Tuesday, August 25, 2020

Data Analysis by SQL Essay Example | Topics and Well Written Essays - 1750 words

Information Analysis by SQL - Essay Example In view of the outcomes got, it is apparent that the most elevated worth clients as far as the income are chiefly from Europe, including, Denmark, Germany and France. The complete income from US clients adds up to $ 56,029, though the income from France is $ 68,011. By recognizing the items purchased by the clients, their inclinations can be distinguished. This will empower the firm to make a client profile and make the suitable items promptly accessible in the best possible areas. It will likewise be advantageous to distinguish the most favored delivery administration of the clients. From the database, it is apparent that the United Package has been decided for multiple times, the Federal Express was favored for around 255 requests, though Speedy Express for 249 requests. Consequently it is apparent that the three delivery administrations are similarly significant. The requests are examined dependent on the items, so as to distinguish the most liked and the most noteworthy income creating products.The high income creating classifications are likewise recognized and the job of limits in the requests are additionally broke down. From the investigation, the exceptionally sold item has been found as Gorgonzoo Telino though the item creating the most noteworthy income is Cote de Blaye.However, while dissecting the classes, it is discovered that the smash hit classifications as far as income and number of items are Beverages, Dairy items and Confections. Note that the least income creating incomes incorporate Produce and Grains and Cereals.

Saturday, August 22, 2020

Angels Demons Chapter 134-137 Free Essays

134 Camerlegno Ventresca’s white robe surged as he descended the foyer away from the Sistine Chapel. The Swiss Guards had appeared to be baffled when he developed isolated from the house of prayer and disclosed to them he required a snapshot of isolation. In any case, they had complied, releasing him. We will compose a custom exposition test on Blessed messengers Demons Chapter 134-137 or then again any comparative subject just for you Request Now Presently as he adjusted the corner and left their sight, the camerlegno felt a bedlam of feelings like nothing he thought conceivable in human experience. He had harmed the man he called â€Å"Holy Father,† the man who tended to him as â€Å"my son.† The camerlegno had consistently accepted the words â€Å"father† and â€Å"son† were strict custom, yet now he knew the underhanded truth †the words had been exacting. Like that decisive night weeks back, the camerlegno now felt himself reeling frantically through the haziness. It was coming down the morning the Vatican staff struck into the camerlegno’s entryway, arousing him from an erratic rest. The Pope, they stated, was not noting his entryway or his telephone. The pastorate were terrified. The camerlegno was the one in particular who could enter the Pope’s chambers unannounced. The camerlegno entered alone to discover the Pope, as he was the prior night, turned and dead in his bed. His Holiness’s face resembled that of Satan. His tongue dark like passing. The Devil himself had been resting in the Pope’s bed. The camerlegno felt no regret. God had spoken. No one would see the treachery†¦ not yet. That would come later. He declared the horrendous news †His Holiness was dead of a stroke. At that point the camerlegno arranged for gathering. Mother Maria’s voice was murmuring in his ear. â€Å"Never break a guarantee to God.† â€Å"I hear you, Mother,† he answered. â€Å"It is a shifty world. They should be taken back to the way of exemplary nature. Awfulness and Hope. It is the main way.† â€Å"Yes,† she said. â€Å"If not you†¦ then who? Who will lead the congregation out of darkness?† Unquestionably not one of the preferiti. They were old†¦ strolling death†¦ nonconformists who might follow the Pope, underwriting science in his memory, looking for present day devotees by surrendering the old ways. Elderly people men frantically out of date, unfortunately imagining they were most certainly not. They would come up short, obviously. The church’s quality was its convention, not its temporariness. The entire world was passing. The congregation didn't have to transform, it basically expected to remind the world it was important! Fiendish lives! God will survive! The congregation required a pioneer. Elderly people men don't rouse! Jesus motivated! Youthful, lively, powerful†¦ Miraculous. â€Å"Enjoy your tea,† the camerlegno told the four preferiti, leaving them in the Pope’s private library before meeting. â€Å"Your guide will be here soon.† The preferiti expressed gratitude toward him, all buzzing that they had been offered an opportunity to enter the acclaimed Passetto. Generally phenomenal! The camerlegno, before leaving them, had opened the entryway to the Passetto, and precisely on time, the entryway had opened, and a remote looking minister with a light had guided the energized preferiti in. The men had never come out. They will be the Horror. I will be the Hope. No†¦ I am the ghastliness. The camerlegno amazed now through the murkiness of St. Peter’s Basilica. By one way or another, through the madness and blame, through the pictures of his dad, through the agony and disclosure, even through the draw of the morphine†¦ he had discovered a splendid lucidity. A feeling of predetermination. I know my motivation, he thought, awed by its clarity. From the earliest starting point, nothing this evening had gone precisely as he had arranged. Unanticipated obstructions had introduced themselves, however the camerlegno had adjusted, making striking modifications. All things considered, he had never envisioned today around evening time would end along these lines, but then now he saw its predetermined magnificence. It could end no other way. Gracious, what dread he had felt in the Sistine Chapel, thinking about whether God had neglected him! Goodness, what deeds He had appointed! He had tumbled to his knees, flooded with question, his ears stressing for the voice of God however hearing just quietness. He had asked for a sign. Direction. Heading. Was this God’s will? The congregation devastated by embarrassment and cursed thing? No! God was the person who had willed the camerlegno to act! Hadn’t He? At that point he had seen it. Sitting on the special raised area. A sign. Divine correspondence †something customary found in an uncommon light. The cross. Unassuming, wooden. Jesus on the cross. At that time, it had all come clear†¦ the camerlegno was not the only one. He could never be separated from everyone else. This was His will†¦ His importance. God had consistently solicited extraordinary penance from those he adored most. Why had the camerlegno been so delayed to get it? Is it accurate to say that he was excessively dreadful? Excessively unassuming? It had no effect. God had discovered a way. The camerlegno even saw now why Robert Langdon had been spared. It was to bring reality. To propel this consummation. This was the sole way to the church’s salvation! The camerlegno felt like he was coasting as he slid into the Niche of the Palliums. The flood of morphine appeared to be tireless now, yet he realized God was directing him. Out yonder, he could hear the cardinals clamoring in disarray as they poured from the house of prayer, hollering orders to the Swiss Guard. Be that as it may, they could never discover him. Not in time. The camerlegno felt himself drawn†¦ faster†¦ slipping the steps into the indented zone where the ninety-nine oil lights shone brilliantly. God was returning him to Holy Ground. The camerlegno pushed toward the mesh covering the gap that drove down to the Necropolis. The Necropolis is the place this night would end. In the holy haziness beneath. He lifted an oil light, getting ready to plummet. Be that as it may, as he moved over the Niche, the camerlegno stopped. Something about this felt wrong. How did this serve God? A single and quiet end? Jesus had endured before the eyes of the whole world. Clearly this couldn't be God’s will! The camerlegno tuned in for the voice of his God, yet heard just the obscuring buzz of medications. â€Å"Carlo.† It was his mom. â€Å"God has plans for you.† Confounded, the camerlegno continued moving. At that point, all of a sudden, God showed up. The camerlegno held back, gazing. The light of the ninety-nine oil lamps had tossed the camerlegno’s shadow on the marble divider next to him. Monster and frightful. A foggy structure encompassed by brilliant light. With flares glinting surrounding him, the camerlegno appeared as though a holy messenger climbing to paradise. He stood a second, raising his arms to his sides, watching his own picture. At that point he turned, thinking back up the steps. God’s importance was clear. Three minutes had gone in the clamorous lobbies outside the Sistine Chapel, and still no one could find the camerlegno. Maybe the man had been gobbled up continuously. Mortati was going to request a full-scale search of Vatican City when a thunder of celebration emitted outside in St. Peter’s Square. The unconstrained festival of the group was wild. The cardinals all traded frightened looks. Mortati shut his eyes. â€Å"God help us.† For the second time that night, the College of Cardinals overflowed onto St. Peter’s Square. Langdon and Vittoria were cleared up in the bumping horde of cardinals, and they also rose into the night air. The media lights and cameras were totally turned toward the basilica. Furthermore, there, having quite recently ventured onto the holy Papal Balcony situated in the specific focus of the transcending fa;ade, Camerlegno Carlo Ventresca remained with his arms raised to the sky. Indeed, even distant, he seemed as though virtue in bodily form. A puppet. Wearing white. Overwhelmed with light. The vitality in the square appeared to develop like a peaking wave, and at the same time the Swiss Guard boundaries gave way. The majority gushed toward the basilica in an euphoric deluge of mankind. The invasion hurried forward †individuals crying, singing, media cameras blazing. Anarchy. As the individuals overflowed in around the front of the basilica, the disarray escalated, until it appeared to be nothing could stop it. And afterward something did. High over, the camerlegno made the littlest of motions. He collapsed his hands before him. At that point he bowed his head in quiet petition. Individually, at that point handfuls by handfuls, at that point hundreds by hundreds, the individuals bowed their heads alongside him. The square fell silent†¦ as though a spell had been thrown. In his brain, whirling and removed now, the camerlegno’s petitions were a deluge of expectations and sorrows†¦ pardon me, Father†¦ Mother†¦ brimming with grace†¦ you are the church†¦ may you comprehend this penance of your solitary sired child. Goodness, my Jesus†¦ spare us from the flames of hell†¦ take all spirits to paradise, particularly, those most needing thy mercy†¦ The camerlegno didn't make him fully aware of see the crowds beneath him, the TV cameras, the entire world viewing. He could feel it in his spirit. Indeed, even in his anguish, the solidarity existing apart from everything else was inebriating. Maybe a connective web had shot out every which way around the world. Before TVs, at home, and in vehicles, the world implored as one. Like neural connections of a monster heart all terminating couple, the individuals went after God, in many dialects, in several nations. The words they murmured were infant but as recognizable to them as their own voices†¦ old truths†¦ engraved on the spirit. The consonance felt endless. As the quiet lifted, the cheerful strains of singing started to rise once more. He realized the second had come. Most Holy Trinity, I offer Thee the most valuable Body, Blood, Soul†¦ in reparation for the shock, heresies, and indifferences†¦ The camerlegno as of now felt the physical torment setting in

Saturday, August 8, 2020

Life Beyond the Classroom Spectrum COLUMBIA UNIVERSITY - SIPA Admissions Blog

Life Beyond the Classroom Spectrum COLUMBIA UNIVERSITY - SIPA Admissions Blog SIPA has so much to offer beyond the classroom, and we’re excited to hear from Spectrum during this Pride Month! Read on to learn more about what they do and stand for here at SIPA. Spectrum is a student organization at SIPA that uses advocacy and information to advance local, national and international transformations, in favor of LGBTQIA rights. We bring together the talent of SIPA students who wish to make a difference in favor of equality and non-discrimination, particularly with regards to sexual orientation, gender expression or identity. One of the most important goals of Spectrum is to maintain a friendly community where everyone feels welcomed. Spectrum is committed to supporting our members in their well-being. We’re committed to providing safe spaces for all students and take anonymity seriously. What do we do? Along with panels and working lunches on topics related to LGBTQIA rights in the U.S. and the rest of the world, we throw the best happy hours to unite our community over a drink or two in informal settings! This spring semester, we held a panel on Sexual Violence and Mental Health. Our guest speaker Jessica Stern, president of OutRight Action International, spoke on the importance of creating new and adjusting old policies that would address sexual violence in the United States. Monica Pombo, representative of the Sexual Violence Response unit at Columbia University, talked about counseling and medical services available for students on campus. Dr. Cindy Veldhuis, a postdoctoral research scientist at Columbia University’s School of Nursing, talked about the phenomena of sexual violence and how to address it. We invited former and current SIPA students who successfully landed a job to share their experience in finding that job. Guest speakers included Jason Fauss (BlackRock), Nick Donias (KPMG), and Daniel Peciña-Lopez (European-American Chamber of Commerce in New York). Spectrum also unites queers across the entire Columbia University. This past April we recently had a joint happy hour with LGBTQ communities from Columbia’s Law School, Business School, School of Science and Engineering, School of Social Work and School of General Studies. Spectrum is an inclusive community everyone who cares about LGBTQIA is welcome to become a member. Join us through OrgSync and our Facebook group to stay up-to-date with current events.

Saturday, May 23, 2020

Langston Hughes Theme For English B - 845 Words

In â€Å"Theme for English B† Langston Hughes dramatizes race and self-identity. Hughes is struggling to relate himself to his teacher and everyone around him, so he starts off by telling readers about his background such as his age and where he has lived. â€Å"I am twenty-two, colored, born in Winston- Salem† (2). Through the first stanza of the poem we know that Hughes is living through a time where race is a big issue and not too many African American adolescents are in school like he is. He is learning more and more about himself by asking questions about the society he lives in and if and how he fits in it. He is trying to discover truths about his self-identity by comparing himself and his white teacher several times. â€Å"You are white- yet a†¦show more content†¦Also, there are references to the YMCA, Bessie Smith, and Bop Music. These allusions show an insight into the elements that affected the student in this piece and their everyday life and cult ure. The rhyme, rhythm, and allusions shown in this poem allow a reader to follow a more relatable and understanding of the poem. There are many symbolic elements incorporated into â€Å"Theme for English B† by Langston Hughes. For example, there are many â€Å"black and white references† in the concern of racial bias. In line 10, a reader will see the word â€Å"colored† instead of African American. This a vivid symbol that shows that the student in isolate in an all-white class and makes them seem alone. The word colored was meant to be a description of the student, but during the time period it was written the word â€Å"colored† was also derogatory and degrading. Imagery is prominent in the piece. Lines 11-15 provide the ready a scenic walk through Harlem. The author does this by providing lines such as 11-15, â€Å"The steps from the hill lead down into Harlem, / through a park, then I cross St. Nicholas, / Eighth Avenue, Seventh, and I come to the Y, / the Harlem Branch Y, where I take the elevator/ up to my room, sit down, and write this page:† Allegory is also a major element found in this poem.Show MoreRelatedLangston Hughes Theme For English B785 Words   |  4 PagesTheme for English B by Langston Hughes A â€Å"Theme for English B† is a poem written by Langston Hughes, in 1949 during the Harlem Renaissance. In his poem Langston Hughes was able to raise the question to anyone who was struggling to find his or hers identity, I was able to relate towards the poem because I too struggle with my identity and what my goals are in life. Hughes was also able to express that two people can learn from each other no matter their race or gender, by trying to relate to hisRead MoreLangston Hughes Theme For English B1332 Words   |  6 PagesMy response to Langston Hughes in Theme for English B is we have a variety of interests that are relatable to both of us. We encountered and conquered the greatest battles in our lives. We confronted segregation and rejection in view of the color of our skin and identity. After reading his poem, I was reminded of how I experienced discrimination and rejection throughout public school and I was labeled an outsider. I was discriminated and rejected no t only just the color of my skin, it’s becauseRead MoreTheme For English B By Langston Hughes1273 Words   |  6 PagesThroughout my life I have experienced many trials that are quite different to that of the narrator in â€Å"Theme for English B†; however, there are some similarities such as his life experiences, that can be compared to those of the narrator. In this poem Langston Hughes writes of a man who is given an assignment with very abstract and philosophical instructions for writing this paper. Accordingly, the narrator has some difficulties at first because he thinks of how different he and the professor isRead More Analysis of Theme for English B by Langston Hughes Essay1793 Words   |  8 Pages Langston Hughes was an African American poet and author who joined other black artists to break literary barriers during the civil rights movement. The poem entitled Theme for English B was written thirty years or so after the birth of the Harlem Renaissance, but still embodies why the Renaissance had originated in the first place. I believe this poem reflected on Hughes life in general, but more importantly on the fight against the ignorance that created discrimination. James Mercer LangstonRead MoreAnalysis Of Langston Hughes Poem Theme Of English B911 Words   |  4 PagesThe more you know, the greater you individual power becomes. Upon reading Langston Hughes poem â€Å"Theme of English B† I understand that knowledge does not discriminate or separate people based upon race, age, or educational level. However, it brings us together and allows us to grow. Once you obtain any form of knowledge from anyone power is gained. Every time you quire new information you become powerful. â€Å"Theme of English B† brings light that we as a nation learn from each other if we are open mindedRead MoreAnalysis Of `` Girl `` By Jamaica Kincaid And Theme For English B By Langston Hughes1228 Words   |  5 PagesHow can two completely different texts convey the same message while covering different issues? In this paper I will argue that â€Å"Girl† by Jamaica Kincaid and â€Å"Theme for English B† by Langston Hughes are both addressing the same issue but in different ways. I will look at the similarities of characters, symbolism, and text found in the story. Even though the texts are different, th ey are both revealing social issues found in society. â€Å"Girl† by Jamaica Kincaid is a short story that consists ofRead MoreAnalysis Of Langston Hughes s Poem Theme From English B 1592 Words   |  7 Pages What Lies Beneath Langston Hughes was an American poet who spent a majority of his life growing up in Cleveland, Ohio as well as Lincoln, Illinois. Hughes was able to travel across the states and to several different countries which allowed him to experience diversity and hardships like poverty and racial discrimination. His teenage years was around the time that he would start to write poetry. The poetry that he wrote throughout his life incorporated Black culture and revealed his deeper viewsRead MoreLangston Hughes Theme for English B and Gerald Graff’s Hidden Intellectualism882 Words   |  4 PagesLangston Hughes â€Å"Theme for English B† and Gerald Graff’s essay â€Å"Hidden Intellectualism† portray racial separation and intellectual isolation, respectively. Hughes’ essay is poetic justice, and Graff’s is a call to arms. Hughes’ is short and to the point and is simply what it is, no arguing or convincing, just raw thought. Graff’s is hig hly intellectual; offering examples and reasoning, and it could even be seen as a not-quite-finished plea to the nation to reevaluate our education system. But theRead MoreLangston Hughes: Spokesman for Civil Rights960 Words   |  4 PagesTracy Johnson Mr. Bush English Comp. 11 26 October 2012 Langston Hughes: Spokesman for Civil Rights The purpose of this essay is to examine the theme of three Langston Hughes poems; â€Å"I. Too,† â€Å"Mother to Son,† and â€Å"Theme for English B.† The theme of these three essays is civil rights. Langston Hughes was born in Joplin, Missouri in 1902. His parents separated early in his life, he lived with his mother in Kansas City. Langston Hughes attended High School where as a senior he wrote, â€Å"The NegroRead More`` True Freedom `` By Langston Hughes1163 Words   |  5 Pagesup for beliefs. Langston Hughes, an American poet known for his writing during the Harlem Renaissance period said, â€Å"In all my life, I have never been free. I have never been able to do anything with freedom, except in the field of my writing.† (citation). As a young African American man, Hughes faced man obstacles, but writing gave him a sense of freedom of expression. His poetry reached people of various social, cultural, and racial backgrounds. Hughes’ poetry has timeless themes that give insight

Tuesday, May 12, 2020

Is There really a Link Between Depression and Suicide

When the word suicide comes to the minds of some, it can be very immobilizing. After all, it is a very serious, deep, and dark topic to converse about. Those who commit suicide have most likely had a history of depression. This is what makes most logical sense. What seems to be the problem though? So many people experience depression. Why should this matter? Depression can be something someone has to live with temporarily, but if the emotions go to as far as killing ones self over it, then that is too much. Life is a valuable gift to have, and one should not want to take their own life for any reason. Many reasons are to blame here for one to commit suicide such as the environment in which one lives in and society itself. Bullying, neglect, conflict, family problems are just some of what make the life of people experiencing depression and suicidal thoughts quite miserable. People under such conditions are quite miserable from lifes troubles and feel as if there is nowhere to go. All hope is lost for them. These people would think that they are better off dead. Society has to learn give attention to help those affected by depression by improving its ways. Is there really a link between depression and suicide? This question can be debatable. The question can have multiple opinionative answers. The strongest risk factor for suicide is depression. (SAVE foundation, Suicide facts, save.org). That is the facts and they present that a link is present. In all truth and logicalShow MoreRelatedInformative speech outline Essay1391 Words   |  6 Pagesï » ¿Title: Suicide Among Teenagers Specific purpose: To inform my audience on some of the causes on teen suicides.    I. Introduction A. Attention Material: It has been verified on April 19th, 2013 by the Center for Disease Control that for youths between the ages of 10-24, suicide is the third leading cause for death in the United States. (Center for Disease Control: Teen Suicide Statistics, Chart number 1) B. Tie to the audience: Teenagers taking their own life has always been an idea hardRead MoreThe Link Between Depression And Suicide Essay1288 Words   |  6 PagesThe Link between Depression and Suicide: Depression carries a high risk of suicide. Over 90% of people who die by suicide have clinical depression or another diagnosable mental disorder. Many times, people who die by suicide have an alcohol or substance abuse problem. Often they have that problem in combination with other mental disorders. Warning Signs: †¢ Always talking or thinking about death †¢ Clinical depression -- deep sadness, loss of interest trouble sleeping and eating -- that gets worseRead MoreEffects Of Depression Among College Campuses Essay1500 Words   |  6 Pagespositively or negatively. Depression can occur when adolescents are transitioning into young adult years. Moving away to college, schoolwork load, and maintaining a social life are all big parts of this time frame in life. Many cognitive problems often develop during this time also. When one enters college, they are faced with many different situations that can lead to negative consequences. Drugs, alcohol, and other substances are all present on many college campuses. Depression is a mental illness thatRead MoreA Correlation Between Stress And Adolescent Suicide1187 Words   |  5 PagesThere is a high rate of adolescent suicide with the cause being undetermined. The purpose of this paper is to determine if there is a correlation between stress and adolescent suicide. Stress is a state of m ental or emotional tension resulting from demanding circumstance; it can affect an individual’s body and mind, which can eventually lead to a mental breakdown. Literature review and qualitative research was the method use to formulate this paper. Based on the results, it is determined that stress-Read MoreDifferent Treatments Of Depression / Anxiety And Their Effectiveness1622 Words   |  7 PagesTreatments of Depression/Anxiety and their Effectiveness For years, the ideal treatment of depression/anxiety has been pretty much up in the air with literature that shows mixed results for responses to various treatments. Pharmacotherapy or treatment via medicine, and psychotherapy treatment via talk therapy are the two types paths for those with a diagnosis of depression/anxiety that will be considered. Depression is a disorder that globally effects more than 350 million people today (Depression (A)).Read MoreMy First Year Of High School947 Words   |  4 Pagesworst days I would cut classes so I could get home even sooner. Suddenly everything seemed like it wasn’t worth doing. All of my work suddenly fell by the wayside. I stopped talking to a lot of friends. I quit softball. Nothing really made me excited anymore. All I really wanted to do was sit in my bed and sleep or binge eat food until I was sick of it. Eventually, I was faced with disciplinary issues at school. My cutting classes hadn’t gone unnoticed. Over the school year I had slowly piled upRead MoreTheories About Perfectionism And Suicidal Ideation, And Its Dimensions On Depressed Adolescent Patients1334 Words   |  6 Pagesmethod, which comprises sample data based on five independent variables such as perfectionism, stress, daily hassles, hopelessness, and suicide potential. The sample data consisted of 55 adolescents, who completed the procedures which have been associated with some indices of life stress, hopelessness, and one of the main problems of adolescence which is suicide ideation and potential. In addition, that was also attended by the parents of those teenagers who were interviewed to analyze theirRead MoreSymptoms And Changes Of Depression1484 Words   |  6 PagesDepression is a mood disorder characterized by pervasive sadness and psychophysiological changes like changes in sleep patterns, sexual desires, loss of pleasure in previously enjoyed things, and even suicidal thoughts (Belmaker Agam, 2008, p. 55). Its rise in prevalence in Western society means that students with depression or depressive symptoms are more common in our schools. The students experience difficulty in motivation and self-esteem, and depression is often comorbid with disorders likeRead MoreThe Effects Of Social Networking On Teenagers And Teenagers1511 Words   |  7 PagesCyberbullicide is suicide indirectly or directly influenced by experiences with online aggression (Hinduja pAtchin, 2009). This leads to there being a connection between cyberbullying and suicide. Youth who are bullied, or who bully others, are at an elevated risk for suicidal thoughts, attempts, and completed suicides (Baldry Winkel, 2003; Mills, Guerin, Lynch, Daly et al., 2004; Rigby Slee, 1999; van der Wal, de Wit, Hirasing, 2003). In research shown, there has been a connection between cyberbullyingRead MoreLanguage Techniques in Hamlet by William Shakespeare Essay1087 Words   |  5 Pagesvaried and links closely to other themes including appearance verses reality, death and suicide, revenge and grief. Soliloquies are one way which the audience can find out a character’s most inner thought. They play an important role in revealing certain themes of Hamlet. The main theme that is explored, is suicide and quality of life. This issue is expressed in nearly all of Hamlet’s soliloquies. At the start of the play, Hamlet contemplates suicide but is apprehensive

Wednesday, May 6, 2020

Improving Quality of Health Care Services Free Essays

Improving Quality of Health Care Services The U. S. leads the way in many areas into the future of economy, wealth and civilization. We will write a custom essay sample on Improving Quality of Health Care Services or any similar topic only for you Order Now America spends more on heath care than any other nation with quality and safety being a key focus. Nevertheless, evidence of improvement of decreased errors is limited. We lack answers to financial stability and providing quality health care to all (Becher Chassin, 2001). Nationally, everyone is engaged in improving the quality and safety of healthcare. We need to be awakened to preventing errors and providing safer care (Laureate, 2009). The purpose of this paper is to discuss the initiative to improve quality and safety of health care with the â€Å"Six Dimensions of Goodness in Healthcare. † A quality and/or safety initiative Healthcare facilities are engaging in the prevention of medical errors and providing better care. Many institutions are implementing process improvement focused on six key dimensions to enhance the quality and safety in their healthcare setting (Laureate, 2009). The six dimensions are: Safety-to avoid injury to patients from the care that is intended to help them; Timeliness-to reduce waits and harmful delays; Effectiveness-to provide services based on scientific knowledge to all who could benefit and refrain from providing services to those not likely to benefit (avoiding overuse and underuse, respectively); Efficiency-to avoid waste; Equitability-to provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographical location, and socioeconomic status; and Patient centeredness-to provide care that is respectful of and responsive to individual patient preferences, needs, and values (Madhok, 2002). Reasons for the initiative The Institute of Medicine (IOM) has a growing concern about medical errors. The IOM report â€Å"Crossing the Quality Chasm,† asked for a basis change, recommending that the delivery of health care be based on six key dimensions. We have an interaction between the errors of individuals and system flaws that need to be prevented. We need to strengthen our defense systems (Madhok, 2002). The report, â€Å"To Err is Human† estimated that 44,000 Americans die per year as a result of medical errors. More deaths occur in a given year from medical errors than from motor vehicle accidents, breast cancer, or AIDS. National costs of preventable medical errors were estimated between $17 billion – $29 billion (Madhok, 2002). Healthcare institutions are embracing new initiatives for safer care based on the six dimensions. Healthcare systems are implementing the six dimensions as a basic initiative to improve quality. The IOM states that American healthcare must make vast changes to have clinically safe and quality care (Madhok, 2002). The six dimensions can influence and direct the overall process of improvement (Laureate, 2009). Payment systems such as Pay for Performance are causing facilities to incorporate the six dimensions. Pay for Performance initiatives advocate financial rewards to hospitals demonstrating outstanding preventative and care giving practices (Sultz Young, 2011). Poor outcomes with medication errors, skin breakdown, patient falls, isolation procedures, and drug protocols can effect payment to hospitals (Laureate Education Inc, 2009). High quality medical care at an affordable cost is a growing goal for healthcare institutions. Effective, safe, and affordable health care leads to higher patient satisfaction (Quality Initiatives, 2004). Strengths and limitations of the initiative The six dimensions encourage a strong focus on health care quality and error prevention. They encourage policymakers, purchasers, regulators, health professionals, health care trustees, management, and consumers to commit to a national system level of process improvement for quality health care. They encourage a shared agenda to pursue safer care (Madhok, 2002). This can cause facilities wanting independence limitations. Overuse of fee-for-service has been associated with higher rates of variety of health services. Americans are fascinated with technology and often want something done whether it is the best choice of care. Health care providers accommodate consumers. A more unified system could provide better care. It could decrease spending and limit the freedom to choose any type of care one desires (Becher, Chassin, 2001). A fragmented healthcare system needs to come together to provide equal access and care to all U. S. citizens (Laureate, 2009). The six dimensions promote a high level of performance leading to better quality performance and a process of care measures. Healthcare is â€Å"raising the bar† for better care with enhanced collaboration, benchmarking, and facility board goals to support the dimensions (Jiang, 2010). Quality goals such as Zero central line infections zero sepsis is encouraging a higher level of care instead of being satisfied with average outcomes of care (Jiang, 2010). Role of nursing Health care is a team sport. Nursing needs to be part of the team and be actively involved in preventing harm to patients (Laureate, 2009). Effective leadership with health care change needs to come from those engaged in providing health care to patients (Becher Chassi, 2001). Nursing should be a part of identifying the error cause, gathering data, and making goals to prevent subsequent errors (NCC MERP, 2002). Nursing can be more aware and involved in prevention. Nursing can adopt higher standards and have an attitude of prevention concerning errors. Patients should not ever leave a health care facility in a condition worse than they arrived. U. S. health care must improve their standards of care (Laureate, 2009). Nursing can be a part of better communication and handoff’s. The patient has often been the communication link to give report to the next caregiver (Becher, E. Chassin, M. , 2001). Bedside nurses need empowerment to provide care and be involved in creating policies for better care. Nurses need more education, to get more involved in National groups that can affect policy, and to participate in research. Nurses have a great responsibility for safe healthcare. They have an opportunity to make a difference (Laureate, 2009). Nursing should be a part of identifying the error cause, gathering data, and making goals to prevent subsequent errors (NCC MERP, 2002). Summary – 10 point The second IOM report â€Å"Crossing the Quality Chasm,† asked for a fundamental change, recommending that the delivery of health care in the 21st century be based on six key dimensions (Madhok, 2002). The key dimensions are safety, effectiveness, patient centeredness, timeliness, efficiency, and equitability (Laureate, 2009). Healthcare systems are implementing the six dimensions as a basic initiative to improve quality and safety and direct the overall process of improvement of care (Laureate, 2009). We have an interaction between the errors of individuals and system flaws that need to be prevented. We need to strengthen our defense systems (Madhok, 2002). A fragmented healthcare system needs to come together to provide equal access and care to all U. S. citizens (Laureate, 2009). Nurses can be a large part of implementing the six dimensions. Nurses have a great responsibility for safe healthcare. They have an opportunity to make a difference (Laureate, 2009). The six dimensions of goodness can assist the U. S. to improve quality and safety in the healthcare system. References Becher, E. Chassin, M. (2001) Improving quality, minimizing error: Making it happen. Health Affair(20)3 68-81. Retrieved on February 5, 2011 from http://content. healthaffairs. org/content/20/3/68. full. pdf Becher, E. Chassin, M. (2001). Improving the quality of health care: Who will lead? Health Affairs, 20(5), 1-6. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Jiang, H. (2010). Enhancing quality oversight. Healthcare Executive (3) 80-83. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Laureate Education, Inc. (Executive Producer). (2009). The context of healthcare delivery. Baltimore: Author. Madhok, R. ( 2002). Crossing the quality chasm: lessons from health care quality improvement efforts in England. PubmedCentral – Baylor University Medical Center Proceedings. Retrieved on February 6, 2011 from http://www. ncbi. nlm. nih. gov/pmc/articles/PMC1276338/ NCC MERP. National Coordinating Council for Medication Error Reporting and Prevention. (2002). Retrieved on February 2, 2011 from http://www. nccmerp. rg/council/council2002-06-11. htm Quality initiatives in healthcare management, (2004, March). Healthcare Management. Retrieved on February 4, 2011 from http://www. expresshealthcaremgmt. com/20040331/qualitymanagement01. shtml Redman, R. (2008). Experience and expertise: how do they relate to quality and safety? Research and Theory for Nursing practice: An International Journal, 22 (4), 222-224. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Sultz, H. A. , Young, K. M. (2011). Health care USA: Understanding its organization and delivery (7th ed. ). Sudbury, MA: Jones and Bartlett Publishers. 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Working With And Leading People Samples †MyAssignmenthelp.com

Question: Discuss about the Working With And Leading People. Answer: There are several responsibilities of product managers who are going to be employed in various department of Red Mart and their purpose in relation to job of office manager is shown below: Responsibilities of product manager Responsibilities of office manager developing product by implementing proper resource conduct market research delivers operation plan testing and pricing the product implements marketing activities analyzes market conditions Organizes office operation Designs file systems Plans and implements office systems Implements office policies Completes operational requirements Various considerations that are taken into perspective while selecting as well as recruiting for the office manager position includes- Equal opportunity- The Company must offer equal opportunity as well as fair treatment in the process of recruiting and selection to each individual regardless of religion, disability, nationality etc. Discrimination- This might occur while recruitment of workers when decisions are mainly based on irrelevant requirements. The Equality Act 2010 confines the applicants against discrimination. Employment legislation- The Company must be familiar with legislated rights while recruiting employees. The employers must be free in developing policies or practices, which offers better standards than what is permitted in law. The methods of employee selection that could be used in the industry includes- Preliminary interview- In this step, the recruiter usually eliminates disqualified applications that are based on data provided in application forms. Selection test- This test mainly includes- aptitude test, ability test etc that are conducted by company for judging the skill of individual. Personal interview- This step refers to one-to one interview or in depth conversation with the selected individuals. Selection decision- This is a vital step where the organization takes the final decision of those applicants who have passed the above test. Physical examination- The selected candidate undergoes physical fitness examination before making final selection. Final selection Aptitude test is appropriate for measuring the capabilities of candidates while recruiting them for this post. This is because this test is designed for assessing the candidates intellectual performance. It also helps the company in determining the applicants potential of learning in that particular area (Fullan, 2014). It also signifies the ability of individual for engaging successfully in any specialized activities within the organizations. Leadership skills is an important component in positioning managers for making decisions about the companys mission, goals and allocate the resources for achieving the directives. Few leadership skills include communication, creativity, trustworthiness, delegating, motivation etc. Likewise, leadership attributes includes inner qualities that includes values, characters, habits, styles, behaviors etc. The skills and attributes are needed in leadership as it helps in improving their ability to be innovative and proactive. Leadership Management Leadership is proactive It is based on verbal communication Leaders usually follow their instinct They gets authority from followers Management is reactive It is based on written communication Managers follow policies of company They gets authority from virtue of their position The managers should be comfortable with different style of leadership for various situations. Leadership can be of different style, which includes teamwork leadership, autocratic leadership, task oriented leadership, participatory leadership etc. Teamwork leadership helps in motivating team members for completing the project within time (Day, 2014). Autocratic leadership helps the manager in making the decision as well as directing subordinate for completing the project. Participatory leadership coordinates smaller groups in completing the task. Mark Zuckerberg uses positive as well as negative reinforcement for motivating their employees. Positive motivation method motivates employees in producing good quality work, while negative reinforcement motivates workers to stop their bad behavior. In addition, he motivates workers by giving verbal encouragement. Steve Jobs fits in the description of transactional leadership (Rees French, 2016). He motivates his employees by making them believe that they can create something new, providing good corporate culture, valuing experienced employees, reminds his employees that their work is impactful, rewarding them and making transport easier. Teamwork benefits the organization by improving their productivity, morale and quality of goods or service. An effective teamwork utilizes the talents of each individual team members, which in turn positively impacts on the performance of the company. It also increases efficiency in employees work and thus helps the organization in saving money. It also leads to better outcomes of business as it involves resources to stand against challenge. Working in team as leader increases the responsibility in work than working as team member. As a team leader, one must guide and motivate its team members for improving their performance in work (Anderson, 2016). The leader has the responsibility of creating positive environment in the workplace. On the other hand, working as team member it is necessary to perform the specific task successfully within specified time. The members working in an effective team share high commitment level in achieving the organizational goals. They also work together in integrated manner with high extent of awareness. Effective team also have high capability to solve the problems of organization. It also benefits the company by producing good quality outcomes. Planning for assessment of work planning involves establishment of methods to be implemented for completing the work. This method in turn is influenced by external as internal factors. In case of planning, it is vital to know companys priorities and resources. The factors that are involved in monitoring the work planning includes feedbacks from employees, pace towards work progress , time frame, cost-effectiveness etc. For assessing the development requirements of the supervisor, it is necessary to review the job descriptions by personally contacting them, noting their attitude and collecting more information about them (Anderson, 2016) . After collecting it, they must be analyzed by supervisor. Moreover , the employees who is shifted to another department of which he has little understanding, it is necessary to provide them proper training as well as development. The outcome of assessing development needs , the training process must be properly planned and executed. The success in process of task assessment helps to know what resources and methods are related to that specific task. It also helps the individuals in evaluating the contributing factors that creates negativity in task. It also facilitates the organization in evaluating exact information for parameters that are related to this task. References Anderson, D. L. (2016).Organization development: The process of leading organizational change. Sage Publications. Day, R. D. (2014).Leading and managing people in the dynamic organization. Psychology Press. Fullan, M. (2014).Leading in a culture of change personal action guide and workbook. John Wiley Sons. Rees, G., French, R. (Eds.). (2016).Leading, managing and developing people. Kogan Page Publishers.