Public Healthcare In Malaysia Health And Social Care Essay

Public Healthcare In Malaysia Health And Social Care Essay This chapter of the paper would explain on the introduction to this study and issues background. It would consist of problem statement, objectives, research questions, scope, significant of the study, limitations and some important terms that will be use in this research. Introduction Healthcare system in Malaysia is one of the crucial sector focus by the government. The healthcare services can be divided into public and private sector. There are many efforts done by the government to increase country healthcare quality such as by including healthcare aspects in formulating 10th Malaysia plan strategies that are: Strategy 1 : Establish a comprehensive healthcare system recreational infrastructure Strategy 2 : Encourage health awareness healthy lifestyle activities. Strategy 3 : Empower the community to plan or implement individual wellness programme (responsible for own health) Strategy 4 : Transform the health sector to increase the efficiency and effectiveness of the delivery system to ensure universal access It showed government really concern in improving and fulfilling people healthcare necessity. The public healthcare in Malaysia consist of government public hospital and clinics. public and private sector has spend billion of money in providing better healthcare and it will continuing increase align with the increase of Malaysia population. According to country health plan in 10th Malaysia plan for 2011-2015, population of Malaysia has increase till 28.3 million and 2.32 million of it was immigrant and foreign workers. Moreover, 24.4 % from the total immigrants residing in Sabah. It means the number population will keep increasing from year to year. The more higher population would need the more good healthcare providers. The public and health sector has invest lot of money in ensuring the current healthcare availability is enough in fulfilling people high demand. The table below shown total expenditure on health from 1997 to 2008. Therefore, in 23rd October 2009, prime minister YAB Dato Sri Najib Tun Razak established 1Malaysia clinics under 1Care programme of 1 Malaysia concept. According to the prime minister 1Malaysia concept is define as à ¢Ã¢â€š ¬Ã‚ ¦provide a free and open forum to discuss the things that matter deeply to us as a Nation. It provides a chance to express and explore the many perspectives of our fellow citizens. What makes Malaysia unique is the diversity of our peoples. 1Malaysias goal is to preserve and enhance this unity in diversity which has always been our strength and remains our best hope for the future. I hope this Website will initiate an open and vital dialogue exploring our Malaysian identity, purpose, and direction. I encourage each of you to join me in defining our Malaysia and the role we must play in its future. Each of us despite our differences shares a desire for a better tomorrow. Each of us wants opportunity, respect, friendship, and understanding (1Malaysia Booklet). The definition of 1Care Malaysia is national health restructuring system that provide more choice of quality health care, better healthcare coverage that require by the population based on solidarity and equity. This new system should improve old system by providing new effort in enhancing people healthcare quality (Maimunah binti A hamid, 2010). 1Malaysia clinics objective is to provide affordable and quality healthcare treatment to the local residents especially for middle and local income group. It manage by medical assistance and only applicable in handling minor treatment and limited medicine prescription. Currently, there are 100 clinics with additional RM 17.2 Million budget (Nes strait times, 2012). In sabah only there are 20 clinics and 2 (Sulaman sentral kota kinabalu and Bandar Leila, Sandakan) of it has been upgraded to Klinik Kesihatan. The upgraded of 1Malaysia clinic to become Klinik Kesihatan is because the positive response from loal residents and the clinic received more than 100 patients per day. The upgraded is hope to provide better services to the people with extra expertise (Utusan, 2012). TOTAL EXPENDITURE ON HEALTH, 1997-2008 (RM, NORMINAL VALUE) Year Expenditure on Health (RM million) Expenditure on Health as % of GDP Total GDP (nominal value) (RM million) 1997 8,213 2.9 281,795 1998 8,966 3.2 283,243 1999 9,743 3.2 300,764 2000 11,516 3.4 342,612 2001 12,520 3.7 334,309 2002 13,620 3.8 360,568 2003 19,164 4.6 418,769 2004 21,378 4.5 474,048 2005 21,915 4.2 519,451 2006 24,788 4.3 572,555 2007 30,228 4.7 641,864 2008 35,149 4.7 740,721 Source: Malaysia National Health Accounts 2007 PROBLEM STATEMENT Malaysia government has established lot of healthcare effort in order to increase public health quality for example 1Malaysia clinic and klinik kesihatan. These two clinic is related to each other and offer almost the same system of service delivery and purpose. This study conduct to identify the comparison between these two clinics based on certain aspects of effectiveness. There are a few issues arise related to these government healthcare program. The first issues is related to the reliability of 1Malaysia clinics services, the concern shows by president of the Malaysian medical association (MMA), Dr. David Quek. He said that the establishment of 1malaysia clinic provides low healthcare standard system because it operates by medical assistance and nurses only. He also reminded the ministry, the limitation of knowledge among medical assistance and nurses in giving medical advices and medicines would affect the healthcare services in Malaysia (the sun, 2010). It not aligns with the modernization of Malaysia and this kind of system similar with healthcare system during world war. He also showing concern related to 1malaysia legality, according to Medical Act 1971 its illegal for a medical assistance to manage a clinic (the star online, 2009).   The provision referred by Dr David Quek is Medical Act 1971 Section 33. (1) (f), the section stated: 33(1) Any person not registered or exempted from registration under this Act who (f) uses the term clinic or dispensary or hospital or the equivalent or any of there terms in any other language in the signboard over his place of practice in purported practice of medicine or surgery as a person registered under this Act; shall be guilty of an offence against this Act. It showed that there are some doubt by the public related to the 1Malaysia clinic effectiveness. The effectiveness of 1Malaysia clinics is a major corcern to the public because of the high cost of establishment. Government allocated RM 10 million for 50 clinics in 2010 and RM 7.2 Million in 2012 for adding 20 more clinics, it cost lot of country money allocation for established all clinics for the public (Bernama, 2012). The failure of this clinics can cause loss to the country with the high expenses given. After establishment of 1Malaysia clinic, government came with another idea for improving people healthcare quality especially for middle and low income group by upgrading the 1Malaysia clinic into klinik kesihatan. For those 1Malaysia clinic that exceed 100 patients per day, the clinic would be upgraded to klinik kesihatan and 1 doctor would be provided. Klinik kesihatan as a replacement of 1Malaysia clinics guesting to provide better service and medication compare to before the u pgraded. This study will focusing on comparing between 1Malaysia clinics and Klinik kesihatan in a few effectiveness aspects. It also hope to answer a few main questions related to the improvement of services between before and after upgraded. In Malaysia there is limited proper study done related to the evaluation of this healthcare program especially when it related to the 1Malaysia clinics. it also very difficult to find comparison study between government clinics for such as 1Malaysia clinic and klinik kesihatan. By conducting this study, it may assist in evaluate whether this program that cost RM 10 Millions is resulting good result for the public. In addition, this study also may help in figuring out the relevant of 1Malaysia clinic implementation and service changes happened through the upgrading process. Objectives To identify comparative analysis between 1 Malaysia clinic and Klinik Kesihatan in term of: Accessibility Availability Treatment Staff services Environment Waiting time Research questions Comparative analysis between 1 Malaysia clinics with Klinik Kesihatan: What is the people preference between 1 Malaysia clinic and Klinik Kesihatan? Why? What are the rationale the establishment of the new healthcare program, 1Malaysia clinics compare to existed government health clinics? What are the differences between these two clinics: Which of the clinics provides better accessibility to the patients? Which of these clinics better in term of availability? Which of these clinics provides better health treatment to the patients? Which of these clinics provides friendlier services to the patients? Which of these clinics provides a better treatment environment? Which of these clinics provide better waiting time? Scope Of Study This study will be conducted at Klinik kesihatan Sulaman sentral, kota kinabalu sabah. The respondents of this study consist of representative of health ministry, both clinics staffs and patients. SIGNIFICANT OF STUDY This study is significant as a feedback to the policy maker. The policy maker is refer to government especially ministry of health that responsible in formulating and implementing any healthcare programs. Result of this thesis can be use as one of the feedback especially to 1Malaysia clinics and Klinik Malaysia implementation. Not only that, policy makers also can beneficial from this study by referring to the findings and it can give them some ideas related to the current service quality provided and from the analysis also it can be use as one way to improvise the healthcare practices in the future. The other beneficial gain from this study is as a contribution to the body of knowledge in this discipline. In Malaysia, there were very limited past research done related to government healthcare services especially comparative study between two government clinics. Most of the past study only focusing on on customer satisfaction and comparison between public and private clinics only. The study conducted can be as one of the reference and source to the future researchers because it rare to find any comparative study related to the two government healthcare services especially related to 1Malaysia clinics. It is because 1Malaysia clinics is still in progress and new programs that established by the prime minister under 1Malaysia concept in 2009. Besides that, this comparative study between 1Malaysia clinic and Klinik kesihatan can be as one of the information sources for the public. It because public has lack of information related to these clinics and only a few people notice about the upgrading and changes happened. Through this study, it can provide some understanding to the public about the public clinic system and the reason of upgrading of 1Malaysia clinics. Finally, they can realize the government effort in providing better healthcare to the people especially for the middle and low income group. LIMITATIONS The first limitation is difficulty in searching for past research. There lack of study done related to healthcare service in Malaysia especially in comparing between government healthcare services. It can be a challenges to the researcher in finding past research related to the 1Malaysia clinics and Klinik kesihatan because of it a new programs and no focus done related to this topics. Result from the difficulty, it hardly to find strong statement to support details in this research. The second limitation is in analysis the information. This study is a qualitative research and the information gain from interviewing respondents from ministry of health, clinics staff and patients that experienced the services. It means the information gather from the interview, it can be a limitation to the study to observe the body language of interviewee carefully and at the same time make sure all the interview details taken taken into account.Furthermore, it also a challenge for analysis the information received and make ensure the result is based on the actual interviews. In order to overcome this limitation, the researchers has use another way of recording the conversation so at the interviews conducted all the attention can be given in asking, understanding and observing the respondents. Limitation also exist in finding the right patient respondents, it because the respondents should be someone who has been received treatment from both 1Malaysia clinic and klinik kesihatan so the information given more reliable and convenient if the patients experiencing both clinics treatment. It would be time consuming for search the right respondents to be interview.

Creating a Star Wars Lightsaber is not Possible Today :: physics science star wars weapon sword

The lightsaber is a weapon used in the Star Wars Galaxy. It is basically a saber/sword-like weapon that comprises of a hilt that contains a crystal which is used to focus beams of plasma into a tangible blade which has a finite length and is capable of cutting through a myriad of different materials. Its capacity to cut through material as well as the length of the actual blade of plasma can be altered and reconfigured to each individual's personal liking. The saber is powered through an internal rechargeable battery. No two lightsabers are alike because each individual build his own lightsaber(s) to his or her own liking. There are several parts to a lightsaber: * Handgrip * Activation Plate * Safety Switch * Emitter Matrix * Lens Assembly * Power Cell * Power Conduit * Recharge Socket Originally, lightsabers were built using crystals harvested manually an individually from the planets of Ruusan and Ilum. In the current universe however, processes for synthesizing crystals have become fairly common and several lightsabers are built using these synthetic crystals. The crystal is wired to the conduit and power cell such that the user can alter the length, width and intensity of the emitted blade. When the fully constructed lightsaber is activated, the internal power cell generates photo-electric energy by which the plasma blade is focused through the crystal. a non-thermal beam of plasma is packed tightly and focused through anywhere from 1 to 3 crystals with multiple facets. The formed beam is positively charged and is attracted back to the emitting hilt by way of negatively-charged high energy flux apertures. A power cell superconductor is then used to recycle individually emitted plasma packets into one long beam which continues to self regenerate during the time duration over which the lightsaber remains activated. The blade is tangible and because both blades on two dueling sabers are positively charged, the blades are capable of repelling one another. Ordinarily, the emission of the plasma blade for long durations of time would drain the power cell on the saber fairly quickly as was the case with older sabers from several millenia back in the past. However, through use of The Force, a Jedi is capable of combining all of the elements of his saber into one hightly efficient weapon such that the only major power drain occurs from the blade coming in contact with another material.

Tupac is Alive, Not Dead Essay -- Tupac Shakur 2pac Makaveli

In the same fashion that Elvis defined Rock ‘n’ Roll; Tupac Shakur defined the hip-hop music scene, as we know it today. What made Tupac (also known as 2Pac, or Makaveli) so special were his enormous talent, his on screen friendly looks, and the sense that he was â€Å"real† and talked the talk, while walking the walk. Tupac was born on June 16, 1971, Tupac Amaru Shakur. He was named after Tupac Amaru, the Inca Indian that was sentenced to death by the Spaniards. He was originally from Brooklyn, New York. Tupac spent a lot of time moving around as he was growing up. He was the son of a Black Panther activist Afeni Shakur and Billy Garland. Tupac moved from Harlem, to Baltimore, to Oakland. The constant moving caused Tupac to fit into his new communities by joining gangs, and his lengthy rap sheet was created even before his profalic entry into music and film. He was arrested eight times before even turning twenty (MTV.com).   Ã‚  Ã‚  Ã‚  Ã‚  Tupac’s first big break came when he joined the group Digital Underground as a dancer and roadie. During that time, Tupac spent a lot of the time composing his own poetry and lyrics to launch his own career. In 1991 he signed with Interscope records and a year later he released his first album 2Pacalypse Now, which immediately landed him   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   into â€Å"gangster† rap stardom. That year he also starred in Juice with Omar Epps and Samuel L. Jackson. It was the beginning to a bright acting career, which also landed him parts in other urban and African American oriented films such as Poetic Justice (1993), Above the Rim (1994), Bullet (1996), and Gridlock’d (1996). His main notoriety was through music, and he followed up his successful debut with Strictly 4 My N.I.G.G.A.Z. (1993), which also was a success. In 1995 he released Me Against the World, and in 1996 came All Eyez On Me (Smith 15-18).   Ã‚  Ã‚  Ã‚  Ã‚  Shakur’s post celebrity run-ins with the law were almost as frequents as when he was growing up. In 1992 he was arrested when a stray bullet killed a six-year old child during a scuffle between Shakur and two others. The charges were later dropped. In 1993 Tupac was arrested for allegedly shooting two off duty Butts County Atlanta police officers who were harassing a black motorist, but the charges were again dropped. Ironically one of the officers was shot in the... ...re are many people that believe everything they have to say. For example take Bill Clinton, our own President; he stood up and lied straight to all of us saying he never committed adultery. And then what about Watergate? And we elect these people into office to govern us. I cannot believe the media, they only tell what they get from the government, a system that lies and cheats its way through.   Ã‚  Ã‚  Ã‚  Ã‚  I still believe that he is alive. I believe in all of the evidence that I have suggested that he some how in some way faked his own death. I believe that Tupac, his family and some presumably well-paid, official looking stand- ins have conspired to pull of the ultimate scam. But is it really a scam? A scam to gain what? There is still a multi- million-dollar life insurance policy out there with Tupac’s name on it. It’s been six years and no one has bothered to cash it. I will tell you why. He had a reason to believe that his life was in danger, and he had to do something to take care of it. Besides haven’t you ever been curious about who would show up at your funeral, and who would really be crying? Tupac was curious, but he never had a funeral, so his questions may never be answered

Gemstone and Diamond Mining Through the Years

Gemstones have been a symbol of wealth from the ancient times up to the present. These stones with their own characteristic, unique and special properties have always been associated to beauty too. Popular and famous persons throughout history, especially those from the noble family have used gemstone to adorn not only themselves but their dwellings as well. In the United States, mining of these stones has been for recreational activity only for collectors and hobbyists since 1935 (Gemstones Production, USGS). Nevertheless, as the value of gemstones inflated, large scale mining operations have been initiated. In this paper, we would explore the world of gemstones; what truly fits the word gemstone, how are they classified and the methods of mining.GemstonesThe word â€Å"gem† actually came from the Latin word gemma, which means â€Å"bud† (Microsoft Encarta). It is a very fitting name since gems seem to bud out of the earth’s crust like flowers in a garden. Gem o r gemstone means any mineral or organic material that can be used to decorate one’s body, for display or can be considered an object of art due to its unique properties it possesses such as beauty, rarity and durability. Colored and diamond gemstones are subcategories of gemstones. Basically, colored gemstones are all other stones except diamond such as amber, coral and shell (Olson 32.1).On the other hand, natural gemstones are minerals, stones or any organic matter that can be cut, polished, or treated for use as jewelry or other personal ornament (Gemstones Terms, USGS). Gemstones can be further classified as precious or semiprecious gemstones. Precious gemstones have beauty, durability and rarity, while semiprecious gemstones have only one to two of these characteristics (Gemstones Terms, USGS). Diamond, ruby, sapphire, emerald, aquamarine, topaz and opal are classified as precious gemstones while others are treated as semiprecious (Gemstones Terms, USGS). Since gemstones are rare, they are not plentiful and these stones do not form ores like other mining products. They tend to be scattered throughout a large body of rock or can be crystals found on small cavities of rocks (Gemstones Environment, USGS).Gemstones are primarily found from Tennessee, Alabama, Arkansas, North Carolina, Oregon and Arizona (Gemstones Specialist 64). However, most gem diamond reserves are not found in the United States. Diamonds are usually mined from Southern Africa, Russia, and Western Australia (Gemstones Specialist 65). The very first used as jewelry were amber, amethyst, coral, diamond, emerald, garnet, jade, lapis lazuli, pearl, rock crystal, ruby, serpentine and turquoise (Olson 32.1).In the US, the commercial gemstone industry consists of individuals and companies that mine gemstones or harvest shell and pearls, firms that manufacture synthetic gemstones and individuals and companies that cut natural and synthetic gemstones (Olson 32.1). Worldwide, the industry is only composed of two sectors: diamond mining and marketing and the production and sale of colored gemstones (Olson 32.3).Throughout the year, few of the diamonds mined are of gem quality; much of them are of near-gem and industrial in quality. Gem quality diamonds display high standards of excellence in quality and can be sold as jewelry. Clarity of such diamonds is from flawless through to visible inclusions. On the other hand, near-gem quality represents diamonds that fall between gem and industrial quality and thus can be used for either purpose.   Clarity of this set is from visible inclusions to industrial. Lastly, industrial quality diamonds are of low quality and cannot be used as jewelry or adornment. These diamonds are suitable only for industrial use such as dentist’s drills and earthmoving equipment (Mining Diamonds).Diamonds are formed beneath the earth’s surface and required tremendous pressure and temperature. Like diamonds, most gems are crystals forme d by cooling hot gases, solutions, and melts. As the earth’s soil surface weathers and erodes, and rivers forcefully flow through, gemstones may be exposed and be unearthed where one can even simply bend over the riverbank and pick them up (Microsoft Encarta).MiningOne of the two primary industries of early civilization is mining. Like agriculture, it is one of humankind’s earliest endeavors (Introduction to Mining 1). In 3400, Egyptians in Sinai did the first ever-recorded mining where they have found turquoise (Introduction to Mining 7). Usually, gemstones are excavated at the surface. However, through the years, underground mining especially for diamonds have been developed. Unlike surface mining, underground mining is more complicated and expensive. It involves the efficiency, safety and permanence underground (Introduction to Mining 11).Mining is the process of obtaining useful minerals from the earth’s crust. Its process requires excavations in underground mines and surface excavations in open pit or open cut mines. Thus, it involves physical removal of rock and earth to acquire gems and other important minerals. (Microsoft Encarta). Mining consists of four stages. These stages are prospecting or search for mineral deposits, exploration or the work included in evaluating the extent of economic value of the deposit, innovation or the work of preparing access to the deposit so that the minerals can be extorted from it and exploitation which is the process of extracting the minerals (Microsoft Encarta).Methods of MiningThere are several methods of mining. For gemstones, they are usually obtained on rivers and shores. However, there are also other ways of obtaining them in large scale mining operations. Exploitation methods can be classified into two categories based on setting which are surface and underground mining. Surface mining operations consists of mechanical excavation techniques such as open pit and open cast or strip mining. T here are also aqueous methods such as placer mining and solution mining. On the other hand, underground mining is usually categorized into unsupported, supported and caving methods (Introduction to Mining 11).Placer mining involves excavating loose or alluvial such as sand and gravel. The sought after gems are separated from the sand or gravel by a series of screens, jigs and sluices. This type of mining is usually used for diamonds and rubies (Microsoft Encarta). At present, surface mining involves production of blastholes 3-15 inches in diameter by rotary or percussion drills for the placement of explosives in order to remove consolidated rock. The explosives are then inserted and detonated. The material then is loaded and hauled for transport (Introduction to Mining 15).Diamond MiningDiamonds are mined by pipe or alluvial methods. In pipe mining, extraction of diamonds is done from volcanic pipes. Unlike other gems, diamonds are usually found underground and on volcanic rocks and lands. In diamond pipe mining, large areas are exploited wherein an average of 250 tons of volcanic rock is mined just to produce a one-carat gem quality polished diamond (Mining Diamonds). Due to this intricate and costly process, diamonds are really rare and precious. Diamond pipe mines are composed of kimberlite material called blue ground. At the start, kimberlite is dug from the surface by rough opencast mining. Nevertheless, as the surface deposits are exhausted, pipe mining is employed by sinking shafts into the ground at the edge of pipes and tunnels are driven into the deeper parts of the pipes. By doing so, diamond-bearing rock is excavated and is then transported for screening (Mining Diamonds).Another method of diamond mining is alluvial mining. In this method, diamonds are extracted from riverbeds or ocean beaches. It is true that diamonds are made inside volcanic pipes and lands, however, millions of years allowed that some of the diamonds formed are weathered out of the volcanic pipes and carried to great distances by rivers and oceans. Thus, the process of alluvial mining involves building a wall that holds back the surf. About 25 meters of sand is demolished aside to reach the diamond-containing level in the ocean and riverbeds. The diamond-containing sand is then acquired and transported to screening plants (Mining Diamonds).In screening plants, diamonds with kimberlite are cleaned and purified. Separation of the diamonds from the kimberlite ore involves a process much like the panning of gold. The kimberlite ore is put into large funnels along with a heavy fluid and is then, mixed in a rotating manner. Since diamonds are heavier than the other materials from which it is mined, they sink into the bottom of the funnels and spill out. After this process, the diamond is almost free from other waste (Mining for Diamonds).Diamonds can then be washed on shaking grease-covered tables. Uncut diamonds then adhere to the grease while the other fragmen ts of waste ore are vibrated past and are discharged to tailings pile. The tables are then scraped for diamonds in the grease and then are boiled to melt the grease and separate the diamonds (Microsoft Encarta). Finally, these diamonds are separated into different grades or quality as industrial, gemstone or near-gem grades.After-Mining OperationsRough uncut diamonds do not actually look attractive. Such diamonds are needed to be cut and polished before anyone can see their beauty and relevance in personal adornment and jewelry. The process of cutting and polishing originated in India where Indian natives discovered a way to make rough diamonds glisten by simply grinding another diamond against it (Mining Diamonds). Diamonds are known for their hardness, no material has ever been found which is capable of cutting diamond until the Indians found out that diamonds could actually be cut and polished by diamonds. The process of cutting and polishing typically lasts for several hours to several months. After which, the diamond will turn out lighter for at least half of its original weight (Mining Diamonds).Diamonds are first carefully examined before cutting. Diamonds are popularly cut into round brilliant since this shape gives the greatest possible brilliance with the minimal weight loss. Cutting uses an instrument similar to grinders. This cutting instrument is made of a paper-thin metal disc coated with diamond dust revolving at a fast speed. Lasers can also cut diamonds nowadays. The corners of the diamonds are then rounded by grinding another diamond producing some dust that can later be used in polishing. Diamonds are then polished to make them sparkle brighter. The diamond dust from the cutting is placed on a turntable made of iron and oiled. The cut diamond is then grinded against the turntable until it sparkles beautifully (Mining Diamonds).ConclusionGemstones are treasures not only of powerful people but also of mighty and ancient civilizations. As human kind became civilized, gemstones such as diamonds and sapphires became symbols of prosperity and elegance. Their crystalline structure, the rarity, and the arduous process of mining them have lived up to their symbolism throughout the years and continue to do so.Works Citedâ€Å"Gemstones Environment.† 18 June 1997. United States Geological Surveys, USGS. 30 April 2008 < http://pubs.usgs.gov/gip/gemstones/environment.html>.  Ã¢â‚¬Å"Gemstones Production.† 18 June 1997. United States Geological Surveys, USGS. 30 April 2008 < http://pubs.usgs.gov/gip/gemstones/production.html>.â€Å"Gemstones Terms.† 18 June 1997. United States Geological Surveys, USGS. 30 April 2008 < http://pubs.usgs.gov/gip/gemstones/terms.html>.â€Å"Gemstones†. Gemstones Specialist (703) 648-7721, Mineral Commodity Summaries, January 1996. USGS. 30 April 2008 .â€Å"Introduction to Mining.† 30 April 2008. .â€Å"Mining.† Microsoft Encarta 2007. 1993-2006 Microsoft Corpora tion. CD-ROM.â€Å"Mining Diamonds†. 30 April 2008 .â€Å"Mining for Diamonds.† 30 April 2008 .Olson, Donald. â€Å"Gemstones.† USGS 2000 Yearbook. USGS. 30 April 2008

Global Nursing Shortage and Impact on Health Care Environment

In recent years international health care organizations are more and more recognizing the impact of nursing shortages in every aspect of health care delivery. Many health care delivery systems are increasingly recognizing the threat recurrent shortages of registered nurses impose on the health care system (Krall & Prus, 1995). This trend has become increasingly apparent from about the mid 1980s through the present, with concerns over nursing shortages leading many health care specialists to explore â€Å"the dynamics of the nursing labor market using neoclassical labor market analysis† (Krall & Prus, 67). Using this approach many suggest that chronic nursing shortages in the global market result from depressed wages and excess demand, and that hospitals tend to command â€Å"monopsonistic power† when it comes to nursing management (Krall & Prus, 1995). Under this line of thinking hospitals have traditionally resulted to substituting less skilled nursing personnel in place of RN's when the need arises to cope with nursing shortages, potentially decreasing the quality of care afforded patients and customers of the hospitals. One thing is certain; the future of the modern global health care organization is uncertain in light of chronic labor shortages among qualified nursing staff (Epstein, 1999). Many health care organizations are seeking alternative methods to provide patients with the quality care they need despite nursing shortages. Many are resorting to more emphasis on preventive care while others are branching out into the community in an attempt to identify community resources that may promote more support for patients in the health care environment (Epstein, 1999). Heirich (1998) notes that it is vital that health care organizations rethink the health care delivery system in order to provide the innovation necessary to accommodate the rapidly changing world economy and global health care environment. Old formulas for funding health care no longer work; health care costs continue to rise. Many organizations are focusing on cost control, which may include budget shortfalls when it comes to compensating nursing staff. More and more however health care organizations are also realizing the need to focus on adequate compensation and attention to nurses and nursing shortages. New business and health coalitions are forming in major metropolitan areas to help control costs and also attract more qualified personnel, stimulating physicians and nurses as well as other providers to work together to improve service delivery in light of new health care challenges (Heirich, 1998). Future of Workforce Design and Organization As health care organizations are changing in response to chronic nursing shortages so too are organizations re-evaluating workforce designs and organizational development within the health care setting. More and more the emphasis within the health care community and organization has been creating more flat organizational structures and global enterprises that encourage cross collaboration or multi-disciplinary approaches to health care delivery (Heirich, 1998). Chronic labor shortages of nurses in the global workplace have encouraged healthcare organizations to adopt new strategies for attracting qualified personnel. In Britain for example, long standing labor shortages among nurses has resulted in dire efforts to recruit migrant nurses from other countries (McGann & Mortimer, 2004). Other organization's including the Illinois State Association are considering recognizing various grades of nurses, including nurses with twelve months vs. urses with twenty seven or more months of training, in an effort to provide more and lower cost nursing care for patients (McGann & Mortimer, 2004). Nursing workforce design is increasingly taking on an interdisciplinary and collaborative approach, with more nurses and health care staff trained in a diverse array of services (Clark & Drinka, 2000). More health care systems are developing teams that consist of a nurse, doctor, nurse practitioner, social worker and other community members that provide a mix of services to patients (Clark & Drinka, 2000). Such efforts may help relieve some of the burden associated with nursing shortages while still ensuring that patients are cared for and offered the highest quality services possible in the health care setting. Health care organizations are also working to involve nursing staff more in decision making processes in an attempt to increase job satisfaction and promote reduced turn over and greater loyalty among qualified staff, as many nursing shortages have been attributed to overworked nurses and lack of job satisfaction (Clark & Drinka, 2000). More and more workforces are designing systems that allow nurse practitioners to provide feedback and work in an environment that is more supportive even in light of chronic over scheduling or nursing shortages. Impact Nursing Shortage on Education and Training Educational facilities are increasingly realizing the need to cross train staff to work in a variety of settings to cope with nursing shortages. Additionally more and more educational institutions are promoting team building skills training to promote greater collaboration among nurses and among other health care professionals. The chronic global nursing shortage has affected the future of nursing education, encouraging more training program development with emphasis on training nurses in other skill areas including stress management to cope with increasing burdens associated with under staffing and increasing job demands (McGann & Mortimer, 2004). Mosley (1998) suggests that the health care delivery and training model is shifting to move from more individual patient care to care in an integrated environment or system that affords a continuum of services . In this environment accountability for the health and well being of patients moves from a single nurse or care provider to multiple members of the health care team. This wellness model is increasingly promoted in educational facilities where potential health care providers and nurse trainees are taught to include community organizations, family, physicians and individuals as part of the health care team working to promote the health and well being of patients. The new model for educating nurses includes more diversity training so nurses are capable of working with diverse patients from diverse backgrounds (Clark & Drinka, 2000). It also includes an interdisciplinary approach to training that cross-trains nurses and other health care staff members to work in various settings and under dynamic conditions. Despite these efforts chronic shortages still exist with regard to attracting and retaining competent staff. Many educational facilities are realizing decreased enrollment in nursing programs, in part because many perceive the field of nursing to be one that is over taxing (Clark & Drinka, 2000). Educators will have to work diligently at highlighting programs that provide potential nursing students with the skills necessary to face the new challenges associated with working in a global nursing environment.

A Job Costing System Accumulates Economics Essay

A Job Costing System Accumulates Economics Essay Chapter 14 A job-costing system accumulates and analyzes costs separately for each product or small batches of products. Examples of firms that use job-costing systems include law firms and firms that build custom houses. A process-costing system accumulates and analyzes costs by each process (or a department) rather than by each job. Examples of firms that use process-costing systems include steel mills and paper companies. Direct materials and direct labor are traced, and overhead is allocated. Work in process inventory is the inventory of unfinished products at the start of a period. Cost of goods manufactured is the cost of items finished and transferred from work in process inventory to finished goods inventory. Cost of goods sold is the cost of products sold in a period. It is the cost of items transferred from finished goods inventory to the income statement. A predetermined overhead rate equals expected overhead costs for the period divided by the expected activity level. Fi rms use predetermined overhead rates because actual overhead costs and activity volumes frequently fluctuate. A normal-costing system is a job-costing system that uses a predetermined overhead rate. Underapplied overhead means that the overhead applied to jobs is smaller than the amount actually spent on overhead. Overapplied overhead means that the overhead applied to jobs exceeds the amount spent on overhead. False – if a firm has underapplied overhead, the actual rate must have exceeded the predetermined rate. (1) correct rates are year end, (2) write off to cost of goods sold, and (3) prorate among inventory accounts and cost of goods sold. The adjustment will increase cost of goods sold and, in turn, decrease net income. The proration method allocates the under- or overapplied overhead to WIP inventory, FG inventory, and cost of goods sold in proportion to their unadjusted ending balances. Three accounts will be affected: (1) WIP, (2) FG, and (3) COGS. Income will be hig her under the proration method because some of the adjustment will be to the inventory account. Discussion Questions Job shops and process shops differ considerably in the extent to which we can trace costs to individual units and jobs. A pure job shop makes custom products. Each unit is a separate job and is unique. It is therefore possible to trace many costs directly to each job. However, in process shops, it is not possible to trace most costs to individual units. Rather, we can trace the costs, even for direct materials and direct labor, only at the process or departmental level. Yes. Each patient’s care may be viewed as a job. Many of the costs, including the costs of nurse care, attending physician’s time, medicines and drugs, room occupancy can be directly traced to the patient. Some indirect costs may still have to be allocated. However, such a system also has elements of process costing in that we might use pre-determined rates (e.g., $40 per hour of nursing or $100 per visit by a doctor) to determine costs rather than use actual costs. Business consulting firms are likely to have job-costing like systems. Fast food restaurants like McDonald’s have more of process costing-type environment.

Growth and Development of Entrepreneural Ventures Essay

Growth and Development of Entrepreneural Ventures - Essay Example Adherence to codes of ethics makes business organizations carry out proper social responsibility programs through which they communicate and show their commitment to the welfare of its workers, other stakeholders and the outside community. Most businesses that do not have codes of ethics often find themselves in various breaches of the law, forcing them to engage in various legal suits. Creditors sometimes sue the business for failing to abide by the terms and conditions of sale agreements; additionally, workers sometimes have various issues concerning contractual agreements and remuneration (Battelle, 2005). Ethical issues have special legal provisions to ensure that business organizations that do not live by the law are punishable according to the laid down legal structures. This paper examines ethical practices and conduct of Google, one of the many successful companies that offer clients the ability to search and carry out various social and economic activities on the internet. It focuses on the various work practices that have elicited ethical concerns not only in the company but also from its clients worldwide. It also examines the effects of these ethical concerns and how they can impact on the company’ operations in the future, giving some possible alternatives the company can embrace in the process of restoring customer confidence in its products and services (David, 2011). The report delves into the discussion of Google Inc., a multinational American corporation that specializes in offering internet-related products and services. These products include search engines, cloud computing services, online advertisements and various types of software. Most of the products that the company specializes in originated from ad Words (James, 2014). Since the company was incorporated, it has enjoyed consistent growth, managing to become one of the greatest companies in the world that offers internet and related services. The persistent growth has seen the company manage to establish a chain of products  and services to take advantage of the ever-increasing internet needs by people worldwide, which are now turning to the internet as the sources of economic livelihood.