Reality Television Has Become A Big Part Of Programming

Abstract Background: Watching television is a part of daily life for nearly all Americans and the world. Reality television has become a big part of programming. Objectives: To determine if reality television is less (or more) cognitively stimulating than non-reality television. In society it appears that it is mainly the younger viewers who prefer to watch reality television while it is older viewers who prefer to watch no-reality television shows. Method: Selecting 8 reality television shows (social cognitive theory) and 8 non-reality television shows, both selections were made randomly and determining if the show provided new lessons or inspiration to accomplish a new task, or to determine if the show was only for entertainment purposes. Results: The hypothesis was disproved as reality television was found to be cognitively stimulating to viewers of all ages. Keywords: Reality television shows, non-reality television shows, cognitive stimulation, demographic Cognitive Stimulation in Reality Television Shows Non-Reality Television Shows This study is aimed to determine if reality television is less cognitively stimulation than non-reality television, and if this is true to determines who watches reality television. Who is the per-determined demographic for reality television and who is the demographic for non-reality television? In order to determine this information, firstly I hypothesized that Reality TV shows are less cognitively stimulating thanShow MoreRelatedThe Impact of Reality Tv on the Teenagers1732 Words   |  7 PagesImpact Of Reality TV on the Teenagers in Mumbai Nimish Satpute St. Andrews College Instructors : Prof. Meenakshi Kamat : Prof. Jenny Benoy Abstract Reality-based television programming has become a dominant force in television over the past seven years and a staple of most networks’ primetime lineups. 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Television is at a crucial moment in itsRead MoreEssay on How Television Impacts our Children1123 Words   |  5 PagesTelevision has been around for over a half century. The first view of TV in the United States took place at a Worlds Fair in 1939, but standard television broadcasting did not begin until the late 1940s. Worry about the influence of television on children began when TV was in its early years. E arly on in the 1950s, educators and parents began to ask legislators to do something about the amount of violence on TV. This concern still exists today. Parents have reservations about the quality of television

Children s Responsibilities For Children - 1866 Words

Every adult who has children knows it is a challenging experience and extremely rewarding, especially when the children grow to be responsible, independent, caring, productive adults and parents in their own right. After helping raise my own children, being a professional martial arts instructor since 1979, teaching thousands of children and helping other parents raise their children (so they tell me), here are 10 keys I feel are important to raising children successfully. 1. Leadership Kids need a leader, someone who is strong, responsible, caring and committed to their highest and best good. What children do not need is to be the parent to their parents. Children do not need to be buddies, pals or best friends with their parents until they, the children, are adults. Children are children. They need leaders to lead, guide and direct them through their early life. Those leaders are the parents who need to take a front row in raising their kids. For children to be successful in life, they need a strong parental foundation, one that puts them before their parent s careers, activities, relationships and jobs. Children should never be thought of as appendages to a parent s life. Until the children are of legal age, the children are the parent s life. When this commitment is given to children, it is a boon to their early development and later success as responsible and independent adults. 2. Structure Children need structure. They need foundational guidelines. 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TheRead MoreChildren Of The Classroom Benefit Students By Teaching Responsibility, Boosting Self Esteem, And Helping With Children With1290 Words   |  6 PagesPets in the classroom benefit students by teaching responsibility, boosting self-esteem, and helping with children with anxiety. â€Å"From early childhood, the desire to keep a pet is almost universal; children dream frequently about animals; images and pictures of animals dominate children s books; children who keep pets often regard baby-faced animals as siblings; and there appears to simply be an human attraction to, or at least interest in, non-human animals† (Daly, Suggs 104). â€Å"Keeping pet animals

Organizational Culture and Individual Acceptance

Question: Discuss about the Organizational Culture and Individual Acceptance. Answer: Introduction Rapidly changing environment and changes in global businesses have enforced organizations to adopt a series of changes into their businesses. The areas of involvement in change management are diverse and needs to be actively managed. Leaders of organizations have tremendous responsibilities in conducting a change(Karp 2008). There is various leadership style that can effectively manage and handle changes. The scope of this research is to study the effectiveness of leadership styles in change management. Research Objectives The primary objectives of this study are; Research Objective 1: To understand the importance of change management in organizations Research Objective 2: To analyze role of leaders in change management Research Objective 3: To examine pertinent style of leadership that impacts change management Research Questions Encompassing the above objectives into the study, the following research questions needs to be answered. Research Question 1: Why does an organization requires change? Research Question 2: What role does a leader play in change management? Research Question 3: How does leadership style affects change management? Literature Review Ever study needs to have a literature review for developing pertinent source for the study. In order to encompass the research following sources were referred to. M.H. Kavanagh, and N.M. Ashkanasy (2006) article, The impact of leadership and change management strategy on organizational culture and individual acceptance of change during a merger in British Journal of Management, volume17(S1), pages S81 to S103(Kavanagh 2006). G.E. Hall and S.M. Hord (2006) article, Implementing change: Patterns, principles, and potholes(Hall 2006). In order to attain objectives and results of the study a particular research methodology needs to be followed. For the scope of this study inductive research methodology has been undertaken. Further data of secondary nature has been collected and analyzed. Findings and Analysis After careful analysis of data collected the following findings and analysis has been arrived at. Research Findings 1: Organizations needs to adapt to changes in order to maintain competitive advantage. Research Findings 2: A leader in an organization handholds the process of change and ascertain the aims and goals of change management. Research Findings 3: Careful examination of various types of leadership reflects that most influential style of leadership that can impact change management in organization is transformational leadership. Conclusion The research proposal is an examination of the various aspects of leadership that helps conduct change management in organizations. Transformational leadership style amongst all leadership helps attain successful change within organizations. Reference Karp, T. and Helg?, T.I., 2008. From change management to change leadership: Embracing chaotic change in public service organizations.Journal of change management,8(1), pp.85-96. Kavanagh, M.H. and Ashkanasy, N.M., 2006. The impact of leadership and change management strategy on organizational culture and individual acceptance of change during a merger.British Journal of Management,17(S1), pp.S81-S103. Hall, G.E. and Hord, S.M., 2006. Implementing change: Patterns, principles, and potholes.

Legalization of Marijuana in the United States Essay Example

Legalization of Marijuana in the United States Essay Legalization of Marijuana in the United States Author: Heidi Heffron-Clark ENGL112ON_AC: Composition Professor: Julie  Joki Talk about a hot topic! Marijuana and the discussion surrounding full legalization of the substance in the United States, has been creating a stir for many years now. Some people feel that there is no need to legalize another drug and take the risk of allowing it to get into the hands of children or people that may not be exposed to it if were not legal. Others say that if we legalize marijuana, it’s the start of a slippery slope that might lead to attempts to legalize other drugs. To the contrary, there are also many people, myself included, that feel that the risks of legalizing marijuana in the United States are minimal compared to the potential benefits. Legalizing any drug is going to come with a lot of debate and resistance, but the great benefits of legalizing this particular drug need to be seriously considered, and there has never been a better time to do so. Amazing health benefits that include both preventing illnesses and treating symptoms of diseases, economy boosting benefits resulting from legalization, regulation and taxation and the fact that it has been successfully legalized in other countries all lead to the conclusion that the legalization of marijuana in the United States is the right thing to do for the sake of the entire country! One of the greatest reasons to consider legalization of marijuana would be due to the immense medicinal benefits that marijuana provides. We will write a custom essay sample on Legalization of Marijuana in the United States specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Legalization of Marijuana in the United States specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Legalization of Marijuana in the United States specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Medicinal marijuana is beneficial in the treatment and prevention of many different illnesses including, but not limited to, cancer, Tourette’s, OCD, Multiple Sclerosis, Seizures, Migraines, Glaucoma, ADD/ADHD, Crohn’s, and Alzheimer’s. If marijuana were legalized and regulated, people suffering from any of these illnesses would have an alternative to current medications with horrible side effects. It could also be something that is eventually covered by insurance or available affordably over the counter, saving people a great deal of money on their already expensive health care costs. One of the deadliest diseases that could potentially reap considerable benefits from the legalization of marijuana is cancer. Cancer treatments and medications tend to have horrific side effects. One of those side effects is the extreme nausea and vomiting induced by chemotherapy, radiation and other anticancer drugs. Cancer patients usually receive antiemetics to help control the nausea and vomiting but there really is no single solution to reduce those symptoms in all patients. Antiemetics in multiple combinations seem to work well for some; however some doctors and scientists believe that THC (the active marijuana constituent) may be the best treatment for many others. The U. S. FDA has already approved the use of THC for treatment of nausea and vomiting associated with cancer chemotherapy in patients who have not responded to the standard antiemetic drugs (National Cancer Institute, 2000). If we have already considered certain levels of THC to be legally acceptable, why not look further into the benefits of what a broader scale legalization could do for the medical field and suffering patients? In addition to nausea and vomiting, other common symptoms in cancer patients are the loss of appetite, loss of desire to eat, and incomplete absorption of nutrients which leads to anorexia and/or cachexia. â€Å"Maintenance of body weight and adequate nutritional status can help patients feel and look better, and maintain or improve their performance. It may also help them better tolerate cancer therapy† (National Cancer Institute, 2000). THC can help counteract the loss of appetite and desire to eat, which in turn could help the patient not only feel better, but potentially tolerate the treatments better as well. Although we will probably never be able to cure all diseases, if marijuana helps aid in treatment or helps slow down the progression of certain illnesses, isn’t it worth legalizing? Temple University researchers have been studying more effective ways to treat multiple sclerosis utilizing synthetic cannabinoids based on the chemicals found in the marijuana plant. Their research focuses mainly on the cannabinoids that are found in both the human body and the marijuana plant in an effort to help control the activation of the human body’s immune cells. Controlling and calming the body’s immune system is a key factor in fighting MS. ‘This is a totally new approach to treating this disease,’ says Adler, director emeritus and senior advisor for CSAR and Laura H. Carnell professor of pharmacology research. ‘These cannabinoids hold enormous potential, and that’s encouraging since we’re limited in options when it comes to preventing or reve rsing MS’† (Temple University, 2009). The use of marijuana not just as a way to ease pain but as a way to actually slow down the progression of a disease like MS and to help build the body’s immune system to better fight the disease is an amazing benefit that should not be taken lightly. In addition to helping treat cancer and prevent MS, scientists at The Scripps Research Institute have found that the active ingredient in marijuana, THC, inhibits the formation of amyloid plaque, the primary pathological marker for Alzheimers disease. Their study results have shown that THC â€Å"‘may provide an improved therapeutic for Alzheimers disease’ that would treat ‘both the symptoms and progression’ of the disease†(Scripps Research Institute, 2006). In fact, their research has found THC to be considerably more effective than some of the currently prescribed, FDA approved drugs for Alzheimer’s treatment. Furthermore, marijuana has also been linked to successful treatments for migraine headaches, ADD, ADHD, seizures, Tourette’s syndrome, and PMS related symptoms. Not only has it been successful in the treatment of these illnesses, in some cases, it’s actually less harmful than the current legal, approved, and prescribed medications being used to treat them. If the fact that it’s currently considered an â€Å"illegal substance† was taken out of play and some random doctor or scientist suddenly discovered marijuana and let the public know that it contained chemicals that had all of the above medicinal benefits (with very few side effects), it would be legalized, regulated, and distributed immediately – as it should be! Medicinal benefits aside, the legalization could not only financially benefit our country, in a time when we desperately need financial benefits, it would actually help assist in the decriminalization of the drug. Why not ake the money, power and control over this substance away from the criminals in this country and give it to the working class, the FDA, and the local and federal governments? One immediate benefit would be the creation of jobs and income for working class citizens, and farmers. The legalization of something like marijuana would probably be regulated and distributed similar to the way tobacco is in the United States. Currently in the US, tobacco farm managers earn approximately $66,000 per year (which breaks down to an hourly wage of about $32/hour) and there are over 3600 of them employed nationally (My Majors. om, 2010). I am positive that there are people in our country right now that would be more than willing to take a job that pays that kind of salary. In addition to the farmers, there would obviously be jobs created in the cultivating, manufacturing, and distribution of the marijuana plant. The creation of thousands of stable jobs within our country would only help our current economic state! In addition to the immediate economy boost that job creation would provide, consider the fiscal benefits to the regulation and taxation of marijuana! We already tax tobacco and alcohol at incredible rates, why not add marijuana to the â€Å"pot† as well? If taxed according to our current tobacco laws, the US could stand to make a great deal of money off of this maneuver. In 2010, tobacco cigarette pack sales in the US were 14. 7 billion and the tax revenue from those cigarette sales was $16. 5 billion (Tobacco Free Kids. org, 2011). Any country’s economy would jump at the chance to add an additional $16. 5 billion annually but our country is so far in debt currently that it would be fiscally irresponsible to not consider this. Not only would this kind of annual taxation help eliminate our immense debt, it could potentially help keep the government from raising income taxes or making controversial fiscal cuts elsewhere. Enough about the outstanding health benefits and fiscally responsible economic benefits, let’s talk about regulation and control of this substance and the benefits that would create for our society. One of the main arguments for not legalizing marijuana is because it would create easier access for children to get it or it would get in the â€Å"wrong† hands. The problem with that argument is that children already have access to it and it’s, for the most part, only in the â€Å"wrong† hands. Legalizing marijuana would mean regulating it. Regulating it would mean controlling it. The government would have control over who can legally produce marijuana, who can legally distribute marijuana, and who can legally purchase and consume marijuana. If there were laws in effect similar to those of tobacco and alcohol there would be legal ages and legal limits of amounts that you could have and still be considered safe and able to operate a motor vehicle. If it were regulated like prescription drugs, there would again be legal ages, dosage recommendations/restrictions, and warnings about usage. Left as it is now, illegal and without controls, it actually endangers the public rather than promoting public safety. Complete prohibition of marijuana gives all the control of its production and distribution to criminal entrepreneurs, such as drug cartels, street gangs, and drug dealers who add harmful chemicals to it and push additional, more addictive and harmful illegal substances. It also promotes the use of marijuana in inappropriate settings, such as in automobiles, in public parks, or in public restrooms. â€Å"A regulatory scheme for marijuana that is similar to the scheme†¦for alcohol would be favorable compared to the present prohibition. Ideally, such a regulatory scheme for marijuana would maintain the existing controls that presently govern commercial alcohol production, distribution, and use – while potentially imposing even stricter limits regarding the commercialization, advertising, and mass marketing of the product† (NORML. org, 2010). If we put the regulation and control of this substance in the â€Å"right† hands, then we will be able to create rules and regulations that would be much more beneficial than just leaving the laws the way they are which gives all the control to the â€Å"wrong† people. Health benefits, economic benefits, regulation and control in the appropriate places are all important reasons to consider legalization of marijuana in the United States, but we aren’t the first country to be weighing these options. There are actually other countries that have benefit from the legalization and decriminalization of marijuana and have been doing so for years. If it can be successful in other countries, then there is no reason why the United States cannot make it successful as well. For many years, other countries have had much more liberal laws (if any at all) against drug use and these countries have had much success in their â€Å"war on drugs† by using such laws. Countries such as Canada, Germany, Israel, Spain, Italy, Portugal, Luxemburg, Australia, Great Britain, India, and the Netherlands have all successfully been able to regulate and control the use of drugs in their country. Most have led to much lower rates of children under the age of 18 possessing or using drugs, lower drug related crime rates, and overall lower possession and use of drugs among adults. Interestingly, the European country with the most liberal drug laws also has seen some of the greatest success from its drug laws, or lack thereof. Following decriminalization, Portugal had the lowest rate of lifetime marijuana use in people over 15 in the E. U. The U. S. as long championed a hard-line drug policy, supporting only international agreements that enforce drug prohibition and imposing on its citizens some of the worlds harshest penalties for drug possession and sales. Yet America has the highest rates of cocaine and marijuana use in the world, and while most of the E. U. (including Holland) has more liberal drug laws than the U. S. , it also has less drug use (Time. com, 2009). Clearly, our current system isn’t working. Our complete prohibition and extremely strict penalties have l ed to some of the highest drug use in the whole world. I think it’s about time we stop thinking that we have this all figured out and start learning from the success of other countries. Considering other countries’ success rates combined with the immense medical benefits in both the treatment of symptoms and the prevention of diseases and the potentially huge economic benefits that legalizing marijuana in the United States would provide; there really is nothing left to debate. The United States of America would be foolish to not legalize the use of marijuana and start reaping the benefits of it immediately! REFERENCES 6 Legal Medical Marijuana States and DC. (05/13/2011). Retrieved 08/14/11 from ProCon. org web site: http://medicalmarijuana. procon. org/view. resource. php? resourceID=000881 Boonn, Ann. (06/28/2011). Campaign for Tobacco-Free Kids State Cigarette Tax Rates amp; Rank, Date of Last Increase And Related Data. Retrieved 08/14/11 from Tobacco Free Kids. org web site: http://www. tobaccofreekids. org/research/factsheets/pdf/0099. pdf Cleaver, Hannah. (2002). Marijuana Chemical Eases Tourette’s Symptoms. Excerpt from Reuters Health retrieved 08/14/11 from Prevent Disease. com web site: ttp://preventdisease. com/news/articles/marjuana_tourettes. shtml Leveque, Dr. Phillip. (06/30/2008). Marijuana Vs. Migraines: Modern Medical Miracle. Retrieved 08/14/11 from Salem-News web site: http://www. salem-news. com/articles/june302008/leveque_migraines_6-30-08. php Marijuana Chemical May Slow Multiple Sclerosis. (05/12/2009). Retrieved 08/14/11 from insciences organisation web s ite: http://insciences. org/article. php? article_id=4963 Marijuana Use in Supportive Care for Cancer Patients. (12/12/2000). Retrieved 08/14/11 from National Cancer Institute web site: http://www. cancer. ov/cancertopics/factsheet/Support/marijuana Marijuana’s Active Ingredient Shown to Inhibit Primary Marker of Alzheimer’s Disease. (08/09/2006). Retrieved 08/14/11 from The Scripps Research Institute web site: http://www. scripps. edu/news/press/080906. html Miron, Jeffrey A. (06/2005). Budgetary Implications of Marijuana Prohibition in the United States. Retrieved 08/14/11 from Prohibition Costs. org web site: http://www. prohibitioncosts. org/mironreport. html NIDA InfoFacts: Marijuana. (11/2011). Retrieved 08/14/11 from National Institute on Drug Abuse web site: http://www. drugabuse. ov/infofacts/marijuana. html Real World Ramifications of Cannabis Legalization and Decriminalization. (03/05/2010). Retrieved 08/14/11 from The National Organization for the Reform of Marijuana Laws web site: http://www. norml. org/index. cfm? Group_ID=8110#decrim Szalavitz, Maia. (04/26/2009). Drugs in Portugal: Did Decriminalization Work?. Retrieved 08/14/11 from Time. com web site: http://www. time. com/time/health/article/0,8599,1893946,00. html Tobacco Grower Career Information. (2010). Retrieved 08/14/11 from MyMajors. com web site: http://www. mymajors. com/careers-and-jobs/Tobacco-Grower

Marketing Plan for All4Skills

Marketing Plan for All4Skills Executive Summary All4Skills is a tax-exempt and non-profit making organization that provides the local community with sporting and life skill programs for youths. All4Skills offers its services to participants ranging from kindergarten, middle primary, and high school. Services provided include positive learning, life skills, and awareness programs for educating the youth on drugs and HIV/AIDS.Advertising We will write a custom term paper sample on Marketing Plan for All4Skills specifically for you for only $16.05 $11/page Learn More As an organization built on the fundamentals of growing an informed set of youth who will take the community to the next stage, we pride in unlocking the potentials of the young people. To carry out this task, All4Skills intends to place itself as a premier provider of affordable sports experiences and to make these experiences available for all youths. To meet its goals, All4Skills will design a series of strategic partnership s with both governmental and non-governmental organizations with similar aspirations. Fundraising activities are our core form of outsourcing funds to navigate through our set goals. To carry out this strategy, it shall set up a Fund Foundation (FF) and formidable fund management approaches. Since its start in 2008, All4Skills has made tremendous progress in many ways. Firstly, the number of participating youths rose by 75% from 2008 to realize 2000 actively involved youths. Secondly, school progress reports indicate that youths have improved their personality and behavior. The organization has put in place mechanisms to for quality and integrity of its programs. In evaluating the impact of the program, community surveys conducted show that school deviance in schools has much reduced. Additionally, literacy levels for both school going and non-schooled children have risen in the last two years of its service. Scholarship programs because of improved talent in sports, and general ski lls have been imperative steps in achieving progress. Currently, major challenges face All4Skills and future presents overwhelming tasks. These include the influence of alternative programs, lack of adequate volunteers, constrained educational and training resources, changes in property tax policies, and facility requirements. Although the challenges are inevitable, the management board, staff, and the volunteers continue to give quality experiences to the youth in an efficient way. Situation Analysis Youths need to get access to affordable programs that benefit them socially, mentally, and spiritually. In utilizing these services, youths can gain from attributes developed afterwards. Numerous studies reveal that youth involvement in active sports positively develops them physically and mentally. Engagement in active physical activities cushions a person against diseases such as obesity and hypertension.Advertising Looking for term paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Many studies show a significant correlation between physical fitness and reduced juvenile crimes, drug use among other defiant behaviors. Research is abundant with evidence that investment in the lives of children in a constructive way reduces the social and law administration costs. This significant evidence continues to prove the importance our activities. Market Summary U4sillks offers relevant social and team experiences to community youths in private, public, and home-schools. The experiences provide quality recreation and improvement of sporting skills, health and fitness. Furthermore, we offer programs that develop teamwork, fair play, and leadership. One of the intangible benefits accessible to its participants is gaining self-confidence and esteem (Godwin, 1998). Marketing Strategy All4Skills focuses on three basic areas in achieving success with the available resources to our program. All4Skills provides an equal opportunity for all youth to take part in the program. U4Skills provides a value-oriented and safe atmosphere in which the participating youths gain skills in sportsmanship, teamwork, and interactive life skills. A wide variety of sports experiences to develop personal confidence and self-esteem. Strategies employed to achieve our goals include program expansion through market penetration and diversification. Program expansion through market penetration The first tactic shall involve conducting aggressive school campaigns within the target area with an intention to increase the number of users benefiting from the program (Godwin, 1998). This strategy shall increase the cash reserves and assist to improve the quality. The second tactic will involve the following action plans: All4Skills shall conduct presentations in various schools to create awareness with an aim to mobilize their participation. Facilitating sports activities by awarding talented youths. Speci al needs partial sponsorship program with support from donor funds. Diversification Strategies involved will target both current and future programs to meet organizational goals. Additionally, new users shall enroll in the process to widen our target portfolio. Future programs actions adopted by All4Skills include the following:Advertising We will write a custom term paper sample on Marketing Plan for All4Skills specifically for you for only $16.05 $11/page Learn More All4Skills shall change the existing programs to improve its quality provision to participants. All4Skills shall strategically design programs with an aim of expanding the target as well as program portfolio. increase the number of persons who benefit from the services. dropping programs that are non-beneficial Strategy planning Matrix The organization will use matrix below to formulate its strategies. Derivation of the programs depends on the target populations, risk level, and costs. Current /Existing program Future program Existing Users Expanding programs to the current or same users Providing better quality services interventions through program improvement. New Users Availing benefits to new users New forms of interventions to new users Some of the growth strategies that the organization intends to use shall include market penetration, product development, market development, and diversification (Kotler Andreasen, 2003). Partnership with other organizations is fundamental in achieving our strategic goals. Generation of strategies will follow immediately after the choice of decisions. Cost-Benefit Analysis It is a technique used to decide which alternatives are likely to yield the greatest returns on more funds investment. It is also known as cost effectiveness analysis to set up the investment activities or programs which when undertaken, would give the most service outcome (Kotler Andreasen, 2003). The program strategic growth shall expend its rese rves to give quality services and later yield more fees. The program prospects to cost the organization about $100,000 from its activities for the next one year. Cost elements relevant to this spending are from the strategic activities mentioned earlier. This process would in turn benefit our organization through extra fees to the tune of $65,000. We project that our partnerships and linkages with the external organizations and donor will generate about $105,000. The net expected benefits for the coming year are $70,000. However, the organization shall gain many non-quantifiable benefits, which include the following: increased satisfaction of its participants improved organizational or corporate reputation gained from its activities. increased participants’ self-worth and esteem Increased social competence and life skills Increased awareness of the community Increased service portfolio Forecasting for All4Skills It is a technique used for estimating future elements of a bus iness or operations. It is an important process since it gives a representative picture of how future operations of an organization to allow preliminary planning (Kotler Andreasen, 2003). All4Skills expect a hopeful future and it shall use forecasting techniques to gain insight of its future development. The success of any operation or organization depends on how efficient its management can forecast its future and design relevant strategies to discuss the likely future scenarios (McDonald Wilson, 2011).Advertising Looking for term paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More In this process, the organization shall make good use of both qualitative and quantitative approaches to forecasting. Qualitative approaches are methods used by experts to generate forecasts especially where no historical data is present (Luther, 2011). Additionally, changes in conditions affecting business operations may give such historical data obsolete and irrelevant in making future forecasts. Under this group, All4Skills shall use the approach of scenario writing as a qualitative method. On the other hand, quantitative methods are useful in establishing future elements of a business based on analysis of historical data. Scenario Writing The forecaster begins from a set of assumptions to develop realistic situations in this method. The process will benefit from a derivation of organizational scenario based on a given set of conditions (McLeish, 2010). In this process, the forecaster shall encounter many scenarios from which decision makers will select the most likely that appli es to its operations. Time series using projection of trend The technique relies on the underlying long-term patterns of observations to arrive at future values. The growth in the number of participants is a critical element that measures the progress of All4Skills since its aim is to grow a large set of skilled youth within its area of operation. Historical data show the trend in growth over time. Based on this trend, the organization can figure with some degree of certainty how the picture would be in the future (Allison Kaye, 2005) and (McDonald Wilson, 2011). Conclusion All4Skills focuses on bettering the lives of youths through training in sportsmanship, life skills, leadership, and co-operation. The program has succeeded in many ways since 2008, and records show growth of 75% in membership. The organization attributes these successes to its strategic partnerships, highly skilled staff, government support, and community involvement. Development of youths through nurturing of talent remains the driving force of our organization. Community surveys have shown that the All4Skills has positively influenced the lives of many youths both directly and indirectly. Participating youths who have remained actively involved to the program have shown positive development in respect of self-confidence, esteem and talent growth. Behavior change among these youths is clear from progress reports maintained from foster schools attended by these youths. The organization anticipates delivering quality service for participants and diversification into many related programs, to help its target population wholesomely. Our target is to improve our service delivery and increase the number of participating youths for the next activity year. Additionally, we project to expand our service portfolio through extensive marketing with an aim of increasing fees. Our core emphasis is to differentiate our services from the rest of the market players and creating appropriate public relatio ns programs. The organization uses the cost benefit analysis to measure the real outcome against the expenses. The analysis evaluates both quantifiable and non-quantifiable benefits to both the organization and the youths. Therefore, application of quantitative and qualitative techniques assists in forecasting of the future progress. References Allison, M. J., Kaye, J. (2005). Strategic planning for nonprofit organizations: a practical guide and workbook. New York, NY: John Wiley and Sons. Godwin, T. M. (1998). Peer Justice and Youth Empowerment: An Implementation Guide for Teen Court Programs. New York, NY: DIANE Publishing. Kotler, P., Andreasen, A. R. (2003). Strategic Marketing for Nonprofit Organizations. New York, NY: Prentice Hall. Luther, M. W. (2011). The Marketing Plan: How to Prepare and Implement It. New York, NY: AMACOM Div American Mgmt Assn. McDonald, M., Wilson, H. (2011). Marketing Plans: How to Prepare Them, How to Use Them. New York, NY: John Wiley and Sons. Mc Leish, B. J. (2010). Successful Marketing Strategies for Nonprofit Organizations: Winning in the Age of the Elusive Donor. New York, NY: John Wiley and Sons.

Fortuitous vs. Fortunate

Fortuitous vs. Fortunate Fortuitous vs. Fortunate Fortuitous vs. Fortunate By Sharon Its easy to mix up fortuitous with fortunate. After all, they both have aspects of luck and chance in their meaning. Fortunate means lucky, derived from the word fortune, which means luck, either good or bad. The Romans thought of fortune as a goddess who could be for you or against you. Fortuitous, on the other hand, derives from the Latin fortuitus meaning, by chance, accidental. So a fortuitous meeting is an accidental meeting, rather than a lucky one. Of course, now the waters have been further muddied. Thats because the common usage of fortuitous implies both chance and luck – in other words, a fortuitous meeting might be one that was accidental, but which worked out well for those who met. Here are some quotations to help you see the words in context: Although the 8-1 ruling hardly surprised legal observers, state officials were scrambling to review it on Tuesday, the busy first day of the legislative session. Some observers said the timing of the ruling was fortuitous for lawmakers - were they not meeting in regular session, they may have had to convene yet another special session to address it. USA Today Although the 8-1 ruling hardly surprised legal observers, state officials were scrambling to review it on Tuesday, the busy first day of the legislative session. Some observers said the timing of the ruling was fortuitous for lawmakers - were they not meeting in regular session, they may have had to convene yet another special session to address it. NY Times Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Misused Words category, check our popular posts, or choose a related post below:100 Exquisite AdjectivesDriver License vs. Driver’s LicenseEpidemic vs. Pandemic vs. Endemic

World Trade Organization Today Essay Example | Topics and Well Written Essays - 1250 words

World Trade Organization Today - Essay Example The study "World Trade Organization Today" describes the work of the institution responsible for the multilateral trading system. The World Trade Organization (WTO) is the one and only international organization dealing with multilaterally agreed rules on trade among its member countries. Through WTO agreement, which spell out rights and obligations, member countries operate a nondiscriminatory multilateral trading system that has allowed world trade to grow. The goal is to help producers of goods and services, and exporters and importers, conduct their business in a manner that ensures predictability and stability. The supreme body of the WTO is the Ministerial Conference which is held at least once in every two years. It comprises representatives of all members and functions to oversee the implementation of members' obligations as well as to negotiate new agreements. The day-to-day business of the WTO is conducted under the supervision of the General Council (GC) which comprises re presentatives of all members to the WTO who are usually of Ambassadorial level or equivalent. The GC has the authority to act on behalf of the Ministerial Conference and oversees the operations of agreements and ministerial decisions. As the principal institution with responsibility for the multilateral trading system, the WTO has the same status as institutions such as the World Bank and IMF. The WTO has legal personality and has been accorded privileges similar to those accorded to the specialized UN agencies.

Detecting the Cylindrospermopsin using HPLC-PDA and NMR Assignment

Detecting the Cylindrospermopsin using HPLC-PDA and NMR - Assignment Example Nuclear magnetic resonance (NMR) on the other hand is an analytical technique that uses magnetic nuclei which absorb and re-emit electromagnetic radiations at a specific resonance frequency. This frequency is however dependent on the strength of the magnetic field. The resonance obtained in a magnetic field for any particular compound analyzed is always directly proportional to the strength of the magnetic field. Detection and analysis of cylindrospermopsin using HPLCCylindrospermopsins have few methods of detection compared to the well-known microcystins and saxitoxins. High-performance liquid chromatography-photodiode array (HPLC-PDA) has been shown to be a good method for the detection of cylindrospermopsins and its analogs because of their characteristic UV spectra (ÃŽ »max at 262 nm). The only limitation of this method is that sample purification is necessary because it is normally co-eluted with other contaminants (Welker et al. 2002). Purification of cylindrospermopsin is norm ally performed using HP-20 resin, which removes most of the ionic components from the fraction.Before the detection of cylindrospermopsins by HPLC, they have to be extracted. Water samples containing the cyanobacterial cells are filtered by glass fiber filters.Extraction procedure The air-dried frozen filter samples should be placed on the borosilicate glass tubes and freeze-thawed twice to obtain maximum recover after which 1.2ml of methanol is added and mixed in the bath ultrasonicator for 15 minutes. The samples should further be ultrasonicated individually for 1 minute and the aliquots of the extracts centrifuged at 10,000 ? g for 10 min after which 500 Â µl of the supernatants are transferred to borosilicate vials and evaporated to dryness at 40Â °C under argon. The dried extracts can then be reconstituted in 100 Â µl of 75% methanol and centrifuged in vials at 10,000 ? g for 10 min or filtered through the HPLC grade filter. Before running the HPLC, the HPLC system should be set up as described in the manufacturer’s instructions including degassing, priming and changing columns. The column oven should be set at 40?C and the HPLC changed gradually to starting conditions. The chromatogram samples and standards should be set as per the recommended HPLC gradients using 10

Acceleration processes Essay Example for Free

Acceleration processes Essay When the bus stops suddenly, the book slides forward off the seat. In the reference frame of the ground, which of the following is correct? a) b) c) d) e) A net force acted on it. No net force acted on it. It remained at rest. It did not move, but only seemed to. Gravity briefly stopped acting on it. 7. Consider a cart on a horizontal frictionless table. Once the cart has been given a push in the x-direction and released, what will happen to the cart? a) b) c) d) e) It slowly comes to a stop. It continues with constant acceleration. It continues with decreasing acceleration. It continues with constant velocity. It immediately comes to a stop. 8. Off to the Races: F v From rest, we step on the gas of our Ferrari, providing a force F for 4s, speeding it up to a final speed v. If the applied force were only 1/2 F, how long would it have to be applied to reach the same final speed? a) 16s b) 8s c) 4s d) 2s e) 1s 9. Two blocks of the same mass are connected by a string and are pulled across a frictionless surface by a constant force. Will the two blocks move with constant velocity? a) Yes, both blocks move with constant velocity. b) No, both blocks move with constant acceleration. ) The two blocks will have different velocities and/or accelerations. 10. Referring to figure in Q9, will the tension in the connecting string be greater than, less than, or equal to the force F ? a) Greater than. b) Less than. c) Equal to. 11. Force and Two Masses: F m1 a1 a2 = 2a1 F m2 F m2 m1 a3 A force F acts on mass m1 giving acceleration a1. The same force acts on a different mass m2 giving acceleration a2 = 2a1. If m1 and m2 are glued together and the same force F acts on this combination, what is the resulting acceleration? a) 3/4 a1 b) 3/2 a1 c) 1/2 a1 d) 4/3 a1 e) 2/3 a1 12. Bowling vs. Ping-Pong I: F12 F21 In outer space, a bowling ball and a ping-pong ball attract each other due to gravitational forces. How do the magnitudes of these attractive forces compare? a) b) c) d) e) The bowling ball exerts a greater force on the ping-pong ball. The ping-pong ball exerts a greater force on the bowling ball. The forces are equal in magnitude. The forces are zero because they cancel out. There are actually no forces at all. 13. Bowling vs. Ping-Pong II: In outer space, gravitational forces exerted by a bowling ball and a ping-pong ball on each other are equal and opposite. How do their accelerations compare? a) b) c) d) e) They do not accelerate because they are weightless. Accelerations are equal, but not opposite. Accelerations are opposite, but bigger for the bowling ball. Accelerations are opposite, but bigger for the ping-pong ball. Accelerations are equal and opposite. 14. A ball tied to a string is being whirled around in a circle. What can you say about the work done by tension? T v a) Tension does no work at all. b) Tension does negative work. c) Tension does positive work. 15. You lift a book with your hand in such a way that it moves up at constant speed. While it is moving, what is the total work done on the book? ?r FHAND v = const a=0 mg a) b) c) d) e) mg ? ?r FHAND ? ?r (FHAND + mg) ? ?r Zero None of the above. 16. Two paths lead to the top of a big hill. One is steep and direct, while the other is twice as long but less steep. How much more potential energy would you gain if you take the longer path? a) b) c) d) e) The same as the short path. Twice as much. Four times as much. Half as much. No PE gained in either case. 17. A hole is drilled through the center of Earth and emerges on the other side. You jump into the hole. What will happen to you? Hint: Inside earth, when you are at a distance r away from the center, the gravitational force on you is just the force due to your body mass and the earth mass of sphere of radius r from the center. ) a) b) c) d) You fall to the center and stop. You go all the way through and continue off into space. You fall to the other side of Earth and then return. You won’t fall at all. 18. A proton and an electron are held apart a distance of 1 m and then released. As they approach each other, what will happen to the force between them? a) It gets bigger. b) It gets smaller. c) It stays the same. 19. Continuing from Q18, which particle has the larger acceleration at any time? a) Proton. b) Electron. c) Both the same. 20. Continuing from Q19, where would they meet? a) In the middle. b) Closer to the electron’s side. c) Closer to the proton’s side. 21. Considering a vibrating pendulum as shown in the figure. i) At which of the above time is the kinetic energy a maximum? ii) At which of the above time is the potential energy a maximum? iii) At which of the above time is kinetic energy being transformed to potential energy? iv) At which of the above time is potential energy being transformed to kinetic energy?

The Current Status of Health Care Reform :: Health Care Reform, Health Care, Healthcare, USA,

Health Care Reform is a concern for people that have health insurance, for those that can’t afford health insurance and the price of healthcare for all of us. There are the difference views on Health Care Reform: The healthcare view, the public opinion and The House and the Senate. The Center for Medicare and Medicaid will withhold 2% of base payments that would serve as incentive payments to hospital based on their total performance score derived from separate domains. The current domains include process measure, outcome and patient satisfaction. The Senate bill also requires a comprehensive review of the hospital wage index. Our cost problems, affect not only the federal budge deficit, but also individual American businesses and household. Only be aligning payment models across public and private systems will we both address federal spending and make the health care system more affordable for all Americans† (The New England Journal of Medicine) Both House and Senate versions identify â€Å"excess payments† based on performance of risk-adjusted re-admissions rates for AMI, Heart Failure and Pneumonia. The Center for Medicaid and Medicare would recoup excess payments by discounting future payments with cuts capped at a certain percentage of total payments. In effort to go beyond â€Å"fixing† fee-for service payments, the proposed legislation includes alternative models include bundled payments to cover the range of services related to a defined medical condition: global fees to cover the entire cost of care (regardless of the setting) over an extended period for a person with a condition such as cancer; extra payments for patient-center primary care delivered through medical home; and the rewarding of Accountable Care Organizations for achieving the desired performance in caring for a defined population over the course of the year. (Medicare Payment Advisory Commission. Reforming the delivery system. Report t o Congress) (Fisher ES) For providing episode of care for services provided three days prior to the admission, during the admission and 30 days after discharge. The service would include acute care, physician services provided inside and outside the hospital, outpatient services, post acute care services, including home health, inpatient rehabilitation, long term care hospital and others. Participating organization would required to submit data and specific measure, including measure of functional improvement, rates of avoidable hospitalization, incidence of hospital acquired infections and efficiency. An independent evaluation would review the extent to which the a pilot the selected quality of measures, improved health outcomes, improved beneficiary access to care and reduced Medicare spending.

Anatomy – Structure of the Pancreas

ANATOMY AND PHYSIOLOGY: Structure of the Pancreas The pancreas is an elongated organ that lies behind and below the stomach. This mixed gland contains both exocrine and endocrine tissues. The predominant exocrine part consists of grape-like clusters of secretory cells that form sacs known as acini, which connect to ducts that eventually empty into the the first portion of the intestine called duodenum. The smaller part of the gland consists of isolated islands of endocrine tissue known as islets of Langerhans which are dispersed throughout the pancreas. Hormones Secreted by the Pancreas The most important hormones secreted by the pancreas are insulin and glucagon. Both play a role in proper metabolism of sugars and starches in the body. Insulin promotes the movement of glucose and other nutrients out of the blood and into cells. When blood glucose rises, insulin, released from the beta cells causes glucose to enter body cells to be used for energy. Also, it sometimes stimulates conversion of glucose to glycogen in the liver. Another pancreatic hormone, glucagon, promotes the movement of glucose into the blood when glucose levels are below normal. It causes the breakdown of stored liver glycogen to glucose, so that the sugar content of blood leaving the liver rises. Insulin is a hormone central to regulating carbohydrate and fat metabolism in the body. Insulin causes cells in the liver, muscle, and fat tissue to take up glucose from the blood, storing it as glycogen in the liver and muscle. Insulin stops the use of fat as an energy source by inhibiting the release of glucagon. With the exception of the metabolic disorder diabetes mellitus and Metabolic syndrome, insulin is provided within the body in a constant proportion to remove excess glucose from the blood, which otherwise would be toxic. When blood glucose levels fall below a certain level, the body begins to use fat as an energy source through glycogenolysis, for example, by transfer of lipids from adipose tissue to the liver for mobilization as an energy source. As its level is a central metabolic control mechanism, its status is also used as a control signal to other body systems (such as amino cid uptake by body cells). In addition, it has several other anabolic effects throughout the body. Glucagon, a hormone secreted by the pancreas, raises blood glucose levels. Its effect is opposite that of insulin, which lowers blood glucose levels. [1] The pancreas releases glucagon when blood sugar (glucose) levels fall too low. Glucagon causes the liver to convert stored glycogen into glucose, which is re leased into the bloodstream. Glucagon raises blood glucose levels. High blood glucose levels stimulate the release of insulin. Insulin allows glucose to be taken up and used by insulin-dependent tissues. Thus, glucagon and insulin are part of a feedback system that keeps blood glucose levels at a stable level. Glucagon belongs to a family of several other related hormones. Somatostatin (also known as growth hormone-inhibiting hormone (GHIH) or somatotropin release-inhibiting factor (SRIF)) is a peptide hormone that regulates the endocrine system and affects neurotransmission and cell proliferation via interaction with G-protein-coupled somatostatin receptors and inhibition of the release of numerous secondary hormones. Function of the Pancreas The pancreas is largely responsible for maintaining blood glucose levels. The normal clinical range of blood glucose levels is 70 to 150 mg/dL (milligrams per deciliter). The pancreas can measure blood sugar and if it is high or low, the pancreas releases a hormone to correct the level. Blood glucose must be maintained at a certain level for cells to neither gain or lose water. HEALTH TEACHING 1. Teach the patient sign and symptoms of hypoglycemia and hyperglycemia 2. Teach the patients about medication purpose, dosage, route, and possible side effects of all prescribed medications. . In patients with self-administer insulin, demonstrate patient the appropriate preparation and administration techniques. 4. Teach to the patient signs and symptoms of diabetic neuropathy and emphasize the need for safety precautions because neuropathy decreased sensation can hide sense injuries 5. Tell to the patient the Prognosis of Diabetes Mellitus, Insulin resistance increases with age, After the fi rst few years of treatment, the majority of people with type 2 diabetes require more than one medicine to keep their blood sugar controlled 6. Teach the patient how to manage diabetes when he has a minor illness, such as a cold, or flu. 7. To encourage compliance with lifestyle changes, emphasize how blood glucose control affects long-term health. 8. Teach the patient how to care for his feet. 9. Advise him to wear comfortable, nonconstricting shoes and never to walk barefoot 10. To prevent diabetes, teach people at high risk to avoid risk factors †for example, maintaining proper weight and exercising regularly, teach to patients you can help to prevent type 2 diabetes by maintaining your ideal body weight, especially if you have a family history of diabetes. Diet and exercise have been shown to delay the onset of diabetes in people who are in the early stages of insulin resistance. If you already have been diagnosis Diabetes Mellitus type 2, you can delay or prevent complications by keeping tight control of your blood sugar. 11. Advise patients to have annual ophthalmologic examinations for early detection of diabetic retinopathy 12. Encourage the patient and his family to obtain additional information about Diabetes mellitus from nearby Diabetic foundations.

Victoria Secret Pink Case Study

1. Analyze the buyer decision process of a typical Pink. * Consumers, not only Pink consumers, have a buyer decision process. This decision process includes need recognition, information search, evaluating alternatives, purchase decision, and post-purchase decision. In Pink buyer’s case, I believe many of them find the â€Å"need† to buy because they want to keep up with the newest trends and be fashionable. They are not buying this line of clothes because they do not have any and desperately need clothes, but rather it is being based on external factors whether it’s what they see possibly on TV, internet, or in magazines. When it comes to the information search, I believe it is mainly external, although some loyal consumers do have internal information. I think teens and tweens are buying the Pink brand based on what they hear from friends and family members and also the advertising they see on TV and the internet. When evaluating the alternatives, it depends on why the consumer is buying Pink. If they are buying the brand to be fashionable and trendy, they are less likely to seek out an alternative since in their eyes they see Pink as the only brand. If they are looking for sweats to use for athletic events rather than being casual around the house or dorms, they might consider looking at brands such as Nike or Adidas as being alternatives, but once again, it depends on why the consumer buys the Pink brand in the first place. The purchase decision comes down to whether or not Pink is the best choice. There are also other factors that come into play such as friends or family comments or reactions to the product. The post-purchase decision will form lasting impressions on the consumer and be a base as to whether or not the consumer stays loyal in future purchases. If the Pink brand meets or exceeds the expectations of the consumer, the consumer will most likely stay loyal to the company and spread the word to friends. 2. Apply the concept of â€Å"aspirational groups† to Victoria’s Secret Pink line. Should marketer’s have boundaries with regard to this concept? * There are a few aspirational groups when it comes to the Victoria Secret Pink line. First, one of the target markets in college girls, consumers of the Pink line may be ones of a sorority or club at college. Another aspirational group includes celebrities, or celebrities who endorse the Pink line. Tween and teenage girls might aspire to be like one of the celebrities therefore wanting to look or dress just as them. The last aspriational group is the tween girls looking up to the teenage girls and wanting to be and dress just like them. This creates a problem when it comes to boundaries because Pink was not looking to market the brand towards ten and eleven year olds. I believe times have changed though so it is hard to distinguish a boundary for what is right and wrong. A certain concept/style might seem wrong to the parent or marketing director from generation X, but that same concept/style might be perceived as just fine from someone in my generation. I do believe there should be some sort of boundary set by marketer’s on who they choose to market the brand to, but in the end they have no choice over who decides to consume the products. 3. Explain how both positive and negative consumer attitudes toward a brand like Pink develop. How might someone’s attitude toward Pink change? An attitude shows a person’s feeling or tendency towards an idea or product. Marketers throughout all areas try to persuade consumers’ attitudes in their favor. I believe in today’s generation, attitudes are based on very general and basic perceptions. Kid’s today aspire to be like many notable people in the media including the music and movie industry, therefore wanting to dress just like him or her. Also, perceptions could come fr om loving all the articles of clothing the child has bought from a particular store, such as Pink. Negative perceptions could come from someone who does not enjoy shopping in crowded places such as malls, but this is where marketers might try to lead this particular consumer to their online outlet. Marketers are always trying to work on changing and persuading consumers attitudes whether it’s who they endorse, or something as simple as directing a consumer who does not like shopping in crowded places to shop at their online store. Marketers certainly know their trends and try to capitalize by things such as advertising and product placement.

Free Essays on Understanding The Rationale Behind Machiavellis The Prince

Understanding the Rationale Behind Machiavelli’s The Prince Machiavelli’s scientific and rational perspectives are blunt and harsh. His book The Prince is a look into the world of running a state and the basis for gaining respect as a leader. He writes that a state is only created if people cooperate and work to maintain it. Putting faith and trust in the people to really work and understand that everyone has to give to receive is similar to that of a utopian society yet different. Here Machiavelli explains that a state needs to take precedence over everything. This is the same idea for a utopian society. However, in a utopian society everyone is equal and gets no more than the next person. In a Machiavellian society the state is most important and everyone must work for it’s maintenance but everyone is not equal and certain leaders and people can excel further. Maintaining sovereignty should be the focus of a leader and the people of the state. If one does not work on sustaining the sovereignty of a state it will surely fall apart and be taken over. Further the leader would appear to be weak and cause the state to quickly boot him out of his position. Machiavelli believes strongly that a state should be founded on military power. â€Å"It is of such importance that military prowess not only keeps those who have been born rulers in power but also often enables men who have been born private citizens to come to power,† (Machiavelli). By this Machiavelli points out that someone who is already in the blood line to be a ruler needs to work to keep a strong militia, and for those that want to come to rule need to remember that military ability is key. He believes that the strength in militia will show how really strong a leader is. It will allow other leaders to recognize that you hold power over your own people and can conquer anyo ne that tries to ruin your respective state. â€Å"On the other hand, one sees that wh... Free Essays on Understanding The Rationale Behind Machiavelli's The Prince Free Essays on Understanding The Rationale Behind Machiavelli's The Prince Understanding the Rationale Behind Machiavelli’s The Prince Machiavelli’s scientific and rational perspectives are blunt and harsh. His book The Prince is a look into the world of running a state and the basis for gaining respect as a leader. He writes that a state is only created if people cooperate and work to maintain it. Putting faith and trust in the people to really work and understand that everyone has to give to receive is similar to that of a utopian society yet different. Here Machiavelli explains that a state needs to take precedence over everything. This is the same idea for a utopian society. However, in a utopian society everyone is equal and gets no more than the next person. In a Machiavellian society the state is most important and everyone must work for it’s maintenance but everyone is not equal and certain leaders and people can excel further. Maintaining sovereignty should be the focus of a leader and the people of the state. If one does not work on sustaining the sovereignty of a state it will surely fall apart and be taken over. Further the leader would appear to be weak and cause the state to quickly boot him out of his position. Machiavelli believes strongly that a state should be founded on military power. â€Å"It is of such importance that military prowess not only keeps those who have been born rulers in power but also often enables men who have been born private citizens to come to power,† (Machiavelli). By this Machiavelli points out that someone who is already in the blood line to be a ruler needs to work to keep a strong militia, and for those that want to come to rule need to remember that military ability is key. He believes that the strength in militia will show how really strong a leader is. It will allow other leaders to recognize that you hold power over your own people and can conquer anyo ne that tries to ruin your respective state. â€Å"On the other hand, one sees that wh...

Saying There Is and There Are in Spanish

Saying 'There Is' and 'There Are' in Spanish It is often said that there is or there are is expressed in Spanish using the verb hay (a form of haber) - and indeed that is usually so. However, there are some instances where forms of the verb estar - typically est (singular) or estn (plural) - should be used. The difference is one in meaning: Hay is used to refer to mere existence.Est or estn is used when describing a location. As an example, examine this simple sentence: There is a book. At least in writing, the English is ambiguous - the sentence could be phrased as a book is there, meaning that a book is in a certain location. Or could be interpreted as A book exists. In Spanish a different verb would be used for each interpretation. To say that the book is in a location, use a form of estar: El libro est allà ­. (The book is there.)But to say it merely exists, use a form of haber, in this case hay: Hay un libro. (A book exists.) Eliminating Ambiguity in Translating There The same principle applies in many other cases where the English might be ambiguous: No hay dinero. (There isnt any money, because it doesnt exist.) El dinero no est. (The money exists, but its not here.)No hay profesor. (Theres no teacher, meaning, for instance, that one hasnt been hired.) El profesor no est. (Theres a teacher, but the teacher isnt here.)Hay dos escuelas. (There are two schools, that is, two schools exist.) Dos escuelas estn allà ­. (There are two schools, meaning, two schools are in the direction that is being pointed to.)Hay vacas en Argentina. (There are cows in Argentina.) Las vacas estn en Argentina. (The specific cows are there, in Argentina.)Sà ³lo hay una cosa importante. (There is only one important thing.) La cosa importante est en otro lado. (The important thing is on the other side. Here cosa refers to a specific object.) Abstract nouns, or nouns that dont refer to an object that can exist in a specific location, normally are not used with estar, but with hay: Hay muchos problemas. (There are many problems.)No hay felicidad sin amor. (There is no happiness without love.)Hay un montà ³n de cosas que quiero decirte. (There is a pile of things I want to say to you.)Hay dos tipos de dolor: el que te lastima y el que te cambia. (There are two kinds of pain: the kind that  hurts you and the kind that changes you.) Another way of understanding the differences involves looking the grammar of the English being translated. In sentences there is is translated using estar, there is functioning as an adverb of location. If here can be substituted for there and the sentence still makes sense, there is being used for location. However, when there is being used as a dummy word, haber is used in translation. Estar vs. Haber in Other Tenses Although examples in the present indicative tense were used above, the same rules apply in other tenses and in the subjunctive mood. Fui a su casa, pero no estaba. (I went to her house, but she wasnt there.)No habà ­a transportacià ³n porque no comprà © un coche. (There was no transportation because I didnt buy a car.)Si hubiera unicornios, la gente los verà ­an. (If there were unicorns, people would see them.)Quiero que haya paz en el mundo. (I want there to be peace in the world.)No quiero que à ©l està © allà ­. (I dont want him to be there.) A Similar Use of Ser When it is used to indicate mere existence, haber can be used only in the third person in standard Spanish. It is often possible to use ser in a similar way in the first- and second-person plural (we and you, respectively). This use is especially common with numbers. Somos seis. (There are six of us.)Ya somos veinte en la clase. (Now there are 20 of us in the class.)Son ustedes cinco hombres. (There are five of you men.)Si sois siete, te ruego que me digas  ¿cà ³mo puede ser? (If there are seven of you, I beg that you tell me, how this can be?) Key Takeaways Although forms of estar and haber can be used in translating there is and there are, their meanings are not the same.Estar is used when suggesting existence in a location, while haber is used in referring to mere existence.Haber also is used with abstract nouns, which dont refer to objects.

Delinquency Deterrence Essay Example | Topics and Well Written Essays - 250 words

Delinquency Deterrence - Essay Example Additionally, a juvenile cannot risk committing a crime with the knowledge of certain severe punishment on such crimes. Ideally, it is more effective to punish a juvenile upon committing a crime, as this will deter delinquency in the future, as they will have leant a lesson. Most importantly, the threat of punishment to juvenile delinquency allows officers to reach out to such criminals in their schools and allow the judges to commit them to severe penalties. The courts have indeed offered tougher punishment for crime thus instilling fear to potential juvenile criminals and hence driving crime down. Therefore, the certainty and severity of punishment deters juvenile delinquency. General deterrence refers to the impact of the threat of legal punishment on delinquency in the public. For example, the perception that there is certainty to the enforcement of traffic laws and violation attracts severe penalties is an example of general deterrence. In addition, a â€Å"Tow-Away Zone" sign is also an example of general deterrence (European Road Safety Observatory, 2007). Specific deterrence refers to the impact of the actual legal punishment on convicted law violators. Such deterrence emanates from life experiences with detection, prosecution, and punishment of legal violators. A good example is the experience of a stricter sentence on lesser crimes (European Road Safety Observatory, 2007). There are various situational crime prevention strategies. They include reducing the opportunities for criminals to commit crime, making the commitment of crime seem harder, less rewarding, and riskier. In addition, changing a criminal’s perception that they can get away with crime, improving surveillance, and deflecting potential offenders from potential crime areas are situational crime prevention strategies (University of Cambridge, 2012). As such, I believe that general deterrence and effective

Improvement in advertising, enhances consumer culture of society Essay

Improvement in advertising, enhances consumer culture of society - Essay Example One such advert is the ‘Impossible Field’ by Adidas that featured English football icon in striking David Beckham as well as other Adidas top list players, playing football on a steel girders field. They play against the odds of darkness and height, showing the balanced properties entrenched in the Adidas Predator soccer boots that were newly released in the market. It becomes apparent that the girders refer to a football field’s raised lines. One by one red dressed players courtesy of the athletic capacity and superior ball skills of the Adidas team are knocked off the girders. Eventually the ball is kicked with a high force into the goal that the goalie gets knocked back into his net (Maryon, 1). The entire goal falls back into what can be described well as nothingness, hence the tagline of â€Å"Impossible is Nothing†. It leaves a lot of imagination as to the influence this had on the marketability and consumption of the Adidas products. The best possibl e results expected and realized in the strongest business terms possible. At this point, it can be appreciated that of all the weapons of marketing, advertising affects most the minds of the viewers because its exposure is considered much more. This is better understood by defining advertising as a way of communicating for convincing an audience to take purchase decision concerning a product or service as well as delivering information to viewers. In a study that examined effective advertising and the related influence on the buying behavior of consumers, there was found a moderate relationship amid independent variables (emotional response and environmental response) and dependent variable (consumer buying behavior). This finding indicated that consumers purchase brands according to their emotional attachment (Niazi, Javaria and Shah, 114). In essence television advert combines audio, visual and text form that appeals to a consumer. This demonstrates the power that advertising hold s especially concerning the decision of consumers to purchase a product or service. It can therefore, be argued that advertising greatly influences the marketability of a product or service in this dispensation of diverse products, superior quality and high innovativeness across various industries. Consistent with the findings above a study focusing on advertising and its connection with consumer behavior with special reference to nestle limited highlights the power of advertising and consumer. From the outset marketing offers a key to gain real access just to those brands that match best to the present environment i.e. â€Å"imperative† that can be delivered the people’s needs and they are eagerly waiting to make a purchase at the appropriate time without any dilly dallying (Kumar, Gangal and Singh, 112). It was found that consumers are greatly influenced via advertising in their preference as concerns the brand. This preference is mainly due to the brand’s ric h quality and attractive advertising policy. In that regard TV advertisements of the brand influence the consumers’ buying most. The brand’s language and creative presentation of TV advertisements are successful to convey Emotion, Message, Value system concerning the product (Ayanwale, Alimi and Ayanbimipe, 9). In a nutshell advertisement has an effect on the consumers’ buying behavior. Thus, companies benefit from advertisement campaigns not only in terms of retaining their

Hormone Replacement Therapy Essay Example | Topics and Well Written Essays - 500 words

Hormone Replacement Therapy - Essay Example This is usually referred to trans-women or trans-men (Manson, 2010). Cancer in recent years have been a worldwide problem, initially people believed that this life style disease was majorly for the wealthy and the able people, but recent researchers find that the disease affects anybody irrespective of a race one belongs to. Most treatments of cancers for instance the prostate cancer in men and menopause conditions in women as well as uterine cancer are based on hormone replacement therapy ( Chlebowski, Anderson & Manson, 2010). Resent researchers claim that replacement therapy in early menopause had a significant reduction of mortality, heart attacks without risks of cancer and stroke. As situation where estrogen stimulates the growth of lining of the uterine walls which increase the risk of uterine cancer; a prescription of estrogen in combination with progesterone is given to reduce the problem. Reduction of risk of endometrial cancer: Studies indicate that women who receive progesterone as well as estrogen treatment to decrease menopause symptoms reduced risks of endometrial cancer as compared to those who were under only estrogen (Manson, 2010). Evidence based research requires demonstration of a new practice which emphasizes on quality and safety of patients for instance; a use of empirical evidence from randomized controlled specimen, qualitative scientific research methods, information reports combined, results to a more relevant and concrete solution or step in controlling problem associated with hormone replacement therapy (Hjorland, Birger, 2011). The use of evidence increase patients’ outcome since it includes healthcare recommendations that help doctors and nurses address questions related to cancer and hormone issues (Hjorland, Birger, 2011). Though there have been successes in the effective administration of drugs or Hormone Replacement therapy especially to women, various side

Challenges Hospital Management In Nepal

Challenges Hospital Management In Nepal The WHO defines health as A complete state of physical, mental and social wellbeing, not merely the absence or disorder (WHO, 1948). It means that complete state of wellbeing is health and hospitals one of the major tool for promotion of health. WHO in 2010 has addressed the role and importance of hospital management for a quality health (WHO, 2010). There is no internationally accepted clear definition for hospital. There are several types of hospitals based on the facilities, equipments and services, i.e. district hospitals, provincial hospitals, speciality hospitals and referral hospitals, teaching University hospitals and other types of health care facilities. There is no international standard defining what should be the minimum services that each hospital should provide during a health crisis. Each country has to develop a national policy and technical guidelines to deal with a health crisis. Before defining the essential services, the ministry of health has to define the essential health services that the health sector will provide to the community in order to identify what more specific services will be delivered by hospitals (WHO, 2009). Management is defined as the organization and coordination of the activities of an enterprise in accordance with certain policies and in achievement of defined objectives. Management is included as a factor of production along with machines, materials and money. Renowned guru of management Peter Drucker (19909-2005) has said that the basic task of management is two fold: marketing and innovation. Practice of modern management owes its origin to the 16th century enquiry into low efficiency and failures of certain enterprises, conducted by the English statesman Sir. Thomas Moore (1478-1535). As a discipline, management consists of the interlocking services of formulating corporate policy and organizing, planning, controlling and directing an organizations resources to achieve the policies objectives (Walden University, 2011).Hospital managenmnet.net suggests that Hospital Management provides a direct link between healthcare facilities and those supplying the services they need ( Hospit al management.net 2011) . WHO in 2009 suggests understanding by hospital management as an effective and combined management of, the following factors:- (a) Acute care for emergency patients; (b) Out Patient Department (OPD) activities; (c) Investigation (laboratory; X-ray; other diagnostic elements); (d) Referral for primary health care (PHC); specialized consultations or services; (e) Contribution to public health programmes; (f) Part of health information system (surveillance system, including a EWS Component); (g) Public information and education; and (h) Preparedness for health crisis management. Nepal is a landlocked country which is mostly covered by hills and mountains and it has a population of 25.8 million as estimated in 2006. It is in the south Asian continent, north to India and south to China. Its area is 147,181 sq. km (WHO, 2007). It has been facing several challenges to establish a functional health management system (Thapa, 2010). This proposal deals with the challenges which Nepali health system is facing at present and suggests the possible ways for its improvement. Statement of the problem Nepals health system is in transition. Nepal is an underdeveloped country where most of the geographical part (85%) is covered by mountains and hills. India is in the south and China is in the northern part of the landlocked country. The southern boarder is open where the northern part is separated by the high mountains called Himalayas. The health indicators are very poor. The health service facility is not adequate to Nepali people. So the hospitals are (Dixit, 2005). Nepals hospital bed per ten thousand populations is 4.26 (2001/02), physician per ten thousand populations is 2 and Nurses per ten thousand population is also 2 as per the data of 2004 Similarly, Total Expenditure on Health (THE) as % of Gross Domestic Product (GDP) 5.3% and Public Expenditure on Health (PHE) as % of Total Expenditure on Health (THE) is 28 while Private Expenditure on Health (PvtHE) as % of Total Expenditure on Health (THE) 72(WHO, 2007). If it is compared with the other developing countries in the sa me region i.e. south east Asian region, the level of the problem may be perceived. Maldives, a small tiny country with population 298 thousand has Total Expenditure on Health (THE) as % of Gross Domestic Product (GDP) 6.2. Maldives Public Expenditure on Health (PHE) as % of Total Expenditure on Health (THE) is 89 as compared with 28 of Nepal. Private Expenditure on Health (PvtHE) as % of Total Expenditure on Health (THE) in Maldives is 11. It shows that the state has better involvement in Maldives than in Nepal. More over, the population per hospital bed is 381, which are 26.2 hospital beds per 10000 populations. Similarly, number of populations per physician 959 and nurses per 10000 populations are 33 (WHO, 2007). It clearly shows the scenario of health development of Nepal. As part of health, curative health services have a major role in providing quality health service to the people. Until the health care provider organizations are strong, the curative health service can not be delivered to the beneficiaries properly (Edelman and Mandle 2006). Hospitals are the key component of health care delivery system and they needs to be reformed to ensure a quality health care system (McKay and Healy, 2000).Unfortunately the hospitals in Nepal have very poor in quality management and they are not able to deliver quality health services to the people (Dixit, 2005). To address the needs and requirement of the hospital, the government of Nepal ( GON), Ministry of Health and Population ( MOHP) has published The guideline on the establishment, Operation policy and standard and infrastructure for Private and Public Health Hospitals in 2004 ( MOHP,2004). But it is still lacking in the formulation of the standard for the hospitals run by the government (Dixit, 2005). However, the policy published by the MOHP tries to clarify on the basic parameters of the infrastructures required for the hospitals which may be applied for the general hospitals as well. But the document does not speak about the application in the government run hospitals (MOHP, 2004). That is why; there is a lack of clear cut guideline for the management of hospital. Nepals health sector is facing a challenge regarding the management (Dixit, 2005). As part of whole system of health in Nepal, management of the hospitals is also a sever challenge for the country. 1.2 Summary of the problem Nepal has set a target to achieve the millennium Development goals by 2015. It has to meet the target in all health indicators. Goal no 3 and 4 are c loosely related with health and as part of curative health, hospital and hospital management have crucial role in health promotion. In Nepalese context, hospital management skill and concept of hospital management is still beyond the priority of the government and the government still does not have any policy guidelines over the hospital management sector (Dixit, 2005). People skill is a key asset for the development of key management styles. Dealing the people is a professional skill in itself. Being able to see from the perspective of others is essential, and caring for their welfare is also of prime importance. There are many high-profile examples of how to develop a successful management style. Managers like Bill Gates and Warren Buffett have famously developed their own distinctive management style from which others can learn. However, the fact that the two examples are very different management styles shows that there is no single route to success (Bono and Hellers, 2009). But unfortunately, there are no clear guidelines or policy found in the government documents. The recent document on the guideline on the requirement of a hospital, government does not speak about the hospital management, its skill development and transfer for the improvement of a hospital (MOHP, 2004). Lack of professional skill in the person responsible to manage the hospitals has created a problem in hospital management. The government run or supervised hospitals still do not have positions for the hospitals. MOHP in its policy document has not mentioned anything about the hospital managers (MOHP,2004). However, the private hospitals have started hiring them which is still out of the government policy (Thapa, 2010). Nepal is an underdeveloped country where the literacy rate is only 62.7% for male and 34.9% for female as per the report of census 2001 (CBS, 2001). It means still 64.1% women are out of literacy coverage. Nepal has poor health facilities all over the country except in capital Kathmandu and other urban areas. Most of the doctors are not willing to go to the rural areas hospitals and they are often running without (qualified) doctors (Dixit, 2005). In conclusion, the poor socio-economic conditions, hard geographical conditions and lack of awareness of the people and traditional beliefs and superstitions, lack of will in the political parties and their leaders are the main burning issues for the improvement of health sector in Nepal (Chaulagain, 2004). These all are problems associated with the hospitals and ultimately with their management. The factors associated to hospital management are still not uncovered in Nepal (Thapa, 2010). So, it Purpose of the study As mentioned above, it has been obvious that Nepal is facing the problems to strengthen the management of the health sector. The documents are not found to have been lacking regarding the strategies and policies on the health management. So, the proposal aims to identify the hindering factors affecting the hospital management in Nepal. It will study the existing policies and strategies of the government of Nepal on hospital management, international principles, theories and practices on hospital management and identify the factors which are affecting the betterment for hospital management sector of Nepal. So, the purpose of the study is to identify the hindering factors of hospital management in the case of Nepal and suggest the concerning authorities about improving the hospital management system, formulating the policies and implementing them. This proposal will analyse the strength and limitations of the hospital management system in Nepal and help all the concerned to mitigate and minimize them. Main research question The study can not answer all questions that come on surface while studying about the issue. So, to narrow down the study area and sharpen the focus, the study has defined the main study questions as follows:- What are the hindering factors that effect the hospital management in Nepal? Subsidiary Questions To supplement the main research question, these questions are defined as subsidiary questions as follows:- What will be the appropriate modality or best practices of hospital management that are applied in the world by other countries and What are the factors that are hindering in the betterment in the hospital management in Nepal? What is the most influential factor to promote the hospital management in Nepal? Hypothesis Lindsen and Jong (2005) have defined hypothesis as an alternative explanation of residual switch trial costs or, more precisely, of the empirical finding that the repetition trial (RT) distribution for switch trials with a long preparation intervals can be modelled as a mixture of the RT distributions for repetition trials and for switch trials with a short preparation interval (Lindsen and Jong, 2010). In here, the hypothesis tries to establish an alternative factor that might be supposed to be the commonest hindering factor for the management of hospitals in Nepal. The hypothesis taken here is the lack of professionalization of hospital managers or the persons who are involved in the management of either government run or private or community run hospitals in Nepal is the most influential limiting factors in hospitals in Nepal. Significance of Study As mentioned above there are no special policies and practices established for hospital management in Nepal. The hospitals are managed by the medical doctors or surgeons so far (MOHP, 2004). The doctors are not entitled to diagnose the patients, treat them, run medical and surgical and public health cams campaigns in the hospitals or in the periphery of the hospitals. The Medical council is liable to assign the job responsibilities of the doctors in the case of Nepal. But it has not mentioned about the management part of the hospital and its regulation, Nepal Medical Council Act, 1964 (amended in 2001).It does not speak who is responsible for that (Nepal Medical Council, NMC, 2001). There is no one professionally responsible for the hospital management in the present context. In the country where the government policy about the medical sector does not speak about the role of hospital management, it becomes obvious that the hospital management sector is not running smoothly. No presen ce of the monitoring body to supervise and evaluate the hospital management is found in the present documents whether published by the government or private organizations. So, the studies significance is in establishing the fact what are the main barrier and other minor barriers in the hospital management of Nepal. That is why this study is has a significance value. Literature Review 2.1 Concept of Hospital Management Hospital management provides a direct link between health care facilities and those supplying the service they need. This enhances the capacity of deciding and managing hospitals and health care centres and all other health care providers and other health care industries (Hospital management.net, 2011). The discipline hospital management is found to be conceptualised from the WHO Ottawa Charter for Health Promotion in 1986. It was introduced in the name of Health Promoting Hospitals (HPH) in the beginning since hospital was regarded a mean of health promotion. So, this concept is only 25 years old and newer to other disciplines. The Ottawa Charter recognised five areas of hospital management i.e. health promoting hospital setting, health promoting workplaces, the provision of health related services, training, education and research. It has identified the hospital sector as the change agent and advocate for health promotion (WHO, 2011). From the declaration of WHO, it becomes obvious that hospital is not only a place of treating the patients, but also a place where the activities for health promotion are run, all heath services are provided, trainings are conducted, education is given and researches are carried out. It rules out the understanding of the government on hospitals. Th e Bir Hospital, which is one of the units or part of the Ministry of Health and Population and the biggest government run hospital (MOHP) of Nepal has defined Bir Hospital only as a treatment and diagnosis service centre. In this definition, the other four parts defined by the Ottawa Charter are missing. However, it adds something in its website as its activities. According to it, Bir Hospital offers training to the students through its Post Graduate programme of its Medicine School (Bir Hospital, 2008). It clearly shows that the government of Nepal has some how realised the integrated approach of the hospitals, but not mentioned in its policy or strategy. There seems a gap between the Ottawa Charter and the understanding of the Government of Nepal in terms of its concept. National Health Service (NHS) of the UK has presented a model of its Week Hospital in its journal. It says that it has developed and validated an innovative integer programming model, based on clinical resources allocation and beds utilization. According to NHS, the model aims at scheduling Week Hospital patients admission/discharge, possibly reducing the length of stay on the basis of an available timetable of clinical services. The performance of the model has been evaluated, in terms of efficiency and robustness, by considering real data coming from a Week Hospital Rheumatology Division. The experimental results have been satisfactory and demonstrate the effectiveness of the proposed approach (NHS, 2011). We can see the factors that contribute in hospital management by this example mentioned above. The hospital management has become an emerging field in India, the neighbouring of Nepal and a developing country in the south Asian sub-continent. India education in its home page of its website says that hospital management and administration has become a priority and importance for healthcare industry and providing health and hygiene care in India. The government of India is paying attention on providing healthcare in both rural and urban areas by improving the management of the hospitals. It further adds that hospitals are expected to deliver quality service 24 hours a day at a minimal cost. The urgent nature of its work and the level of efficiency that is expected have increased the need of well-formulated hospital management system throughout the world (India Education, 2011). It shows that India has seriously taken the hospital management stream to upgrade the quality of the service delivery of the hospitals in India. These literatures presented above describe the concept of h ospital management. 2.2 Benefit of Hospital Management Worlds renowned management Guru Peter Drucker developed the concept of Management by Objective (MBO) in 1954. He has defined MBO as a systematic and organised approach that allows management to focus on achievable goals and to attain the best possible results from available resources. He has further said that the strong management system of the organization increases its performance by aligning the goals and subordinate objectives through out the organization. He adds that the employee get strong input to identify their objectives and timeline for completion. He has described the benefits of management to have supporting in setting objectives, organising groups, motivating and communication, measuring performance and developing people ( Peter Drucker,1954). NHS has defined its hospitals as organizations where high qualities of health care services are delivered to the clients (NHS, 2011). So, all the theories of the organization may be applied in hospitals and the importance of the hospitals may be assumed based on the benefits of a good management system as described Drucker. So, it has become obvious that to achieve the goals of the nation, the hospital management sector should be regarded as an important discipline in the context of Nepal as well. Limitations of Hospital Management Management is not a solution, but only the means of the solution which organises the resources in a proper way. For the effective management, every surrounding factor should be appropriate. Verzuh (2001) has identified five sectors that are required for effective management. They are good agreement between service providers and clients, an effective and realistic plan, constant and effective communication, a controlled scope and upper management support (Verzuh, 2001). Hospital as an organization can not provide its best services if the factors mentioned above are not available. In Nepalese context, the hospital management can not take the hospitals in the position to achieve its goals until there is an effective service giving and taking culture, until the planning body is capable enough, until the inter and intra organizational communication is strongly developed and there is a political commitment to prove upper support toward the bottom. So, these are the limitations of the hospi tal management. Barriers of Hospital Management in Nepal Nepals literacy rate is low, the national income and per capita income is also low. The difficult geographical situation is not also favourable for rapid development in Nepal. The socio-economic development is far behind as compared with other developed and even with developing countries (Dixit, 2005). As mentioned above, financial strength, political commitment, social culture and context need to be favourable for the good management of every development sector and the hospital is not an exception. The people can not consume the facilities well if they are not aware about the facilities they have been provided with (Thapa, 2010). But hospitals are managed by the Department of Health Services under the Ministry of Health Population and the, So, for the hospital management, this context has become a barrier. Hospital management practice in different countries i.e. Nepal, USA, UK, India, Japan and Thailand Hospital management is a new discipline. In Nepal, the Pokhara University strated Hospital Management course in 2001 only. Then it has put a milestone in the way of hospital management. Then some private hospitals have started to recruit hospital managers due to its influence and the government is in the way to start thinking on the need of separate hospital management stream under the health service (NOC, 2011). In USA, the hospitals are governed by the United States Department of Health. Its history goes to 1798 from when USA has started on managed health service (USDHHS, 2001). UK established National Health Service ((NHS) in 1948 from which it has been running the hospitals. All together, 12000 doctors are working in its hospitals all over the UK (NHS, 2011). Ministry of Health and Family Welfare is responsible for hospital management in India. It has Department of Health and National Rural Health Mission for managing the hospitals (Ministry of Health and Family Welfare, India, 2011). Likewise, Ministry of Health, Labour and Welfare looks health activities in Japan. It has Health Policy Bureau under the ministry and it looks after the hospitals and it has prepared a policy to manage the hospitals properly (Ministry of Health, Labour and Welfare, 2011). In Thailand, Ministry of Public Health looks after the hospital management. Under the ministry, there is Department of Health and under th is, there are 9n divisions. They are supporting the hospitals for their management in an integrated way (Department of Health of Thailand, 2011) 2.6 Previous empirical research findings on challenges in hospital management The Hospital; of St Raphael in UK has written in its website about the challenges it suffering in terms of the management. It says that the demand is growing and the challenge is increasing. Patient satisfaction concerns, hospital management demand, smart mind and smart technologies to keep healthcare system smoothly are the challenges seen in the present context. Likewise, recruiting hospital management and their turnover are other challenges (St Raphael Hospital, 2011). In Nepal context, There are no special resources are found either in published copies or in the websites. The National Open College has written about the importance of the Hospital Management course which is like an advertorial (NOC, 2011). But it does not speak about the challenges of the hospital management. So, relevant literatures are not enough as per the topic. Discussion and Conclusion After studying the literature and analysing the present hospital management system in Nepal, the points come into mind to be discussed:- The Government of Nepal has still not considered the hospital management as a separate sector. There is a lack of Hospital management professionals. There is no proper policy addressing hospital, management issues in Nepal. Hospital management sector has not been regarded as an integrated issue so far. Public and private sector are also not actively participating for the professionalization of hospital management human resources. In conclusion, we can say that hospital management is a new discipline. The developed countries like UK have already started to think on the management issues of hospitals as a separate sector. But in Nepal, the hospital management sector is not visible separately and it has not been regarded as a separate need or requirement. The hospital has not felt the need of hospital managers to manage the hospital smoothly. Lack of awareness, culture and customs low literacy rate, low income and difficult geographical situation are the factors which are hindering the hospital management sector to grow and become strong. Methodology 3.1 Instrument The study was carried out by using systemic literature review method. The literatures were searched in the website of the Universities of UK i.e. Bournemouth. The Medical Journal of America and USA were searched. The government policies of NEPAL, India, USA, Japan, Thailand and UK were other sources. The documents were collected, materials were searched and the materials retrieved were analysed before applying them in this search. The WHO website and other journals were considered as most reliable sources. Library use was the mostly used mean for search and writing the paper. This study will apply qualitative methodology to find the hindering factors of hospital management in Nepal where face to face interviews will be arranged during this study. 4 Conclusions The hospital management is a new term which is derived from the separate words hospital and management. Hospital is a mean of healthcare delivery while management is a way to utilize the resource in an efficient way. The hospital management is not very old concept in even in the developed countries while the countries while Nepal is very far behind in the development of this sector. Lack of professionalization of the existing human resources, less availability of skilled human resources, poor socio-economic situation, low interest of government towards the hospital are the hindering factors for the development of hospital management in Nepal. These all information was collected through literature review available in the library and websites developed by the governments, universities and academic institutions. It recommends the government of Nepal to recognise the hospital management as a separate and independent discipline under the health service. It suggests the academic institutions to focus on the development of hospital management professionals in their course and curriculum. It also suggests the private sector involved in running private hospitals in Nepal to start hospital management principles in their management.