Friday, December 27, 2019
Health Policy Of Heart Disease And Stroke - 806 Words
Health Policy of Heart Disease and Stroke Ann B. Hamric et al ( 2014) described policy as the ââ¬Å"authoritative decisions pertaining to health or health care, made in the legislative, executive, or judicial branches of government, that are intended to direct or influence the actions, behavior or decisions of citizensâ⬠(p.580). Health care policy should be able to increase access to health care, improve quality of care, and most important shows transparence on cost effectiveness (2014). Leading Cause of Death Although many interventions in medicine and clinical have been created by the county, state, and federal levels to improve the risks of heart disease and stroke, these chronic diseases continued to be at the epidemic level. It has been declined in the past few years; however, still nationââ¬â¢s leading health concern. The life expectancy in Florida still low but has increased 2.9 years according to the Florida Department of Health (2014). Public Policy Approaches To maximize the effectiveness of the State Public Health actions to prevent and control heart disease and stroke; funding has been allocated to prevent, manage, and reduce the risk factors associated with these chronic diseases, which including childhood and adult obesity, diabetes, and hypertension. Even though policy and legislation have impacted on public health activities for example surveillance, public health education, and preventive services; State public health and health care professional mustShow MoreRelatedThe Heart And Stroke Diseases1347 Words à |à 6 Pages Heart and stroke diseases are claimed to be caused by unhealthy behavioural habits, however research evidence has shown that the actually causes of heart and stroke diseases are contributed to low income. 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According to the Centers for Disease Control and Prevention (2013), ââ¬Å"high cholesterol is a major risk factor for heart disease which is currently the leading cause of death in the United States.â⬠Preventive recommendations for cholesterol screening among young adults vary, but most experts agree on the need to screen young adults who have other risk factors for heart disease or stroke such as obesity, smoking, high blood pressure, diabetes, and factors tiedRead MoreCardiovascular Disease : The Common Health Issue Among Maori Essay1575 Words à |à 7 Pagesof a health issue relevant to Maori population. I identified cardiovascular disease as the common health issue among Maori. The essay explores the details of CVD and relevant demographics. The importance of treaty of Waitangi in this contest and the historical f actors relevant to CVD are explained. 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CVD relates to damage of the heart including heart failure, stroke and the build-up of plaque in the arteries. Approximately one in five people currently living in remote and rural areas suffer from CVD (World Heart Foundation, 2012). A remote and rural area is classified as an area outside of the metropolitan region. Generally, populations in such areas consist of between 5 000 and 100 000 people. (Australian Institute of Health and Welfare, 2016). 29 percentRead MoreThe American Heart Associations Website: Credibility Assessment738 Words à |à 3 Pagesand evaluate a health-related website within the domain indicated as heart.org or heart.gov. This study will provide empirical evidence to support the website as a credible source for inclusion in a scholarly assignment. Introduction The American Heart Association website, located at www.heart.org/HEARTORG is a website with information on acquiring good health, heath conditions and researcher, caregiver, educator as well as CPR and ECC information. The purpose of the American Heart Association websiteRead MoreScholar Practitioner Project Paper1686 Words à |à 7 Pagesassessing the increasing burden of chronic diseases in counties across California, findings revealed that although San Diego county comprised 9% of the state population, San Diegans incurred nearly 15% of total expenditures for direct medical care of chronic diseases in the state of California. This report indicated that chronic diseases- cancer, heart diseases/stroke, pulmonary disease, diabetes, mental disorders and hypertension, likely contributed to chronic diseases becoming the leading cause of death
Thursday, December 19, 2019
Supply Chain Management And Logistics, Selma. As One Of
Supply Chain Management and Logistics, Selma As one of the worldââ¬â¢s leading security company, Northrop Grumman is striving to keep up with its fast-growing scope. One of Northropââ¬â¢s main secrets in providing top notch capability and cost efficiency to its customers is making their supply chain management and logistics the companyââ¬â¢s priority. Northrop has three large different supply chains concentrating on aerospace systems, mission systems and technology services. Aerospace Systems The mission of this business sector is to keep our world safe. Northrop Grumman Aerospace Systems is a primary developer and supporter of manned and unmanned aircraft, spacecraft, and high-energy laser systems. Furthermore, the Northropââ¬â¢s Aerospace Systemââ¬â¢sâ⬠¦show more contentâ⬠¦Furthermore, the company is working on aligning its Enterprise Resource Planning (ERP) Systems and creating centers of excellence that are working on tweaking the supplierââ¬â¢s relationship by setting common goals and expectations between Northrop and its suppliers. Operating Performance, Selma In 2016, Northrop Grumman has scored its eight-consecutive year of outperformance versus the SP 500, one of the most accurate gauges of the U.S equities performance. Moreover, in the previous year, sturdy operational performance and effective cash utilization together generated 7% diluted earnings per share (EPS) growth and 30.5% total shareholder return (TSR). In addition, the company have slashed another year of outstanding performance in 2016. According to the 2017 Proxy Statement, Northrop has ended the 2016 year with a 4% increase in sales. In addition, in 2016 the company has recouped $ 202 million of Free Cash Flow from the previous year despite of the increase of its Capital Expenditures by $239 million. Northrop derives its operating income from five core capabilities: cyber, logistics, autonomous systems, C4ISR and strike Cyber Due to todayââ¬â¢s ongoing conflicts and the rapid change of technology, Cyber has been one of the most challenging programs for Northrop. Furthermore, the full-spectrum cyber solutions delivered by the company are crucial to our national security. Northrop is benefiting from being one of the major
Wednesday, December 11, 2019
Co-Sourcing/Out-Sourcing of Internal Audit Activities
Questions: 1. Critically evaluate methods of planning and organising efficient operations and networking.? 2. Analyse the problems of controlling component activities and of controlling quality? 3. Critically discuss methods of project evaluation and of scheduling resources ? Answer: Introduction: In business environment, the process of outsourcing refers to the process of contracting out a part or whole of the business process(s) to yet another organization: the entire process also being referred to as business process outsourcing. The American phrase 'outside resourcing' can be considered as the concept behind the terminology "outsourcing" and it is assumed to date back to 1981, if not before (Abdolmohammadi, 2012.). The word outsourcing literally refers to the usage of outside resources and/ or domain experts in order to develop, design and produce goods, thus assisting the process of growth of an organization. Outsourcing should be viewed as the assistance that an organization accepts from an intermediary organization, which has an improved capability or is much more familiar to certain principles and/ or practices that the organization has planned to incorporate: it is just another way of referring to the experience and knowledge base of a domain expert in the organizatio nal level (accaglobal, 2015). In this paper, the various aspects associated with the outsourcing of products and/ or services of the Shell UK have been described in details. Outsourcing products and/ or services: These days most of the organizations that specialize in the production of software and/ or hardware products are under the constant pressure of developing new goods and/ or services and make them available to the clients. The new products that are being developed aim at keeping the already existing products in line with the innovative technologies that are being introduced in the market. The process of matching up the existing products with the latest technologies available puts tremendous pressure on the organizations to manage the pre and post developmental phases using precise and accurate project plans. In order start the production of new service and/ or products, a reasonable and accurate project plan needs to be chartered out much before the execution and/ or development phase starts to come up with new products. The project plan being developed should also be able to provide an estimation of the delivery time of the project and the resources required to develop the product. H owever, most of the times the manufacturing organizations lack the various information technology supports the design, development, production, management and/ or testing of new products requires: others lack the services that are required for the procurement of services and gods that will be indirectly consumed by the production process. Under such situations, the service and/ or product manufacturing organizations plan to outsource some of their business processes to other organizations (Brege, Brehmer and Lindskog, 2010). Since the activities related to the production of products are one of the core functionalities of nay organization, outsourcing this particular activity will inevitably lead to a huge change in the organizational level: such changes might also lead to disruptions in the relationships that the organization has with its vendors. Thus organizations in most of the cases do not go with the ideas of outsourcing their production operations to other third party organizations. However, in cases where the production company faces trouble with the procurement of goods and/ or services required for the purpose of production, they are able to outsource their entire procurement management system to other third party vendors (Bryant, 2011). SHELL: Background of the organization The Royal Dutch Shell plc, which is famously known as Shell, is originally a Denmark based company that operates in the industry of gas and oil (Shell in UK, 2015). The organization has its headquarters in Netherlands: however the company itself has been incorporated in the United Kingdom. The company was originally established by the merging process of the United Kingdom based transport company Shell Transport and Trading and the Royal Dutch Petroleum: the Royal Dutch Shell plc thus formed has been placed at the fourth position in the list of large companies, that was released in 2014, the list being created on the basis of the revenue generated by such companies. The Royal Dutch Shell plc is also considered as one of those six companies of the gas and oil industry that are considered as "super-majors". The organization being considered is also one of those companies in this world that are immensely valuable. As released to the press in January 2013, the largest number of shares of this company are held by the Capital Research Global Investors, who hold as much as 9.85 percent of the shares of the organization. Next in line is BlackRock an organization that holds as much as in 6.89 percent of the shares of Shell. In the year 2013, the Fortune Global published a list of the top 500 largest companies of the world: a list which was topped by Shell. In the very same year, the revenue generated by the organization was officially as much as 84% of the total GDP of Netherland, which was estimated to be $555.8 billion. Operations of the organization Shell operates in the oil and gas industry, its fundamental activities being concerned with the operations of exploration of oil and its production, the process of refining the crude oil and the marketing and distribution of the finished product thus produced. The organization is also involved in the petrochemical industry: which is a direct by product of petroleum. The company also operates in the industry of power generation and/ or marketing. Shell also has a very few operations in the industry of renewable energy, where the company mainly utilizes the renewable sources like wind energy and/ or bio-fuels. The company operates in as many as 90 countries, and has a production rate of 3.1 million oil barrels. Needless to say, all the operations of this organization are entirely based on the production of oil and natural gas. In fact, the Shell Oil Company is a subsidiary company of this organization, which is located in the United States and generates the largest amount revenue of th e entire organization. Outsourcing the operations As the core operation of the company is the drilling and production of oil from the oil wells, this is one aspect of their operations that they cannot afford to outsource. Most of the organizations that operate in the production domain outsource their procurement management systems to various vendors and/ or third party solution providers: procurement being the operation of purchasing and/ or sourcing the various materials and/ or services that are consumed by the organization for the purpose production. Shell would possibly be not able to do the same, because at the very first place the raw materials used by the company need not be procured (Gangadharan and Fielt, 2010). Secondly, as the mechanisms, tools and technologies that are used for the production purpose are highly sophisticated and the entire process of production is dependent on these machineries and technologies, the management of the organization would be unwilling to outsource the procurement of these technologies to th ird party vendors. Through the process of procurement outsourcing, an organization basically relinquishes its hold and control over all the business processes and/ or activities associated with the procurement process: a situation that the Royal Dutch Shell plc would no doubt indulge in, especially in case of the machineries they use, as any minor mishap in the procurement outsourcing process might jeopardize their operations (Fhinnovation, 2015). The only set of operations that the Royal Dutch Shell plc might outsource belongs to those set of activities that are used to maintain all the data that is used by the organization on the daily basis and the various services that are required for this purpose. As the entire process of document management is carried out by various information technology processes, the organization being a production based company would require to put in a huge amount of effort in marinating the documentation process by themselves; thus they should indulge in outsourcing this portion of their operations to any such third party vendor that operates in the field of information technology (Joha and Janssen, 2012). Almost 90,000 shell employees located in over 60 countries uses SAP based utilities to perform their assigned responsibilities. The company, by outsourcing their documentation management system to third party IT solution providers will not only be able to provide mush help to these functionalities, but should also be able to efficiently manage the various activities that are being used by these employees (University, 2015). It is recommended that the Royal Dutch Shell plc should not only outsource their SAP based human resources and/ or payroll management systems to third party vendors, but should also outsource the various services associated with that of application maintenance, like preventative maintenance, documentation management, data archiving and/ or change management (Themanager, 2015). Decision logic matrix: Where, the part of the matrix shaded wit red indicates those operations that should be retained, the green area shows the operations that can be outsourced and the yellow area shows the operations which should be management using a strategic alliance (Management, Procurement and Law: Referees for 2010, 2011). Performance Objectives: The performance objectives being considered are: Control over core operations: Since the documentation management and other IT based services are not core to the company, outsourcing them would not be present a control issue (Oduk, 2013). Content of intellectual property: The services being outsources cannot be considered as an intellectual property of the organization, hence can be safely outsourced (Pm4id, 2015). Technology level: The level of technology used by third party information technology solution providers is much higher than that being implemented by the Royal Dutch Shell plc; thus outsourcing these services to them should be considered as a rightful decision (Saccani, 2012). Cost factors: It is estimated that by outsourcing the various information technology based services to the third party vendors that operate in the Asian and/ or Eastern European countries, the company will be able to reduce as much as about 70 to 75 percent of the revenue that the company now has to spend on such purposes. Thus, the process will actually be economical towards the operational activities of the organization (Sako, 2010). Operational or Creative: The information technology based services that are being outsourced are merely operational functionalities of the organization; these activities do not include any creative aspect of the organization. Thus the functionalities can be safely outsourced to third party IT vendors (Scm.ncsu.edu, 2015). Risk Analysis And Mitigation: Risk 1:Failure in the assessment of which system to be outsourced Analysis of Risk Without Controls Likelihood Consequence Risk Level Unlikely Extreme major Description of Controls The requirements of the project should be discussed several times between the various managerial positions of the company. Analysis of Risk with Existing Controls Likelihood Consequence Risk Level Rare Extreme Significant Risk Acceptance Accepted Accepted with Existing Controls Not Accepted Not Accepted Explore Treatment Options Reasons: Such a situation would lead to the failure of the entire project. Risk 2:Failure in consideringthe various objectivesthat are associated with the outsourcing decision. Analysis of Risk Without Controls Likelihood Consequence Risk Level Unlikely Extreme major Description of Controls The requirements of the project should be discussed several times between the various managerial positions of the company. Analysis of Risk with Existing Controls Likelihood Consequence Risk Level Rare Extreme Significant Risk Acceptance Accepted Accepted with Existing Controls Not Accepted Not Accepted Explore Treatment Options Reasons: Such a situation would lead to the failure of the entire project. Risk 3:Not choosing the best suited third party vendor for the outsourcing process. Analysis of Risk Without Controls Likelihood Consequence Risk Level Unlikely Extreme major Description of Controls The profiles of the third party IT vendors being considered for outsourcing should be checked meticulously, times and again. Analysis of Risk with Existing Controls Likelihood Consequence Risk Level Rare Extreme Significant Risk Acceptance Accepted Accepted with Existing Controls Not Accepted Not Accepted Explore Treatment Options Reasons: An inexperienced organization might not be able to deliver the solution at right time or might even deliver faulty services. Conclusion: The various aspects that the Royal Dutch Shell plc should consider for outsourcing their operations have been discussed in this report. It has been recommended that instead of outsourcing the activities related to procurement or production, the company should outsource their IT services to third party vendors in order to efficiently support their operational activities, by concentrating on their core functionalities. References: Abdolmohammadi, M. (2012.). Correlates of Co-Sourcing/Out-Sourcing of Internal Audit Activities. SSRN Journal. accaglobal, (2015). [online] Available at: https://www.accaglobal.com/content/dam/acca/global/pdf/sa_nov11_outsourcing.pdf [Accessed 3 Jul. 2015]. Brege, S., Brehmer, P. and Lindskog, H. (2010). Sourcing, insourcing and two times outsourcing: four phases of procurement of telecommunications services within the Swedish public sector. Strat Outs, 3(2), pp.144-162. Bryant, R. (2011). Outsourcing and Contract Services. Journal of Biomolecular Screening, 16(10), pp.1256-1259. Fhinnovation, (2015). Outsourcing Performance Management Strategies. [online] Fhinnovation.com. Available at: https://www.fhinnovation.com/outsourcing-performance-management-strategies/ [Accessed 3 Jul. 2015]. Gangadharan, G. and Fielt, E. (2010). Analyzing Requirements and Approaches for Sourcing Software Based Services. International Journal of Applied Logistics, 1(2), pp.53-63. Joha, A. and Janssen, M. (2012). Transformation to Cloud Services Sourcing: Required IT Governance Capabilities. ICST Transactions on e-Business, 7-9(1), p.e4. Management, Procurement and Law: Referees for 2010. (2011). Proceedings of the ICE - Management, Procurement and Law, 164(2), pp.108-108. Oduk, (2013). F actors Influencing Outsourcing at Kenya Union of Savings a nd Credit Cooperatives. International Jo urnal of Business and Commerce, 3(1). Pm4id, (2015). 9.6 Procurement Process. [online] Pm4id.org. Available at: https://pm4id.org/9/6/ [Accessed 3 Jul. 2015]. Saccani, N. (2012). Servitisation strategies and sourcing decisions for product services: an exploratory study. International Journal of Industrial and Systems Engineering, 10(3), p.336. Sako, M. (2010). Outsourcing versus shared services. Commun. ACM, 53(7), p.27. Scm.ncsu.edu, (2015). Role of Procurement within an Organization: Procurement : A Tutorial - SCM | Supply Chain Resource Cooperative (SCRC) | North Carolina State University. [online] Scm.ncsu.edu. Available at: https://scm.ncsu.edu/scm-articles/article/role-of-procurement-within-an-organization-procurement-a-tutorial [Accessed 3 Jul. 2015]. Shell in UK, (2015). Shell in UK. [online] Shell.co.uk. Available at: https://www.shell.co.uk/ [Accessed 3 Jul. 2015]. Themanager, (2015). Outsourcing - Operations - Management Portal. [online] Themanager.org. Available at: https://www.themanager.org/Knowledgebase/Operations/Outsourcing.htm [Accessed 3 Jul. 2015]. University, C. (2015). HSC Online - Part 4 Operations Strategies. [online] Hsc.csu.edu.au. Available at: https://hsc.csu.edu.au/business_studies/operations/4410/Part%204%20Operations%20Strategies.htm [Accessed 3 Jul. 2015].
Tuesday, December 3, 2019
The fun they had Essay Example
The fun they had Paper The events of this story take place in distant future, 2157. There are no real schools here, the books printed on paper are replaced by screen books and human teachers are replaced by mechanical ones. The hero of this story Tommy once finds a very unusual book in which words are static. This book describes a school from centuries earlier, where children used to gather in one large building to be taught by a real person. Margin, Tommys younger friend, is very curious, but her mother calls her because it is time for school, where she will be taught by a robot. So, the problem raised by the author in this text is about modern technologies and their influence on people. The extract is written in the form of the third person narration, the narrator doesnt participate in the actions but knows everything about the characters. The narration here is combined with dialogue which takes the most part of the story. The general slant is lyrical and a bit sentimental. Tonality in the story is rather bright and emotional as here is displayed the communication of the children. From the point of view of its composition this text may be vided into four parts: exposition, plot-development, climax and denouement. In drawing the main characters the author resorts to the indirect method of characterization. The author doses ; t state what the characters are like, they are revealed through their dialogues, actions and thoughts. Tommy is 13 year old boy who leaves an impression of serious and curious child. But in his dialogues with Margin he seems quite arrogant. He finds his superiority in the facts that he is older, cleverer and moreover he is the one who found their little treasure a real book. We will write a custom essay sample on The fun they had specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The fun they had specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The fun they had specifically for you FOR ONLY $16.38 $13.9/page Hire Writer As for eleven year old Margin she also seems to be curious and thoughtful and her failure with the tests in geography is caused by her negative attitude to the modern way of teaching. The first part of the story is rather small and it states the Tommys discovery of the book. Then comes plot development where this book is described. The words stood still in it instead of moving like on a screen. The indirect onomatopoeia à «crinkly pagesà » underlines its antiquity. Tommy ; s euphemism à «Geeà » shows us his astonishment about this discovery. When Margin gets to know that it s about school she becomes scornful as she hates school. The parallel constructions à «Margin always hated school, but now she hated it more than everà », à «test after test in geography and she had been doing worse and worseà » emphasize her irritation towards the mechanical teacher. It is evidently contrasts with the County Inspector who comes to repair it. He was a round little man who smiled at Margin, patted her head, gave her an apple and took the hateful teacher apart. The gradation large ND black and ugly once more stresses Margin s attitude towards the mechanical teacher and her unwillingness to be taught by it. So she asks Tommy why would anyone write about the school. Tommy looks at her with very superior eyes, this epithet and his colloquial stupid, his reference to Margin, proves the boy s arrogance. He answers that this is old kind of school where a teacher was t regular, it was a man. And here the story reaches its climax. Margin is very surprised about it, she says that a man sin t smart enough and that she doses t want a strange man in her house. Tommy screams with laughter, that shows his attitude again and tells Margin about special buildings where kids were taught together. Margin is amazed about all this facts and wants to read more. The denouement comes when Margin ;s mother calls her to go to school. In the classroom the girl thinks about the kids of the old kinds of schools, about the fun they had and we can see that she really envies them. By using informal vocabulary, colloquial words and short simple sentences the author draws the characters of the children and creates unconstrained mood.
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