Monday, August 19, 2019
On March 5, 1770 a fight broke out in the streets of Boston, Massachusetts between a patriot mob and British soldiers. Citizens attacked a squad of soldiers by throwing snowballs, stones and sticks. British Army soldiers in turn killed five civilians and injured six others. The presence of British troops had been stationed in Boston, the capital of Province of Massachusetts Bay since 17681. The British existence was increasingly unwelcome. The British troops were sent to Boston in order to protect and support the crown-appointed colonial officials attempting to enforce unpopular Parliamentary legislation. Boston, the capital of the Province of Massachusetts Bay and important shipping town, was a major center of resistance to unpopular acts of taxation by the British Parliament in the 1760s2. In 1768, the Townshend Acts were placed upon the colonists, by which a variety of common items that were manufactured in Britain and exported to the colonies were subjected to import tariffs3. The Massachusetts House of Representatives began a campaign against the Townshend Acts by sending a petition to King George III asking for the repeal of the act. The House also sent what became known as the Massachusetts Circular Letter to other colonial assemblies, asking them to join the resistance movement, and called for a boycott of merchants importing the affected goods. As a response, Lord Hillsborough, who was the leader of the office of Colonial Secretary, was forced to take action. In April 1768, Hillsborough sent a letter to the colonial governors in America instructing them to dissolve the coloni al assemblies responsible for the repeal4. When the house of colonial governors refused to comply and rescind the letter. Hillsborough then stated... ...An Account.Ã¢â¬ Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 14. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. Ã¢â¬Å"The Boston Massacre Trials: An Account.Ã¢â¬ Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 15. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. Ã¢â¬Å"The Boston Massacre Trials: An Account.Ã¢â¬ Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 16. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. Ã¢â¬Å"The Boston Massacre Trials: An Account.Ã¢â¬ Accessed 05, 2001. 17. Kidder, Frederic. History of the Boston Massacre. Munsell, 1870. 18. Zinn, Howard. A PeopleÃ¢â¬â¢s History of the United States. New York: HarperCollins, 1999. The Boston Massacre Essay -- Boston Massacre Essays On March 5, 1770 a fight broke out in the streets of Boston, Massachusetts between a patriot mob and British soldiers. Citizens attacked a squad of soldiers by throwing snowballs, stones and sticks. British Army soldiers in turn killed five civilians and injured six others. The presence of British troops had been stationed in Boston, the capital of Province of Massachusetts Bay since 17681. The British existence was increasingly unwelcome. The British troops were sent to Boston in order to protect and support the crown-appointed colonial officials attempting to enforce unpopular Parliamentary legislation. Boston, the capital of the Province of Massachusetts Bay and important shipping town, was a major center of resistance to unpopular acts of taxation by the British Parliament in the 1760s2. In 1768, the Townshend Acts were placed upon the colonists, by which a variety of common items that were manufactured in Britain and exported to the colonies were subjected to import tariffs3. The Massachusetts House of Representatives began a campaign against the Townshend Acts by sending a petition to King George III asking for the repeal of the act. The House also sent what became known as the Massachusetts Circular Letter to other colonial assemblies, asking them to join the resistance movement, and called for a boycott of merchants importing the affected goods. As a response, Lord Hillsborough, who was the leader of the office of Colonial Secretary, was forced to take action. In April 1768, Hillsborough sent a letter to the colonial governors in America instructing them to dissolve the coloni al assemblies responsible for the repeal4. When the house of colonial governors refused to comply and rescind the letter. Hillsborough then stated... ...An Account.Ã¢â¬ Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 14. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. Ã¢â¬Å"The Boston Massacre Trials: An Account.Ã¢â¬ Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 15. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. Ã¢â¬Å"The Boston Massacre Trials: An Account.Ã¢â¬ Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 16. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. Ã¢â¬Å"The Boston Massacre Trials: An Account.Ã¢â¬ Accessed 05, 2001. 17. Kidder, Frederic. History of the Boston Massacre. Munsell, 1870. 18. Zinn, Howard. A PeopleÃ¢â¬â¢s History of the United States. New York: HarperCollins, 1999.
Sunday, August 18, 2019
An Unforgettable Person Parents areÃ¢â¬âor should beÃ¢â¬âthe teachers of their children in many areas, a natural relationship of handing down what they have learned to their offspring. But there is something special about the profession of teaching where an individual chooses to make an impact on students ,they hardly know on Day 1 of class and yet they have a goal of sending those young faces on their way to a well-rounded education in the 180 or so days they will have them in his or her care. At Vikas junior college, more teachers continued their influence on my life, and many of them have enjoyed long teaching careers. Several have retired, but several are still hard at it with the current crop of students The bell rings, and all the students waits for him to come. He is nothing but our math lecturer Mr.P.Ramesh. He is about 6 feet tall, thin man. He dresses himself in formals. He has a good hair style like waveÃ¢â¬â¢s .he is handsome too. His classes are so interesting. All the students get involved to listen to his classes. We never miss his classes. He is very friendly, polite, and casual. He is hailed by many students here and there. ``Hello!'' ``Hi!'' ``Nice to see you!'' Whenever he comes across anyone he knows, he always says hello to them first, wearing a big smile, whether or not they are older or younger than him. In this society where many people often pass by without greeting each other, seeing him might be like seeing an oasis in a desert. He loves childre n in ear...
Saturday, August 17, 2019
Pressure, pain, corruption, and insecurity; imagine dealing with this every moment of your life. In The EnderÃ¢â¬â¢s Game by Orson Scott Card, a young boy genius must take on the weight of the world while dealing with these things. Ender, a nine year old boy, is chosen by the government to go to Battle School, where he must learn to fight and improve his army skills. While heÃ¢â¬â¢s there, he struggles with his own morality and insecurity, and tries to do what other people want him to do. Even though he is so smart that he beats every single challenge presented to him, he had to learn throughout the course of the novel to be self-reliant and try to figure out the truth about his whole training. Although Ender is a boy genius and master tactician, he is easily manipulated and has a tough time dealing with the pressure of the world. EnderÃ¢â¬â¢s clever genius and amazing military skills has made him become one of the most formidable opponents. His ability to use his genius in any situation combined with his great military skills makes him victorious in even some of the most impossible situations, such as when he had to battle against the humongous bugger army on the battle simulator. The bugger army had outnumbered him, Ã¢â¬Å"A thousand to one (696),Ã¢â¬ and he needed to think up of a plan. So Ender decided to do the unthinkable, to take out the enemy permanently. Ã¢â¬Å"Then he whispered a command and the ships dropped like rocks toward the planetÃ¢â¬â¢s surface. They were starships and fighters, completely unequipped to handle the heat of passage through an atmosphere. But Ender never intended them to reach the atmosphere. Almost from the moment they began to drop, they were focusing their Little Doctors on one thing only. The planet itself (701). Ã¢â¬ Ender, at first felt like he wouldnÃ¢â¬â¢t be able to win the battle with so many enemies against him. But he used his clever wit to think of the impossible and use his military skills to take action. He sent the ally ships as close to the enemy planet as possible and then used Little Doctors (Weapons of Mass Destruction) to nuke the whole planet. This decision eliminated the enemy, but it also killed EnderÃ¢â¬â¢s ally command fleet. Ender during the novel showed his great military strength and superior thinking to conquer many of his challenges. He was able to stand up and defeat any bullies who wanted to hurt him, and even with a seemingly useless army he was able to train them using new tactics to win every single battle with them. The final simulator test against the buggers was one of the greatest of his genius military wins, but little did he know that it was just a game. Although Ender is genius in many ways and has great military skills, he is still easily manipulated by adults and starts to crumble under the pressure of the world. Ender throughout the novel has very low self Ã¢â¬â esteem. He just views himself as a tool under other peopleÃ¢â¬â¢s hands. So, when he is given the chance of a two week break, he takes it and has a three month break. He was tired of being pressured to be the best military leader the human world had to offer. He didnÃ¢â¬â¢t believe he could keep enduring, and thought he would fail. On his break, the government got so desperate for Ender they sent his sister to go in and help persuade Ender to keep on fighting. Ã¢â¬Å"Ender insisted that his conversation with you should not be bugged. I promised him it wouldnÃ¢â¬â¢t be, and to help inspire confidence, the two of you are going out on a raft he built himself (546). Ã¢â¬ This scene of the book shows how Ender is still a human being, and everyoneÃ¢â¬â¢s got a cracking point. In able to go on, many of us find it comforting and strengthening when someone says we can do it and inspires us to keep on fighting. Valentine was EnderÃ¢â¬â¢s inspiring push to keep him going, but even she was another tool the government used to manipulate Ender. Ender got manipulated a lot in the novel by adults, especially when he was training in the simulator. The adults acted like it was just a game or challenge, and that Ender was just practicing to face the buggers. But when the final test came and Ender won by destroying the whole bugger race, he realized that the adults lied to him, and it was never just a game. Orson Scott Card illustrated how even the strongest and best of us still has a limit and can crack. Ender proved how he was one of the smartest and most brilliant military leaders alive through his training and thought out decisions in Battle and Command School. He was a genius among geniuses, and always thought of something new and effective. But he too, succumbed under the pressure of the world, and needed inspiration and courage to push through. He became too easily manipulated by adults, which led him to a decision he wish he never made. Orson Scott showed how even the best of us, can give in to the dark and evil intentions of man.
Friday, August 16, 2019
In 21st century Information Technology played an sole function in upper limit of the Fieldss ; nevertheless, health care is one noticeable exclusion. Harmonizing to surveies, U.S. infirmaries and multiple-facility wellness systems are Ã¢â¬Å" merely get downing to round out their clinical webs, but are much farther along than physician patterns. Ã¢â¬ ( David B. Meinert ) While many inmate or infirmary installations migrating from paper charts to electronic records, but a small advancement has been made in the ambulatory or outpatient scene. Vast bulk medical professionals including doctors have been loath to utilize electronic medical records and go on to trust on paper records. Paper medical records are informations rich by nature, but information is hapless as doctors and other wellness attention suppliers have limited clip to delve through volumes of paper to recover information, use it in decision-making and/or portion it with patients. EMR/EHR systems hold enormous promise fo r non merely bettering the measure and quality of clinical informations that can be recorded, but more significantly the ability to entree wellness attention informations to better quality of attention. This survey will seek to see the perceptual experience of medical professionals towards Electronic medical record. Study has been done as a comparative survey among two different types of scenes that is hospital which are utilizing EMR ( paperless infirmaries that is category A ) and infirmaries which are holding their ain information system where the paper-based medical records are scanned and used ( Category B infirmaries ) . Electronic Medical Record ( EMR ) Harmonizing to the Healthcare Information and Management Systems Society ( HIMSS ) , an EMR is a constituent of an electronic wellness record which is owned by the health care supplier. ( Dr. Chris Hobson ) This engineering, when to the full developed, meets provider demands for real-time informations entree and rating in medical attention. EMR besides provides the mechanism for longitudinal informations storage and entree. The content of an EMR is correspondent to the paper record, but the electronic format creates useable informations in medical result surveies, improves the efficiency of attention, and makes for more efficient communicating among suppliers and easier direction of wellness programs. ( Electronic Medical Record: The Link to a Better Future, Texas Medical Association ) Electronic Health Record ( EHR ) is an electronic version of a patient Ã¢â¬Ës medical history, that is maintained by the supplier over clip, These have been used extensively by general practicians in many developed states and include patient designation inside informations, medicines and prescription coevals, laboratory consequences and in some instances all healthcare information recorded by the physician during each visit by the patient. ( Electronic wellness records: manual for developing states. WHO ) EHRs are the following measure in the continued advancement of health care that can beef up the relationship between patients and clinicians.A The informations, seasonableness and handiness of it, will enable suppliers to take better determinations and provide quality attention. For illustration, the EHR can better patient attention by: Reducing the incidence of medical mistake by bettering the truth and lucidity of medical records. Making the wellness information available, cut downing duplicate of trials, cut downing holds in intervention, and patients good informed to take better determinations. Reducing medical mistake by bettering the truth and lucidity of medical records.Background:Hospital information systems ( HIS ) and Electronic Medical Records ( EMRs ) are considered requirements for the efficient bringing of high quality wellness attention in infirmaries. However, a big figure of legal and practical restraints influence on the design and debut of such systems ( Dick RS, Steen EB ) Hence, many EMR execution undertakings do non take at presenting the EMR and extinguishing the paper-based opposite number in one measure ( Laerum H ) . As a start, the EMR is introduced along with its paper-based opposite number, and both are kept updated. In such environments, wellness attention workers have to cover with a intercrossed electronic and paper-based solution. This likely limits the usage of EMR ( Laerum H ) . Furthermore, mistakes are prone to develop due to cumbersome care of the medical record information in double storage media. In many states, most hospital EMR undertakings have non passed beyond this stage ( Dick RS, Steen EB )Electronic Medical Records- the altering tendency:aÃâ ? Paper based records are being bit by bit replaced by computing machine based records ( which is in being in the West since 2 decennaries ) aÃâ ? It has non achieved the same incursion in health care as in finance or other industry. Deployment varies in statesAims:To reexamine already bing information system of both class of infirmaries To happen out existent versus perceptual troubles while utilizing EMR both classs infirmaries To analyze the overall perceptual experience of infirmaries about EMR To mensurate satisfaction from EMR in class A infirmary To bring forth a checklist for bettermentMethodology:Overview: Assorted surveies which has been done globally has been surveies to happen out statement of job, since no such survey has been found in Indian context, so all premises from other states has been considered as relevant. Sing the less version of EMR usage, this survey tries to happen out existent versus perceptual advantages, disadvantages and functionality etc to acquire the clear image. Sample: entire four infirmaries have been selected under two different scenes for comparing. Each scene has two infirmaries of same sort. For easiness both scenes have been given name class A and class B. Class A infirmary are EMR user infirmary while class B infirmary are holding their ain infirmary information system in topographic point along with the paper record. For easiness footings category A and B in whole papers alternatively of EMR user and EMR nonuser infirmaries Sample size: Excluding 4 IT caputs, entire 120 responses has been collected form clinical staffs, which includes physicians, occupants, caputs of sections and nurses etc. Thirty responses from each infirmary have been collected. Questionnaire: questionnaires had been used for roll uping informations from both category infirmaries. Questions are of near ended, rated on the footing of likert graduated table from 1-5. Response recording has besides been done for happening out the jobs, so that better suggestions can be made. Interviewing: in deepness interviews has been taken by IT caputs of all the four infirmaries to understand all the factors from their point of position, and to understand their return on different jobs addressed by their clinical staff. Since none of the infirmary is utilizing EHR, so complete survey had been done about EMR merely. Data aggregation had been done as follows- Questionnaires have been used for roll uping informations from medical staff. In depth interview with IT caputs of all the four sections Reappraisal of literature related to EMR Reappraisal of the literature to understand perceptual experience of medical professionals sing EMR usage. Inclusion standards: to guarantee cogency of sample, two inquiries were set in questionnaire. Harmonizing to that who were working in infirmary for more than three months ; were eligible. Another inclusion standard was straight related to patient attention. Those who were utilizing computing machine for come ining patient information/ recovering patient information/ trial consequence retrieval etc ; were eligible.Literature reappraisalThere are many maps associated with patient wellness records. This record is non merely used to document patient attention, but it besides used for entering fiscal and legal information and research and quality betterment intents. ( Young, Kathleen M. ) The conventional paper-based medical record has several restrictions. Though this traditional method is utile for entering patient Ã¢â¬Ës inside informations for work outing medical issues, tracking down patients and for organizing in health care procedure, but it has so many disadvantages. These types of records are frequently ailing indexed and sometimes illegible, fragmented, because these records are manus written. The most disadvantageous factor of utilizing this method is that the medical record would be accessible to merely one individual at a clip. These medical records can non be made available to everyone at the same clip. Last but non least there is the job of storage of paper record, most of the times these are non stored decently, which in bend cause failure in retrieval of information, whenever required. Medical record is systematic certification of a individual patient Ã¢â¬Ës medical history and attention across clip within one peculiar wellness attention supplier. The medical record includes a assortment of types of Ã¢â¬Å" notes Ã¢â¬ entered over clip by wellness attention professionals, entering observations and disposal of drugs and therapies, orders for the disposal of drugs and therapies, trial consequences, x-rays, studies, etc. The electronic wellness record ( EHR ) provides the chance for healthcare organisations to better quality of attention and patient safety. Ã¢â¬Å" The greatest challenge in the new universe of incorporate health care bringing is to supply comprehensive, dependable, relevant, accessible, and seasonably patient information to each member of the health care squad, whether in primary or secondary attention and whether a physician, nurse, allied wellness professional, or patient/consumer Ã¢â¬ ( Schloeffel ) An electronic medical record ( EMR ) is a computerized medical created in an organisation that delivers care, such as a infirmary or doctor Ã¢â¬Ës office. Electronic medical records tend to be a portion of a local stand-alone wellness information system that allows storage, retrieval and alteration of records. Some definitions: Harmonizing to National Alliance for Health Information Technology ( NAHIT ) EMR: The electronic record of health-related information on an person that is created, gathered, managed, and consulted by accredited clinicians and staff from a individual organisation who are involved in the person Ã¢â¬Ës wellness and attention. EHR: The aggregative electronic record of health-related information on an person that is created and gathered cumulatively across more than one wellness attention organisation and is managed and consulted by accredited clinicians and staff involved in the person Ã¢â¬Ës wellness and attention.Purpose of medical record:The chief intent of medical records and medical notes is to record and pass on information about patients and their attention. If notes are non organised and completed decently, it can take to defeat, argument, clinical mishap and judicial proceeding. medical records are now used non merely as a comprehensive record of attention but besides as a beginning of informations for hospital service activity coverage, supervising the public presentation of infirmaries and for audit and research. Many of the causes of inaccurate clinical cryptography of this secondary informations are rooted in the quality of medical notes History of Electronic Medical Records: Doctors are expected to document brushs they have with patients to guarantee important information for decision-making is recorded and actions taken are besides recorded. Documentation is besides required as an archival record of what happened in instances of difference. To a great extent, physicians resent the undertaking of certification, as it detracts from their primary undertaking: taking attention of patients. Doctors besides resent the duplicate of attempt required with certification, as every medicine that is written on a prescription tablet, every lab trial ordered, every X ray ordered has to be re-written in the chart to keep a good record. Communication between practicians is hard as in many instances the information collected is fragmented, often excess and voluminous. Finally, doctors are invariably inundated with new information and have no tools to assist them integrate new techniques and interventions into their daily activities, other than utilizing their memories or holding to tote around big text editions. The thought of entering patient information electronically alternatively of on paper -the Electronic Medical Record ( EMR ) -has been around since the late 1960 Ã¢â¬Ës, when Larry Weed introduced the construct of the Problem Oriented Medical Record into medical pattern. Until so, physician Ã¢â¬Ës normally recorded merely their diagnosings and the intervention they provided. Weed Ã¢â¬Ës invention was to bring forth a record that would let a 3rd party to independently verify the diagnosing. In 1972, the Regenstreif Institute developed the first medical records system. Although the construct was widely hailed as a major progress in medical pattern, doctors did non flock to the engineering. In 1991, the Institute of Medicine, a extremely respected think armored combat vehicle in the US recommended that by the twelvemonth 2000, every doctor should be utilizing computing machines in their pattern to better patient attention and made policy recommendations on how to accomplish that end. Advantages OF THE EHR: advantages of EHR can be divided as following-1 ) Clinical resultsa ) Quality of attention: Improving quality of attention is one of the chief focal points of many EHR surveies. Quality of attention has been defined as Ã¢â¬Å" making the right thing at the right clip in the right manner to the right individual and holding the best possible consequences Ã¢â¬ , in short Ã¢â¬Å" a procedure for doing strategic picks in wellness systems Ã¢â¬ .A Quality of attention includes six dimensions, effectivity, efficiency, patient safety, handiness or seasonableness, just entree, and patient-centeredness or acceptableness, but most EHR research has focused on the first three. Last three constituents needed more research in their corresponding Fieldss. Erstwhile patients may non adhere to outdo pattern guidelines ; even the suppliers have best purpose. This sort of state of affairs can originate due to assorted factors like- Clinicians are non cognizant with the guidelines. Clinicians may non recognize that a peculiar guideline applies to a given patient. Lack of clip during the patient visit. EHR systems proved rather effectual in managing such sort of issues and improved attachment rates. For illustration, research workers found that computerized physician reminders increased the usage of grippe and pneumococcal inoculations from practically 0 % to 35 % and 50 % , severally, for hospitalized patients ( exter PR, Perkins S, Overhage JM, et al. ) . Similarity other surveies with computerized reminders on inoculation rates, shows important better attachment to immunisation guidelines. Lower berths the hazard of disease eruptions in communities: There are many other researches have conducted that focused on other preventative services and studied consequence of EHRs on different results to better attention efficaciously. Willson et Al found in his survey on hospitalized patients that after implementing computerized reminders targeted to hospital nurses, there is 5 % decrease in the development of force per unit area ulcer after 6 months. It proves a important association between computerized reminders and hazard of disease. Effective wellness attention bringing: Research workers have besides found that there is a profound relation between EHRs and efficiency in wellness attention bringing. Here efficiency refers to the turning away of blowing resources, including supplies, medical equipment, money, thoughts, and energy. One such signifier of waste involves excess diagnostic testing. Performing excess trials is dearly-won and may take to more false-positive consequences, which will so take to even more costs. Tierney et Al found a 14.3 % lessening in the figure of diagnostic trials ordered per visit and a 12.9 % lessening in diagnostic trial costs per visit when utilizing an EHR with CDS and CPOE constituents. Other, unrelated surveies found an 18 % lessening in trials ordered for medical visits in the exigency section, a 27 % lessening in excess research lab trials of antiepileptic medicine degrees in hospitalized patients, and a 24 % decrease in excess research lab trials in a infirmary. Reduced medicine mistakes: A well-known survey group found in their survey that merely presenting CPOE system reduced serious medicine mistake by 55 % in the infirmary scene. Whereas subsequently in followup survey the same group expert found that, these medicine mistakes can be reduced every bit much as 86 % by adding CDS system together with CPOE system. A similar, more recent survey in the outpatient puting found that cybernation resulted in an mistake rate decrease from 18.2 % to 8.2 % . ( Devine EB, Hansen RN, Wilson-Norton JL, et al. ) . On the other manus many other surveies have concluded that by presenting computerised system, the figure of appropriate medicine orders affecting dosing degrees or dosing frequence can be increased. Better clinical result: Many of the surveies besides focused on clinical results. Randomized test research design used for carry oning these surveies in a clinical scene. An extra organic structure of literature has examined, observationally, comparing of public presentation in between infirmaries that implemented EHRs and other computerized capablenesss with its opposite numbers that have non. For illustration, Menachemi et Al found that Florida infirmaries with greater investings in EHR engineerings had more desirable rates on a assortment of normally used quality indexs. Patient Safety: The challenge of reading handwritten notes, orders, and prescriptions has been eliminated with the EHR. Patients Ã¢â¬Ë chart information is clear and legible. Reports and letters to other specializers and patients are comprehensive, professional, and easy to make. Chart information is ever accessible and found in the same topographic point. Paper charts, on the other manus, can go littered with a batch of necessary but misplaced information.2 ) Organisational results:Surveies analyzing organisational results have focused on EHR usage in both the inmate and outpatient scenes. Such results have often included increased gross, averted costs, and other benefits that are less touchable, such as improved legal and regulative conformity, improved ability to carry on research, and increased job/career satisfaction among doctors. Increased gross comes from multiple beginnings, including improved charge capture/decrease in charge mistakes, improved hard currency flow, and enh anced gross. Several writers have asserted that EHRs aid suppliers in accurately capturing patient charges in a timely mode ( Schmitt KF, Wofford DA ) Electronically available patient information generated so many efficiencies, which straight help in debaring cost. Some of these efficiency includes increased use of trials, reduced staff needed for patient direction, decreased written text costs, reduced costs associating to supplies needed to keep paper files, and the costs associating to chart pulls. EHRs besides cut down the redundant usage of trial or the demand to get off difficult transcripts of trial study to all suppliers that save money and clip of organisation. ( Chen P, Tanasijevic MJ, Schoenenberger RA, et Al ) . Surveies have besides shown that holding an EHR can cut down written text costs through electronically available structured certification processs instead than a paper file. ( Agrawal A. ) In add-on, research workers in Massachusetts have found that doctors utilizing an EHR had fewer paid malpractice claims. They found a doctor without EHR have much higher ( 10.6 % ) history of paid malpractice claims compared to those doctors with EHRs ( 6.1 % ) . This decrease is potentially the consequence of better communicating among health professionals, increased discernability and completeness of patient records, and increased attachment to clinical guidelines.3 ) Social results:Another less touchable benefit associated with EHRs is an improved ability to carry on research. As patient informations stored electronically that makes handiness of informations much easier which leads excessively many quantitative analyses to place evidence-based best patterns more easy ( A Aspden P.A ) . Furthermore, public wellness and other interdisciplinary research workers are actively utilizing electronic clinical informations that are existent informations aggregated across populations to brin g forth good research determination, which is good to society. Till today handiness of clinical informations is much limited but as suppliers will get down utilizing EHRs, this dataset will besides get down turning. Subsequently by uniting this clinical information with more informations from other beginnings like nonprescription medicine purchases and school absenteeism rates, our researches and public wellness organisation can break supervise disease eruptions and better surveillance of possible biological menaces ( Kukafka R, Ancker JS, Chan C, et Al ) . Research workers have besides found an association between EHR usage and physician satisfaction with their current pattern, A together with their calling satisfaction.A Harmonizing to many surveies, physician satisfaction should be a precedence in wellness attention organisations, because it is associated with better quality of attention, better prescribing behaviors, and increased keeping in medical patterns, peculiarly those in underserved countries. ( A Elder KT, Wiltshire JC, Rooks RN, et al.A ) Chaudhry et al noted that a big proportion of the surveies that found benefits from EHR were conducted in a selected figure of academic medical Centres in infirmary scene. Due to this ground many research workers are besides seting a inquiry about the generalisation of identified benefits of EHR in existent universe where they may neither hold similar fiscal and human resources nor a decades-long committedness to wellness information engineering. More research on the varying types and grades of benefits associated with EHR is warranted, particularly in community scenes such as physician patterns and non-academic infirmary scenes.Barriers TO THE EHRAlthough Electronic Health Records ( EHRs ) bring enormous benefits to patient attention and to the health-care supplier, usage of the ambulatory EHR alternatively of the paper chart did non become widespread among the independent doctors during the 1990s. Even though the motive of improved patient attention and handiness of medical informa tions was present, health-care suppliers were hesitating to get down utilizing this medical tool. Specii hundred grounds have been hypothesized for the deficiency of EHR execution, and they are outlined below.A Lack of Standards for EHR SystemsThe content within the systems did non hold uniformity for compatibility or interoperability. Assorted plans offered different characteristics and the exchange of informations was non possible. Besides, criterions for the security of confidential information through encoding or informations unity had non been set. The quality of EHR plans and computing machine webs was non sufficiently dependable to forestall downtime, therefore ensuing at times in the deficiency of entree to patient information or medical information. Data for clinical protocols, direction of patient attention, and determination support through algorithms were non yet standard for EHRs.Unknown Cost and Return on InvestmentHealth-care suppliers found it hard to accurately ciph er costs and Return on Investment ( ROI ) with the usage of an EHR. The full cost of an EHR includes the package purchase monetary value, extra computing machine hardware, execution including the preparation of staff, customization of the system, ongoing proficient support, system care, and future plan ascents. Measuring ROI includes intangible, unmeasurable, and nonfinancial information, such as improved patient attention, patient safety, and more efficient procedures. Measurable ROI includes addition in income from more accurate cryptography, greater clip efficiency as a consequence of rapid chart certification, expanded patient burden because of this efficiency, and decreased office supply costs such as paper, charts, and printing supplies. It was hard to accurately cipher costs and ROI with the usage of an EHR.Difficult to OperateDoctors perceived that it took more clip for informations entry than handwriting. A physician order signifier may hold been simpler to handwrite than t o treat through a computing machine system. Learning where the information should be entered or accessed was complicated and computing machines were non ever accessible at the point of attention. System warnings and medical qui vives incorporating critical information had non been developed. The long-run benefit were hard for some health care suppliers to value over the sensed troubles of operationSignificant Changes in Clinic ProceduresAlthough an EHR can be customized for specific medical patterns, there is ever some procedure alteration required by the supplier and medical staff. An EHR may convey a more stiff construction for come ining information than tossing through a paper chart. Adapting to new criterions of operation for come ining and turn uping information can be hard ab initio. Some EHRs have specifications or specific modus operandis for practising medical specialty that the supplier may non accommodate to easy. The health-care supplier may non be able to turn to and a nalyse jobs in the same ways that may hold been done in the yesteryear, even though the information in an EHR is more thorough and immediately available. New tools for improved patient attention require retraining, new procedures, and alterations in the medical pattern civilization.Lack of Trust and SafetyA concern for the security of the medical record stored electronically alternatively of on paper is common. Health-care suppliers may be concerned that the electronic medical record could be altered without their consent or cognition. Suppliers must hold the confidence that the medical records are safely stored for future handiness. Power outages, computing machine Ã¢â¬Å" clangs, Ã¢â¬ viruses, concerns about equal backup, and so on are issues suppliers must get the better of to be confident in utilizing an EHR.Use of EHR plans, peculiarly in the small- to moderate-sized patterns, is spread outing quickly. About 78 per centum of doctors in private pattern are within this market group of eight or fewer physicians. With the explosive growing of EHR execution in this section of the medical community, a great demand has been generated for both clerical and clinical support staffs that have professional preparation and exposure to the EHR. Concerns about the passage from traditional paper charts to EHRs are now being overcome. Many of the concerns expressed about EHRs have been addressed more to the full in recent old ages. Although the motives vary from a pattern desiring to merely Ã¢â¬Å" go paperless Ã¢â¬ to another pattern desiring to better patient attention, medical clinics are rapidly acknowledging the unbelievable tool the EHR is conveying to the medical pattern.Disadvantages of EMROn the reverse of advantages some writers have identified several possible disadvantage of utilizing EHRs. These include fiscal issues, alterations in work flow, impermanent loss of productiveness associated with EHR acceptance, privateness and security concerns, and sever al unintended effects. Significant cost: A major ground for deterrence for following and implementing EHR is its cost. It includes loss of gross associated with impermanent loss of productiveness, declines in gross, acceptance and execution costs and on-going care costs. Here EHR acceptance and execution costs includes buying and installation hardware and package, change overing paper charts to electronic 1s, and preparation of end-users. Different surveies documented this cost in both inmate and outpatient scenes. Like a survey conducted in 2002 at a 280-bed ague attention infirmary, the projected entire cost for a 7-year-long EHR installing undertaking was about US $ 19 million. In the outpatient scene, early research workers estimated an mean initial cost of US $ 50,000-US $ 70,000 per doctor for a three-physician office. However, as EHR engineerings have become more platitude over the past decennary, the initial cost of systems has come down dramatically ( Schmitt KF ) , ( Agrawal A ) Care cost besides can be cumbersome as hardware needs to replace clip to clip and package demands to upgrade on regular footing. In add-on, suppliers must hold ongoing preparation and support for the end-users of an EHR. Harmonizing to one survey conducted on 14 solo or small-group primary attention patterns, estimated on-going EHR care costs averaged US $ 8412 per FTE supplier per twelvemonth. Out of entire cost around 91 % of this was related to hardware replacing, seller package care and support fees, and payments for information systems staff or external contractors ( Fleming NS, Culler SD, McCorkle R, et Al ) Break of work-flows for medical staff and suppliers: Another major disadvantage of implementing EHRs is break of everyday work-flow for medical-staff or supplier, which consequences to loss of impermanent productiveness. This break may be because of preparation of end-users which potentially leads to loss in gross. One survey that involved several internal medical specialty clinics estimated, a productiveness loss of 20 % in the first month, 10 % in the 2nd month, and 5 % in the 3rd month before productiveness return to its original degrees as in get downing ( Wang SJ, Middleton B, Prosser LA, et al. ) Research workers besides have estimated that EHR end-users spent around 134.2 hours on execution activities that includes acquiring and larning a new system. These hours spent on nonclinical duties had an estimated cost of US $ 10,325 per doctor ( Fleming NS, Culler SD, McCorkle R, et al. ) Hazard of patient privateness misdemeanors: Another possible drawback of EHRs is the hazard of patient privateness misdemeanors, which is an increasing concern for patients due to the increasing sum of wellness information exchanged electronically between suppliers. To face such sort of state of affairss, policymakers have taken steps to guarantee safety and privateness of patient informations. For illustration, recent statute law has imposed ordinances specifically associating to the electronic exchange of wellness information that strengthen bing Health Insurance Portability and Accountability Act privateness and security policies. Although few electronic informations are 100 % secure, the strict demands set Forth by the new statute law make it much more hard for electronic informations to be accessed unsuitably. ( Zurita L, Nohr C. Patient sentiment: EHR appraisal from the users perspective. ( Stud Health Technol Inform. ) Not merely acts do interchanging electronic wellness informations secure but besides many infirmaries and doctors are implementing rigorous regulations like no tolerance punishments for employees who entree files unsuitably. For illustration, a infirmary in Arizona terminated several employees after they unsuitably accessed the records of victims who were hospitalized after the January 2011 hiting affecting a US Congresswoman. ( Innes S. ) Although privateness will probably go on to be a concern for patients, many stairss are being taken by policymakers and single organisations to guarantee that EHRs comply with the rigorous Torahs and ordinances intended to guarantee the privateness of clinical information.Decrease face-to-face clip with patients, depersonalize brushsEHRs may do several unintended effects, such as increased medical mistakes, negative emotions, alterations in power construction, and overdependence on engineering. ( Campbell EM, Sittig DF, Ash JS, et al. ) Research workers have found an association between increased medical mistakes and CPOE due to faulty system or untrained end-user. Additionally, end-users of an EHR may see strong emotional responses as they struggle to accommodate to new engineering and breaks in their work flow. Changes in the power construction of an organisation may besides happen due to the execution of an EHR which makes it rather more machine-controlled. For illustration, a doc tor may lose his or her liberty in doing patient determinations because an EHR blocks the ordination of certain trials or medicines. Overdependence on engineering may besides go an issue for suppliers as they become more reliant upon itInvention credence:The beginnings of attitude and behaviour day of the month back to every bit early as 1862, when psychologists began developing theories demoing how attitude wedged behaviour. Those surveies by societal psychologists continued and in 1925, many new theories emerged proposing that Ã¢â¬Å" attitudes could explicate human actions Ã¢â¬ ( Ajzen & A ; Fishbein, 1980, p. 13 ) Several theoretical accounts have been developed and utilized to analyse the credence of engineering. Some of the of import theoretical accounts are as follows-Theory of Reasoned Action ( TRA )Harmonizing to this theoretical account, a individual Ã¢â¬Ës behaviour is determined by his/her behavioural purposes ( BI ) to execute that behaviour. That BI is itself determined by both a individual Ã¢â¬Ës attitude toward the behaviour and subjective norm refering the behaviour.Theory of Planned Behavior ( TPB )The theory of planned behaviour was proposed by Icek Ajzen in 1985 through his article Ã¢â¬Å" From purposes to actions: A theory of planned behaviour. Ã¢â¬ The theory was developed from the theory of sound action, which was proposed by Martin Fishbein together with Icek Ajzen in 1975. Harmonizing to the theory of sound action, if people evaluate the suggested behaviour as positive ( attitude ) , and if they think their important others want them to execute the behaviour ( subje ctive norm ) , this consequences in a higher purpose ( motive ) and they are more likely to make so.Technology Acceptance Model ( TAM )Based on the theory of sound Action, Davis ( 1986 ) developed the Technology Acceptance Model which deals more specifically with the anticipation of the acceptableness of an information system. This theoretical account suggests that the acceptableness of an information system is determined by two chief factors: perceived usefulness and sensed easiness of usage. Perceived utility is defined as being the grade to which a individual believes that the usage of a system will better his public presentation. Perceived easiness of usage refers to the grade to which a individual believes that the usage of a system will be effortless Unified Theory of Acceptance and Use of Technology ( UTAUT ) The UTAUT purposes to explicate user purposes to utilize an information system and subsequent use behaviour. The theory holds that four key concepts ( public presentation anticipation, attempt anticipation, societal influence, and easing conditions ) are direct determiners of usage purpose and behavior. Gender, age, experience, and voluntariness of usage are posited to intercede the impact of the four key concepts on usage purpose and behaviour.Factors Affecting EMR AcceptanceAcceptance is defined as the willingness within a user group to use information engineering to the undertakings it is designed to back up ( Dillon & A ; Morris, 1996 ) . Many research workers have stressed the importance of credence survey. For illustration, Kirk ( 2003 ) urged pressing actions on supplying legal and societal model for credence andintroduction of EMR. Likewise, Gefen ( 2003 ) , Zdon ( 1998 ) , Anderson ( 1997 ) , Moore ( 1996 ) , Baroudi ( 1986 ) , Bardram ( 1997 ) , Bowers ( 1995 ) , Graham ( 1996 ) , and Hubona ( 1996 ) , all discussed similar issue. Furthermore, past experiences show that the attempt to present EMR will ensue in failure and unforeseen effects if their proficient facets are over emphatic and their societal and organisational factors such as the user credence and the diffusion of information system are overlooked ( Gefen, 2003, Anderson, 1999, Moore, 1996 ) . Kirk ( 2003 ) has noted that presently there is no societal model for EMR credence. The closest model theoretical account, which measures perceived usefulness and sensed easiness of usage, that can be adopted is the Technology Acceptance Model ( TAM ) proposed by Davis ( 1989 ) . Tsiknakis ( 2002 ) , Einarson ( 1993 ) , and Neilder ( 1997 ) added that hapless presentation of patient Ã¢â¬Ës informations can take to ill informed clinical professionals, medicine mistakes, inappropriate repeat of probe, unneeded referrals, and waste of clinical clip and other resources. Indeed, hapless presentation of patient Ã¢â¬Ës information is an interface issue, which warrants more investigation.In obtaining the user credence of wellness attention, peculiarly its system interface, Rosenbaum ( 1998 ) proposed six successful techniques: Involving the user community in needs analysis and demands definition. Designating members of the user community who are involved in the system design as don ( people who receive first preparation and extended preparation ) . Conducting undertaking analysis of the full work procedure, non merely the partsinvolving the clinical information system. Performing user surveies of preliminary paper and pencil paradigms with typical users. Conducting iterative serviceability testing of consecutive paradigms. Visiting infirmaries and other scenes of usage to detect the work procedure, usage of predecessor systems, and beta-test installing Surveies statistics: There is scarce of surveies sing EMR usage in Indian context. Results of some relevant surveies are as follows- Consequence of a research done by Sequist et Al was as follows- The overall response rate was 56 % . Of reacting clinicians, 66 % felt that the EHR execution procedure was positive. One-third ( 35 % ) believed that the EHR improved overall quality of attention, with many ( 39 % ) feeling that it decreased the quality of the patient-doctor interaction. One-third of clinicians ( 34 % ) reported consistent usage of electronic reminders, and self-report that EHRs improve quality was strongly associated with increased use of the EHR ( odds ratio 3.03, 95 % assurance interval 1.05-8.8 ) . The bulk ( 87 % ) of clinicians felt that information engineering could potentially better quality of attention in rural and underserved scenes through the usage of tools such as on-line information beginnings, telemedicine plans, and electronic wellness records. In a survey conducted in the United States, the most normally cited barriers to utilize of EMR systems in infirmaries were unequal capital for purchase ( 74 % ) , care costs ( 44 % ) , opposition on the portion of doctors ( 36 % ) , ill-defined return on investing ( 32 % ) , and deficiency of handiness of trained staff ( 30 % ) . Hospitals that had adopted EMR systems were less likely to mention four of these five concerns ( all except doctors Ã¢â¬Ë opposition ) as major barriers to acceptance than were infirmaries that had non adopted such systems. When most of the infirmaries or professionals speaking approximately high cost of EMR, a cost benefit analysis of EMR in primary attention done by Wang et Al shows, In the 5-year cost-beneiÃ ¬?t theoretical account ( Table 3 ) , the net beneiÃ ¬?t of implementing a full electronic medical record system was $ 86,400 per supplier. Of this sum, nest eggs in drug outgos made up the largest proportion of the beneiÃ ¬?ts ( 33 % of the sum ) . Of the staying classs, about half of the entire nest eggs came from decreased radiology use ( 17 % ) , decreased charge mistakes ( 15 % ) and betterments in charge gaining control ( 15 % ) . Though non all beneiÃ ¬?ts of an electronic medical record are mensurable in iÃ ¬?nancial footings ; other beneiÃ ¬?ts include improved quality of attention, reduced medical mistakes, and better entree to information.CURRENT SCENARIO IN INDIAThe Department of Information Technology ( DIT ) , Ministry of Communication an Information Technology ( MCIT ) have funded several undertakings during the past decennary for development of IT based Healthcare solutions. During the class of these undertakings, the demand for a standard EHR for the state has been strongly felt for interoperable health-care solutions. During the meetings of the National Knowledge Commission for making the national wellness information sciences vision for India, the demand for standard EHR with unafraid storage and entree of EHRs in a storage system crossing. TheA currentA wayA ofA developingA andA usingA healthcareA informationA storeA systemsA hasA led toA aA chaoticA stateA ofA affairsA dueA toA followingA grounds: aÃâ ? TheyA haveA beenA developedA independentlyA andA doA notA easilyA interoperateA withA each other. aÃâ ? TheyA followA theirA ownA conventionA ofA making, A maintaining, A andA storingA Electronic HealthA RecordsA ( EHRs ) A ofA patients. aÃâ ? IfA aA patientA isA treatedA atA differentA hospitalsA atA differentA cases, A differentA EHRs areA generatedA andA storedA forA theA sameA patientA byA theA twoA differentA information systemsA inA useA atA theA twoA hospitals.A AA singleA EHRA forA anA individualA isA desirable irrespectiveA ofA his/herA timeA andA placeA ofA intervention. aÃâ ? EachA systemA hasA itsA ownA wayA ofA creatingA andA managingA itsA storageA ofA EHRs. Obviously, A such A an A information A shop A is A based A on A both A relational A database engineering, A due A to its A ubiquitousness A and A adulthood A in A pull offing A big A volume A of information, A andA mediaA storageA package, A forA exampleA XrayA pictureA file awaying. DifferentA systemsA useA differentA relationalA databasesA andA differentA mediaA storage softwareA makingA dataA transferA acrossA systemsA impossible/inconvenient. aÃâ ? MostA ofA theA existingA systemsA useA centralizedA storage, A leadingA toA limitedA scalability andA poorA reliabilityA ( singleA pointA ofA failure ) . AsA aA consequence, A itA hasA becomeA difficultA toA exchangeA EHRsA acrossA differentA systemsA andA to haveA aA unifiedA informationA systemA toA dealA withA oneA EHRA perA person, A irrespective ofA theA timeA andA placeA ofA treatmentA ofA anA person.
Thursday, August 15, 2019
MARIA HERRADON GARCIA Ã¢â¬Å"When people succeed in life, it is because of hard work. Being lucky has nothing to do with success in lifeÃ¢â¬ Everyone will agree that hard work is the main key to every step of success but luck has also some role to achieve those successes. So many people in this world work very hard but still do not meet their dreams and goals. From my everyday experience and observation I can totally disagree with the statement. I think people should have good luck also to lead their hard work towards success. To be lucky in life you must have worked hard for it previously. There are very rare cases in hich people have accomplished their goals because of pure luck. You need to prepare your self. Since we are children we go to the school, to start feeding or minds with the basics. As we grow up we acknowledge more and more information that will be key in our lives, even if we donÃ¢â¬â¢t know it. Preparation is essential because in order to develop your ideas you need a background to support them. The important thing is to love what you are working on, because being passionate about your job will help you to rise your career and do greater things. You need to have dreams and goals in life even if they are rather mpossible but it is also good to settle some lower targets in a short period of time will help you to avoid feeling deceived. Some great examples of hard workers that have received their rewards are Pedro Almodovar and Steve Jobs. Almodovar was born in Ciudad Real, so knowing the possibilities that Madrid could offer him he moved to the capital at the tender age of sixteen years old, all alone, without his family. He worked very hard to make his way into the movie industry and his talent wasnÃ¢â¬â¢t given an award until the release of Ã¢â¬Å"Mujeres al borde de un ataque de nerviosÃ¢â¬ , eleven movies later, when he got his irst Goya. At the age of 50 he finally won an Academy Award, achieving the dream of any moviemaker. The cas e of Steve Jobs is the example that even when you have been defeated you must carry on and keep trying. When he was expelled from the company that he himself founded, Apple, he started a new company neXT that become so successful that Apple decided to buy it, so in the end he returned to his first company and as CEO he raised Apple to a worldwide level not known before. Those were examples of people that worked hard all their lives to be in their position, but there are other occasions in which people success ust because of their luck. To be one of those people, you have to be on the right place at the right time. You never know when the luck might come to you so you need to be always ready, because these lucky strikes are not very usual and sometimes you may not even realise that it was a great opportunity until you have lost your chance. Stay positive, think that you will have your opportunity. You have to be surrounded by the right people, and no body likes that pessimist that ar e always grumbling about their bad luck and how unfair life is. Most of the times the attitude is more important than the aptitude.
Wednesday, August 14, 2019
This is a case of a company, which is operating in Malaysia by the name of Alpha Plantations Sdn Bhd. The company has its origin in Britain and has been operational for over forty years now. This subsidiary located in Malaysia consists of one palm oil mill and one oil palm estate. According to the owners of the company, the main purpose of opening this subsidiary is to supply the mother company with crude palm oil. The mother company is involved in production of detergents. The subsidiary in Malaysia operates in three shifts and each shift has about 25 people manned by one supervisor.Ã In addition, majority of the top management persons working at the Malaysian subsidiary come from the United Kingdom where the mother company is. Issues This organization has been in operation for decades and it has perfectly performed. With the changes that are taking place within the company because of the new manager, workers will also experience some new changes in the way they will execute their duties. Issues arise from the fact that this new management wants to change even the structure of the organization. These changes bring conflict in the way the workers used to perform and in the process affect their team performance and rapport. (McShane, S. et al, 2006) This frustrates Mr. Ang who has worked with the company for over four decades. The results are his firing after a confrontation. The reason for his firing stated as misconduct. However, this misconduct resulted from the mixed up duties and responsibilities that he experiences on his line of duty. As McShane, S. et al, (2006), says it is necessary to have a clearly spelled out duties and responsibilities. This is the only way that the workers will be able to avoid conflict and confrontation. This does not happen in this company. In addition, the managerial team executes these changes so quickly such that the workers do not have time to adjust thereby resulting to frustrations. Analysis Over the years, the company has faced many problems. However, the recent one was the massive loss that the company was undergoing. The main cause of this loss is the current low prices of gases that were experience at that time, then in 1999. During this time, Captain Chubb was the manager of the company. He claimed that he had done all that he could but the prices were the one which pulled the company down. The top management of the company sort to hire a new manager the following year by the name of Ian Davison. They thought that the previous manager failed to perform. Even though he did not have any experience in management of an agricultural company, he had worked and succeeded in the detergent company and therefore the management expected much from him. To achieve this, he had to lower the cost of production and the only way was to make some recommendation. He therefore made recommendations some of which were beyond the companyÃ¢â¬â¢s control. For instance, he claimed that the company allowed too much machine breakdown. It is advisable to note that wear and tear is normal processes and we can do absolutely nothing to prevent it. However, he offered a practical solution of reducing the workforce and introducing new machines. This is the point where issues cropped up. With the introduction of new machines and reduction of the number of workers per shift, the workers first adapted to the process but later moved back to their old habits. However, this time, the problem was bigger in that there were fewer workers. They no longer worked in a team and this created a big problem, as the workload was now bigger. In addition, with the new introduced structure in the organization, workers were now able to have a direct access to the manager. This reduced the powers that Mr. Ang had who has always been the supervisor for the company. He was not in a position to control the works anymore and this frustrated him. Furthermore, the workers would not fully respect his directions, as they knew they could still get directions directly from the manager. As McShane, S. et al, (2006) in their book says, poor communication will always affect our behavior towards each other at our places of work. They go ahead and say that leaders will tend to vent their frustration to their subordinate. This communication breakdown affected the relationship between Mr. Ang and the workers and at the end resulted to dictatorship type of ruling where Mr. Ang would make all the decision for the workers. The worst is that Mr. Ang was to blame for all this. The result is that Mr. Ang was devastated and become silent, unproductive to the company and the company fires him. Drive theory explains the reason why Mr. Ang feels frustrated by the actions of the manager. He was highly valued by the workers and after he goes home, the company somehow collapses. Solutions The current problems that are experienced are a serious loss and this is not due to local company structure but global factors that are beyond the company control. We can therefore argue that the methods that used to deal with this problem are way out of track. It is a good idea though to look for machines that are using new technology and to downsize the number of workers in the company. However, it is not a good idea to change the company structure, as this has nothing to do with the workersÃ¢â¬â¢ performance. (McShane, S. et al, 2006) The best solution for this problem therefore would have been the purchase of the machines using new technology, downsizing the firm and then leaving the workers to report to the supervisor who they have reported to all these years. This would have prevented the confrontation that Mr. Ang had with the top officials at the head office and the other confrontation that he had with the manager and therefore prevent the company from collapsing. Recommendation However, now that Mr.Ã Ang has already gone home and things are not working well at all at the company, it is a clear indication that even though during the last days, Mr. Ang seemed quiet, he was important and his presence was recognized by all the workers. In addition, Mr. Ang was never given time to explain what was happening. It would be recommendable to try to summon Mr. Ang, give him a chance to explain his point of view and give him back his job. He is the only one who can mobilize the team and make them work. Drive theory explains the reason why the company collapses because the workers are not motivated. They have nothing to drive them to work harder.
Is illegal immigration beneficial to the U.S. economy - Term Paper Example Illegal immigration, also known to as unauthorized or undocumented immigration refers to the passage and settlement of immigrants in a manner that contravenes the immigration rules and regulations of the destined country. Barry Chiswick, PhD, Distinguished Professor and Head of the Department of Economics at the University of Illinois at ChicagoÃ defined illegal immigration as follows; "By definition, illegal immigration arises from a divergence between whom the United States will accept as an immigrant and the desire of some foreign nationals to live and work in this countryÃ¢â¬ (Procon 2007). Broadly speaking illegal immigration may take the form of undocumented/unauthorized entry, admission gained through fraudulent documents, extending the stay after the expiry of the temporary visas or crossing the border illegally. An estimated 11.9 million unauthorized immigrants live in the United States. In the last decade, on average, 5, 00, 000 new illegal immigrants made their way into the United States every year. The tally of total immigrant population in the United States touched 40 million in 2010, the highest in the history of the country. Approximately 66 percent of the unauthorized immigrants come into the United States by crossing the US-Mexico border; making Mexico the top illegal-immigrant-sending country. The rest of the one-third illegal immigrants reportedly continue to stay on in the country after the expiry of their temporary visas (Hanson 2009). At one point of time, the phenomenon of illegal immigration served the national interests of United States Pretty well. The illegal immigrants are willing to take up jobs in labor-scarce regions and also have no problems in accepting jobs that native workers and legal migrants shun. The illegal immigrants hold anywhere between 12 to 15 million jobs or 8 percent of the jobs in the United States (Hanson 2009). For varied reasons the existence of