Grade school book report Essay

Tom Sawyer The young protagonist of the novel. Living with his aunt St. Petersburg, Missouri, Tom has a penchant for adventure and â€Å"showing off. † Constantly getting into mischief, he plays hooky from school and would rather go swimming than tend to his Sunday school lessons. Blessed with an active imagination, Tom dreams to be a noble robber such as Robin Hood or a pirate. Hungry for attention, Tom is obsessed with appearing noble and obtaining the envy of his peers. However, Tom is extremely clever and possesses an incredible insight on human nature. Throughout the novel, Tom must learn to listen to his conscience and become accountable for his actions. Huckleberry Finn The town’s social pariah. Son of an abusive and drunkard father who left town, Huck has failed to have been raised with any parental guidance or authority figures. Because he can smoke a pipe and never has to attend church or school, he is the envy of every schoolboy and the nightmare of every mother in town. Huck and Tom often have adventures and both believe in various superstitions. Although disregarded by the â€Å"sociables,† Huck possesses a kind spirit and consideration for others. Aunt Polly Tom’s somewhat elderly aunt and guardian. Religious, simple-mannered, and kind-hearted, Aunt Polly is respected among the citizens of St. Petersburg. Responsible for Tom’s discipline and upbringing, Aunt Polly is constantly torn between expressing her exasperation and showing her lover for Tom. Every time he causes trouble, another hair on her head turns gray; she often wishes Tom would behave properly like his brother, Sid. Sid Sawyer Tom’s younger half-brother. Always trying to tattle on Tom, Sid keeps a close on eye his brother’s wrongdoings. A goody-two-shoes, he is a punctual and studious pupil. Mary Tom’s older cousin who resides with Aunt Polly. Mary is depicted as a sweet and good-hearted young lady who sees the good qualities in Tom’s character. Religious and pious, Mary was an exceptional student  ¬ the opposite of Tom. Becky Thatcher The daughter of Judge Thatcher. Becky is Tom’s age and has recently moved into town. Prim and proper, Becky is the opposite of Tom: she has never been in trouble and is used to obeying her mother’s words. With blonde hair and dressy frocks, she quickly wins Tom’s affection and attention. Injun Joe The antagonist of the novel. Guilty of several murders, Injun Joe possess a violent temperament is set on seeking revenge on those who have treated him harshly in the past. He attempts to frame Muff Potter for one of his own crimes and is pursued by the village authorities. Muff Potter The town drunk who is framed for the murder of Dr. Robinson. Although his kind nature and drunken state make him harmless, Potter is persecuted by the entire town that believes that he is a murderer. Mr. Jones/Old Welshman The old Welshman who lives with his two strong sons in the vicinity of Widow Douglas’s house. With Huck’s help, the Welshman is able to come to the widow’s aide. Widow Douglas A rich, upper-class widow. With a kind spirit and a devotion to the Christian faith, the widow Douglas is known for her open hospitality and good nature. She also appears as a major character in Twain’s The Adventures of Huckleberry Finn. Dr. Robinson The young doctor, guilty of grave robbing, whose murder instigates the chaotic happenings in St. Petersburg. Joe Harper Tom’s bosom friend. One of Tom’s â€Å"gang† of pirates, Joe accompanies Tom on some of his adventures. Mrs. Harper Joe’s mother Amy Lawrence Tom Sawyer’s former girlfriend, whom he occasionally flirts with and was previously â€Å"engaged† to. Minor Characters: Judge Thatcher Becky’s father. A proud and well-respected man of justice, whose family has recently moved into town. Mrs. Thatcher Becky’s mother, wife of the Judge. Alfred Temple A well-dressed boy whom Tom thinks is snobby. Alfred also vies for Becky Thatcher’s attention. Mr. Dobbins The schoolmaster. Hated by all the children, Mr. Dobbins is depicted as a stern and pathetic man who uses lashings as a method of discipline. Mr. Walter The Sunday School Superintendent who issues Bibles to the top students. Mr. Sprague The long-winded minister. Ben Rogers A young boy who is Tom’s friend. Setting The Adventures of Tom Sawyer is set in the town of St. Petersburg, Missouri, some time around the middle of the nineteenth century Biography of the Author Born on November 30, 1835, in Florida, Missouri, Samuel L. Clemens wrote under the pen name Mark Twain and went on to pen several novels, including two major classics of American literature, The Adventures of Tom Sawyer and Adventures of Huckleberry Finn. He was also a riverboat pilot, journalist, lecturer, entrepreneur and inventor. Twain died in Redding, Connecticut on April 21, 1910, having survived his children Langdon, Susan and Jean as well as his wife, Olivia. In his lifetime, he became a distinguished member of the literati, and was honored by Yale, the University of Missouri, and Oxford with literary degrees. Conflict Man vs. man – Tom and Huck perceive their biggest struggle to be between themselves and Injun Joe, whose gold they want and whom they believe is out to kill them. Conflict also exists between Tom and his imaginative world and the expectations and rules of adult society. Moral of the Story Moral and Social Maturity When the novel opens, Tom is engaged in and often the organizer of childhood pranks and make-believe games. As the novel progresses, these initially consequence-free childish games take on more and more gravity. Tom leads himself, Joe Harper, Huck, and, in the cave, Becky Thatcher into increasingly dangerous situations. He also finds himself in tight spots in which he must put his concern for others above his concern for himself, such as when he takes Becky’s punishment and when he testifies at Injun Joe’s trial. As Tom begins to take initiative to help others instead of himself, he shows his increasing maturity, competence, and moral integrity. Tom’s adventures to Jackson’s Island and McDougal’s Cave take him away from society. These symbolic removals help to prepare him to return to the village with a new, more adult outlook on his relationship to the community. Though early on Tom looks up to Huck as much older and wiser, by the end of the novel, Tom’s maturity has surpassed Huck’s. Tom’s personal growth is evident in his insistence, in the face of Huck’s desire to flee all social constraints, that Huck stay with the Widow Douglas and become civilized. Point of View Third Person (Omniscient) – the narrator does not participate in the action of the story as one of the characters, but lets us know exactly how the characters feel. As a narrator, Twain cannot only see what his characters are seeing and thinking, but he is able to channel their personalities.

Accountable Care Organizations, Bundled Payments, and Health Reform Essay

With the enactment of the Patient Protection and Affordable Care Act (PPACA) in March 2010, health care reform has become the law. The legislation will extend health care coverage to more citizens, stabilize health insurance markets, enhance regulation and consumer protection, and improve the affordability and quality of health care in the United States. Changes in payment system of health care proposed by PPACA have led to the development of Accountable Care Organization (ACO). This paper will address how ACOs and the bundled payments system will impact the future of health care. See more: Strategic Management Process Essay The ACO is a health care organization which provides accountability for quality, cost, and care for medical beneficiaries with single entity providers that are responsible for delivering care. The ACO-model builds on the Medicare Physician Group Practice Demonstration and the Medicare Health Care Quality Demonstration, established by the Medicare Prescription Drugs Improvement and Modernization Act of 2003. Under the Affordable Care Act, the U.S. Department of Health and Human Service (HHS) released new rules that benefit doctors, hospitals, and other health care providers of better care for Medicare patients through ACOs on March 31, 2011(U.S. Department of Health & Human Services, 2001). According to the Centers for Medicare & Medicaid Services’ (CMS) administrator Donald Berwick, MD, â€Å"An ACO will be rewarded for providing better care and investing in the health and lives of patients. ACOs are not just a new way to pay for care but a new model for the organization and delivery of care† (Penton Media., 2011). The new model, which is called the â€Å"Pioneer Accountable Care Organization,† is to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries  (Medicare Parts A and B) and reduce unnecessary costs through establishing a shared savings program, which promotes accountability for Medicare FFS beneficiaries. It requires coordinating care for services provided under Medicare FFS and encourages investments in infrastructure, and it redesigns care processes. Regarding the differences, the Pioneer ACO payment model incorporates a population-based payment in the third year of the ACO’s Participation Agreement. This population-based payment will replace fifty percent of the FFS payments (McDermott & Emery, 2011). The Pioneer ACO model is estimated to save Medicare as much as $430 million over three years by coordinating with private payers to reduce costs for Medicare beneficiaries and improve health outcomes. An ACO may engage in either a Shared Savings Program or in the Pioneer ACO model. In addition, the Pioneer ACO model is separated from the Medicare Shared Savings Program for Medicare beneficiaries by the Advance Payment Initiative (Center for Medicare and Medicaid Innovation Center, 2011). ACOs require the ability to manage cost and quality for patients across the continued extent of care and across different associational settings. They also require the capability to plan budgets and resources needed to allocate payments, and the commensurable size of primary care providers for Medicare patients’ populations assigned to the ACOs (at least 5,000 Medicare or 15,000 commercial patients). According to the Journal of the American Medical Association, doctors Shortell and Casalino recommend a three-tiered system of qualification for ACOs (Shortell, S. and Casalino, L., 2010). The tiers will be based on the degree of financial risk acceptable for ACOs and the degree of financial rewards that can be completed by performance targets. In the first tier, ACOs will receive FFS payment with shared savings for providing quality care at lower than the expenditure targets. In the second tier, ACOs will receive bundled payments and episode of care based payments for managing costs and achieving benchmarks. They will be accountable for care that meets these criteria. In the third tier, ACOs will receive partial and global capitation payments. Under a three tiered structure, ACO providers will submit a three-year plan to the HHS or CMS for achieving qualification status at the varied levels. The U.S Department of Health and Human Services (HHS) announced the â€Å"Bundling Payment for Care Improvement Initiative† to coordinate payments for services delivered across an episode of care, such as a cardiac bypass or a hip replacement, on August 23, 2011 (Vendome Group, LLC, 2011). The definition of bundled payments refers to a single payment for all care related to an entire treatment or condition. Bundled payments, also called episode-base payments or case-rate payments are considered as a mechanism for improving both cost and quality, such as currently exist with Geisinger Proven Care and the Prometheus Payment system (Dark,Cedric., 2011). Bundled Payments do benefit physicians and hospitals if patients complete their medical treatments within a certain time period because it will save the physicians and hospitals additional costs. However, it is a disadvantage for physicians and hospitals if the treatment takes longer than the traditional time because it will cost more money to care for patients. Unfortunately, its emphasis is less about improving care and more about reducing the financing for medical care (Gorman Health Group Blog, 2011). This means hospitals, physicians, and other practitioners will have to take their own approach to improving the delivery of healthcare, which should benefit Medicare patients. The goal of the initiative is to increase efficiency of care, improve quality of care, and lower costs. This initiative consists of four different bundled payment models. The first three bundled payment models are retrospective payment arrangements based on patients’ historical data. However, the fourth model is proposed for the future. Centers for Medicare & Medicaid Services (CMS) make a single bundled payment to the hospital for all services during inpatient stays for hospitals, physicians, and other medical professional specialists. In the first model, the episode of care is the length of time the inpatient stays in the acute care hospital. Medicare pays the hospital a discounted payment based on the payment rates established under the Inpatient Prospective Payment System (IPPS), which starts at zero percent for the first six months and then rises to a minimum of two percent in the third year, based on the IPPS. Physicians are paid under the Medicare Physician  Fee Schedule. Hospitals and physicians are to share in any costs. This model benefits Medicare patients by reducing their costs, but not hospitals and physicians because they must share in any expenditures. The second model, which is also based on IPPS, is different from the first model because it includes inpatient and post-acute care from either 30 or 90 days following discharge. This bundled payment includes physicians’ services, post-acute care, readmissions, and other related services, which can be clinical laboratory services, medical equipment, prosthetics, orthotics, other supplies, and Part B drugs. The minimum discount is three percent for the first 30 to 90 days after discharge and two percent for more than 90 days. The Medicare enrollee is to share the costs if the total payments are less than the target price. However, the provider will be responsible for payment coverage if the total payments exceed the target costs. This model uses an incentive discount for Medicare patients to spend less time in rehabilitation versus the first model which has no early rehabilitation discount. However, this model does not give an advantage to hospitals and physicians because it encourages Medicare patients to leave medical services sooner. The third model begins at discharge from an acute facility if less than 30 days are spent in rehabilitation. These bundled payments are the same as the second model with the exception of a discounted rate, which Medicare enrollees are required to set up instead of CMS, since CMS has not indicated an expected discount for medical service (Becker, Epstein & Green, P.C, 2011). In the fourth model, which is the only perspective model, hospitals will receive a single bundled payment from CMS that covers all medical services by hospital, physicians, and other medical professional specialists. The minimum discount will be three percent of the estimated total costs for the episode care (Proskauer Rose, 2011). The bundled payments are more hospital-centric than ACOs’ program. However, ACOs’ focus will be on how hospitals and physicians will share reimbursements in a post-fee-for-service payment system. Therefore, Medicare beneficiaries will benefit the most but hospitals and physicians will not. Future ACOs include: Integrated Delivery Systems, Multispecialty Group Practice (MSGP), Hospital Medical Staff Organization (HMSO), Physician-Hospital Organizations (PHO), Interdependent Practice Organization (IPO), and the Health Plan Provider Organization or Network (Charles DeShazer, 2011). However, most physicians work in very small practices that would not likely have the resources to develop the capacities to be an ACO. In an ACO-based health care organization, these small practices would either merge into new or already existing specialty group practice, or would engage in an ACO that facilitates clinical integration among small practices. Many physicians may still prefer smaller practices, and under comprehensive healthcare reform may continue to exist. In ACOs completely based on the quality and cost of care, the market may decide whether virtually integrated systems can succeed in competition with systems where physicians are merged into large group practices. Moreover, specialist physicians are creating medium sized or even larger single specialized groups. However, a single specialty group cannot serve as an ACO for full patients care but can be an essential element of an ACO or can be a crucial source of medical care through referrals. In Integrated delivery systems (IDS), medical care is coordinated and reimbursed within the system to make patient care more efficient while improving access to and the quality of the care received. Some examples are: Cleveland Clinic, Henry Ford Health System, Mayo Clinic, Scott & White Clinic, and so on. However, a recent report indicates that challenges may still remain. IDS face lack of compensation from health insurance providers for care coordination services as well as difficulties in finding specialty care, such as mental health care and changes in management and physician cultures in adopting the new organization (United States Government Accountability Office, 2011). The promising advantages of the multispecialty group practice (MSGP) model were recognized in 1932. As stated in the Physician’s Advocate(2008), â€Å"These advantages include having the resources to redesign care processes, take advantage of economies of scale to implement electronic medical records, form health care teams, obtain database feedback on performance gaps, and make the changes needed to improve care† (Physician’s Advocate, 2008). Some evidence indicates that multispecialty group practices do make the most of recommended care management processes like electronic information technology, as well as sharing in quality improvement medical services. Therefore, MSGPs provide better quality care for preventive measures involving screening tests and diabetes management than smaller forms of practices. Moreover, studies also indicate lower Medicare spending on patients related to multispecialty or hospital associated groups than other patients. However, it is unlikely that MSGPs will become the major organization form in the United States health care system since it is so expensive to implement. HMSO, more than 800,000 physicians that currently practice in the United States are members of hospital medical staffs (Carroll, 2011). The hospital medical staff organization can serve as ACOs for either inpatient or outpatient care. Studies indicate that most physicians have primary relationships with a single hospital to form a stronger partnership entity between physicians and their primary hospital (Fisher and et al., 2006). Hospitals have resources to support adopting electronic medical records (EMR), provide performance and accountability data, and assist quality improvement support for physicians. Bundled payments for specific medical conditions or episodes of sickness, such as a coronary artery bypass graft (CABG), hip or knee replacement (Massachusetts Medical Society, 2008) will provide incentives for hospitals and physicians to work together to reduce Medicare costs (Welch, WP and ME Miller, 1994). This model will have future advantages for chronic illness treatment as we ll as episodes of care since physicians and hospitals work together closely to monitor patients’ long term care. However, the HMSOs encounter challenges including leadership of the diverse cultures of hospitals and physicians and legal restrictions to obtain sharing (Primary Care Associates., 2008). An alternative of the MSGP model is the PHO. Hospitals and physicians work together to ensure cost-effective and steady system delivery of medical services and the provisions of the health care services to the patients. There are approximately one thousand PHOs in the United States and most are managed organizations with the goals of achieving and managing the quality  and cost of care (Nixon Peabody LLP., 2010). Under the Affordable Care Act, the contracting PHO model can emerge into an entity that will manage the quality and cost of care. Without meeting the needs of all physicians, this model has the advantage and the incentive of improving performance. With the HMSOs, the hospital will provide resources for EMR, performance reporting, quality improvement, and process management support. However, PHOs must be clinically integrated to avoid anti-trust laws (Casalino, Lawrence P., 2006). A fifth model is the Interdependent Practice Organization (IPO), which is an advancement for those physicians who practice in small organizations or who do not wish to be part of larger organizations for delivering care. The interdependent practice organization is based on an association of physicians in numerous independent practices. IPOs are capable of providing high quality, better care, although most of these organizations are loosely organized (Rittenhouse and et al., 2004). The future IPO model requires strong leadership, administration, and enough patients across individual practices to support financing of technology infrastructure and management systems. IPO models might be attractive to physicians practicing in rural areas. With given sufficient incentives, existing IPOs can became independent organizations by strengthening their management structure and developing a solid shared culture of performance improvement. These requirements are challenges since IPOs are composed of many small practices. The last model, the Health Plan-Provider Organization or Network (HPPO/HPPN) is similar to the IPO. It is based on an association of independent physician practices. The health plan will be the major financial assets to encourage a more cost-effective health care delivery system. Many have capabilities in disease management, electronic information technology implementation, and quality improvement entities that can be used effectively in collaboration with physicians. Some physician practices may participate with health plans rather than local hospitals. Health plans can be part of a smaller physician’s practice and become the unit of accountability of performance. However, the success of this model will depend on an individual physician’s leadership (Shortell and et al., 2008). The Centers for Medicare & Medicaid Services (CMS) released final rules and new opportunities for financial support for doctors, hospitals, and health care providers to work together to improve the care of Medicare patients by adopting ACOs on October 20, 2011. The new rules provide for a new voluntary Medicare Shared Savings Program. Providers will be able to participate in an ACO and share in the savings with Medicare. ACOs will reward providers for reducing the costs and meeting quality measures, such as reducing hospital readmissions or emergency room visits. Providers will begin to share in savings based on how they perform in thirty-three quality measurements in the second and third performance years. Medicare beneficiaries will be a part of the ACO system when they form. Moreover, community health centers and Rural Health Clinics (RHCs) will be allowed to participate in the ACO programs (Galewitz, Phil and Jenny Gold., 2011). To appeal to providers, CMS will provide physician-owned and rural providers early access to the expected saving of up to $170 million dollars, so providers can start ACOs right away. At the same time, the Antitrust Division of the Department of Justice issued the entire final rules that will allow providers to participate in the Medicare Shared Savings Program. In addition, the final rules will no longer require a mandatory antitrust review for collaborations as a condition of entry into Shared Saving Program (Department of Justice, 2011). Electronic health record (EHR) usage is no longer a condition of participation to prompt more RHCs and other programs to join (Center for Medicare and Medicaid Innovation Center, 2011). Moreover, CMS will assist agencies in monitoring the care and quality of performance of ACOs. The program will save up to $940 million dollars over four years (U.S. Department of Health & Human Services, 2001). Patients or Medicare beneficiaries are encouraged to select an ACO as their medical center. ACOs can be used for result-based payments, public report purposes, and claim-based payments which retrospectively allow patients to join who have not adopted ACOs. This advances patients’ choices and encourages ACOs to coordinate their patients’ care to treat patients equally. Because physicians are not required to be part of ACOs, physicians  can still be paid with the Shared Saving Programs used by Medicare, Medicaid, and other commercial health plans. They also can be eligible to achieve quality-based rewards. In addition, physicians and hospitals that are part of ACOs can have both obtainable rewards for improving quality and controlling costs; however, there is more inevitable risk. Furthermore, bundled payments for certain services and procedures, using a combination of capitation, result-based payments, and readmissions, gain sharing between physicians and hospitals tha t can be adopted within ACOs. Physicians also can benefit from the assistance that ACOs can provide with electronic health records and with implementation of established processes to improve quality and efficiency. Health reform will be needed in laws and regulations for the Stark law, anti-kickback statuses, fraud and abuse, anti-trusts, scope of practices, and the corporate practice of medicine. However, the final rules were relaxed and established waivers for the physicians’ self-referral law, the federal anti-kickback status, and certain penalties to encourage the participation in the Medicare Shared Saving Program and the Advance Payment Initiative (FierceHealthcare, 2011). Therefore, more medical providers will be regulated by the programs. In the past, healthcare leadership has relied on organizational structure to deliver higher quality at lower costs, which has not succeeded in improving neither efficiency nor performance. In fact, they have increased the problems that they intended to address. Neither diagnostic related groups (DRG) nor Health Managed Organizations created a shared achievement for all parties. Provider profit motivation lacked the pressure of medical beneficiaries to protect quality while minimizing costs. While each DRG and resource based relative-value unit encouraged providers to focus on provision without interventions, HMOs and other managed providers encouraged providers to minimize intervention, regardless of whether managing could delay the quality or completeness of patient care (Numberof, 2011). Ignoring the minimal role that patient demand plays in driving market completion among providers, the current and past medical health care system has decreased accountability for quality of medical care. ACOs were established to fix the inadequate accountability for wasteful  spending and quality of patient care. The PPACA provisions are consumer based solutions; however, they do not allow patients to have fully informed choices about their coverage and medical care (Numberof, 2011). Employers, who contract with insurers, apply with providers; therefore, accomplishment is limited. However, many physicians are reluctant to assume accountability for patient outcomes, since they admit that outcome is directly under the behavioral control of the patient. Furthermore, it seems that provider contracts could be integrated to a successful ACO in a shared savings program; providers continue to receive funding for each service they perform. Even with the possibility of a bonus from shared-savings, maintaining the FFS system boosts providers into continuing delivering an excess of services. In addition, ACOs, which are a single untested model, are largely hospital based. Eligibility requirements are larger and more involved for ACO organizations. Larger organizations are able to consolidate their markets; however, this consolidation may result in less competition. Therefore, large delivery organizations may become too big to fail but will increase advantages for patients. Without competition, the organizations might have little incentive to reduce the costs or improve quality of medical care. Enduring health reform has to cover the uninsured without exception or conditions. As Victor Fuchs, professor at Stanford University mentions â€Å"It [Enduring health reform] must improve efficiency in medical practice by providing physicians with the information, infrastructure, and incentive they need to deliver cost effective care† (Fuchs, 2010). Information will come from the electronic health records, a process that will be amped up by the HITECH Act, which is part of the American Recovery and Reinvestment Act of 2009 (Leyva, Carlos and Deborah Leyva, 2009). Electronic health records will benefit providers with more accurate real-time data on patients as well as provide analyses on drug responses and provide support to improve the quality of medical care. Health information Exchange (HIE) can enhance information from a wide databases and allow that information to be shared through various technology by providers. This allows related patient information to be shared withi n EMR with the provider who needs that information (Southern New Hampshire Health System, 2011). Furthermore, the  Patients Centered Outcomes Research Institute (PCORI) will offer physicians and patients new information of varied medical technology. Atul Grover, chief advocacy officer for the Association of American Medical Colleges, notes â€Å"It will be an evidence synthesis that really considers different populations and different diseases and tries to get more information to clinicians as they go about doing their daily work† (Marathon Medical Communications, Inc, 2010). The integration of the PCORI will enhance information so that physicians and patients can choose the appropriate test and treatment based on the patients’ condition. Moreover, infrastructure reform will enhance horizontal collocation within providers and monitor patients consistently. Health care reform strengthens greater integration through the redesign of delivery systems such as medical homes and ACOs for physicians. Recent studies suggest that better coordination of care can reduce readmission rates for major chronic sicknesses (Hernandez, AF, 2011). In addition, the PPACA will give incentives for hospitals to support proven practices that essentially reduce their rates (Foster, 2010). Likewise, the PPACA’s pilot program involving bundling payments will bring physicians and hospitals an incentive to allocate care for patients with chronic illnesses. Most essentially, PPACA admits that health reform that brings ACOs as the delivery system is an ongoing process requiring continuous adjustment. The PCORI will develop new medical tests, drugs, and other treatment that will provide continuously updated information for physicians and patients. Over the next decade, similarly, the Innovation Center in the Centers for Medicare and Medicaid will be establishing and evaluating new policies and programs that will enhance the quality of care for Medicare beneficiaries and reduce costs. PPACA not only will expand health care coverage to millions of Americans but also will enact many policies to reduce the amount of costs for health care by bringing ACOs as the delivery system, which will reduce the costs of health care over time. By enacting ACOs as a Primary Care Provider (PCP), PPACA provides the most effective medical care support possible. Moreover, by adopting the bundled payment approach, physicians, hospitals, and other providers will be able to reduce the costs for Medicare beneficiaries.  Therefore, the public should embrace the new health care proposal to reduce their costs and improve the quality of their medical care. References Becker, Epstein & Green, P.C (2011) â€Å"HEALTH REFORM: CMS Innovation Center Announces Four Models in Bundled Payments for Care Improvement Initiative,† Retrieved from http://www.ebglaw.com/showclientalert.aspx?Show=14876 Carroll, Aaron. (2011, June 3). â€Å"Meme-busting: Doctors are all leaving Canada to practice in the U.S.,† Retrieved from http://www.washingtonpost.com/blogs/ezra-klein/post/meme-busting-doctors-are-all-leaving-canada-to-practice-in-the-us/2011/06/03/AGVdAuHH_blog.html Casalino, Lawrence P. (2006) â€Å"The Federal Trade Commission, Clinical Integration, and the Organization of Physician Practice,† Journal of Health Policy, Politics, and Law, Retrieved from http://www.ftc.gov/os/comments/aco/2006jhppl.pdf Center for Medicare and Medicaid Innovation Center (2011) â€Å"Pioneer ACO Application,† Retrieved from http://innovations.cms.gov/areas-of-focus/seamless-and-coordinated-care-models/pioneer-aco-application/index.html Center for Med icare and Medicaid Innovation Center (2011) â€Å"final ACO rule,† Retrieved from http://www.cms.gov/aco/downloads/Appendix-ACO-Table.pdf Department of Justice, the Antitrust Division and the Federal Trade Commission (2011) â€Å"Background Documents,† Retrieved from http://www.justice.gov/atr/public/health_care/276458.pdf DeShazer, Charles. (2011) â€Å"Accountable Care Organization (ACO) Tutorial,† Retrieved from http://www.slideshare.net/cdeshazer/accountable-care-organization-aco-tutorial Dark, Cedric (2011) â€Å"Quality over Quantity: Reforming Payment,† Retrieved from http://www.policyprescriptions.org/?p=2066 FierceHealthcare, (2011) â€Å"CMS, OIG to relax self-referral, anti-kickback laws with ACO waivers,† Retrieved from http://www.fiercehealthcare.com/story/cms-oig-relax-self-referral-anti-kickback-laws-aco-waivers/2011-10-21 Foster, David. (2010) â€Å"Healthcare Reform: Pending Changes to Reimbursement for 30-Day Readmission,† Retrieved from http://thomsonreuters.com/content/healthcare/pdf/pending_changes_reimbursements Fuchs, Victor (2010) â€Å"Health Care Reform,† Retrieved from http://siepr.stanford.edu/system/files/shared/Health_care_document.pdf

Role of Innovation in the McLaren Group Essay Example | Topics and Well Written Essays - 3500 words

Role of Innovation in the McLaren Group - Essay Example The paper tells that the Mercedes Benz Group has established itself over the past 125 years as a leader in promoting innovative trends in the automobile industry. Its strategic alliance with McLaren Group has added to the Mercedes Benz Group’s strengths as McLaren captures the market leadership position through its focus on innovation management. Rob Durrant, the Communications Executive at Mercedes Benz provides a deeper insight into the innovation policies of the company and the management practices that have helped in defining and supporting innovation goals and objectives. The global markets expose firms to wide complexities in terms of delivering unique products and services that help in distinguishing itself from similar goods available in the market. More and more firms today are developing their innovative capabilities to leverage their competitive advantage and expand their market shares. While these strategic capabilities have proved companies with extended capabilit ies to design and develop new products, there is limited understanding of what innovation is and how it can be managed effectively for desired results and outcomes. The McLaren Automotive Group represents one of the most innovative firms that have successfully launched premium cars in the luxury and sports segment. The Mercedes Benz SLR McLaren is the world’s highest volume high performing sports car. There are several milestones that this company has achieved over the years in terms of innovation in car design and launch of new models on the road. Technology plays an important role in defining the firm’s competitive advantage and its innovation strategy. Firms apply existing technology systems and tools to design new products, enhance product features and deliver creative solutions that cater to the rapidly evolving customer needs and expectations.

Control & instrumentation engineering Lab Report

Control & instrumentation engineering - Lab Report Example Also, the machine runs on all types of quality of clothes and has no effect on the lower quality It is also assumed that the input from the environment is the same for different environmental conditions with a constant room temperature of 25degrees Celsius. The control program is also assumed to be an open loop control system where by the input data is generated from sensors within the machine, thus errors that might occur due to the incorrect measurements are accounted for within the control Laplace transforms equation. His allows for a smooth operation with little disruptions from the interrupts to the system as a result of input values. The open nature of the control loop subjects the system to technical errors such as the continuous gain in the systems hence the project assumes they are accounted for by the Laplace transform equation. The program is expected to respond in real time to changes in the variables from its environment. Once the door is opened, no response is expected until the door is closed and a start button is pressed where the start and locked led lights are automatically switched on. This is a response from the input and a state indicator of the processing activity. All the buttons are linked through a PLC link and act as sensors in this project where the user determines the exact input values. Automatically the machine picks up the signal to switch the hot valve and the tub fillings function. The output is documented by the lighting of the light emitting diodes on machine display panel. An input to show that the liquid sensor detector indicates the tub is full and turns on a light emitting diodesindicating the tub is half full. However, in a manual setting the sensor runs automatically sending a signal to the open loop control system. After a set time expected of the final washing machine the tub full button is pressed which allows for the signal to change and show a tub full signal and subsequently initiating a

Why does the govrnent lock public parks when the citizens pay for them Research Paper

Why does the govrnent lock public parks when the citizens pay for them - Research Paper Example Travellers navigate with public parks as landmarks and travel routes. In the U.K., there are at least 27,000 thousand public parks that cover 143,000 hectares of land. These parks offer spaces for leisure, recreation, sports, entertainment and business. Some parks are open and very accessible while other parks are walled with gated entrances. Around 1.5 billion people visit these parks each year. With many people using parks, upkeep is necessary. The government spends ?630 million of taxpayer’s money for the upkeep of these parks. Every visit costs 42 pence. In the last 10 years, spending on public parks has decreased. (Urban Parks Forum, 2001) With decreased spending, the trend is good parks are becoming better and bad parks continue to deteriorate (Urban Parks Forum, 2001). The state of the park has a direct relationship with visits. Deteriorating parks mean lower number and frequency of visits. Decrepit public parks become spaces for antisocial activities and crime. These p arks are evaded by residents, with the effect of further facilitating the use of these parks for unwanted activities. In an effort to control the deterioration of public parks, given budget cuts, a measure being done is using gates and locking parks. The park can be accessed only during certain hours, such as from 6 am to 7 pm. All people inside will be asked to leave when the parks close. This practice has spurred the issue of limiting people’s access to public parks when they are paying for the upkeep. Importance of Public Parks Public parks are important. Public parks benefit people. These benefits justify the development of public parks and government spending on upkeep. Public parks support environmental sustainability. Green spaces facilitate the development of urban ecosystems (Zhou & Rana, 2012). Public parks support biodiversity, including plants, animals and insect that plays a role in sustaining the natural environment. At the same time, public parks are green spac es that allow people to interact with the natural environment and become part of the ecosystem. (Barbosa et al., 2007) Trees and vegetation in parks regulate temperature by providing a cooling effect. Trees provide shade in hot weather and absorb heat. This prevents the urban heat island effect from happening. Without trees and plants, heat would be absorbed by concrete, which is capable of retaining heat for long hours. When heat accumulates in concrete, temperatures in the area rises. Park greenery also lowers air pollution by absorbing carbon dioxide to create oxygen and providing barriers to noise. (Millward & Sabir, 2011) When it rains, trees and plants in public parks absorb water to prevent runoffs that cause floods (Dolesh, 2011). Public parks improve the aesthetic quality of neighbourhoods and city centres (Millward & Sabir, 2011). The greenery balances the monotonous visual effect of concrete and asphalt in cities (Salazar & Menendez, 2007). Landscaping in public parks is intended to provide a pleasant view to visitors and passersby. Public parks also promote health and safety. Interaction with nature can improve physical and psychological well-being. Public parks encourage physical activity (Salazar & Menendez, 2007). Parks provide various opportunities for physical activity as a way for people to get their required doses of physical exercise to prevent health conditions, such as heart problems and obesity (Bedimon-Rung, Mowen, & Cohen, 2005). Public parks provide social, economic and political benefits. Public parks provide a good place for social interaction (Barbosa et al., 2007). Social interaction happens when people engage in leisure, recreational or sports activities in public parks. Public parks also create employment, which ranges from the upkeep of the park to

Special Education Assignment Example | Topics and Well Written Essays - 1500 words

Special Education - Assignment Example Investigation Congress passed Public Law 94 -142 also known as Education of Handicapped Children Act. The act has been codified as the Individuals and Disabilities Education Act or IDEA. The law requires United States schools to offer free appropriate public education to all children with disabilities. Complying with the requirements will precipitate to the United States government’s release of federal funds to the requesting state. In addition, Title 20 of the United States Code Section 1400 states education for children with special disabilities is compulsory. The law clearly shows that the state that does not comply with the Public Law 94 -142 also known as Education of Handicapped Children Act will be meted repercussions like disapproval of fund requests. The law was created because congress found a need to formally institutionalize special learning education as the most appropriate learning venue for student who are too slow to absorb the lessons taught in class. On the s ide of the students with normal learning ability, slowing down the day’s lessons in order to cater to the learning capacity of the students with learning disabilities would create boredom. ... Although each interpretation has its proponents and critics, limited theory and few data are available to guide these important policy decisions. Yet, these decisions will have long-lasting impact on children with learning disabilities, and it is from this perspective that we seek better understanding of the contexts in which children receive their formal education. Studying in a normal classroom learning environment may be psychologically disadvantageous to the children with special learning disabilities. Some of the students with normal learning abilities may criticize or discriminate the classmates with special learning needs. There is a possibility that the intelligent classmates may even complain that the teacher is too slow in teaching the day’s lessons for the sake of the classmates with special learning needs. There is a slight probability that the students with normal learning ability may even ridicule the students with special learning needs. Pijl and Pijl (5) emphas ized the analysis of 31 related researches conducted using the meta –analysis technique showed that there are vivid differences in the learning ability of students with normal learning abilities and students with special learning abilities. The test focused on general intelligence and neuropsychological tests. This means that the students with special learning needs generated lower general intelligence scores compared to students with normal learning capacities. In the same manner, the students with special learning needs generated lower general neuropsychological test scores compared to students with normal learning capacities. The findings indicate that students in regular education

Product Report Essay Example | Topics and Well Written Essays - 500 words

Product Report - Essay Example Keeping this theory in mind, it is quite obvious that the product category of ‘ketchup’ is in the maturity stage. This is apparent due to the following reasons: i. The market has become saturated with many variants of the basic product. For example, tomato chilly ketchup, sweet and sour ketchup. ii. Market share growth is at the expense of some other competitor rather than actual growth in the market (this is quite clear from the fact that competitors try to motivate consumers to try their product and appear superior to other brands of ketchup rather than just sell the idea of having ketchup with one’s fries or burgers). iii. The product is constantly being modified by players in the industry to differentiate their product from those of competitors (Ex: Heinz Dip & Squeeze Ketchup). iv. Emphasis of the promoters in the industry is to build brand loyalty and give customers incentives to switch over to their brand (As Heinz has done in this case study by offering fr ee fried chicken with the dip and squeeze and earlier by offering free fries and ketchup in their mobile vans). There are many strategies that marketers use to manage their product’s life cycle.

Unit 2 individual project Essay Example | Topics and Well Written Essays - 750 words

Unit 2 individual project - Essay Example Intellectual Union can apply these methods to understand the contribution of their human resources in relation to the productivity of the organization (Alexander, 2008). Apparently, organizations are often made up of workforce of different ages and sex or gender. Therefore, the American Intellectual Union can use the quantitative method and analysis to determine the contribution of its workforce including job satisfaction, gender, or age to analyze the success or production of the firm. In this particular study, it is apparent that the variables involved in the study are the gender of the workforce, age bracket of the workforce, and productivity of the company (Alexander, 2008). Before determining the productivity per gender or age, it is vital to determine the distribution by gender in the organization. Determination of distribution by gender is the quantitative aspect of the study that tries to determine the composition of gender that in turn determines production per department or unit (Alexander, Vol. IV, 2008). Cases where the distribution is fairly the same, the distribution will be considered even in that, there will be nearly the same number of women as men within the targeted area of study. The study has also opted to determine â€Å"tenure with the company† distributing by gender. This aspect of the survey aims at seeking the ratio of women to men per company’s production unit. In other words, in this concern, the company is seeking that, for instance, if it moves to a department, what will be most probable ratio of men to women in relation per departments. The outcome of the survey under this variable will be useful to determine the production per unit in relation to the gender distribution in such units (Alexander, 2008). In other words, the management will determine which ratios of men to women or women to men are productive; therefore, it may opt to work with ratios that are relatively productive by redistributing worker to form gender ratios

Extra credit Essay Example | Topics and Well Written Essays - 500 words - 1

Extra credit - Essay Example Conflict and disagreement is inevitable in any group or social setting. By inevitable conflict, I do not mean violence but rather clashes of opinion and personality and could sometimes ruin relationship and teamwork and ultimately, affecting performance and productivity. No one can ever succeed in life and career without experiencing conflict because there will always be differences among people considering that we are all different. Thus, conflict management is a key skill for one to get over social and relationship difficulty and succeed. Sometimes, it would be necessary to go against other people’s opinion and perspective to get our ideas and message across and this inevitably lead to a clash of opinion requiring a high degree of competency in conflict management. Improving the competency of conflict management is a never ending process. Even top executives who are already in the peak of their career are still continuing to learn on how to improve their conflict management skills. On my end, I will improve my conflict management competency by first increasing my awareness about myself and others on what causes conflict. I will then learn the various methods to handle it by learning the lessons taught in my management class. Management books as well as self-help books are also a huge help in improving competency in conflict management because they propose various techniques in handling conflict. Going to symposia, forums, lectures and similar events will also help widen my perspective about conflict management. I will not let the opportunity pass also to be coached by experts on conflict management especially those who have years of experience behind them in dealing conflicts. It will also help to observe on how other people handle their respe ctive conflicts and pick up those that are beneficial to me. The value in improving this competency improves my social skill and enhances my chance for success. No

Accredited & Deluxe Hotels for Tourism Essay Example for Free

Accredited Deluxe Hotels for Tourism Essay 1. Century Park Hotel 599 Pablo Ocampo Str. Manila 1004Â  2. Crowne Plaza Manila Galleria Ortigas Avenue, Corner Asian Dev., Bank Avenue, Quezon City 3. Diamond Hotel Phillippines Roxas Boulevard cor. Dr. J. Quintos St., Manila, Philippines 1000 4. Dusit Hotel Nikko Ayala Center Makati City Metro Manila, Makati, 1223, Philippines 5. EDSA Shangri- La Hotel 1 Garden Way Ortigas Center, Mandaluyong City, Manila 1650 6. Holiday Inn galleria Manila 1 Asia Development Bank Avenue, Ortigas Center, Pasig City, 7. Hotel Intercontinental Manila 1 Ayala Avenue, Makati, Luzon 1226, Philippines 8. Hyatt Hotel and Casino Manila 1588 Pedro Gil Corner MH Del Pilar, Malate, Manila 1004 9. Makati Shangri- La Manila Ayala Avenue corner Makati Avenue, Makati City 1200 10. Mandarin Oriental Manila Makati Ave, Makati City 1226 11. Pan Pacific Hotel Gen M Malvar, Manila 1004Â  12. Renaissance Makati City hotel Esperanza Street corner Makati Avenue, Ayala Center, Makati City 1228, Philippines, Manila 13. Sofitel Phillipine Plaza Manila Ccp Complex Roxas Boulevard, Pasay Manila 1099 14. The Bellevue Manila North Bridgeway, Filinvest Corporate City, Alabang, Muntinlupa City, Philippines 1781 15. The Manila Hotel One Rizal Park 0913 Manila Po Box 307 Philippines 16. Heritage Hotel Manila Roxas Boulevard corner Edsa Pasay City 1300 17. The Peninsula Manila Ayala Museum, Makati Ave, 1226 See more:Â  First Poem for You Essay 18. Vivere Suites 5102 Bridgeway Avenue corner ASEAN Drive, Filinvest Corporate City, Muntinlupa City 1781 Accredited First Class Hotels in the Philippines 1. CSB International Conference Center Arellano cor Estrada Sts | Malate, Manila, Luzon 1004, Philippines 2. Discovery Suites Ortigas Center, Pasig City 1600 Philippines 3. Great Eastern Hotel 7842 Makati Avenue, 1200 Manila 4. Manila Pavilion hotel United Nations Avenue, Corner Ma. Orosa Str Manila 1000 , Philippines 5. The Linden Suites Hotel 37 San Miguel Avenue, Ortigas Centre Pasig City 1600 6. The Pearl Manila Hotel General Luna Str., Corner Taft United Nations Avenue, Ermita, Manila, Luzon 1000, 7. The richmonde Hotel 21 San Miguel Avenue Pasig City‎ 8. Traders hotel Manila 3001 Roxas Boulevard, Pasay, Manila, 1305 Philippines Accredited Standard Hotels in the Phillipines 1. Aloha Hotel 2150 Roxas Boulevard, Cor. Quirino Ave.,Malate Manila, 1004 Philippines. 2. Bayview Park Hotel 1118 Roxas Boulevard Cor., United Nations Avenue, 1000 Manila 3. Best Western hotel La Corona 1166 M. H. Del Pilar St. cor. Arquiza St. Ermita, Manila, Philippines 4. Camelot Hotel 5. CEO Suites 6. Cherry Blossoms Hotel – 7. City Garden Suites – 8. Citystate Towe Hotel – 9. Garden Plaza Hotel – 10. Hotel Las Palmas –

Concepts of change management

Concepts of change management Understanding change management is essential for successful information systems development and implementation in the 21st century Introduction In this assignment work I would like to present the features and concepts of change management and the effect caused in an organisation in the 21st century. I am explaining this through by an organization Infosys Technologies in which I worked after completing my bachelors. After knowing the concept of change management through the lecture and seminar periods, I can say that the change management is very important as I can compare the concept of change management and it is very useful in developing the organisation. Introduction to my Organisation: Infosys Technologies Limited was started in 1981. Today our organization is a worldwide leader of IT and consulting with Overton of over US$ 4 billion. Infosys is defined a delivers and design technology which enabled business solutions .Infosys also provides a complete range of services with leading technology providers. Infosys is Indian based company which is in the top ten business companies. They are a wide range of clients from different sectors as financial, technical, Software and many others. They offer different services they are application services, product engineering, maintenance, testing and validation services, etc. They use Global Delivery Model which is based on the principle of choosing the work place where the talent is best available, where it has least amount of risk and best economic sense. Infosys believe in developing the trust with the communities in which they operate to attain for long period as a corporation. As soon as I completed my B.Tech in the field of Computer science I joined in the courses like Unix and .Net. These courses where completed in about six months of time and I attended the certification exams for these courses as well. After completion of course exams I applied for job interviews and then I got into this company called Infosys as a technical support. Then I got training in communication skills as it is very necessary for the job requirement. Here in the company the person who is responsible for every aspect of the project is manager. The manager should evade all the problems that come within the project and he should be able to get the successful outcome from the given resources. In a project its not only the resources that are important but also the technology in order to run successful organization. Some of the transformational changes are taken by the senior manager so that will be useful in developing the project lifecycle. Because the organization wants to make changes so we can transform from senior management to a transformational leader. Employees were hired who have good skills, communication skills and also who have quality to enter into the project development team. During the training periods the managers will be checking the employees skills and improvement. After few weeks if there is a difference in their performance the employee may be removed from the project and again will be put through training period. Definition of Change Management: The name Change management itself derives as managing the change. Change management is derived as the process, equipment and techniques that are used to manage the change processes of people side. Change management is very important in this competitive world as in every organisation or company change occurs at some point this may occur due to change in technology , working conditions , to achieve the required outputs ,or to compete the competitors etc., By this we can say that change management is very important for a successfully running company or organisation. The levels of changes in the Change Management. They are Alpha Change Beta Change Gamma Change Alpha Change: Alpha change is a gradual incremental planned approach that emerge for a short time and which focuses on a particular point within an company or organisation. Alpha change helps in identifying the objective and delivers the required change. When i was working in a company or organization i had a short time change where i was working on UNIX and on the other side we had an another project which was based on JAVA has been in pending and the deadline was about to come. So, our project manager has assigned some of our project members to the JAVA project. So we had three hours of JAVA training every day and worked hard to finish the project in time. We were successful in delivering the project on time. There was no difficulty in this type of change but the employees must be mentally prepared. Beta Change: Beta change is a gradual incremental emergent approach which develops over a period of time to make the complete change in the organisation. This change is a planned change. Gamma Change: Gamma change is nothing but a transformational and full attempt to create a change in the organisation. This is a high range change. Gamma change involves high risk when compared to alpha and beta change. In this change we cannot expect the output. Lewins Model of Change: This model consists of three stages. They are Unfreezing Changing or Movement Refreeze Unfreezing: Unfreezing is the change where they violate down active ways of doing things, discarding the conventional methods and behaviours patterns and introducing a new methods and behaviours. Education, communication, participating in decision making etc.., is some of the techniques used for unfreezing. Changing or Movement: Change or movement is the change where they move towards the proposed change, where they learn new methodologies. This is the change where problems arise and they tackle it efficiently it is a time of trail and error. Refreezing: Refreezing is making the change permanent. It is the final stage where new concepts become habitual, which includes developing new concepts and establishing new interpersonal relationships. Investigate: Every company or organisation has a strategy .The main duty of this strategy is to find out the strengths and weakness of the company and finding the different solutions. For investigation we have three main models. They are SWOT Analysis PEST Analysis System Model SWOT Analysis: SWOT Analysis was the main analysis for our organisation. SWOT is abbreviated as strengths, weaknesses, opportunities and threats. In our organization the main Strengths were good team management, brand, staff, market position, financial position, services and growing . The weakness of our company was sales channels, lack of new technologies and competitive vulnerability. The opportunities of our company were new complimentary market ,strategic alliances like funding, sales, products, market position for growth and the main threats of our company were the economy, lose of key staff , cash flow, falling sales, decreasing profits etc.. By the SWOT analysis we came to know about the companys Strenghts, weakness, opportunities and threats which helped in improving the companys weak points and work on it more. Pest Analysis: PEST Analysis is abbreviated as Political, Economical , Sociocultural And Technology factors. Political Factors: The political structure of India is stable but there is a hung parliament fear its due to the parliaments unclear majority , the customer projections and the terrorists attacks, the govt. Position on marketing. The government decides whether to give more IT works or not. Economical Factors: The economical factors consist of economy rates, the employee level of per capita. In 2009 our company IT domestic spending of IT is raised by more percentage. The rental has been decreased due to real estate decline. Sociocultural Factor: The sociocultural factors by the word itself derives as the social and cultural .Social and cultural always vary from country to country as it depends on the different criterias like the domain religion, language, customer time, population ,strong and weak opinions etc Technological factors: Technology plays a vital role in competitive advantages and is important of globalization. In our company the technological factors are it uses the low cost technologies and provides modernization challenge and opportunities. System Model: The seven s model is used to know about the company and its accuracy. It mainly has seven elements they are Style Skills Systems Strategy Structure Shared Values Staff From the Above diagram we can see all the seven-s are connected to each other. So if there is any change in a single element it effect all the other elements. Here the first three elements i.e.., the strategy, structure and the systems are the hardware of the organization and rest of all the elements are the software of the organization. Decide: After completion of investigation now we have a clear idea to set some objectives which are used for implementing the change. They are by training the employees in new technologies ,by keeping the goals for the projects individually and motivating the employees by creating the short time wins during the change effort and by planning a get together for the achievements and installing all the new technologies into the system. Enable: Enable is known as the planning stage for implementing the changes and allocate the recourses. It is very important for every organization or a company to know the different phases because if they find any error we can overcome them easily. They are mainly four phases. They are Exploration Phase Planning Phase Action phase Integration phase Exploration Phase: In this phase organisation are consults for better implementations of the modify. There are different types of consultancy. Schein (1987) suggests three important models of consultation. They are Expert Model Doctor Patient Model Process Consultation Model Expert Model: In expert model if a problem arises the model organisation identifies its problem and the consultancy is the expert which gives solution to the organization. According to E H Schein (1985) the boundary of tasks are clearly identified boundary and are highly specific. The type of tasks the expert model applies on technical or task issue and the diagnosis is done by client assumption as the client is right and the consultants do what ever the client tell them. Doctor Patient Model: In doctor patient model the consultant acts as a doctor and the organization as the patient. In this model consultancy diagnose the problem which arise in an organisation and tells the solution to the organisation and the organisation is dependable for applying the solution whether to apply the solution or to find an other solution but they have to track on the solution which was given by the consultancy. According to E H Schein (1985) the margins of task is quite specific but with the potential development depending on what the output is and the tasks which are done by doctor patient model is generally connected with human organizations. Process consultancy model the key role is in between the consultant and the clients trust. The consultant identifies the problem in the organization and gives the solution. In this process we unfreeze the system and then install the new change and when the change is installed successfully then we have to refreeze the system. According to E H Schein (1985) process consultancy model has a very wide potential boundaries and although the consultant comes out with a new problem solution methods this is solved in joined way. The output is very much responsible on both consultant and client so they need to have a high level of trust between them. Planned Phase: After the problem is solved the implementation of the change should be planned. Here in this planned phase the expert plays an important role in the plan of change. In this phase we will know what are the step[s in planning ? And what are the stages involved in planning? The consultant will help the company in each and every phase as if they will not be able to solve the problem then they will go for the help of experts. Action Phase: Only experts are meant to do the actions. They will be involved from the very first stage till the end stage. Integration Phase: The last phase is the integration phase. Each and every company have their own requirements which will be fulfilled in the implementation of the planned and action phases and then the employees will start their work on their projects. The employees will be given targets to reach both individually and group wise. Act: Action is the change which is done by persons only the position of the person may vary from phase to phase. The team leader plays the main role as he is one who guides the team members. Conclusion: I came across all these changes in the management when I worked in the company but then I could not realise what exactly it was. But after coming here for Masters and learning about Change management and systems implementation I came to know that change in an organization plays a vital role. Change is not only needed for the organization but also individually as individually it helps in making a successful life ahead. Change does take time but later it gives successful results that are desired. Finally it is important for the organization to pace up with business needs and to also overcome the competitors. references http://www.uky.edu/~drlane/capstone/health/trans.html http://www.marketingteacher.com/Lessons/lesson_PEST.htm http://www.infosys.com/about/what-we-do/Pages/index.aspx

Secondhand Smoke Essay -- Argumentative Persuasive Example Essays

Thesis: Smokers usually move through five stages to quit smoking, and non-smokers have to help them constantly and carefully. Credibility Statement: In high school health class, we have been taught about how smoking cigarettes affects our body. But my school had a different program compared to other schools. There was study session only for cigarette smokers. I took the session for a semester and learned a lot more than I used to know about smoking cigarettes. Also I have helped my friends to quit smoking with the knowledge I have been taught. Audience Relevancy Statement: I believe this topic is relevant to the audience, because some of classmates may have parents who smoke, or some friends who smoke. They may want to help those smokers to quit, but they do not really know what to do for helping them to quit smoking. This is going to be a good chance to learn how to help quitting smoking to both smoker and non-smoker. Attention Gather: (Showing calculation of money save by quitting smoking) It would give an idea to audience how much money people spend on cigarettes for their lifetime. Introduction I. Quitting smoking saves more than your money. A.  Ã‚  Ã‚  Ã‚  Ã‚  It saves your health and your healthy life. a.  Ã‚  Ã‚  Ã‚  Ã‚  Your body functions better without smoking. b.  Ã‚  Ã‚  Ã‚  Ã‚  It reduces your risk of getting cancer. B.  Ã‚  Ã‚  Ã‚  Ã‚  It provides more benefits to other people around you. a.  Ã‚  Ã‚  &...

Ancient Solar Architecture Essay -- Essays Papers

Ancient Solar Architecture Passive solar design and architecture may seem like a distant dream in our fast paced modern world, but in reality it’s more of a modern revival of a style of energy efficient building that has been around for millennia. What once seemed to be common sense ideas for designing a house that could both keep you cool in the summer and warm in the winter has somehow been forgotten since we started to overuse the planet’s resources on our own comforts. When heating a house took lots of effort it was the wise choice to design a building that could use the energy provided by the sun in the most advantageous ways. Unfortunately, in my opinion, since all we have to do now to heat our house is a turn a dial and pay the bills, many of the simplest ways to cut down on our rising energy consumption have been completely disregarded. Fossil fuels allowed people to provide artificial light and temperatures. This meant that houses could be built without paying attention to the natu ral world. However, as more and more people agree that fossil fuels will almost certainly run out sometime in the next century, there has been a growing revival in passive solar design. Here, I hope to show you some of the basic principles of passive solar design and how they helped people thousands of years ago in an effort to make people understand how these ancient techniques can be improved on today to help with our growing energy problem. It wasn’t just one or two ancient cultures that used solar design; in fact almost all ancient civilizations used some form of solar design. Past civilizations evolved architectural styles that took advantage of the natural space conditioning effect of the sun, wind and water to keep their room... ...from some of these ancient civilizations and planning cities around energy efficiency and passive solar design is a great way to take action and start to head in the right direction. As H.G Wells said: â€Å"Human history becomes more and more a race between education and catastrophe.† References Chiras, Daniel D., The Solar House: Passive Heating and Cooling, Chelsea Green Publishing Co., White River Junction, VT. 2002 Hastings, Robert S., The Evolution of Solar Architecture. www.ebd.lth.se/avd%20ebd/main/Summerschool/ Lectures/lect-f-hastings.pdf Solar Architecture: A Historical Perspective http://mhathwar.tripod.com/thesis/solar/a_historical_perspective.html Solar Evolution: The History of Solar Energy http://www.californiasolarcenter.org/history_passive.html Solar Architecture http://mhathwar.tripod.com/thesis/solar/solar_architecture.htm

The purpose of the scene in Act 3 Scene 4 is to celebrate the coronatio

The purpose of the scene in Act 3 Scene 4 is to celebrate the coronation of Macbeth with a banquet. It gives us an insight into his state of mind Choose a scene, which you think, would be particularly effective in its impact on an audience. Discuss how this scene is presented in two different productions. Say which you prefer and why. The purpose of the scene in Act 3 Scene 4 is to celebrate the coronation of Macbeth with a banquet. It gives us an insight into his state of mind and present character, and the changes in the relationship between Macbeth and Lady Macbeth. Finally, we can look at the deteriorating evil that is vivid in Macbeth. Throughout the scene, Macbeth is haunted and hallucinating, which Lady Macbeth has no control over. At the opening of the scene the atmosphere is exceedingly pleasurable, both Macbeth and Lady Macbeth are entertaining their guests and are exceeding the roles of host and hostess. When the murders are brought to Macbeth’s attention, he hurries over to speak with them. Here we see how Macbeth’s deteriorating character move from, noble, respectful to cunning, and calculating. The language used to enquire of Banquo and Fleance were murdered was somewhat crude and vindictive, â€Å"is he dispatched.† We see Macbeth use entrapment imagery to convey his apprehension with Fleance escaping. It is clear Macbeth is alarmed now about his uncertain and indecisive future. We realize that Macbeth is anxious and fretful worrying that Fleance may seek revenge and become extremely dangerous. â€Å"There the grown serpent lies the warm that fled.† His aside is packed with animal imagery, which is used to suggest his insecurity and animal instinct. As this is happening, it is made clear that Lady Macbeth is livid and accuses her husband of being an improper host. His response is too talk of Banquo’s absence, â€Å"Where the graced person of our Banquo present.† His hypocritical tone causes the ghost of Banquo to enter which understandably frightens Macbeth and his hysterical state provokes a lot of questions and suspicions. He passes remarks like â€Å"the table is full† and â€Å"which one of you have done this? Macbeth continues in this frenzied state as he beings to communicate with the ghost, â€Å"thou canst not say I did it.† Macbeth is clearly saturated with guilt and his mind is overcome with torture and evil. â€Å"Never .. ... then rushes over to her husband to bring him back to some form on normality. In this production Lady Macbeth is a lot more composed which is the image I perceived in my head when reading the book. I found her to be the peacemaker in the relationship, so therefore this production again met my expectations of the characters. Lady Macbeth constantly tries to calm her delirious husband and restore some customariness back into the banquet. The lords are very confused in this production and talk constantly of the sights they are witnessing. Once they leave, we see a very disappointed Lady Macbeth, gazing through a distant window. The pair then walk up the stairs together with a light, the red light shines as they lay in bed together which conveys, their intimacy and closeness. It is clear now that she does not need to encourage Macbeth anymore to murder. Both productions were cleverly put together, with wonderful actors and actresses. I did enjoy the Roman Polanski version a little bit more simply because it reinforced the images I had already appreciated. The imagery used in this one, was more vivid and realistic which captured and held my attention for longer.

Internet and relationship

The word â€Å"dating† and â€Å"relationship† differs a lot from old times and now. Technology made a huge difference of the comprehension of â€Å"hookups†, â€Å"friends†, and â€Å"friends with benefits†. Internet, cell phones, blobs, and many other resources changed the way teenagers think about the opposite sex or the same sex as well. Relationships turned out to be â€Å"the old fashion† and hookups are the best. First, relationships aren't that serious anymore. Teens are looking for something new, meeting sexual, something to turn them on.Backbone is one of the most used sites in these days; it connects you to the world and let you meet a new different type of people worldwide. â€Å"Backbone is the most useful tool for dating since the invention of the box of chocolates. It may also be the most dangerous threat to dating since bad breath† (Fox, Stuart). This generation mostly thinks about hooking up with hot guys, pretty girls , kissing, having sex, hugging, and flirting. Through internet, two people can do a lot, they can chat, video cam, talk privately; meet new people and a lot more.Internet is not proper sometimes. A lot of websites and blobs are influencing teenagers to do bad stuff or to rush into things before its time. Backbone, Namespace, twitter, and many other social network websites aren't private anymore. Anyone knows about you, what you like and don't, your relationship status, and what you are looking for. â€Å"With social networking sites, with Backbone, if you click that you're in a relationship, it [notifies] everyone that you're in a relationship. Its public broadcasting, this isn't part of a good relationship† (Fox, Stuart).Dating isn't about love at first site, or waiting by her house. It is not about emotions anymore, it's only about what a girl or a guy wants. They want something new, something to talk about or feel proud. â€Å"Social networking has created an array of new dating rules, making the old style â€Å"wait three days before calling† seem quaint by comparison† (Fox, Stuart). As for me, I see that this kind of relationships and the affection of the internet use is a problematic situation. Teenagers Just want to do what other people are doing whether it is right or wrong.They Just don't want to be losers, so they adapt and do what their peers do. They hookup, do random sex, flirt, and that's it. Nobody cares about each other feeling as long as you are getting what you want, everyone benefits from everyone. Finally, internet has played a big role not only in the teenager's world but in everyone's world. Time has changed; technology is getting better year after year. â€Å"Relationships† are now an old fashion way to go out with a guy/girl and in the end someone's heart is going to be broken.Hooking up won't get anyone's heart tear apart, it is Just you do what you want to with no limits or rules as long as in the end they are Just called â€Å"friends†. Work cited Fox, Stuart. â€Å"Backbone adds new perils to ritual of dating†. Manic Cot 2. Web Cot 4. Definitions: Most of teenagers who engage in hookups still worry about being discreet. Discreet: having or showing discernment or good Judgment in conduct and especially in speech: prudent; especially: capable of preserving prudent silence. Tall and lanky Lanky: tall and lean, or long and slender: often used to suggest awkwardness in appearance or gait.

With the Old Breed

â€Å"With The Old Breed† by Eugene Sledge is a startling account of World War II was based on his memoirs he witnessed as a mortar man with Kilo Company 3/5 on Peleliu and Okinawa. Less popularly know than other battles in the Pacific region, these battles were as bloody and ferocious as any other. Eugene Sledge gives a straightforward approach, illustrating the climate, conditions, and characterizing the morale of the Marines surrounding him fighting the Japanese. Eugene Sledge’s experience with the military began at Marion Military Institute. He later joined the V-12 officer-training program to prepare himself to become an officer in the military. He promptly left the comfortable life of college by leaving the program to enter boot camp at San Diego, California. The Marine Corp Recruit Depot, San Diego, became Sledge’s new home. The training He would receive would eventually save his life in the future. Corporal Doherty, Sledge’s drill instructor, amplified everything it meant to be a Marine and set a positive example for the recruits in his command. He demonstrated the attitude, character, strength, endurance, enthusiasm, experience, and determination of a true professional. He taught his platoon the basics of being a Marine. Weapons handling, shooting, marching, and discipline were emphasized through the entirety of boot camp. Sledge would use the basic Marine Corp knowledge as he furthered his training and preparation for combat at Camp Elliott. Arriving at Camp Elliott, Private First Class Sledge had to make a decision about which weaponry he wanted to be assigned and He would choose 60 mm mortars. A Non Commissioned Officer taught Sledge his entire knowledge of how to effectively operate his weapon, assemble and disassemble, and the knowledge to strike the enemy when the opportunity came. For PFC Sledge, the opportunity came earlier than he could imagine. PFC Sledge’s accounts of the battle are a great illustration to the actual battlefield. As though you are in the story, you can imagine the nervousness of the men, the sound of explosions, the whistling of rounds flying down range, and the cries of dying and injured Marines. From the beach assault to making landfall, Sledge carefully describes every footstep. September 15, 1944 was the day the Marines of Kilo Company 3/5 landed on Peleliu. Peleliu was a defensive stronghold for the Japanese, who were entrenched and waiting for the attack. The 10,000 Japanese defenders covered every square inch of Peleliu and fought use a new style of fighting. The defense-in-depth tactic would be used to cover more areas and inflict many more causalities than previous strategies. The bonsai attack, which sent the surviving Japanese on a suicide run towards the Americans, would not be used again. Private First Class Sledge would begin to learn that war does change a man forever. Sledged witnesses a human being cut open like an animal carcass for slaughter after the battle at Peleliu. A combat veteran comes upon the incident without hesitation and begins collecting all the gear of the dead man as though it is a scrap yard. Sledge freezes during the moment only focusing on the dead Japanese soldier. He would foreshadow the he too will be hardened later on as the battles become bloodier and the loss of friends weigh deeper on his mind. With the Old Breed His first tour of combat took place at Pipeline and Engineers where U. S. Soldiers and Japanese soldiers fought inhumanely and relentlessly, and maybe even pointlessly. He went on his second tour of combat at Okinawa, where he felt more obligated and certain of his duties. He had solid reasoning as to why everything was to take place with the second tour, unlike his uncertainty on the first one. With the Old Breed covers three mall themes: the Importance of being prepared, the cost of warfare and war stories.The importance of preparedness is a reoccurring theme in this narrative. Corporal T. J. Doherty, Drill Instructor of Platoon 984, was a great example of the importance of preparedness. For eight weeks of boot camp Corporal Doherty required the men to march on the beach in the sand, making it harder and more strenuous for them. Unlike other corporals and generals, Doherty does not engage In negative mental and psychological abuse. Corporal Doherty the highest level of performance from the men at the weakest times, for example, during their sleep schedules he would awaken them and demand unplanned hikes and exercise rituals.He made sure to train the men while they were sleep deprived and utterly exhausted. He also showed great attention to safety and weapons training. Sledge then went on to train for a few more months in infantry training school. Although this training not as stressful, It was equally demanding and intense. After this training was complete, Sledge was deployed to Fauve and received additional training that seemed pointless. All of this training was called upon when the united States invaded Pipeline. Other soldiers who had not completed this training or were pulled out of training early for battle were soon regretful.They did not last and were not as well equipped with skills to survive in battle. Some were even killed before their paperwork was processed. Sledge and others who had plentiful and adequate training held steadfast and fought an honorable fight. Sledge depicts himself as a patriotic, committed marine who was always prepared to serve his country under any circumstance; however, he understood and questioned the negative, sometimes unnecessary outcomes. He reflected in his passages the fatalities, the wounded soldiers, the psychological abuse of soldiers and even the brutality of the act itself.Sledge's subconscious often led him to question war, even though at the time of war he did not fight against It. As a marine, he did fact that other soldiers questioned were dominating Pipeline even relevant? Why not just bypass it like countless other Japanese possessed islands? Research of the Pipeline attack show that 6,256 U. S Marine soldiers and 10,900 Japanese casualties took place during this particular combat. The second battle, that took place in Okinawa, was fought with more evident understanding of why they were fighting.They did not question this battle as they did the first. He did not reflect upon this ba ttle as he did the first time. He condensed the fight to this quote, â€Å"their lives were wasted on a muddy stinking slope for no good reason† (p. 280). † With the Old Breed, in itself, is an old war story told by a marine veteran. This novel is a Sledge's personal recount of his strenuous training and time spent in battle, including people he felt were important to his story. He begins his story with his enlistment into the marines. He then takes us on a Journey through his career as a marine.He greatly details of his laborious, energy-consuming boot camp training, here they were greatly rest deprived, physically and mentally exhausted. He then continues with his infantry training, where he received even more training to prepare him, mind and body, for combat. His focus and emphasis placed on the training he received in the end was a grand part of the development of his story. Once the troops were sent in, Sledge and other soldiers of equal training endured, fought a nd strategists longer and stronger than their counterparts of lesser training. He went on to document and detail his time spent in Fauve, Pipeline and Engineers.After arriving combat in Pipeline and Engineers against the Japanese, Sledge was sent to Fauve for rest and work camp. His final combat zone was Okinawa; this was his second tour of combat. Needless to say, he survived here as well, thus the end of his war story. This personal memoir, or collection of war stories, recounts Sledge's experiences both in training and in actual combat. He analyzes what actually happens, whether it was the long, stressful training sessions or the even more brutal acts that took place on the battle field. He recounts and teaches a lesson.

Article with logical fallacies Essay

Christians believe God created the whole world because he had the powers, this make them argue out the theory of evolution which states that each and every creature that exist has undergone the process of evolution. Due to the believe in the theory of creation, religion has given trust to their creator who is god, from the ancestral time to modern time. Many societies have followed this because their ancestors had practiced this for a very long time. Christians believe in faith and they argue that their faith is difficult to destroy since they believe in the word of god which was prophesized and written in the bible by men who were inspired by god and this believes have forced non- believers in the society into Christianity. The study of the bible has also strengthen the Christian believe since it has given them reliable evidence that their powerful god exist and one day he shall come into existence and he will save them from the temptation they encounter each and every day . Figure out what kind of logical fallacy is used and how it is used. Logical fallacies are the detects that weakens our arguments or reasoning, It can also be defined as error in reasoning. By having the strength to look at different types of fallacies we are able to evaluate the arguments, readings etc Fallacies have also helped us to improve our critical way of looking at things. The following logical fallacies have been identified in the above article; Fallacies that appeals to galley or Argumentum ad populum this is a fallacy that make people accept something because it is done or accepted by many people, an example in the above article is where people in the society decide to follow Christianity because they found other people had already accepted to follow it. Argumentum ad atiquitatem or fallacy of accepting something since it has been there for along time, example is the above article is where people in the society have accepted to be converted to Christianity since they believe it has been their for along time, therefore it is good to be followed. Argumentum ad baculum or Fallacy that appeal to force in order to prevail in debate, this particular type of fallacy is seen widely in the religion whereby a powerful religion forces non- believers to accept believe in the religion . In the above article non believers are forced to believe that god exists and they should believe in him. Lastly there is the Fallacy where conclusion is drawn from unconnected premises. For example in the above article bible has been believed to have been written by god`s people who were inspired by god, So when people read the bible and learn that it was prophesized by god, they are unable to evaluate it into creative thinking. Reference www. philosophychatforum. com

Labor Force

In any industry or company service workers do raise some complaints due to the way their employers treat them or due to the condition of working place.   These are some of the complaints most of workers do raise.   Service workers at times complain about low pay, no benefits and lack of effective communication from their employers.   Other issues such as workers being treated like slave laborers with no breaks and sexual harassment by he employers.   Problems such as political, height and weight discrimination are also faced by workers.   Some workers are mocked either because they are too short, tall or overweight.   Last problem is failure by employer to provide safety gadgets to its employees. In order to solve the above issues raised by workers, unions have been found to be of help.   Unions always try to analyze workers problems and try to protect them against threats from their employers.  Ã‚   In a case where safety gadgets are to be provided, unions do assist them in obtaining these safety measures.   Just like in oil mining fields gumboots and helmets are necessary because of accidents. Most workers tend to run away from jobs because there is no safety at the work place (Gus, 1995). Some of the reasons why new collar workers would not want the same benefits and clout that Blue collar workers were able to get by unionization are:   New collar workers get more benefits while blue collar workers get less benefits.   This makes collective bargaining become very hard because of the difference.   The more benefits you receive the stronger the bargaining power.   Blue collar workers are paid less and retirement age is always a bit early. Since blue collar workers are influenced by their employers they are always afraid especially in presenting their grievances. They fear threats of being sacked by their employers, which may make them loose their jobs (Gani, 1996). New collar workers may be hesitant to join a union especially when they realize that there are no benefits in what the union has to offer.   Normally workers need benefits that collective bargaining can bring but if the union is found to have no teeth to protect their interest then unionization is seen as useless.   Another reason why new collar workers may be reluctant to join unions does come from the influence of employers. Some employers use divide and rule tactics where they hold meetings with individual employee.   In this case they send messages of threats in the workforce cautioning workers that they risk suspension.   New collar workers also become reluctant to join unions because of lack of patience.   Most of them lack that time to wait long when it comes to fighting to achieve what they want (Michael, 2003). The future prospects of union in service industry according to my feeling are that it may end up fading with time.   This is because most of these unions do not commit to their core objectives why they were formed.   Workers are withdrawing from the unions because they feel they are cheated where by the system that is suppose to help them protect there is doing no job. References Gani, A  Ã‚   (1996). International Journal Manpower: Who Joins the Unions and Why (pp54 – 55) Mc B. up Ltd. Gus, T. (1995).   Look for the Union Label. Me Sharpe Publishers. New York Michael, D. (2003).   Why Unions Makers.   Amazon.com Books Publishers. New York.   

BUS week 1 DB Essay Example | Topics and Well Written Essays - 250 words

BUS week 1 DB - Essay Example For a long time, books publication has used paper, manufactured from trees. Printing of all traditional books took place on paper, a by-product of trees. This led to the felling down of many trees as paper-producing companies struggled to satisfy the increased demand for paper. This is one of the major contributors of deforestation. However, as the demand for learning materials increased, there was a sharp rise in the demand for paper. Trees became scarcer, and with this scarcity price of logs shot up. Subsequently, there was an increase in the production costs of paper, which they passed on to the publishing companies. Paper manufacturing companies also faced the problem of increased energy costs. The publishers on the other hand had two choices; passing the burden to the reader, who are either mostly students or simply bearing the burden. The later was inevitable, so books became more expensive. The production of books thus faced the problem of scarce paper and scarce energy for pr oduction. Publishers began researching on alternative means of producing books. Due to the advent of internet, the rise of eBooks and their popularity has reduced the costs of books. Through online book marketing sites, publishers upload books by different authors, which people assess online at a fee (Sheehan, 2013). This offers an opportunity for expansive market as not only students’ purchase eBooks. Other interested people can pay and download the books too, which was not possible with the traditional versions. Sheehan, K. (2013).  The ebook revolution: A primer for librarians on the front lines.

Monopolistic Competition. Concept, Advantages and Limitations Essay

Monopolistic Competition. Concept, Advantages and Limitations - Essay Example These factors could be the brand name, brand personality, quality etc. Examples of firms competing in the monopolistic market are clothing brands, restaurants, and other service industries. This kind of competition is termed as monopolistic because each firm has its unique position in the market despite the presence of several other competitors. They usually have a loyal customer base that comprises of people who are not frequent switchers. Switching is generallyassociated with some sort of dissonance occurring in the whole buying experience and customers are generally indifferent to small price fluctuations. As far as the market is concerned, it has certain key characteristics including: presence of many firms selling the same commodity with a slightvariance also known as a Unique Selling Proposition (USP) that makes them stand out amongst the market clutter. Product may have substitutes but the exact identical cannot be present due to its unique differentiating factors that are not based on prices. Customers have lesser control over prices as compared to the producers. Prices are also unlikely to be influenced by the competition. Market leadership can be attained but by a small margin and on the basis of captured market share. There are no serious barriers to entry as compared to other market competition types. Production is usually lesser than the capacity and is based on carefully calculated demand. There are several problems associated with monopolistic competition that have been identified by several economists. Firstly, this form of competition will lead to no economic profits in the long run. This is because here are likely to be more market runners after some years and they will offer better incentives or differentiating factors if the current... This paper offers a comprehensive theoretic analysis of the monopolistic competition, as a type of economic market. The limitations of that type of market, as well as its advantages and disadvantages to producers, customers and the economy as a whole are considered. Monopolistic competition refers to several different market players with unique differentiating factors The firms operating in monopolistic competition are also inefficient as they do not produce at the optimum level. Inefficiency, in economic terms, means that the available resources are not use at the optimal bringing down the chances of incurring lower cost with every marginal product. This form of competition will lead to no economic profits in the long run. This is because here are likely to be more market runners after some years and they will offer better incentives or differentiating factors if the current firms do not invest heavily in product research and revamping. This, too, will be an addition to the costs and in the long run, the convenient and inevitable influx of new competition will result in minimal or no economic profits. In order to minimize future losses and build customer loyalty , focus should be on the quality management and customer service as advertising and marketing campaigns, packaging and ambiance stay for some time until a prospective market leader enters the picture and replicates it. Negative aspect of monopolistic competition is that firms engage in misleading advertising and focus less on quality control after sometime.

Compare soccer in Brazil and football in America Essay

Compare soccer in Brazil and football in America - Essay Example Subsequently, rugby originating from England’s rugby school crossed the Atlantic to America, and developed into the sport of American football. The purpose of this paper is to compare different aspects of Brazilian soccer and American football. Comparison of Brazilian Soccer and American Football According to Bellos (2009), the world-famous game of Brazilian soccer is significant for the immese skills of its individual players, which surpass team tactics. Rather than physical challenges or long-distance passes, dribbles and flicks are preferred, and players’ techniques have all the elements of dance. Thus, Brazilian soccer is made up of a combination of athletes and artists. Not only the rest of the world, but Brazilians also define themselves by their Soccer. Bellos (2009) observes that the game symbolizes racial harmony, flamboyance, youth, innovation, and skill, and is also a microcosm of the country itself, including its contradictions. American football is an all-a ction team sport, states Gifford (2009). The development of the National Football League of professional players, did not affect the popularity of college football throughout the United States. The teams in major colleges have considerable fan following, and the game is played in very large stadiums, thereby providing financial support for the game. Both sports have eleven players on each side. The most apparent difference between soccer and American football is that in soccer the ball is kicked by the players who are not allowed to use their hands for playing; while only the goalkeeper is allowed to handle the ball (Goncalves, 1998). Jeromski (2010) supports this, stating that â€Å"in soccer the hands are strictly forbidden from touching the ball, while in American football they are an integral part of ball movement†. Thus, American football permits the throwing of the ball. A lot of practice is required for throwing the ball successfully. (Gifford, 2009, p.16) explains tha t â€Å"the thrower steps forward, turning his hips and shoulders to face the target. The ball is released with a flick of the wrist to help it spin and travel smoothly towards its target†. Further, soccer balls are round in shape; while American football uses oval-shaped balls. In soccer, a goal is scored by putting the ball into a net made up of two posts and a crossbar, and is worth one point (Woods & Owen, 2011). Similarly, in American football, a touch down is scored at the end zone, over a touch-line. Thus, when a receiver catches a ball from a quarterback, he avoids getting tackled, and runs into the end zone. This touchdown is worth 6 points, and is the score that the players aim for. According to Gifford (2009, p.8), â€Å"despite its name, a touchdown does not mean that the ball has to touch the ground. To score, a player must carry the ball into the end zone or catch it in the end zone†. Further, in a soccer game, the play is open, fluid and continuous; on t he other hand in a game of American football, â€Å"the teams move down the field in increments, one play at a time† (Jeromski, 2010). A soccer game extends for a total of over 90 minutes (Goncalves, 1998), and is divided into two halves. On the other hand, a game of American football lasts for a total of just 60 minutess, and consists of four 15-minute-long quarters. However, the full game may extend to three to four hours, if overtime is played between teams