangible cost savings from averted malpractice claims, injury to patients, or reduced quality of life of clients. Additional tangible and intangible savings that were not included due to unavailability of sufficient data were reductions in malpractice premium costs, decreased staffing needs, less paper charting-related storage and supply costs, increased provider productivity, generic drug substitutions, enhanced reimbursement resulting from proper coding, and reduced denials related to insufficient documentation of medical necessity (Wang et al, 3003 p. 402). Limitations of the study cited by the authors included the fact that the research model was centered on primary data from their institution, published literature estimates, and an expert opinion panel which they convened. They also conceded that EMR implementation might produce other costs, including greater system integration expense for larger institutions dependant on the complexity of the various system interfaces involved. Additionally, although effectiveness of electronic medical record interventions has been well-established in inpatient settings, there is less certainty of their effects in the outpatient environment. Other costs could be related to decreased or lost productivity during unexpected network or computer system downtime, reassignment of clinical staff, or redesign of the workflow process (Wang et al, 2003, p. 402). Obviously the above results are based on one study utilizing results from a group of ambulatory clinics making it difficult to extrapolate data to a hospital setting even when that hospital has significant outpatient programs. Indeed, Thompson and Fleming (2008) pose questions regarding the uality and quantity of data found in existing literature, suggesting that health care institutions be cautious in their information sources in order to be better informed in the EMR decision-making process. The authors state that amount of comprehensive studies are lacking requiring hospitals to obtain more sources containing information they are seeking and rigorously compare data so that they can better extrapolate the results to their individual organizations (Thompson Fleming, 2008) . They also caution using staff time savings as a factor unless that variable is given a value and that it is used to actually cut costs. For example, if an average of 30 minutes per staff member is realized in utilization of the EMR, how will that impact staffing? Will staffing needs be reduced allowing for fewer staff members per shift, resulting in actual cost reductions? If staff are able to complete other duties that would have required use of overtime or coming in on days off, this would also decrease expenditures. However, the authors point out that staff members are often allowed to perform other tasks that don’t result in salary reductions, although this is implicit when staff time saving related to EMR is discussed (Thompson Fleming, 2008). It is obvious that the decision to adopt an electronic medical record is not an easy one to make given all the variables discussed previously, but the information presented thus far has not taken into account the more recent changes produced by health care reform. These changes are discussed in the following paragraphs. The American Reinvestment and Recovery Act provides incentives for eligible providers (EP) and health care organizations (i. e. those who serve a defined percentage of Medicare and Medicaid recipients) for the implementation of EHR. The use on EMR and EHR are have often been used interchangeably, but they are not the same. An electronic medical record is the legal record of the care a patient receives from a health care provider or institution during their encounter with either entity. The electronic health record belongs to the patient and encompasses the entirety of their care across all providers within a community, region or state (Garets Davis, 2006, pp. 2-3). For the purposes of reimbursement, however, providers must use a certified EHR (EHR Incentives, p. ). The recovery Act has appropriated $140,000,000 for each of fiscal years 2009 through 2015, with an additional $65,000,000 for 2016 to be used for administrative funding. Funds are to be made available until completely utilized. â€Å"In coordination with the Office of the National Coordinator (ONC) for Health Information Technology, CMS will develop the policies, such as the definition of ‘meaningful use,’ needed to implement the incent ive program (DHHS, 2009). In addition, it will be necessary to provide education to eligible participants to facilitate their understanding of all the conditions and guidelines regarding their eligibility, the selection of Medicare or Medicaid incentive programs, the incentive payments, and the demonstration of â€Å"meaningful use. † Recovery Act reporting compliance will require guidance to individual states, which will involve Federal and State staff time and require modification of accounting and payment data reporting systems (DHHS, 2009). When the aforementioned requirements were set forth by the DHHS in 2009, the meaningful use guidelines had not yet been established. Following is a link to the summary overview for meaningful use objectives of EHR* (Blumenthal Tavenner, 2010) as it currently stands, which outlines the steps individual providers and health care institutions (hospitals, ambulatory care centers, clinics, et al) must take in order to receive stimulus funds for the costs associated with implementing electronic health systems (EHR). The initial payments will be made beginning in 2011 depending on each state’s timing in adoption of the Medicare and Medicaid programs. For hospitals, the calculation is based on the volume of Medicare and or Medicaid patients served, but the baseline payment is $2,000,000. Each program is separate, but EPs and institutions can apply for one or both programs, however if they choose only one program, they cannot later add the other, so it benefits them to choose both at the outset since they can drop out of either one at any time (EHR Incentives). Given the stakes of not participating, providers should work diligently to eet all the requirements set forth in order to maximize the return on investment they should obtain in simply adopting EHR. The incentives offered will merely help them realize those return sooner rather than later. Finally, given the state of internet security and the government’s desire to push providers toward electronic data capture, it is only natur al that there would be concerns regarding EMR and EHR technology. Advantages of EHR over paper records include an expansive storage capability, availability of the data from many access points at the same time, and nearly immediate retrieval time (Gurley, 2003). The paper record is fragmented and depending on the charts used (e. g. some tend to fly open when dropped, causing paper to be scattered), pieces of the record can be lost. Additionally, when a patient is hospitalized more than once, their old chart must be retrieved in order to provide continuity of care. Electronic systems bypass this and allow clinicians to obtain information from previous visits much more quickly allowing the patient to have a streamlined entry to and exit from the system. Electronic health records also have built-in medical alerts and reminders allowing providers to be notified of abnormal lab results, potential drug interactions, and timing of tests required for monitoring blood levels associated with certain conditions or as a side effect of medications. It can also provide evidence-based practice plans for certain diseases and disorders facilitating the provider’s choices in judging the right path in caring for each patient. The electronic software allows the clinician to capture information enabling them to provide payers with the outcome based criteria they require in reimbursing the physician. Finally, EHR provides a major step in ensuring patient safety by clearly written order entry by physicians avoiding the mistakes that can occur with handwritten orders when those entries are illegible (Gurley, 2003). The major disadvantage of EHR adoption appears to be the costs associated with implementing them. According to Kent Gale, start-up costs could range from between four and five million dollars for a smaller (200-bed) hospital to $100,000,000 for an organization with three hospitals. He went on to tate that a typical 400-bed facility with a more extensive EHR would likely spend between $20,000,000 and $30,000,000 (Byers 2010). Also, unless one is technologically-savvy, there can be considerable learning needs on the part of physicians and staff. In these cases, it is much better to have systems that are more intuitive and user-friendly in order to get everyone onboard. As previously mentioned, privacy concerns are at the forefront in people’s minds where electronic documentation is concerned. Security measures must be ever-evolving in order to meet the challenge and audits of access to medical data must be done to ascertain the appropriateness of information access. Paper records have also had the potential for unauthorized access without the knowledge of the patient or provider and these invasions of privacy are much harder to detect (Gurley, 2003). Essentially, the electronic record has its advantages and disadvantages, but with all the benefits they can provide to patients, providers, insurance companies, as well as the government in collection of statistics, it appears to be the best choice for all concerned. With a great deal of effort and constant vigilance, electronic health records can provide for safer, more cost efficient care, and conserve resources for use in other areas that are currently lacking. I believe that in the end, Howard Regional’s decision to adopt EHR will result in huge savings and increased revenues that will benefit not only the organization, but the communities they serve. References Blumenthal, D. , Tavenner, M. (2010, August 5). The â€Å"Meaningful Use† Regulation for Electronic Health Records. New England Journal of Medicine, 363, 501-504. Retrieved from http://ww. nejm. rg/doi/full/10. 1056/NEJMp1006114? ssource=hcrc Byers, J. (2010, November). EMR implementation: One day at a time. CMIO: Information, Evidence Effectiveness in Medicine, Digital. CMIO. net, 10-12. Retrieved from http://d27vj430nutdmd. cloudfront. net/5165/51383/51383. pdf Department of Health and Human Services Report (2009). Centers for Medicare Medicaid Services: Medicare an d Medicaid Incentives and Administrative Funding. Retrieved from http://www. hhs. gov/recovery/reports/plans/hit_implementation. pdf Dolan, P. L. (2011, May 2). Electronic medical records: What your data can tell you. American Medical Association: American Medical News. Retrieved from http://www. ama-assn. org/amednews. EHR Incentives: Eligibility. (n. d. ). Retrieved July 18, 2011, from Centers for Medicare and Medicaid Services website: https://www. cms. gov/pf/printpage. asp? ref=http://www. cms. gov/ehhttps://www. cms. gov/pf/printpage. asp? ref=http://www. cms. gov/ehhttps://www. cms. gov/pf/printpage. asp? ref=http://www. cms. gov/EHRIncentivePrograms/15_Eligibility. asprincentiveprograms/01_Overview. asprincentiveprograms/01_Overview. asp Garets, D. , Davis, M. (2006, January 26). Electronic Medical Records vs. Electronic Health Records: Yes there is a difference [White Paper]. Retrieved from A HIMSS AnalyticsTM website: http://www. himssanalytics. org/ Gurley L. (2003). Advantages and Disadvantages of the Electronic Medical Record. American Academy of Medical Administrators, 2004. Retrieved from http://www. aameda. org/MemberServices/Exec/Articles/spg04/Gurley%20article. pdf Munsey, P. (2011, March 26). Howard Regional up to the challenge. Kokomo Perspective. com. Retrieved from http://www. kokomoperspective. com Shi, L, Singh, D. A. (2008). Delivering health care in America: A systems approach. Sudbury, MA: Jones and Bartlett Publishers. Thompson, D. L. , Fleming, N. S. (2008, July). Finding the ROI in EMRs. Healthcare Financial Manager, 62(7), 76-81. Retrieved from http://www. hfma. org/publications/hfm-Magazine/hfm-Magazine Wang, S. J. , Middleton, B. , Prosser, L. A. , Bardon, C. G. , Spurr, C. D. , Carchildi, P. J. , Bates, D. W. (2003, April 1). A cost benefit analysis of electronic medical records in primary care. American Journal of Medicine, 114(5), 397-403. Retrieved from http://www. amjmed. com/article/S0002-9343(03)00057-3/fulltext

Saturday, April 11, 2020

The Arctic Monkeys free essay sample

The Arctic Monkeys are a really great Indie band. They originated from the U.K. and have had many hit singles like Mardy Bum. Their somewhat electronic sound and witty lyrics have drawn thousands of fans from not only the U.K., but also the U.S.

Tuesday, March 10, 2020

Free Essays on Life After High School

High school is a strange time. After three years of trying to develop identity and friends in middle school, students are expected to mature immediately on the first day of ninth grade, but I never did this. I never fully realized in the earlier grades how important high school success, as measured by GPA, would be to my future life, and as a result I am applying to college with seemingly contradictory measures of my ability to perform college-level work. If I had worked and studied hard rather than hanging out with friends and viewing high school as an opportunity to socialize, I would not have to apply to school with a 1300 SAT and a 2.7 GPA. Had I taken my grades in my earlier years seriously, I could have been a college's dream candidate. This year I have made an earnest effort to improve my work ethic. My grade point average is rising and my study habits are improving. However, after performing poorly for three years, my GPA cannot reflect the transformation I underwent at the start of this year. Dedicated to making something of myself, I finally matured and am now trying to lessen the consequences of my past actions. Armed with my new attitude and my understanding of the extreme importance of earning good grades to signal my capacity to work responsibly, I assure you that I will never revert to the student I once was. In retrospect, I believe that it was my inability to choose my classes that resulted in my lack of enthusiasm on the ride to school each morning. I enjoy the freedom to pursue my own interests and anxiously anticipate the ability to choose my own class schedule in college. While I understand that college will be significantly more challenging than high school, I have always found it easier to study for a class that interests me. I am also willing to accept the fact that as long as I am in school, I will be forced to take required courses that I might be less than enthusiastic about. However, with my new goal-orie... Free Essays on Life After High School Free Essays on Life After High School High school is a strange time. After three years of trying to develop identity and friends in middle school, students are expected to mature immediately on the first day of ninth grade, but I never did this. I never fully realized in the earlier grades how important high school success, as measured by GPA, would be to my future life, and as a result I am applying to college with seemingly contradictory measures of my ability to perform college-level work. If I had worked and studied hard rather than hanging out with friends and viewing high school as an opportunity to socialize, I would not have to apply to school with a 1300 SAT and a 2.7 GPA. Had I taken my grades in my earlier years seriously, I could have been a college's dream candidate. This year I have made an earnest effort to improve my work ethic. My grade point average is rising and my study habits are improving. However, after performing poorly for three years, my GPA cannot reflect the transformation I underwent at the start of this year. Dedicated to making something of myself, I finally matured and am now trying to lessen the consequences of my past actions. Armed with my new attitude and my understanding of the extreme importance of earning good grades to signal my capacity to work responsibly, I assure you that I will never revert to the student I once was. In retrospect, I believe that it was my inability to choose my classes that resulted in my lack of enthusiasm on the ride to school each morning. I enjoy the freedom to pursue my own interests and anxiously anticipate the ability to choose my own class schedule in college. While I understand that college will be significantly more challenging than high school, I have always found it easier to study for a class that interests me. I am also willing to accept the fact that as long as I am in school, I will be forced to take required courses that I might be less than enthusiastic about. However, with my new goal-orie...

Sunday, February 23, 2020

The Multiple Benefits of Dual Language Assignment

The Multiple Benefits of Dual Language - Assignment Example Educators realize that dual language programs are the best way to go about this. Although according to the authors the legislation is flawed because it compares this years students with last years and it also does not give a timeframe. Thomas and Collier found that in the Houston, Texas, Independent School District the English learner students scored more highly than those in a transitional bilingual program. What they also discovered is that the scores for native speaking English students were also higher than those in the mainstream system. As a bonus, these English speaking students also scored higher in their chosen foreign language than those learning in standalone programs. Not only did students score higher grades, but they also picked up another language at the same time. Thomas and Collier found that native speakers who were in dual language programs saw improvements in both their native language and second language. This shows that the programs are effective in equipping students with the right skills to succeed. Native English speaking students can get just as much out of the programs as English learners

Thursday, February 6, 2020

Most current financial data and ratios for two firms in a single Research Paper

Most current financial data and ratios for two firms in a single industry, from the US - Research Paper Example Financial analysis between McDonalds and Yum Brands Incl. to determine their competitiveness since the figures in financial statements never lies. Analysis will be done on the cash flow, income statement and balance statement These ratios include current ratio, quick ratio and cash ratio. This ratio shows the extent at which the company is able to repay its short term liabilities using current liabilities. According to (Ross & Westerfield, 2000) a value of 1 or greater shows the firm is more liquid hence able to repay its short term obligations with ease. From the above analysis we can see that McDonalds has higher liquidity ratio than Yum Brands Incl. thus it has $ 1.59 to pay $ 1 debt while Yum Brands Incl. only has $0.75 to settle $1 thus having a deficit of $ 0.25. From the above analysis still McDonalds has higher quick ratio as compared to Yum Brands Incl. which has 0.39. This proofs that McDonalds is able to pay off its debt with ease as compared to Yum Brands Incl. This analysis measures the level of profit making a company is as compared to other competitors (Rowland, 1936). These ratios are one of those that attract investors to invest in a given firm. Some of the ratios are as follows; From the above analysis McDonalds is able to $ 0.22 for every $ 1 invested in the company as opposed to Yum Brands Incl. which only gains $ 0.18. This shows that McDonalds receives great return from usage of its assets. This ratio shows the proportion of the company’s equity financed by owner’s equity and debt. This ratio is supposed to be as low as possible because high level reflects the company is at a state of insolvency (Kieso & Weygandt, 2001). From the above analysis both firms its assets are financed more by debt by owner’s equity. For McDonalds its assets are financed 1.28 times than by owner’s equity as for Yum Brand Incl. it is terrible since it is asset is financed more than

Wednesday, January 29, 2020

Ohio State University Essay Example for Free

Ohio State University Essay Cynthia Ozick is a daughter to Celia Regelsion and William Ozick who was born on 17th April, 1928 in New York. She has a strong educational background. She is a BA degree holder from the university of New York and Masters degree (MA) holder from Ohio State University. She is a respectable and an outstanding writer who has written several fictions and essays and particularly on the life of Jewish Americans. Some of her works such as the novel entitled ‘Heir to the Glimmering world’ that was released in 2004 made her to become popular in the world especially in the United Kingdom. Ozick has achieved many awards due to her unmatched writing skills for example she won the 1986’s Rea Award for the short story writer. She was also on the limelight in 2005 when she won the Man Booker International award. As if this was not enough, she won herself the PEN award in honor of her excellent short story writing skills. Her writing career did not occur to her overnight in fact there are some historical factors that motivated and shaped her life to what she is now. This research paper is going to delve deeper into Cynthia Ozick’s historical background and try to establish the exact factors that influenced her to become a writer of her caliber. The paper will also give brief background information of her life and then conclude with a quick summary of the main points that have been discussed. In the very last page of this paper is a list of all the resources that have been consulted while conducting this research and are properly formatted in accordance with MLA formatting style. Cynthia Ozick was a second born in her family and her father owned a drugstore where Cynthia would assist him in delivering prescriptions. She hailed from a family that greatly valued education and that is why she ended following the path she took, wring novels, poems and plays. Her father was a great Jewish scholar while her uncle was a renown Hebrew poet whose work was widely read. It is her uncle who for the first time introduced her in the field of literature thereby laying the foundation of her future career. (Rothstein) She attended school at a time when anti-Semitism was on the highest degree. She first experienced it while she was schooling at Pelham Bay section where she would receive anti Semitic slurs and attacks especially when Christmas carols were sung in class for she would not sing along as it was her principle. (Jiffynotes. com) She never gave up with school life instead she read books of her older brothers and would get others from a mobile library that passed by their drugstore. Her life took a new dimension when she joined high school at Hunter College where she found the situation being different from that in primary school life in that her education excellence was respected and greatly appreciated something that paved way for her to pursue higher education in 1949 at New York University and later to join Ohio State University for her Master’s program. (Fallon, E. 320-22) Generally speaking, though her life was good at home it was not the same in public. It was in accordance with Jewish culture that young children in America be taken for religious instructions and Cynthia Ozick was no exception. She experienced her first childhood pain at the age of five and half when her grandmother took her for those classes at Yiddish only to be disappointed by the Rabbi who refused to accept the girl arguing that there was no need to educate females. â€Å"Take her home, a girl does not have to study’ (Lowin) Rabbi had no idea whom she was sending away because the girl was bright. Though she was sent away, her grandmother never gave up in fact she took her again the next morning and she was accepted. Rabbi later discovered that the girl was a quick learner and through Rabbi Cynthia came to learn Yiddish knowledge. The experience of her being sent away from school by Rabbi who believed that girls were dispensable to be educated motivated Cynthia in one way or the other. She says that her feminism cropped up due to this treatment. (Lowin J.) Another thing that motivated her to write novels was the memories of how she was treated at school in Bronx. Though the girl was intelligent there are other things that made her feel inadequate, ‘While Ozick describes the Pelham Bay section of the Bronx as a lovely place she found it ‘brutally’ difficult to be a Jew there she remembers having stones thrown at her and being called a Christ-killer as she ran past the two churches in her neighborhood† (Lowin J). she recalls how she was treated so many years down the line something she confirms in her novel, The Cannibal Galaxy which where she describes her life in school that she was suffering like a little worm in school perhaps because she was an immigrant child left under the hands of a teacher who cared less about her life. According to Fallon (323), though Cynthia would not relate well with other children at school there was another option and a better one, books. After school she would burry her head in books that she got from a mobile library that passed by their drugstore once in a week. She says that the mobile librarians would take their cup of coffee at Park View Pharmacy after they were through with their work and she would pick two big books and magazines which transferred her completely to another world, a world different from what she experienced in school, a world of books where no one would interfere with her life. It could be said that harassment she experienced at school was a blessing in disguise because it made her to study more thereby increasing her level of intelligence. She was motivated to spend more of her time reading as she could not relate well with other students who would even criticize and throw stones at her while passing by them. (Fallon 324) The books she received from the traveling library magically transformed her life from that of a doltish schoolgirl to a reader and a prominent writer. She started by going through fairly tails and ended up being a renown novelist. The other motivational force came from her uncle Abraham Regelson, a poet who was admired for his outstanding composing and writing skills. She says that Regelson paved a way for her to follow what she refers to as a strange career. She says, â€Å"It seemed quite natural to belong to the secular Id of literature† (Lowin). She attributed her career choice to her gender arguing that if she was born a boy may be she would have pursue something else instead of what she did. She felt more motivated when she joined high school at Hunter College, Manhattan. The school atmosphere was different from that of the primary school. Here it was academic excellence that made one to be recognized and for the simple reason that she was extremely bright, she felt like she was part of the big elite group. She clearly describes those feelings in her short story book â€Å"An Education. † After she successfully completed her high school education, she proceeded to the University of New York for her BA degree and after that joined Ohio state university for her Masters degree where she wrote her thesis ‘Parable in the Later Novels of Henry James’. In her peace of work entitled, According to Lowin, the lesson of the Master Cynthia Ozick explains how she was influenced by the work of Henry James such that she became a worshipper of literature. She says, â€Å"A worshipper who had to choose between human entanglement, real life and exclusive devotion to art, chooses art. She chose art over life, she says to her eternal regret† (Lowin). Her definition in work of art was confirmed when she directed all her efforts to what she referred to as ‘High Art’ and she embarked on writing philosophical novels such as Mercy, Pity, Peace and Love (MPPL). After that she stopped writing novels and committing herself to other pieces of work like writing Jewish literature. She also got culturally transformed and became what could be termed as Jewish autodidact (Rothstein, M. ). Later, she would further be influenced by the work of Heinrich Graetz – History of the Jews and thereby she took another dimension as far as writing was concerned. She started writing more about Jews and came to be referred to as a Jewish writer. She wrote many poems with Jewish themes and also published another piece of work entitled the Pagan Rabbi in 1966 which made her very popular as it was widely read. It is from this time that her character in the field of writing started to shine internationally. She won several awards and her stories were chosen as the best in the yearly American Short Stories. She also won the Faultner Award and the National Book Award plus other dozen grants and awards that were only coveted by many not mentioning the several honorary degrees she was warded by various universities. (Associated Press) Though she was not a direct victim of the Jewish Holocaust, she would recall how Jews were killed by deadly gas by the ruthless Nazis and particularly in Germany. These memories have also become another motivating force behind her career as a Jewish writer because she has spent a great deal of time and energy writing about what was happening during that time. In conclusion it can be said that Cynthia Ozick’s career was to a large extent shaped by anti-Semitism attacks she met at school. The fact that other students were isolating her and openly criticized opened another door for her. She found solace in books which she received from a mobile library that passed by their drug store. Again having come from a family with people who valued education, she got motivated to study harder than others. Later was later influenced by the work of Regelson and Heinrich Graetz. Again the memories of how the Jews were treated during the First World War reawakened her conscience something that made her to switch to a Jewish leader. Works Cited: Associated Press. Author Cynthia Ozick wins to lifetime achievement awards. Times Record News. April 24, 2008. Accessed at http://www. timesrecordnews. com/news/2008/apr/24/author-cynthia-ozick-wins-2- lifetime-achievement-a/? printer=1/ Lowin, J. Cynthia Ozick. Jewish Virtual Library. 1928. Available at http://www. jewishvirtuallibrary. org/jsource/biography/Ozick. html Fallon, E. A Readers Companion to the Short Story in English Society for the Study of the Short Story. Greenwood Publishing Group, 2001 Jiffy notes . com. Cynthia Ozick. Thomson Gale, 2006. Available at http://www. jiffynotes. com/a_study_guides/book_notes/ssfs_0000_0022_0/ssfs_0 000_0022_0_00022. html Rothstein, M. Cynthia Ozicks Rabbinical Approach to Literature. New York Times. March 25, 1987. Available at http://query. nytimes. com/gst/fullpage. html? res=9B0DE5D91330F936A15750C0 A961948260sec=spon=pagewanted=all

Monday, January 20, 2020

Emancipation Proclamation :: essays research papers

Emancipation Proclamation, proclamation issued by Abraham Lincoln on January 1, 1863, during the American Civil War, declaring all "slaves within any State, or designated part of a State ... then ... in rebellion, ... shall be then, thenceforward, and forever free." The states affected were enumerated in the proclamation; specifically exempted were slaves in parts of the South then held by Union armies. Lincoln's issuance of the Emancipation Proclamation marked a radical change in his policy; historians regard it as one of the great state documents of the United States. After the outbreak of the Civil War, the slavery issue was made acute by the flight to Union lines of large numbers of slaves who volunteered to fight for their freedom and that of their fellow slaves. In these circumstances, a strict application of established policy would have required return of fugitive slaves to their Confederate masters and would have alienated the staunchest supporters of the Union cause in the North and abroad. Abolitionists had long been urging Lincoln to free all slaves, and public opinion seemed to support this view. Advertisement Lincoln moved slowly and cautiously nonetheless; on March 13, 1862, the federal government forbade all Union army officers to return fugitive slaves, thus annulling in effect the fugitive slave laws. On April 10, on Lincoln's initiative, Congress declared the federal government would compensate slave owners who freed their slaves. All slaves in the District of Columbia were freed in this way on April 16, 1862. On June 19, 1862, Congress enacted a measure prohibiting slavery in United States territories, thus defying the Supreme Court decision in the Dred Scott case, which ruled that Congress was powerless to regulate slavery in the territories. Finally, after the Union victory in the Battle of Antietam (September 17, 1862), Lincoln issued a preliminary proclamation on September 22, declaring his intention of promulgating another proclamation in 100 days, freeing the slaves in the states deemed in rebellion at that time. On January 1, 1863, he issued the Emancipation Proclamation, conferring liberty on about 3,120,000 slaves. With the enactment of the 13th Amendment to the U.S.

Sunday, January 12, 2020

Therapeutic Recreation

Therapeutic Recreation is the purposeful utilization or enhancement of leisure as a way to maximize a person’s overall health, well being, or quality of life. Therapeutic Recreation programs for mental illness may have seasonal classes in many areas that may include exercise, swim, adapted karate and crafts. Therapeutic recreation programs are specifically designed for individuals with disabilities. Groups are usually small and the participant to staff ratio is appropriate to the needs of the group.The activities are planned to meet the interest of the participants and can be individualized. In different communities there are different things for people with mental illness to do. In some community they even have jobs people can do to get them back in the community and working. Lamar Missouri has lots of programs that put people that have mental illness in jobs. I have even talked to the manager for Mc Donald and he has put to work people with mental illness and he said to me t hey are the best dam workers I think I have.Even in Pittsburg Kansas they have programs to put clients into the work place and let them make some money. Some people see working in society are jobs but the clients see it as a way to get out of the house and they enjoy it to an extent I would say it is recreation. Some general recreation programs may be adapted to include a person with a disability using auxiliary aids and services, but the structure of the activity, group size and staff remains the same.Making it a little harder on the staff and the staff are not able to provide one to one assistance or specialized support to an extent. Some places there are programs and activities that can suit all ages, interests, and skill levels. Activities include swimming classes, craft classes, trips, camps, children’s programs, special events, and varied offerings every season. One program I was reading about was dancing. It is for ages 15 and up with mental illness. You dance to a wor ld of rhythm and engage in playful rhythmic movement for fitness and coordination.Includes line dances, circle dances, folk dances. Designed especially for teens, and adults with developmental disabilities, that one was for a person with higher function. There are programs a person with lower functioning can dance to as well. You can take that program and modify a little and make it for any one or any age very easily. The program I was reading made people pay for the programs but with some more modifications and some sponsors it could be all free. Some places they have ides facilitate the individuals with mental illness into programs at their neighborhood recreation centers, assuring that cities and parks and recreation programs are accessible and usable by all citizens. Inclusion aides conduct assessments, develop goals for participation, and provide necessary support, including increased supervision levels, adapting games and activities and training of recreation center staff, to ensure that the needs of the person with disabilities are being met.Volunteers are a very important part of the therapeutic recreation services program. In many areas there are a variety of volunteer opportunities are available for those ages thirteen and up including students needing service hours. I don’t know if the program is in this area yet but there is a program Specialized Recreational Program Parenting with love and logic. This program is for parents, and teachers it is a user friendly and often highly successful program that is heavily wrapped in empathy but soles not shield children from consequences of their actions.It empowers children to solve their problems and help parents change their behaviors to relieve stress and pressure. Of course nothing works all the time, but this anecdotal program and the expertise of your presenter will, in a safe and nonthreatening environment, invite you to change the only person you can change, yourself. I think that program woul d be great for parent that don’t really know how to deal with their children or even the ones that think they do even if it don’t work it still gave them a little more knowledge. It will give them another outlook on how to teach their child. Therapeutic Recreation Therapeutic recreation is a treatment service designed to restore, remediate and rehabilitate a person’s level of functioning and independence in life. According to WHO- The world health organisation, health promotion is the process of enabling people to increase control over, and to improve their health. Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals but also the action directed towards changing the social, environmental and economic conditions. The Ottawa Charter identifies three basic strategies for health promotion. These advocacy’s for health to create the essential conditions for health indicated above enabling all people to achieve their full potential, and mediating between the different interests in society in the pursuit of health. In order to promote healthy lifestyles in a population or an individual a number of models have been created. For this study both the Leisure Ability Model and the Health Protection/Health Promotion Model are being looked at and compared. The first of these models being looked at is the Health Protection/Health Promotion Model. This model, created by Austin 1991, sees the purpose of therapeutic recreation as facilitating the client to recover following a threat to health such as drug addiction, alcohol addiction, psychiatric disorder etc, also known as health protection, and to achieve optimal health through health promotion. Hence for this reason this models chief aim is â€Å"to use activity, recreation or leisure to help people to deal with problems that serve as barriers to health and assist them to strive for their highest levels of wellness†, (Austin, 1997). There are four major concepts that underlie the Health Protection/ Health Promotion Model (HPHPM). These are the Humanistic Perspective, High-level Wellness, The Stabilisation and Actualisation Tendencies and Health. Humanistic Perspective- Those who embrace the humanistic perspective believe that each of us has the responsibility for his/her own health and the capacity for making self-directed wise choices about our own individual health status. Because an individual is responsible for their own health it is important to encourage individuals to become involved in decision making and to gather maximum knowledge to improve their health. Austin encourages that the population are â€Å"active participants in the world, rather than passive puppets controlled by the environment†. The humanistic perspective focuses on the positive image of what it means to be human. Human nature is viewed as basically good, and humanistic theorists focus on methods that allow fulfilment of an individual’s potential. High-Level Wellness- The term high level wellness was first coined by Dr. Halbert Dunn in his book in 1961, he defined it as â€Å"†¦an integrated method of functioning which is oriented toward maximizing the potential of which the individual is capable†. Dunn’s concept of high level wellness is, like the humanistic perspective is a holistic approach that goes beyond the absence of physical illness to include both psychological and environmental wellness. For this reason Austin surmises that high level wellness goes beyond traditional medicine and toward helping people to achieve as high a level of wellness as they are capable of achieving. Austin further goes on to compare the similarities between high level wellness and therapeutic recreation as both have been heavily influenced by the humanistic perspective. Stabilisation and Actualisation Tendencies- These are two motivational forces which the Health Protection/ Health Promotion Model are based on. Stabilising tendencies helps to maintain a steady state of an individual. It looks at keeping the stress levels of an individual’s life at a maintainable level and not to let the stressors in a person’s life to spiral out of control leading to health risk behaviour (HRB), hence for this reason stabilisation tendencies is the driving force behind Health Protection. The actualisation tendency drives a person towards health promotion which focuses on achieving an individual’s high level of wellness. Health- health is the final underlying concept of The Health Protection/Health Promotion Model. The ultimate goal of this concept is to help a client to strive toward health promotion. Pender’s (1996) definition of health incorporates stabilisation and actualisation tendencies, therefore interlinking health with the previous underlying concept of the model. For this reason healthy people can cope with life’s stressors and encourages clients to optimise their own health rather than improving their health just to recover form illness. Austin (1997) believes that those who enjoy health have the opportunity to pursue the highest levels of personal growth and development. Having looked at the underlying concepts of the model there are three broad areas of a continuum to be understood in order to design a therapeutic recreation program for any client. These are: i. Prescriptive activities: When clients initially encounter illnesses or disorders, often they become self-absorbed. The therapeutic recreation personnel, at this stage of the continuum must provide direction and structure to the client as means of an intervention due to a feeling of helplessness that can ultimately produce severe depression. ii. Recreation: Through recreation, clients begin to regain their equilibrium disrupted by stressors so that they may once again resume their quest for actualization. They take part in intrinsically motivated recreation experiences that produce a sense of mastery and accomplishment within a supportive and nonthreatening atmosphere. Mutual participation on behalf of the client and the TRP occurs and the client begins to have fun and find new ways to interact with others. iii. Leisure: This is a means to self-actualization because it allows people to have self-determined opportunities to expand themselves by successfully using their abilities to meet challenges. This stage is based on The Leisure Ability Model whereby they look at leisure alone as a means of therapeutic recreation. At this stage of the continuum, clients assume primary responsibility for their own health. So from looking this model ultimately it can be said that health and actualization are intimately intertwined. The attainment of high level wellness permits actualization. Those who enjoy peak health are free of barriers to actualization so that they may actively pursue personal growth and development. When clients are initially taking part in a program based on this model they have a learned helplessness and take a lack of responsibility but as they move down the continuum they assume primary responsibility for themselves. The Leisure Ability Model. The second model being discussed is The Leisure Ability Model. The Leisure Ability Model (LAM) which was draw up by Peterson and Gunne in 1984 focuses on leisure as a prevention of illness rather than the use of medication. This model can be used hand in hand with The HPHPM or can be used alone when designing a therapeutic recreation program to demote a health risk behaviour. Peterson and Gunne, when designing this model thought that recreation and leisure are necessary experiences that all people should enjoy and take part in, including those with â€Å"limitations† or disabilities both physical and mental. The purpose of the model is therefore to â€Å"facilitate the development, maintenance and expression of an appropriate leisure lifestyle† for individuals or groups with physical, emotional, mental or social limitations. The LAM offers an alternative to more traditional medical models for those with special needs. The Leisure Ability Model was constructed with the belief that the end product of therapeutic recreation services for clients was improved independent and satisfying leisure functioning, also referred to as a â€Å"leisure lifestyle† (Peterson, 1981, 1989; Peterson & Gunn, 1984). Similar to the HPHPM, the Leisure ability model also has a number of underlying concepts, these include Learned Helplessness, Intrinsic motivation, internal locus of control, and causal attribution, Choice and finally Flow. Learned Helplessness- Many individuals with disabilities and/ or illnesses experience learned helplessness. This could be learned during childhood when others did things â€Å"for† the individual, or through repeated exposure to settings where one learned to become a passive patient upon whom procedures were performed according to a routine. Learned helplessness robs the individual of a sense of mastery and self-determination but is also beyond that individual’s control. After having experienced life so far as helplessness in one leisure activity, a person may firmly believe that he or she is abnormal, inadequate, and lacks basic skills in that activity. As a consequence, the person believes that they are handicapped to participate in this activity and this belief may then generalize to personal performance in other areas of leisure behaviour. Iso-Ahola (1980) reports that there are three consequences of learned helplessness, these are: i. A lack of internal motivation to escape the conditions which lead to the state of helplessness. ii. A lack of cognitive understanding of personal effectiveness, iii. A heightened state of emotionality. Intrinsic motivation, internal locus of control and causal attribution- The three concepts of intrinsic motivation, locus of control and personal attribution are intricately linked, and help to explain the basis for the provision of therapeutic recreation services. All individuals are intrinsically motivated towards behaviour in which they can experience competence and self-determination. This process is continual and through skill acquisition and mastery, produces feelings of satisfaction, competence, and control. An internal locus of control implies that the individual takes responsible for the behaviour and consequences which may occur from the behaviour. The opposite of this is external locus of behaviour i. e. leaving others take the blame for your own mistakes. Personal attribution implies that the individual accepts that they can affect the outcome of a situation, they can make a decision that matters somehow to something. Without a sense of personal causation, the likelihood of the individual developing learned helplessness (the feeling that external others are in control) increases greatly. Choice- The Leisure Ability Model also relies heavily on the concept of choice. Choice implies that the individual has the knowledge, skills and attitudes which facilitate choice and the desire to choose. This suggests freedom, freedom from constraints and freedom to exercise an option to an individual that initially felt restricted. The Leisure Ability Model emphasizes content areas that help clients build skills in a variety of areas which, in turn, should allow them options for future independent leisure functioning. Flow- A fourth, closely related concept is that of â€Å"flow† (Csikszentmihalyi 1990). Flow suggests a state of balance between skill level and activity challenge which leads to a level of concentration and energy expenditure which is absorbing or consummating in form. When skill level is high and activity challenge is low, the individual is quite likely to be bored. When the skill level is low and the activity challenge is high, the individual is most likely to be anxious leading to an uneven flow. A therapeutic recreation personnel must attempt to balance both to keep flow. These areas of understanding are important for the therapeutic recreation personnel to be able to design a series of coherent, organized programs that meet client needs and move the client further toward an independent and satisfactory leisure lifestyle. The Leisure Ability Model contains three major categories of service: treatment or rehabilitation which is directed towards therapy and/or rehabilitation, leisure education revolves around the development of activity skills and social interaction skills as well as issues for leisure counselling, and special recreation which involves the provision of recreation programs for members of special groups such as autism or down syndrome. Each of these three service areas is based on distinct client needs and has specific purposes, expected behaviour of clients, roles of the specialist, and targeted client outcomes. As with The Health Protection/Health Promotion Model these service areas operate along a continuum. The client's role in special recreation programs includes greater decision making and increased self-regulated behaviour. As with the HPHPM the client has increased freedom of choice and his or her motivation is largely intrinsic without the dictatorship of a TRP. In conclusion, from having looked at and critically compared and evaluated both The Health Protection/Health Promotion Models and The Leisure Ability, The Health Protection/Health Promotion Model appears to be an extension of The Leisure Ability Model. The Leisure Ability Models ultimate goal is leisure compared to The Health Protection/Health Promotion Model uses leisure as the final means towards its ultimate goal of optimal health. When designing a therapeutic recreation program, the therapeutic recreation personnel may go back and forth between the models in order for the program to be client specific.

Saturday, January 4, 2020

Essay about Poetry Emotions in Words - 1027 Words

Poetry is an art form of expression and emotions through words. It encompasses the writer’s mood and point of view about a certain idea. Two poems that demonstrate the use of emotions in words are â€Å"Phenomenal Woman† by Maya Angelou, and â€Å"A Dream within a Dream†, by Edgar Allan Poe. Both of these poets are very important in the literary field even though their ways of writing contrast each other. Angelou is a revolutionist who is known around the world for her astounding stories of racism, family, and overcoming adversity. Edgar Allan Poe was an exceptional poet, editor, literary critic, and part of the American Romantic Movement. His writings were often filled with despair and very depressing. Both of these poems are great works of art†¦show more content†¦Angelou is not the most attractive woman but her mystery lies in her body language, how she carries herself. The span of her hips, stride of her steps, curl of her lips, fire in her eyes, ri de of her breast, these all describe her body movements. Angelou defines herself in this poem, she is a modest woman who does not care about what others think of her, and she does not have to be loud or dress a certain way to gain attention. Her modesty, grace, self-confidence, causes her to stand out to others. This poem has many styles, it is arranges into five sections, and the poem reminds the reader of a speech. Imagery is used a lot, like â€Å"the swing in my waist, and the joy in my feet† (Intel Corporation). The mood of this poem is happy, and the tone is of merriment. Poe’s poem is â€Å"A Dream within a Dream† is a narrative poem, which consists of two stanzas of fragmented sentences. The tone, like many of Poe’s poems expressed depression and feelings about his life. At a certain time in Poe’s life he began to have a downward spiral and in this poem he describes watching important things in his life pass him by. Although this is an inspirational poem it speaks of resentment, displeasure discontented desire, frustration, animosity, and loss. The tone is hardening and filled with regret. All through the poem, Poe asks rhetoricalShow MoreRelatedThe Connections between Poetry and Science 1189 Words   |  5 PagesPoetry is a form art that involves language, imagery, and emotion. These key elements can be expressed in many ways just as there are many ways to interpret poetry. While the poet can have a decisive meaning for the poem, the reader can interpret in many different ways that can be and usually are different from what the poet originally meant. In some cases, time can have an impact on what the poem means or how it is read. 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