Alcoholics Anonymous Community Research Paper Example | Topics and Well Written Essays - 500 words

AA Community - Research Paper Example Moreover, I understood that it was basic to confide in others to support me, since I myself am being prepared for a calling, which expects me to support others. Subsequently, I moved toward the AA gathering, with anxiety and expectation doing combating it out in my heart. The primary thing one learns at these gatherings, are the 12 stages they follow during the time spent realizing restraint (Alcoholics Anonymous Australia, 2001). Initial, one needs to acknowledge that they tend to drink too much over which they are weak. Second, they acknowledge that there is a more prominent force, which can help with the issue. At that point, as a third step, the individuals are to depend this more powerful, God, with the obligation of helping them conquer the issue. At that point the consideration of the individual is moved to themselves, as they are advised to search inside themselves to play out an exhaustive and courageous good stock of themselves. The fifth step is to concede the wrongs they have found in themselves to God just as to another individual. After this, the relieving starts as they intellectually set themselves up for God to purge them of these weaknesses. The seventh step follows, where the individual requests that God free the person in question of these blemishes. The eighth step comprises of spreading the positive change to outside simply oneself.

Bending Water with Static Electricity

Twisting Water with Static Electricity At the point when two articles are scoured against one another, a portion of the electrons from one item bounce to the next. The article that picks up electrons turns out to be all the more contrarily charged; the one that loses electrons turns out to be all the more emphatically charged. The contrary charges pull in one another such that you can really observe. One approach to gather charge is to brush your hair with a nylon brush or rub it with an inflatable. The brush or inflatable will become pulled in to your hair, while the strands of your hair (no different charge) repulse one another. The brush or inflatable will likewise pull in a surge of water, which conveys an electrical charge. Trouble: EasyTime Required: minutes What You Need Beside water, all you requirement for this examination is dry hair and a brush. The stunt is utilizing a brush that gets charge from your hair. Pick nylon, not wood or metal. In the event that you dont have a brush, a latex expand works similarly well. Water faucetNylon brush or latex swell Heres How Brush dry hair with a nylon brush or rub it with a swelled latex balloon.Turn on the tap so a restricted stream of water is streaming (1 to 2 mm over, streaming smoothly).Move the inflatable or teeth of the brush near the water (not in it). As you approach the water, the stream will start to twist toward your comb.Experiment!Does the measure of curve rely upon how close the brush is to the water?If you change the stream, does it influence what amount the stream bends?Do brushes produced using different materials work similarly well?How does a brush contrast and a balloon?Do you get a similar impact from everyones hair or does some hair discharge more charge than others?Can you get your hair sufficiently close to the water to repulse it without getting it wet? Tip This action will work better when the mugginess is low. At the point when moistness is high, water fume gets a portion of the electrons that would hop between objects. For a similar explanation, your hair should be totally dry when you brush it.

How to Write the Mount Holyoke Supplement TKG

How to Write the Mount Holyoke Supplement Mount Holyoke is an all-women’s liberal arts college in South Hadley, MA. With about 2,100 undergraduates, Mount Holyoke is small and has a significant focus on research. If you apply to Mount Holyoke, we encourage you to visit and do a lot of research on the school. As for their supplement, here’s how to approach it:1. Tell us why you are interested in attending Mount Holyoke College. (250-400 words)This is Mount Holyoke asking you, “Why Us?” It requires some research, and you should put in the time to do it, rather than just offhandedly mentioning a few things that you’re interested in. Do some digging into the academic offerings and extracurricular choices, and try to get a sense of the community and culture. You can do this by visiting the school, looking at their website, and talking to current students.First, choose something of academic interest to you and explain why it’s interesting to you. It shouldn’t be something completely out of left field, but it should b e something that the admissions reader doesn’t already know about you. Expand upon some courses you want to take in addition to a professor or two whose research interests intrigue you. Weave the Mount Holyoke offerings into your own story about your academic pursuits. Those are always the best supplementsâ€"the stories about your academic trajectory where the school seems like a seamless transition.Secondly, you should touch on the community and cultural aspect of Mount Holyoke. This is not the time to dwell on your extracurricular activitiesâ€"the school already knows how you spend your time. Discuss what you value and what your extracurriculars say about you (without mentioning them/repeating them) and then expand that to talk about the cultural aspects of Mount Holyoke that intrigue you. Now is the time to talk about a particular project on campus that you read about that excited you and made you want to get involved. It’s the time to discuss any traditions that resonate wit h you in a meaningful way. You want the admissions reader to finish reading this part of your supplement and envision you on campus. Paint a picture for them through storytelling.2. What is the best mistake you have ever made and why? (250-400 words)This is one of our favorite questions. The best way to start on this one is with the endâ€"start by deciding on a lesson that you learned and then work backwards. Be sure to fully brief yourself on how to write an essay about failure. Additionally, don’t sweat this question too much. It’s easy to get in your head and feel like you have to tell an incredibly meaningful and deep story, but it doesn’t have to be that serious. It can be a time that you learned a valuable lesson with a small mistake. Key word: YOU. It should be small and personally meaningful. Don’t search for a story that is “objectively” meaningful. You also don’t want to bring the reader down hereâ€"we advise all of our students against choosing something inc redibly heavy or traumatizing. The reader should never finish your story and feel upset or disturbed, but rather intrigued and impressed with your ability to reflect and grow.Most of all, just choose something where you actually did mess up or make a mistake, because there’s nothing worse than a humble-brag.3. Tell us about an idea, initiative or event that resulted in meaningful change in your life and the lives of others. How did this change come about and what lessons did you learn from the process? (250-400 words)Again, we’d advise you to work backwards. There are a lot of overlapping aspects in questions 2 and 3 so make sure that they are differentiated. This shouldn’t be another piece on failure, but instead a piece on an instance that occurred and initiated a shift in your perspective and outlook on the world. It can be smallâ€"in fact, it should be. Address the “why.” Why did this happen? What caused you to rethink your perspective? How are you maintaining this shi ft? Why is it meaningful? Tell a story that draws the reader in. Perhaps you begin the story in medias res and shock them into paying attention. Your answer should focus less on the lessons that you learned, which question 2 focuses on, and more about what sparked the meaningful shift/change and why it happened in the first place, as well as why it is significant.Let us know if you need any help at all with this supplement. The questions can be a bit tricky, but we’d be happy to assist you in figuring out which stories to tell and how to tell them.

Therapeutic Index - 3092 Words

The Inaba text describes the phenomenon of therapeutic index. Addiction to barbiturates can be critical in terms of lethality as measured by the therapeutic index. Describe how this phenomenon might lead to an accidental overdose. Why is this factor more critical with barbiturates than with other classes of depressant drugs? Barbiturates are nonselective central nervous system (CNS) depressants, capable of producing all degrees of depression from mild sedation and hypnosis to general anesthesia, deep coma and death. The extent of CNS depression varies with the route of administration, dose and pharmacokinetic characteristics of the particular barbiturate. Patient specific factors such as age, physical or emotional state and the†¦show more content†¦The drug is usually sold as a white powder, either in colorful capsules, tablets, and suppositories, or dissolved in liquid for injection. Oral ingestion is usually preferred over injection, since results occur quickly enough with the short-acting capsules. Some barb freaks prefer the surging rush that comes with mainlining, however, and ignore the possibilities of severe infection and abscess that may result if the vein is missed and the drug is injected under the skin. Gangrene can occur - if an artery is hit, and may necessitate amputation of the a ffected part. Barbiturates affect the central nervous system by depressing or inhibiting nerve signals in the brain, altering chemical balance and decreasing functions of some organ systems. Heart rate, blood pressure, respiration, and neurological action are all depressed, and general relaxation of the skeletal muscles occurs. Effects of the drug increase according to dosage, as body functions decelerate: from anxiety relief to sedation to hypnosis to anesthesia to coma to death. Once ingested, the drug enters the bloodstream and is distributed throughout- the body, with the highest accumulation in fat deposits and organ tissues. Barbiturates are ultimately metabolized and eliminated through the kidneys and liver. Rate of effect depends on how quickly the drug = moves through the body and is metabolized. Laboratory tests can indicate the presence of barbiturates in the body. Dosage, type of barbiturate,Show MoreRelatedUsing The Hydrate Rather Than The Anhydrous Form Of Theophylline1177 Words   |  5 Pagesmanufactured as modified-release formulations? 10% Theophylline is a narrow therapeutic index drug with an optimum serum concentration range of 10 to 20 micrograms/mL. Above 20 micrograms/mL, toxicity is observed and thus it is crucial that the serum concentration is maintained within the above range. Modified release formulations are used to ensure that the serum concentration remains within the therapeutic range but below toxic levels. This is achieved by reducing the fluctuation in drugRead MoreGeneral Characteristics Of Antimicrobials And Therapeutic Index1434 Words   |  6 Pagescan be measured using the therapeutic index. The therapeutic index is the ratio of the highest dose of the drug that is not toxic to the patient to the amount of drug required to produce the desired effect. A high therapeutic index indicates a drug will be well-tolerated by most people, but a low therapeutic index means a patient being treated with the drug should be carefully monitored for adverse effects. Antimicrobials are designed to have as lar ge a therapeutic index as possible, often by exploitingRead MoreAssessment of Therapeutic Effects of Subcutaneous Corticosteroids in Patients with Migranous Chronic Daily Headaches1613 Words   |  6 PagesBackground and Objective: Neurologic literatrure about therapeutic effect of subcutaneous corticosteroids in patients with migrainous chronic daily headache is scare. Aim of this research is assessment of therapeutic effects of this management in the patients. Methods: Consecutive patients with migrainous chronic daily headache in our headache clinic enrolled a prospective before and after therapeutic study during 2010-2013. Fourty mg Metylprednisolone was divided in four subcutaneous injectionRead MoreFew Animal Studies Have Proved That Gabapentin Has A Potential1722 Words   |  7 Pagesstabilization property of gabapentin, it has been used off-label for a management of neuropathic pain such as traumatic neuroma and post-traumatic trigeminal neuropathy (PTTN) etc.[9]. Food and drug administration (FDA) has approved gabapentin as a therapeutic method of restless leg syndrome and postherpetic neuralgia[1]. Gabapentin is shown to not only have benefit on a treatment of postherpetic neuralgia, but also as a possible preventive method of postherpetic neuralgia when administered in additionRead MorePharmacological Intervention Assignment : Patient X2837 Words   |  12 Pagesmild tenderness upon deep palpation to the left lower quadrant, an d well-healed laparoscopic incisions. His vital signs are within normal limits and he rates his left lower quadrant pain as 1/10. He denies nausea, vomiting or diarrhea. His body mass index is normal at 23.67. Because of the history of his diverticulitis, he has been counseled on the likelihood that he will continue to have recurrent episodes unless he opts for sigmoid colectomy. Because of the significant interference these recurrentRead MoreSelf Medication Practices in a Rural Filipino Community21296 Words   |  86 PagesFamily Abstract Objectives: the purpose of the study was to assess the factors affecting prevalence of self- medication practices using commercial drugs of the Rural Filipino Family including its correlation and who among them experienced non therapeutic effect. Methods: This study was a descriptive cross- sectional question based study. The study was conducted in 3 rural, agricultural lands, municipality in three different provinces wherein 2 municipalities were accomplished around the RegionRead MoreEating Disorders: Anorexia Nervosa1653 Words   |  7 Pagesnormal growth process, because they fail to achieve ideal weight and height expectancy. Psychologist are able to determine if an individual meets anorexia weight cutoff requirement by measuring how thin their patients are by calculating body mass index (BMI) DSM-5 Anorexia Nervosa Diagnoses Criterion â€Å"Criterion (A) focuses on behaviors, like restricting calorie intake, and no longer includes the word â€Å"Refusal† in terms of weight maintenance since that implies intention on the part of the patientRead MorePhysiology Assignment : Client Report2047 Words   |  9 Pagesfrom your pre-test questionnaire that you were an asthmatic and required an inhaler, before the test we asked if you had completed any of the given tests before and that you felt comfortable to participate in them. Body Mass Index (BMI) BMI = 36.2 Body mass index is a formula created by Adolphe Quetelet which is used to estimate your weight relative to your height. The calculation used is Weight (KG) + Height (cm)  ². Why do we measure BMI? It is important to measure your BMI as in can indicateRead MoreThe Assessment And Care Of A Fabricated Patient2590 Words   |  11 PagesThis focuses on three important features – respect, compassion and sensitivity, (Royal College of Nursing (RCN), 2014) aiding the therapeutic relationship, (Cobb et al, 2012) which in turn will provide better care for the patient as they begin to entrust the nurse with their care and communicate more efficiently. Mrs Ford, a clinically obese female with a body mass index (BMI) of 30, has been admitted following a cerebrovascular accident (CVA) with a left sided hemiparesis; making it difficult forRead MoreAntibiotics Are Antibiotics Used For?1198 Words   |  5 Pagessynthetic depending on how they are produced. Selective toxicity? A therapeutic dose of a drug is the amount needed to produce the desired effect of the drug – in the case of antibiotics it is a dose high enough to provide the treatment for the infection. A toxic dose is a dose which will produce toxic effects to the host. The therapeutic index is a ratio of the therapeutic dose to the toxic dose. At a high therapeutic index antibiotics will kill or inhibit pathogens without causing damage to

Hiv / Aids A Global Health System - 1606 Words

HIV/AIDS: A global health system Rita K. Asiedu Rutgers University Abstract Human immunodeficiency virus (HIV)/AIDS is a pandemic problem affecting global health. At the end of 2015, 36.7 million people were living with HIV/AIDS globally. The rate of incidence is more prevalent in Sub-Saharan Africa with almost 1 in every 24 adults living with HIV/AIDS. In the united states, HIV/AIDS is a diversified health problem affecting all sexes, ages and races and involving the transmission of multiple risk behavior. However, with the introduction of various prevention programs and antiretroviral drugs, the incidence of HIV/AIDS has reduced. Keywords: HIV/AIDS, global health problem, mode of transmission, risk behavior, incidence, prevalence,†¦show more content†¦Even though African American represent 12% of the entire US population, they are the most affected with HIV/AIDS accounting for 45% (17,670) of HIV diagnoses. Below is a table of the population most affected with HIV new diagnoses according to the CDC, 2015 report. New HIV diagnosis for most affected sub populations,2015 Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2015. HIV Surveillance Report 2016;27. Characteristics and statistics of HIV/AIDS from a national and global perspective HIV/AIDS is acquired when there is an unprotected sexual intercourse, exposure to infected blood or body fluids, sharing of needles or syringes with an infected person and from mother to child through breast feeding or vaginal birth. The most prevalent places are the urban cites in the U.S. As discussed earlier, the population at risk for the infection are gay and bisexuals, IV drug users and heterosexuals. Within the first two weeks of acquiring HIV infection, the infected person develops fever usually 100.4degrees, fatigue, sore throat, headache, muscle and joint pains. This normally resolves itself without any intervention. Some people might also develop a digestive and respiratory problem such as nausea vomiting and dry cough. If untreated, it can result in low TCD4 lymphocyte count below 200 resulting in AIDS. Statistically, from the national level, the most prevalent states in the U.S inShow MoreRelatedThe Immune System: HIV/AIDS Essay893 Words   |  4 PagesHIV is a world pandemic that has caused the death of â€Å"30 million† (CDC – Statistics Overview – Statistics Center – HIV/AIDS, CDC) innocent lives. HIV is devastating virus that destroys people’s immune systems and leaves them vulnerable to other diseases. HIV is an acronym for Human Immunodeficiency Virus, which means that the virus is found only in humans and targets the immune system. The virus kills CD4 cells, cells in the immune system that fight off infections and diseases. HIV has been aroundRead MoreGlobal Health Challenges Of India1675 Words   |  7 PagesEvery country is facing some of the global health challenge and fighting to overcome from those challenges. When it is comes to the India, which is WHO region, also have health challenges and making the healthy people by some changes in health system and following Millennium Development Goals. The enormous disease burden and more health in equalities and that one in six person in the world are an I ndian on the one hand, and the country’s new economics and its logical capital in nation also overseasRead MoreHuman Immunodeficiency Virus ( HIV )1318 Words   |  6 PagesHuman Immunodeficiency Virus (HIV) is a virus that infects the cells of human immune system, causing destruction and impairing the cellular functions. Progressive deterioration of the immune system at cellular level causes associated infection to undermine the immune system putting the patient at risk of opportunistic infections. Acquired Immunodeficiency Syndrome (AIDS) is the most advanced stage of HIV. AIDS is caused when HIV related cancers hit the immune system by 20 or more opportunistic infectionsRead MoreHuman Immunodeficiency Virus ( Hiv ) / Aids1278 Words   |  6 PagesHuman immunodeficiency virus (HIV)/AIDS is a pandemic problem affecting global health. At the end of 2015, 36.7 million people were living with HIV/AIDS globally. The rate of incidence is more prevalent in Sub-Saharan Africa wit h almost 1 in every 24 adults living with HIV/AIDS. In the united states, HIV/AIDS is a diversified health problem affecting all sexes, ages and races and involving the transmission of multiple risk behavior. However, with the introduction of various prevention programs andRead MoreThe Presence And Outbreak Of An Infectious Disease1176 Words   |  5 Pagesdisease can have global consequences. Such consequences include the deaths of many people due to an inability to contain the disease. When an infectious disease spreads to, and affects, different populations, this is known as a pandemic. One pandemic that has had far reaching consequences is that of HIV (human immunodeficiency)/AIDS (acquired immune deficiency symptoms), which officially began in 1981 and since has taken the lives of over 39 million people worldwide (PBS). The HIV virus attacks one’sRead MoreThe Issue Of Aids And Hiv1726 Words   |  7 PagesThe Issue of AIDS and HIV Zoya Siddiqui In today’s world, it often seems like there are more issues to tackle than people have the capacity to handle. There is the global warming, poverty, hunger, wars, political conflicts, refugee conflicts, etcetera. Though all of these can seem daunting and hard to combat, none of them can be accomplished if the world’s population is not healthy. If people do not have the physical strength to think of new and innovative ways to take on these issues, then no progressRead MoreHuman Immunodeficiency Virus ( Hiv ) Weakens The Immune System Essay1281 Words   |  6 PagesImmunodeficiency Virus (HIV) weakens the immune system and makes people vulnerable to infections and some types of cancer (HIV/AIDS, 2016). HIV various vague symptoms that are flu like. These symptoms are vague and can last from a few days to several weeks. HIV is a sexually transmitted disease (STD) from one person to another via the mucus membranes (About HIV/AIDS, 2016). HIV can lead to Acquired Immunodefic iency Syndrome (AIDS) if undiagnosed or untreated. There is no cure for HIV or AIDS. Depending onRead MoreHiv / Aids Impact And Intervention1538 Words   |  7 PagesHIV/AIDS Impact and Intervention Group Research Assignment Russia 1. General background and statistics Physical Geography : the largest country in the world in size, with an area of more than 6.6 million square miles. Location : Northern Asia and Eastern Europe. Total Population : about 144 million citizens. Demographic : Russian 81.5%, Tatar 3.8%, Ukrainian 3%, Chuvash 1.2%, Bashkir 0.9%, Belarusian 0.8%, Moldavian 0.7%, other 8.1% (Russia - Language, Culture, Customs and Etiquette) MajorRead MoreThe Global Health Issue Of Hiv And Aids869 Words   |  4 PagesThe Global Health Issue Global health issues are diverse in different parts of the world in America it is obesity, in countries such as Indonesia there are health issues related to the quality of water, and finally in Africa aids is the health issues. HIV and AIDS has become on the biggest epidemics in the Sub-Saharan Africa region. There has been an estimated 24.7 million people were living with HIV (Shah, A. n.d). The 24.7 million people represent the seventy-one percent of the aids populationRead MoreThe Importance of Health Surveillance642 Words   |  3 PagesHealth surveillance is an important global practise in the field of public health. The World Health Organisation (WHO) defines public health surveillance as the â€Å"continuous, systematic collection, analysis and interpretation of health related data for the planning, implementation, and evaluation of public health practise†.1 Public health surveillance is vitally important in the monitoring of trends or health issues, predicting, tracking and documenting of epidemics, and the evaluation of public

The Existential Theme of London’s To Build A Fire Essay

The Existential Theme of London’s â€Å"To Build A Fire Jack London’s short story, â€Å"To Build a Fire,† is the tragic tale of a man who decides to travel alone through the hostile environment of the Yukon in sub-freeing temperatures and falls victim to the unrelenting and unforgiving power of nature. During his journey, the man gets his feet wet as he falls through the ice into the water of a hot spring (London 122). Because of the severity of the cold, some â€Å"one hundred and seven degrees below [the] freezing point,† the man’s life depends upon his ability to promptly light a fire to keep his feet from freezing (122-23). After one, half-successful fire-starting endeavor, and several other pitiful attempts, the hopelessness of†¦show more content†¦At the conclusion of the story we finally see the man come to the realization, in a round about way, that it was best to meet his fate with dignity, thus giving meaning to an otherwise meaningless and cruel death. This existential theme in â€Å"To Bu ild a Fire† is not likely to be a mere coincidence, but instead appears to be part of London’s intentional design. According to Charles Child Walcutt, Jack London was greatly influenced by the ideas of such men as Charles Darwin, Herbert Spencer, and Friedrich Nietzsche, all prominent thinkers of London’s time (5). So it is no accident that at the heart of the story lies an existentialist theme. London emphasizes the existential theme in â€Å"To Build a Fire† in several ways, the most important of which is his selection of the setting in which the story takes place. The story is set in the wilderness of the frozen Yukon during the harsh winter months when â€Å"there was no sun nor hint of sun† in the sky (118). London places his solitary human character in the perilous setting of the wilderness of the Yukon, which is enough to begin to illustrate his theme, but when London combines this unforgiving environment with the deadly cold of the Yukon winter, he creates aShow MoreRelatedA Comparison of Jack London and Stephen Crane.1481 Words   |  6 Pagesconsidered naturalist authors who presented elements of naturalism in many of their literary works, but most predominantly in their two short stories, â€Å"To Build a Fire† and â€Å"The Open Boat† When London wrote To Build a Fire he embraced the idea of naturalism because it mirrored the events of daily life. In James Feast’s criticism of â€Å"To Build a Fire†, he portrays nature as the antagonist, the foe against which the man is pitted for survival. He believed that London used naturalism, the most realistic

Digital Innovation Script Deli

Question: Discuss about theDigital Innovationfor Script Deli. Answer: Introduction Script Deli would be an online marketplace for providing books to college students. They can buy, sell and exchange their reference books. They have the option of auctioning and putting up ads for the books. It would be open to students of all universities in Australia. The head office would be located in Melbourne. Discussion Script Deli has a value proposition of solving student issues related to buying and selling of books, old and new. Students also would get the opportunity of earning quick cash by selling old books that they do not require anymore. The business would generate revenue from directly selling the books purchased from the suppliers to the customers (Osterwalder 2014). Sometimes some books would require repairing and modifications. The business would carry out the alterations and sell those books at a higher profit margin. Advertisements put up on the website would also generate a lump of revenue for the business. The business would incur costs from developing a website for the entire selling and buying process. Maintenance costs of the system administration would be added to that. Along with these, warehouse costs and delivery services costs would be incurred (Nrhi 2015). The potential target market would be college students enrolled in the universities and colleges of Australia. The initial target market would be large towns and cities, which would later expand to the whole country. The business would aim to cater to students of all types of subjects. The initial funding would be taken from bank loans and some personal savings. Conclusion The company would aim to establish itself as a leading online book market by utilizing market knowledge and new technologies to generate the maximum revenue. As it is a relatively new concept, and without much competition in the market, the business would be able to flourish in no time. References Nrhi, T., 2015. A Competitor Analysis for an Online Student Portal Start-up. Osterwalder, A., Pigneur, Y., Bernarda, G. and Smith, A., 2014.Value proposition design: how to create products and services customers want. John Wiley Sons.

Gilgameshs Quest for Immortality free essay sample

In the epic poem Gilgamesh, the main theme is Gilgamesh’s quest to defeat the demon that is in the back of every human’s mind at all times: death. His quest to defeat mankind’s penultimate battle proves futile in the end, yet could Gilgamesh be considered to be immortal in a different sense? Immortality can exist on two planes: both a physical and metaphorical world. Gilgamesh did fail is his quest to live tangibly forever, and therefore seeks everlasting life in an allegorical sense. If he could create something, an idea or an action that will be remembered forever, such as killing Humbaba, he too can live forever via this accomplishment. So, in a sense, Gilgamesh did actually succeed in his quest for eternal life. We will write a custom essay sample on Gilgameshs Quest for Immortality or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Gilgamesh has everything he could possibly ask for: riches, fame, power, yet he still wants more. He wants to live forever. Since he is used to being instantaneously gratified of everything he wants, he expects the same to occur in his quest for eternal life. After the death of Enkidu, his desire to live forever grows even stronger. Having a sheltered, privileged life, the death of Gilgamesh’s closed friend, essentially his other half, was most likely his first experience with death, and it terrified him. In Book IX, he asks, â€Å"Must I die too? Must I be as lifeless as Enkidu? How can I bear this sorrow that gnaws at my belly, this fear of death that drives me onward? † This does indeed drive him onward and leads him straight to the gods. Gilgamesh is not pleased with what the gods have to tell him, though. After his long journey and the retelling of his story, Shiduri tells him â€Å"You will never find the eternal life that you seek. When the gods created makind, they also created death, and they held back eternal life for themselves alone. Humans are born, the live, then they die, this is the order the gods have decreed. † Yet, instead of accepting his fate (which is the common fate of all mankind), he becomes enraged, demanding knowledge of how to find Utnapishtim. Gilgamesh is told the key to eternal life—an herb. However, once he picks this herb, a snake eats it and Gilgamesh has exhausted all his chances at immortality. The story abruptly ends there. We do not know to what extent Gilgamesh accepts his fate, if he does at all. But if one creates something that will live forever, won’t he too live forever? Shakespeare has been dead in a physical sense for almost 400 years, yet his work is as, if not more, prevalent today than it was then. So couldn’t one argue that Shakespeare is still alive in the context of his sonnets and plays? He is dead, yet he created something that will live forever. One can also live eternally by carrying out an action or initiative that affects people for many years to come. Again, for an example, Martin Luther King Jr. is dead, however, he lives on through all the progress he made for civil rights. Obviously, Gilgamesh will not live on as an immortal forever. However, he manifests himself in an action that will live on forever—killing Humbaba. So, he lives eternally through the execution of this action. The fact that he could live on forever in the minds of men is alluded to several times in the text. When Gilgamesh and Enkidu leave on their quest to slay Humbaba, Gilgamesh says, â€Å"I will cut down the tree, I will kill Humbaba, the whole world will know how mightly I am. I will make a lasting name for myself, I will stamp my fame on men’s minds forever. † His name lives on throughout the centuries, so he does along with it. These allusions are made only early in the text, by both Gilgamesh and Enkidu. In addition to the previous quote, Gilgamesh says in Book V, â€Å"If we help each other and fight side by side, we will make a lasting name for ourselves, we will stamp our fame on men’s minds forever. † The early discussion of living forever through actions rather than in the flesh could show that Gilgamesh or Enkidu might have some awareness of their fate. If either one of them could exist physically forever, what would be the point of killing Humbaba? They’d have all eternity to put their stamp on the human race, so why bother trying to leave their mark through an action that is dangerous and capable of inducing anger in the gods? Gilgamesh was written over 4600 years ago. It’s arguably the oldest written text, older even than the bible. 4600 years is a long time, essentially an eternity relative to the average human’s timeline. And we are still reading Gilgamesh today. So, he has succeeded in his quest for immortality. We all know his name, what he did. He is alive in both our minds and the pages of this book.

Commercial Limestone and Marble Explained

Commercial Limestone and Marble Explained We all encounter limestone buildings and marble statues during our lives. But the scientific and commercial definitions of these two rocks dont match. When geologists enter the stone dealers showroom, and when lay people go out in the field, each has to learn a new set of concepts for these two different names. Limerock Basics Limestone and marble are both limerocks, an old-fashioned industrial term for stone that is roasted to produce lime, or calcium oxide. Lime is a basic ingredient in cement and much else. (For more about lime, see About Cement and Concrete.) Cement makers look at limerock as chemical feedstock of greater or lesser purity and expense. Beyond that, they are indifferent to what geologists or stone dealers call it. The key mineral in limerock is calcite, or calcium carbonate (CaCO3). Any other mineral is undesirable, but a particularly bad one is dolomite (CaMg(CO3)2), which interferes with lime manufacture. In the past, quarriers, builders, craftsmen and manufacturers called limerock used for industrial purposes limestone. Thats how limestone got its name in the first place. Limerock suitable for structural and decorative purposes, like buildings and statuary, was called marble. The word comes from ancient Greek with the root meaning of strong stone. Those historic categories are relevant to todays commercial categories. Commercial Limestone and Marble Dealers in stone use limestone and marble to denote a category of stone that is softer than commercial granite (or basalt or sandstone) but does not split like slate. Commercial marble is more compact than commercial limestone, and it takes a good polish. In commercial use, these definitions arent limited to rocks made of calcite; dolomite rock is just as good. In fact, serpentinite too has minerals softer than granite and is considered a commercial marble under the names serpentine marble, green marble or verd antique. Commercial limestone has more pore space than commercial marble and does not wear as well. This makes it suitable for less demanding applications like walls and columns and patios. It may have some flat layering, but generally it has a plain appearance. It may be honed or polished smooth, but it is limited to a matte or satiny finish. Commercial marble is denser than commercial limestone, and its preferred for floors, doorways and steps. Light penetrates farther into it, giving marble a glowing translucency. It also commonly has attractive swirling patterns of light and dark, although pure white marble is also prized for statues, gravestones and decorative features. To add a bit of confusion, marble used to be called crystalline limestone in previous centuries. Its key feature is the ability to take a high finish. None of these categories mean what they mean to geologists. Geologic Limestone and Marble Geologists are careful to distinguish limestone from dolomite rock, classifying both of these carbonate rocks as sedimentary rocks. But with metamorphism both become marble, a metamorphic rock in which all the original mineral grains have been recrystallized. Limestone is not made of sediment derived from rocks, but instead generally consists of the calcite skeletons of microscopic organisms that lived in shallow seas. In some places its formed of tiny round grains called ooids, formed as calcite precipitates directly from seawater onto a seed particle. The warm seas around the islands of the Bahamas are an example of an area where limestone is forming today. Under gentle conditions underground that are not well understood, magnesium-bearing fluids may alter the calcite in limestone to dolomite. With deeper burial and higher pressure, dolomite rock and limestone both recrystallize into marble, wiping out any fossils or other traces of the original sedimentary environment. Which of these are the real limestone and marble? Im prejudiced in favor of geologists, but builders and carvers and lime makers have many centuries of history on their side. Just be careful about how you use these rock names.

A policy review of affordable housing in London Essay

A policy review of affordable housing in London - Essay Example Affordable housing policy has over time been the dream for the Londoners to find a sustainable solution to the housing challenges affecting this great city. In 2014 for instance, London housing strategy recognized that there is need to bring together adequate resources to enable London the development of 42,000 houses per year. This aims at virtually doubling the housing delivery for London. The strategy recognizes the need for collaboration between governments, private sector, mayor and boroughs. There is need for a policy framework that promotes support bringing up of surplus public land, as well as in promoting institutional investment to see London deliver the necessary housing.  a) Specific Policies for Boosting Housing SupplyThe London housing strategy under section 3.2 provides for policy reforms to create a flexible market and promote the growth of intermediate housing. The London policies have tremendously changed over time and in 2014, a policy to see increased housing de liveries involved the following (GLA, 2014,): Policy 1: the mayor of London city is expected to work with other partners to deliver the planned target for London which is 42,000 houses per annum. The policy provides for 25,000 market homes; 17,000 affordable homes that people can rent or buy; and 5,000 of the market homes shall be for purpose-built. This will include the long term private rent especially on the schemes which have more than one phase increasing the housing supply for the City.  Ã‚  

Stereotypical view of Vietnamese exchange students as communists Research Paper

Stereotypical view of Vietnamese exchange students as communists - Research Paper Example After the end of the war, the American government accepted thousands of refugees from Vietnam as citizens of the United States (Ferry 18). Before the end of the war, there were only a few thousand Vietnamese living in America, majority of whom were students, spouses of American military personnel, civilians who served in South Vietnam, or Vietnamese diplomatic corps members. As the number of Vietnamese living in America increased, some Americans had stereotypical view of them as communists. In particular, there is a stereotypical view of Vietnamese students as communists. These stereotypes have been fed by anti-communist ideology that continues to persist in many of the America’s learning institutions (Ashwill 13). This paper will discuss the stereotypical view of Vietnamese exchange students as communists. After the end of the Vietnam War in 1975, waves of migration from Vietnam to the United States were witnessed. The number of Vietnamese seeking refuge in America rose consi derably over the years. The Orderly Departure Program that was created by the United States and that allowed people who were interviewed and approved by American authorities to migrate to the United States further enhanced immigration into the United States from Vietnam (Parker 14). While Vietnam War-caused instability was the main reason for immigration from Vietnam to the United States, other factors contributed to the migration. When the United States withdrew, the South Vietnamese was toppled by the North Vietnam and the Vietnamese with ties with South Vietnam government had to seek refuge in the America to avoid being oppressed or killed (Ferry 55). Poor economic and political situation in Vietnam caused immigration. The war between China and Vietnam in 1979 further led to immigration. Since the end of the Vietnam War, the United States of America supported South Vietnam and accepted those refugees who had close ties with the American military and South Vietnamese government. G reater social and economic stability greatly contributed to the immigration – it was a major attraction for immigrants to the United States because it presented more and greater opportunities for the Vietnamese (Parker 14). Available data indicate that the Vietnamese are America’s fourth largest minority group. Recent data also indicate that there is increasing number of Vietnamese exchange students in America’s learning institutions, particularly universities and colleges (Lorenzo, Frost and Reinherz 289). Since the America’s involvement in the Vietnam War that was viewed as aimed at preventing expansion of communism, stereotypes emerged regarding Vietnamese people in America, including students. There are various types of stereotypes that are assigned to Vietnamese exchange students and that \ often create conflicts with their peers and cause them emotional distress (Ashwill 13). The main stereotype assigned to Vietnamese exchange student is that they a re communists and that they subscribe to communism ideology. Most of them are viewed advocating for communism tendencies even when they are pursuing genuine cause during their studies in various colleges and universities around America (Educational Testing Service para4). Since the Vietnam War was associated with anti-communist ideology, most

Hepatitis B epidemiology and prevention strategies Essay Example for Free

Hepatitis B epidemiology and prevention strategies Essay Hepatitis B is a serious viral infection which is characterized by hepatic cell inflammation and disturbed liver functioning and is associated with high morbidity and mortality rates. It is a disease known to mankind since antiquity, given that cases of epidemic jaundice are reported in ancient Chinese documents as well as in Hippocrates’ writings in the 5th century B. C. Similar epidemics have been described during the Medieval and the Renaissance years, however, the first recorded cases of hepatitis B are probably dated in 1883 in German shipyard workers following the administration of small pox vaccine. In 1965, Blumberg identified a specific antigen in the serum of an Australian Aborigine, named â€Å"Australia antigen†, which was later linked to hepatitis B. Its detection allowed the accurate diagnosis of HBV infection, expanded scientific knowledge on the field and led to effective prevention and treatment strategies (Mahmoud Al-Hussami, 2004). According to World Health Organization, hepatitis B affects almost 2 billion people worldwide, which represents one third of global population. 75% of the world population live in areas of high endemicity, thus being exposed to high infection risk. (Previsani et al, 2002). In its chronic form, the infection affects almost 350 million individuals and may lead to several major complications including liver cirrhosis and failure and hepatocellular carcinoma, thus having an adverse effect on patients’ survival and quality of life (Lok, 2002; Rantala, 2008). Recent epidemiological and clinical data reveal that up to 80% of primary liver tumors worldwide can be attributed to chronic HBV infection (Lavanchy et al, 2004). It is estimated that hepatitis B is responsible for one million deaths annually, half of which are associated with hepatocellular carcinoma. In addition, economotechnical studies worldwide reveal that chronic hepatic B patients require long and frequent hospitalizations thus posing a significant financial burden on national health care systems (Pantazis et al, 2008). There is great variation in hepatitis B prevalence rates worldwide. The disease is more prevalent in developing countries, including tropical Africa, Southeast Asia and China, where 10-15% of the general population are HBsAg carriers (Previsani et al, 2002). In contrast, developed countries with higher standards of living and better organized public health systems, are considered areas of low endemicity for the disease. In Western and Central Europe, North America and Australia, seroprevalence rates range from 0.  2 to 1. 5% of the general population. In these areas, young adults are mostly affected, with males having 1. 8 greater risk to be infected compared to females. It is estimated that 200,000-300,000 individuals in the United States become infected with HBV annually, and almost one million people are chronically infected. Despite, HBV infection’s low prevalence, there are certain sub-populations in the Western world that run extremely high risk compared to the general population. These high-risk groups include infants born to infected mothers, healthcare workers, intravenous drug users, individuals living with HBV patients, sexually active heterosexuals with multiple partners, homosexual males, haemodialysis patients and patients frequently receiving blood transfusions (Previsani et al, 2002). The existence of a sub-population of vulnerable individuals, underlines the fact that hepatitis B remains a small yet appreciable public health risk and emphasizes the need for proper interventions. WHO suggests specific measures aiming at HBV infection surveillance and disease control. Although in most countries reporting HBV infection is mandatory, a significant percentage of cases go under-reported and surveillance systems need to be upgraded. In addition, effective disease control should encompass broadening of immunization, effective screening of blood and blood products to avoid transmission through transfusion and educating healthcare workers and high-risk individuals (Previsani et al, 2002). After the introduction of HBV vaccine in 1981, the systematic implementation of national vaccination programs in developed countries has led to a significant decrease in seroprevalence. By the end of the year 2007, 171 countries had instituted the systematic vaccination of infants [5]. HBV vaccine represents a safe and highly effective method of immunization which protects against hepatitis B and its long-term complications in 95% of cases (Previsani et al, 2008). Initially, HBV vaccine was a plasma derived product, however due to concerns regarding the possibility of viral transmission, it was substituted by the recombinant form. The current trend in hepatitis B vaccination supported by the Center for Disease Control (CDC) is to target not solely high risk individuals but also all newborns, children and adolescents up to 18 years of age, given that in a significant proportion (30%) of acute HBV infections no risk factor can be traced. However, despite the vaccine’s established efficacy, vaccination programs’ success is currently limited by the existence of a sizeable percentage of individuals who refuse to be vaccinated. Several studies worldwide have revealed that vaccination rates among healthcare workers hardly reach 50% (CDC, 1991). Likewise, in earlier and recent studies, parents reported significant doubts about global infant immunization (Woodruff et al, 1996; Hontelez et al, 2010). A recent German study reported vaccination rates of 29% for the general population and 58% for high risk groups, revealing a significant gap in vaccination coverage (Schenkel et al, 2008). Parameters which have consistently been shown to relate to vaccination acceptance include higher educational level, younger age and better information about the disease (Mahmoud Al-Hussami, 2004; Panhotra et al, 2005). Additional reasons for low vaccination compliance may be associated with vaccine availability and cost. Despite their growth and prosperity and the development of welfare state, western societies still have to cope with the fact that a sizeable proportion of the population lacks access to basic healthcare, due to financial and social reasons. These findings underscore the importance of informing and educating the public opinion about hepatitis B and widening the availability of HBV vaccine. In order to implement an effective vaccination campaign, people should be responsibly informed regarding risk factors, ways of transmission and prevention measures. In this way, not only vaccination acceptance will rise, but, in addition, individuals will be encouraged to adopt a healthier lifestyle, including embracing basic hygiene habits, condom use and other safe sex practices in everyday life. Previous research has shown that using the internet and the mass media to provide disease-related information may have a positive impact on disease prevention (Kang et al, 2010). In addition, school-based programs have proven adequately efficacious in modifying negative parental attitudes towards immunization thus increasing vaccination rates. (Ogilvie et al, 2010). Insurance providers are strongly encouraged to undertake similar educational initiatives targeting the whole population to minimize disease’s medical, psychosocial and financial impact. Lowering vaccine cost and rendering it accessible to the whole population requires additional funding and strong policy makers, determined to defend public safety and well-being against economic gain and pharmaceutical companies’ agendas. In the USA, the price of vaccination per dose ranges from 15 to 41 U. S. dollars, depending on the context where it takes place, and emerges as a major barrier to immunization. However, even in countries of low endemicity, such as the USA, universal immunization programs appear cost-effective, given the significant burden imposed by the disease and its long-term complications in terms of financial and human resources (Previsani et al, 2002). When coping with public health issues, preventive approaches represent more efficacious and cost-effective strategies compared to treatment plans, and in this respect, insurance providers may economize in the long run by covering vaccination’s cost. Another important measure for disease control is the implementation of systematic screening of blood and blood products. Modern screening practices based on recent advances in immunochemistry and molecular biology have significantly decreased HBV transmission through blood transfusion, however, there remains a small percentage of cases where HBV can not be detected. These cases represent a significant risk for multi-transfused patients, a risk which can be eliminated through educating and encouraging blood donors to keep a responsible and sensitive stance. Avoiding donating blood when engaging in high risk behaviors is probably the more simple and effective way of reducing the risk of HBV infection through blood transfusion. In conclusion, hepatitis B represents a major public health condition worldwide, associated with severe complications, poor quality of life and increased mortality rates. National and international organizations have addressed the issue, raising public and individual awareness and encouraging wide-scale immunization programs. However, significant obstacles have been detected in the implementation of disease prevention strategies, including difficulties in repudiating high-risk behaviors and adopting a healthier way of living, and limited availability and acceptance of the vaccine. In this respect, policy makers can maximize the efficacy of HBV prevention, by providing accurate and valid information to the public and increasing people’s access to vaccination.

I Know Why the Caged Bird Sings Essay -- Essays Papers

I Know Why the Caged Bird Sings In the beginning of I Know Why the Caged Bird Sings, Marguerite, later known as Maya begins to tell the story of her childhood. When her parents divorced, they sent her & her brother, Bailey to live in Stamps, Arkansas with their Grandmother (Momma) and their Uncle Willie. The kids go to school in Stamps and work in the store that Momma and Uncle Willie own. One year, while they were in Stamps, their father came to visit. When he was getting ready to return to California, he asked the kids if they wanted to come back with him to live. They agreed. Momma was also glad to have them off her hands even though she enjoyed having them around. While they were in the car, their father revealed that they were going to St. Louis to see their mother. Maya and Bailey hadn’t seen her for a very long time to they were happy about the side trip. After three days in St. Louis, their father left again. They were there to live with their mother. Maya felt that he was a stranger anyway so it didn’t bother her at all. Maya and Bailey’s mother had three brothers who had good jobs with the city. Their family was respected in the area they lived in and everyone knew who they were. The children were also introduced to Mr. Freeman, their mother’s boyfriend. He didn’t interact with them much. He often came home late at night and they didn’t talk to him very much. One morning, after Maya’s mother had left, Mr. Freeman ca...

Managed Care Organization Essay

USLegal.com A managed care organization (MCO) is a health care provider or a group or organization of medical service providers who offers managed care health plans. It is a health organization that contracts with insurers or self-insured employers and finances and delivers health care using a specific provider network and specific services and products. They provide a wide variety of quality and managed health care services to enrolled workers keeping medical costs down through preventative medicine, patient education, and in other ways. These organizations are certified by the director of the Department of Consumer and Business Services (DCBS). MCOs vary in their constitution as some organizations are made of physicians, while others are combinations of physicians, hospitals, and other providers. For instance, a group practice without walls, independent practice association, management services organization, and a physician practice management company are the common MCO’s. Patient Advocate Foundation Providers of care, such as hospitals, physicians, laboratories, clinics, etc., make up a â€Å"managed care organization† delivery system often known as an â€Å"MCO.† Seven common MCO models are: 1. Preferred Provider Organization (PPO) An arrangement whereby a third-party payer (health plan) contracts with a group of medical-care providers who furnish services at agreed-upon rates in return for prompt payment and a certain volume of patients, perhaps under contract with a private insurer. The services may be furnished at discounted rates, and the insured population may incur out-of-pocket expenses for covered services received outside the PPO if the outside charge exceeds the PPO payment rate. 2. Point-of-Service Plan (POS) Also known as an open-ended HMO, POS plans encourage, but do not require, members to choose a primary care physician. As in traditional HMOs, the primary care physician may act as a â€Å"gatekeeper† when making referrals; plan members may, however, opt to visit out-of-network providers at their discretion. Subscribers choosing not to use a network physician must pay higher deductibles and co-payments than those using network physicians. 3. Exclusive Provider Organization (EPO) A  network of providers that have agreed to provide services on a discounted basis. Enrollees typically do not need referrals for services from network providers (including specialists), but if a patient elects to seek care outside of the network, then he or she will not be reimbursed for the cost of the treatment. An EPO typically does not provide the preventive benefits and quality assurance monitor. 4. Physician-Hospital Organization (PHO) A contracted arrangement among physicians and hospital wherein a single entity, the Physician Hospital Organization, contracts to provide services to insurers’ subscribers. 5. Individual Practice Association (IPA) A formal organization of physicians or other providers through which they may enter into contractual relationships with health plans or employers to provide certain benefits or services. 6. Managed Indemnity Program A program in which the insurer pays for the cost of covered services after services have been rendered and uses various tools to monitor cost-effectiveness, such as precertification, second surgical opinion, case management, and utilization review. Also called managed fee-for-service programs. 7. Health Maintenance Organization (HMO) HMOs offer prepaid, comprehensive health coverage for both hospital and physician services. An HMO contracts with health care providers, e.g., physicians, hospitals, and other health professionals, and members are required to use participating providers for all health services. Model types include staff, group practice, network, and IPA. They differ in their financial and organizational arrangements between the HMO and its physicians. Some HMOs combine various attributes of the four principal models. WISCONSIN DEPARTMENT OF HEALTH SERVICES When a person decides to enroll in Family Care, they become a member of a managed care organization (MCO). MCOs operate the Family Care program and provide or coordinate services in the Family Care benefit. The Family Care benefit combines funding and services from a variety of existing programs into one flexible long-term care benefit, tailored to each individual’s needs, circumstances and preferences. View a list of items covered in the Family Care benefit package. In order to assure access to services, MCOs develop and manage a comprehensive network of long-term care services and support, either through purchase of service contracts with providers, or by  direct service provision by MCO employees. MCOs are responsible for assuring and continually improving the quality of care and services consumers receive. MCOs receive a per person per month payment to manage care for their members, who may be living in their own homes, group living situations, or nursing facilities. Some highlights of the Family Care benefit are: When a person decides to enroll in Family Care, they become a member of a managed care organization (MCO). MCOs operate the Family Care program and provide or coordinate services in the Family Care benefit. The Family Care benefit combines funding and services from a variety of existing programs into one flexible long-term care benefit, tailored to each individual’s needs, circumstances and preferences. View a list of items covered in the Family Care benefit package. In order to assure access to services, MCOs develop and manage a comprehensive network of long-term care services and support, either through purchase of service contracts with providers, or by direct service provision by MCO employees. MCOs are responsible for assuring and continually improving the quality of care and services consumers receive. MCOs receive a per person per month payment to manage care for their members, who may be living in their own homes, group living situations, or nursing facilities. Some highlights of the Family Care benefit are: People Receive Services Where They Live. MCO members receive Family Care services where they live, which may be in their own home or supported apartment, or in alternative residential settings such as Residential Care Apartment Complexes, Community-Based Residential Facilities, Adult Family Homes, Nursing Homes, or Intermediate Care Facilities for Individuals with Intellectual Disabilities. People Receive Interdisciplinary Case Management. Each member has support from an interdisciplinary team that consists of, at a minimum, a social worker/care manager and a Registered Nurse. Other professionals, as appropriate, also participate as members of the interdisciplinary team. The interdisciplinary team conducts a comprehensive  assessment of the member’s needs, abilities, preferences and values with the consumer and his or her representative, if any. The assessment looks at areas such as activities of daily living, physical health, nutrition, autonomy and self-determination, communication, and mental health and cognition. People Participate in Determining the Services They Receive. Members or their authorized representatives take an active role with the interdisciplinary team in developing their care plans. MCOs provide support and information to assure members are making informed decisions about their needs and the services they receive. Members may also participate in the Self-Directed Supports component of Family Care, in which they have increased control over their long-term care budgets and providers. People Receive Family Care Services that Include: Long-Term Care Services that have traditionally been part of the Medicaid Waiver programs or the Community Options Program. These include services such as adult day care, home modifications, home delivered meals and supportive home care. Health Care Services that help people achieve their long-term care outcomes. These services include home health, skilled nursing, mental health services, and occupational, physical and speech therapy. For Medicaid recipients, health care services not included in Family Care are available through the Medicaid fee-for-service program. People Receive Help Coordinating Their Primary Health Care. In addition to assuring that people get the health and long-term care services in the Family Care benefit package, the MCO interdisciplinary teams also help members coordinate all their health care, including, if needed, helping members get to and communicate with their physicians and helping them manage their treatments and medications. People Receive Services to Help Achieve Their Employment Objectives. Services such as daily living skills training, day treatment, pre-vocational services and supported employment are included in the Family Care benefit package. Other Family Care services such as transportation and personal care also help people meet their employment goals. People Receive the Services that Best Achieve Their Outcomes. The MCO is not restricted to providing only the specific services listed in the Family Care benefit package. The MCO interdisciplinary care management team and the member may decide that other services, treatments or supports are  more likely to help the member achieve his or her outcomes, and the MCO would then authorize those services in the member’s care plan. For a complete list of the services that must be offered by MCOs, refer to the description of the long-term care benefit package in the Health and Community Supports Contract. People Receive Services Where They Live. MCO members receive Family Care services where they live, which may be in their own home or supported apartment, or in alternative residential settings such as Residential Care Apartment Complexes, Community-Based Residential Facilities, Adult Family Homes, Nursing Homes, or Intermediate Care Facilities for Individuals with Intellectual Disabilities. People Receive Interdisciplinary Case Management. Each member has support from an interdisciplinary team that consists of, at a minimum, a social worker/care manager and a Registered Nurse. Other professionals, as appropriate, also participate as members of the interdisciplinary team. The interdisciplinary team conducts a comprehensive assessment of the member’s needs, abilities, preferences and values with the consumer and his or her representative, if any. The assessment looks at areas such as activities of daily living, physical health, nutrition, autonomy and self-determination, communication, and mental health and cognition. People Participate in Determining the Services They Receive. Members or their authorized representatives take an active role with the interdisciplinary team in developing their care plans. MCOs provide support and information to assure members are making informed decisions about their needs and the services they receive. Members may also participate in the Self-Directed Supports component of Family Care, in which they have increased control over their long-term care budgets and providers. People Receive Family Care Services that Include: Long-Term Care Services that have traditionally been part of the Medicaid Waiver programs or the Community Options Program. These include services such as adult day care, home modifications, home delivered meals and supportive home care. Health Care Services that help people achieve their long-term care outcomes. These services include home health, skilled nursing, mental health services, and occupational, physical and speech therapy. For Medicaid recipients, health care services not included in Family Care are available through the Medicaid fee-for-service program. People Receive Help Coordinating Their Primary Health Care. In addition to assuring that people get the health and long-term care services in the Family Care benefit package, the MCO interdisciplinary teams also help members coordinate all their health care, including, if needed, helping members get to and communicate with their physicians and helping them manage their treatments and medications. People Receive Services to Help Achieve Their Employment Objectives. Services such as daily living skills training, day treatment, pre-vocational services and supported employment are included in the Family Care benefit package. Other Family Care services such as transportation and personal care also help people meet their employment goals. People Receive the Services that Best Achieve Their Outcomes. The MCO is not restricted to providing only the specific services listed in the Family Care benefit package. The MCO interdisciplinary care management team and the member may decide that other services, treatments or supports are more likely to help the member achieve his or her outcomes, and the MCO would then authorize those services in the member’s care plan. For a complete list of the services that must be offered by MCOs, refer to the description of the long-term care benefit package in the Health and Community Supports Contract. A managed care organization (MCO) is a health care provider or a group of association of medical examination providers who proposes accomplished health plans. It is a health group that bonds with insurers or self-insured employers and funds and provides health care by means of a definite provider system and precise facilities and products. An MCO is an insurer that delivers both healthcare amenities and payment on behalf of services. They offer a comprehensive range of quality and managed health care services to the joined employees by keeping medical charges down through preventive medicine, patient teaching, and in additional ways. These organizations are certified by the director of the Department of Consumer and Business Services (DCBS). MCOs vary in their constitution as some organizations are made of physicians, while others are combinations of physicians, hospitals, and other providers. For instance, a group practice without walls, independent practice association, management services organization, and a physician practice management company are the common MCO’s.

Bachelor Degree in Business Administration 2019

There is no experience like the actual, day-to-day experiences youll find in the real business world. However, by obtaining your business administration degree, you will be exposed to a wider spectrum of problem sets and compelled to grapple with them. Throughout your studies you will be challenged to analyze and synthesize complex data in order to become a practiced, experienced administrator. Not only will a degree in business administration broaden and lend more credence to past experiences and training, but a degree will show others your motivation to succeed. Although you may have already been to school, or youve been on a job for a while and feel you know what you need to know, do not let yourself be content with just good enough. Success is persistence, hard work, learning from your mistakes, not following the herd, training, acquisition of skills and most importantly, a good and solid education. One should never stop learning as education only leaves room for improvement. .u7aa01fefdac2129916163d42d79ecd65 { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .u7aa01fefdac2129916163d42d79ecd65:active, .u7aa01fefdac2129916163d42d79ecd65:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .u7aa01fefdac2129916163d42d79ecd65 { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .u7aa01fefdac2129916163d42d79ecd65 .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .u7aa01fefdac2129916163d42d79ecd65 .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .u7aa01fefdac2129916163d42d79ecd65:hover .postTitle { text-decoration: underline!important; } READ Earning Your Masters of Business Administration Degree OnlineOne may have goals and aspirations, but those goals and aspirations amount to nothing if one never acts upon them. Honing your skills by further education is a very obvious, practical way to kick it up a notch and enable yourself to back up those aspirations with very concrete training. It is never too late. If you are considering an online education, consider this. It is possible to maintain a job, enhance ones earning potential and, at the same time, earn a degree. When you examine the options and compare the possibilities of an online education to the more traditional, you will find that cost is minimal, schedules are flexible, and you may even be credited for past work experience. So, it is conceivable to earn that degree within a twelve- to eighteen-month time frame at one of our accredited, online universities and with far less expense. .udcdfe81034b2abfade53b978e131272e { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .udcdfe81034b2abfade53b978e131272e:active, .udcdfe81034b2abfade53b978e131272e:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .udcdfe81034b2abfade53b978e131272e { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .udcdfe81034b2abfade53b978e131272e .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .udcdfe81034b2abfade53b978e131272e .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .udcdfe81034b2abfade53b978e131272e:hover .postTitle { text-decoration: underline!important; } READ Finding a Business Administration Career The global economy has a certain momentum of its own and it impacts all of our lives. We are becoming more aware of this everyday and we all are aware of the fact that we no longer can remain in a vacuum and survive. By attaining a degree in Business Administration, you are reinforcing the efficiency of the economy; you are becoming a critical cog in the business world by learning to make it more competitive; and you will have learned so much more about the mechanics of business, enabling you to provide better policy and effective leadership. And, isnt an attribute of leadership the ability to imagine a better world? Over the past few years, cycles in business have seen dramatic growth as well as declines but, as a trained professional, you will have the wherewithal and knowledge to move and adapt to new and changing business climates. Besides, in a technology-driven culture so dependent on cable channels, live satellite feeds, cell phones and Web Logs, what better way to gain a degree than to do so online? Online education is no longer a matter of glib, Madison Avenue hype; it is a matter of technology surfacing to fulfill an actual, specific need in a very practical manner. .ufbc3f2e948ab8c93ff1e362c41f8ea50 { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .ufbc3f2e948ab8c93ff1e362c41f8ea50:active, .ufbc3f2e948ab8c93ff1e362c41f8ea50:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .ufbc3f2e948ab8c93ff1e362c41f8ea50 { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .ufbc3f2e948ab8c93ff1e362c41f8ea50 .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .ufbc3f2e948ab8c93ff1e362c41f8ea50 .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .ufbc3f2e948ab8c93ff1e362c41f8ea50:hover .postTitle { text-decoration: underline!important; } READ Maine Colleges and Universities Pursuing Online and Campus-based Education in Maine, the Pine Tree StateRelated ArticlesAssociate Degree in Business Can an AA in Business Promote Success as a Real Estate Sales AgentInformation Technology in EducationBusiness Administration Jobs Work as an Administrative Assistant with an Associate Degree in BusinessWhy not an MBAManagers and Management Training Through ExampleWhat to Look for in an Organization