Monday, September 30, 2019

A Discussion of Control Infection in Healthcare

Introduction Control infections have become more high profile than ever before and have seen the prevention and control during the early years of the twenty-first century. Infection is incontrollable and inevitably devastating, it is a painful fact of life, which is the cause of enormous health problems and the chief cause of death. Infection control is essential in all general care settings in which patients receive health and social care and this will protect the healthcare workers, patients and visitor from hazards and risks.This research concentrates predominantly on infection control in healthcare settings, including the policy of infection prevention related to health and safety policy in the UK for both hospitals and communities under Hygiene Code of Practice in 2006 and the policies and procedures through the prevention and control, which are related to the guidance of infection under the Health and Social Care Act 2008, in order minimise the prevalence of infection and to pr otect the health and safety of both healthcare workers and patient (Department of Health, 2006).In addition, this research contains several issues of risk of spreading infections in healthcare environment and the facilities. Moreover, this research will not disclose or breach any sensitive and confidential information under the Confidentiality Act 2008 (NMC, 2008). Searching the literature A methodical search was conducted using the following systematic which is applicable to the databases, including Medline, CINAHL and PubMed which were searched by using the words â€Å"control infection’ cross-referenced with â€Å"hospital† with 36,000 data results.In addition, several databases were used to compare the changes of ratio from 2002 to 2012. However, several results were not included due to lack of evidence and being non-published. In addition, the university library website was used in order to collect adequate information related to infection by setting on engine th e words infection control cross-referenced statistic†, which gives the hits of 1300 journals and research articles. The articles were considered eligible if reviewed by a reliable publisher, including Oxford journal and BJI. These journals and research articles were reported as an original research, in hich a researcher examined the relationship between the public and the health care setting and these used to review the previous report to collect the updated data. However, more than 50 data were excluded due to inadequate evidence and lack of information related to infection control. Moreover, the majority research was conducted under eligible originations where successfully collected all the relevant data which related to infection control, including Parliamentary, Department of Health, Health Protection Agency and National Audit Office.These organisations were used to identify and review the implication between the statistics of infection and health providers, such as the in fection control professionals. These databases were developed to standardise the protocols for classification and identification of infection prevalence, which have been widely adopted for researchers throughout the world. In addition, this research used altered books to provide information and evidence in order to support the data that have been undertaken from different publisher.The Royal Marsden Hospital Manual Clinical Nursing Procedures (2011) and Infection Prevention Control (2007), books contained information regarding the principles of infection control. Main Body Florence Nightingale is perhaps the first nurse on record to acknowledge the importance of infection control and she initiated the infection control protocols through gathering information and demonstrates the reduction of mortality of infection (Perry 2007). Florence Nightingale noted that during the Crimean War more patients were dying from infections than from certain injuries.However, Quan (2006) stated that, Florence Nightingale did not believe in the presence of microorganism, she found that putting together an ill patient in one area with inadequate space, ventilation and light contributed to the spread of infections. Dougherty & Lister (2011) highlighted that, people who are in hospital or receiving healthcare elsewhere have an increased vulnerability to infection, due to the fact that being in a hospital puts patients in closer proximity to other people with infection conditions. According to the Kings Fund (2012), stated that one of the major concerns of patients and the public are he result of high rates of healthcare-associated infections across the NHS. In addition, healthcare-associated infections are infections that are acquired across hospital and other health care environment, including community and hospital, or due to result of a health care intervention and procedure. According to the Department of Health (2004), it stated that Healthcare Associated Infection (HCAI) is a fatal problem of NHS There are 300,000 patients every year developing HAIs and it is estimated that during a patient’s duration stay in the UK hospital, around 1 in 10 patients can pick up an infection.The National Audit Of? ce (2006) estimates that HAIs contributes to the death of around 5,000 patients each year and costs the NHS up to ? 1 billion per year in the UK. According to the Parliament (2009), it highlights that HAIs, is a consequence of infections, which are acquired from a patient’s treatment by a healthcare worker during the course of their duties. These are often identified in care setting, but can also be associated with medical care delivered in a community.HAIs begins from micro-organisms which a patient carries safely on skin or body and eventually this will become a problem when the micro-organisms have a prospect to breech the body’s defences as a result, for example, intravenous devices, catheterisation and open wound (Dougherty & Lister, 20 11). Furthermore, the Department of Health (2004), has found that infected patients are around 7 times more likely to die in hospital than uninfected patients.The mortality rate of patients in the UK each year is estimated to be around 5, 000 as a direct result of HAIs, which is one of the causes of another 15,000 deaths. Parliament (2011) the prevalence of healthcare-associated infections, which was conducted in 2006 in hospitals in England 8. 2% Moreover, according to Doebbeling et al (2012) who conducted a research to identify commonly cited programmes absorbed throughout a wide variety of HAIs projects and hospital settings it has been revealed that in one year of tudies found in hospitals with an infection control team were more likely to reduced the incidence of HAIs by up to 33%. This research proved by Gamage et al (2012) through conducting further studies in all healthcare providers with infection control team in hospital, which eventually reported almost half per cent in t he reduction of the prevalence rate of HAIs from 10. 5% to 5. 6%. However, the survey has revealed found that healthcare provider with no infection control programme has been persistently increasing the prevalence rate in HAIs of up to 18%.On the contrary, the Nursing and Midwifery Council’s Code of Professional Conduct (2002) argues that nurses are accountability to act as an advocate to prevent HAIs. This statement supported by the NMC Code of Professional and Conduct (2004), highlighted that, nurses must act in order to isolate and minimise risk of patients and it should not regularly defendable to infection control team, which also reinforced by the Health and Safety at Work Act 1974 places a duty on healthcare providers to avoid the risk of infections if technically as possible (Jeanes, 2005).Dougherty & Lister (2004) stressed that, the standard of care, which set by senior staff often misled by healthcare workers, including the policy and procedure of infection control, such the Personal Protective Equipment Regulations Act 1992 (PPE). This is supported by Atkins (2001), that some of the staff did not have enough time to attend mandatory training for infection control, which shows negative impact of unawareness for infection control protocols and procedures, which eventually cause of poor level of care, such as lack of hygiene, which lead to HAIs.However, Perry (2007) argued that lack of standard of care is often not the cause of HAIs, due to the fact, that before the admission of most patients to hospital have already been acquired infections. This statement supported by NHS (2006), before patients decided to be admitted to hospital, the symptoms of infection have already occurred and in this case the health care provider should not be criticised for the increasing number of HAIs. According to the report of National Audit Office (2008), there are 79% of nfection control programme in NHS Trust, which mostly complied to the measurement of effective ness of infection control, such as standards setting and audit. However, only 11% was formally approved for the infection control programme that may reduce the programme’s authority within several NHS Trusts. In addition, stated, 66 % is the required data of infection that needs to be collected, unfortunately, due to lack of computer software and hardware, only 27% was calculated the rates of infection.In this case, 60% of infection control teams considered being unsatisfied with the support of NHS Trust due to inadequate clerical support, which may affect the performance in improving infection control (National Audit Office, 2011). In addition, Kings Fund (2012), the impact of large-scale cuts to the NHS has been widely reported and discussed in which the healthcare providers are concerned with the increasing incidence of HAIs in the UK.According to a latest survey for GPs and doctors in hospital, which was conducted in 2011, the report found that due to large-scale cuts by the government, the incidence of HAIs will be possibly increase in 2012 and it can have negative impact on healthcare providers . The survey found that, 79% of the 664 health workers, who participated in the survey, stated that it could be more challenging to tackle the prevalence of HAIs, due to a reduction of support of occupational health services and this eventually affects fewer patients getting effective care that is needed to prevent HAIs (National Audit Office, 2011).According to the Health Protection Agency (2008), highlighted that the department of commission in 2006 conducted the following year survey and found that 75, 694 patients were surveyed within acute care hospitals in the UK and 5,743 had HAIs, which gives a prevalence rate of 7. 95%. However, in the national survey, which was conducted in 2005, the reports found that the prevalence rate of HAIs was 8%, the statement shows that the prevalence rate of HAIs in 2005 was slightly higher with 0. % compared to 2006 sur vey (Health Protection Agency, 2005). Ultimately, Parliament (2006) found that the most common site of HAIs were Urinary tract infections with 23. 2%, Lower respiratory tract infections with 22. 9%; Surgical site infections 10. 7%; Bloodstream infections (Bacteraemia) 6. 2%; Skin and soft tissue infections 9. 6%; Other 27. 4%. It clearly shows in the report by Parliament 2006, that the highest rate of HAIs was urinary tract infections with up to 23. %. This report supported by National Healthcare Safety Network (2011) states that urinary tract infection (UTIs) are the most common factor of HAIs and most patients who have acquired urinary tract infection in the hospital approximately 75% are linked with urinary catheter, which is a tube inserted into a bladder through the urethra to drain the urine. The prevalence rate of patients who receive urinary catheters during the duration of stay in hospital is between 15-25%.Charlett et. al. (2009) stated that, long-term catheterisation is f requently used for older patient and others for management options, where different treatments for bladder dysfunction are unsuitable or ineffective . In the UK, a district nurse’s caseload for the long-term catheterisation has been estimated to be around 4% and the catheterised patients prevalence in nursing homes is approximately 9% and possibly up to 40% in some areas (Health Protection Agency,2008),Moreover, Getliffe and Newton (2006) carried a sample of research of small representatives of patients’ records from nursing homes, hospitals and district nurses in which 3 PCTs was undertaken. The survey of CAUTIs resulted in 50% response rate from both the nursing homes and the hospitals 57% and 62. 5 respectively but only 6. 5% from the district nurses, due to problems in distribution of questionnaires to some district nurses. The results found that up to 8. % respondents in the community and hospitals considered that the continuation of urinary catheterisation is use d management option for older patient to prevent bladder dysfunction. On the contrary, a recent research which was carried out Badoz et al (2007) found that the studies of 4010 older patients (65 years old) living in both hospitals and the community in 11 European countries and the prevalence reported of indwelling catheter use was 5. % (range 0-23%) and the result found that, the risk of CAUTIs infections was 6. 5 times greater and catheterised patients were more likely to die within a year than those for patients non-catheterised Furthermore, the majority of existing surveillance on CAUTIs has been conducted in acute care settings, where usually the health of the patient is already compromised by co-morbidities, due to a long period of insertion of the urinary catheter.The study revealed that in primary and community care setting, the prevalence rate of CAUTIs and other healthcare-associated infections are significantly lower (Department of Health, 2003). However, Badoz et al (200 7) specified that, catheterisation is linked with evident risks, which is the most common cause of CAUTIs and CAUTIs are commonly documented as a major source of HAIs in the UK and frequency of catheter use makes substantial overall morbidity for patients and a cost to the NHS.This statement is reinforced by Pellowe (2009), that the recent debate is fuelled due to the fact that patient use catheter is associated with high morbidity of CAUTIs, which accounts for 80% of HAIs. On the other hand, Addison and Foxley (2008) stated that, CAUTIs are frequently seen as the acceptable and tolerable cause of urinary catheterisation carried out for a range of purposes, such as instillation of drugs and intractable incontinence. On the contrary, urinary catheter use is linked with a variety of adverse effects, involving death (Pellowe, 2009).This supported by Nicolle (2008) stated that, the two most important solutions in order to prevent CAUTIs are not to use a catheter and if a catheter is nee ded to minimise the period of use, catheter must be inserted only when there are acceptable symptoms and removed as soon as they are no longer indicated and CAUTIs perchance evaded for some male patient through using external condom catheter. The study revealed that this occurred for 28% of catheterised patients.Furthermore, the majority of existing surveillance was conducted in primary and community care settings; the prevalence rate of CAUTIs is significantly lower (Department of Health, 2003. In recent studies of 4010 older patients (65 years old) living in the community, the prevalence reported of indwelling catheter use was 5. 4% (range 0-23%) and the result found that, the risk of catheter-associated urinary tract infections was 6. 5 times greater and catheterised patients were more likely to die within a year than those for patients with non-catheterised (Getliffe & Newton, 2006).On the contrary, according to the RCN (2008) found that around 22% of healthcare workers were not aware and uncertain the role of guidelines for the prevention of CAUTIs of several healthcare providers. This is supported by Pellowe (2009) that, the reasons of an increasing prevalence of CAUTIs in hospital and community is due to relatives of patient that is lack of knowledge about infections and those part-time health workers who do not undertake with mandatory training which is mandated by the Health and Social Care Act 2008 that is came into force in April 2009.The Health Protection Scotland (2009) urinary catheterisation is a routine procedure regularly carried out by qualified nurses, however, several numbers of health workers are not aware of the risk of catheter-associated urinary tract infections which related to the procedure and less likely to meet the necessities in performing catheterisation, due to the fact, that some healthcare workers are skill deficiency and lack of expertise (Bissett, 2005).This supported by Humphries (2011) that reports have repeatedly shown th at several healthcare workers who do not perform hand hygiene before and after performing nursing task is one of the major reasons of the increasing number of CAUTIs. In this case, health workers and patients can leave as many as 1,000 colony-forming units of Klebsiella species on hands more likely to acquire gram-negative bacilli and staphylococcous aureus, which are reported causes of HAIs (Pellowe, 2004).On the contrary, Hadaway (2009) stated that, lifting a patient and touching anything in a patient’s room before performing certain nurses tasks, even after performing hand hygiene is unavoidable, due to the fact, that these are the daily routines of a healthcare workers role in order to ensure the health and safety of a patient. National Hand Hygiene NHS Campaign (2007), defines hand hygiene, as â€Å" the entrance door to better infection control and safer patient care†.Hand hygiene techniques have been implemented for many years into healthcare workers daily routi ne, the NHS have been evaluated on the proper technique to wash hands after being in close contact with patients or after performing certain treatments with patients. Performing hand hygiene thoroughly will certainly be beneficial for both healthcare workers and patients to prevent risk in HAIs (Wendt, 2004).According to Pratt et al, (2007), stated that, existing evidence-based strategies determine that in outbreak settings, contaminated hands of both healthcare workers and patient’s visitors are responsible for transmitting infections and that effective hand decontamination can significantly diminish HAIs rates in high-risk areas, such as operating theatre. Furthermore, Pessoa & Silva (2004) highlighted that studies revealed of epidemiological evidence determine that hand-mediated transmission is recognised as the most contributing element the present infection risks to hospital in-patients.This statement reinforced by Pratt et al, (2007), that hand decontamination before an d after contact with patients is essential in order to prevent transmission of germs. In addition, according to the Department of Health (2006), the NHS Code of Practice on the Prevention and Control of Healthcare Associated Infection, which came into force in October 2006, was established to support health care providers in the UK in order to plan and implement policies for HAIs.These include the criteria by which healthcare providers and managers of NHS ensure patients must perform hand hygiene for clean environment in order to keep the risk of HAIs as low as possible. According to Pittet (2002), the importance of adherence to the guidance of hand hygiene will certainly provide an outline of the effects and aspects that impact on the hand hygiene compliance, which emphasised the national and international guidelines.Furthermore, the issue regarding hand hygiene was addressed in excellence principles for hospital cleanliness, which has developed by the Infection Control Nurses Asso ciation and the Association of Domestic Mangers (NHS, 2004). According to Wendt, C. et al (2004) stated that patients are more likely to put at risk and increase the chance for developing HAIs once informal healthcare workers in contact with patient are not performing hand hygiene properly.It is essential that hands must be decontaminated before every period of care, which includes direct interaction with patients’ food or skin and in order to minimize cross contamination of the healthcare environment (Boyce and Pittet, 2002). However, healthcare workers should not always be responsible for the increasing numbers in spreading HAIs, due to the number of patients admitted in the hospital who have already acquired infections and healthcare workers have no time to assess the patient, due to short staffing (McGuckin, 2004).This is supported by the RCN, Chief Executive & General Secretary Dr Peter Carter, stated that the outcome of cutting staff numbers by up to a quarter and termi nating almost third of nursing jobs will certainly have a deep and possibly dangerous impact on patient health and safety (RCN, 2011). Moreover, El-Masri and Oldfield (2012) stated that healthcare workers are aware of the policy and procedure of hand hygiene and it should be performed before and after contact with patients and the truth of the matter, is nurses and doctors have more behaviour problem than a knowledge problem.Furthermore, Erasmus et al (2010) conducted a research of hand hygiene behaviour to explore the practicality and effects of hand hygiene behaviour of nurses, research design 17 nurses which is equivalent to 25% were invited to participate. The nurses had been observed for 3 weeks intervention for hand hygiene behaviour and the result found only 10% of 25% of nurses had performed hand hygiene, which is far too low.This research supported by Creedon (2008) explores healthcare workers’ compliance with behaviour hand hygiene in four acute care hospitals in Ir eland and the result revealed that the highest non-compliance by behaviour is the Doctors and medical students at 41% of indications, which was followed by nurses and student nurses at 28%. However, healthcare workers are aware of recommendations concerning hand hygiene, but education and knowledge do not in themselves motivate HHB (McGuckin et al, 2004).In recent years, hand washing with water and soap had been considered as the right amount of personal hygiene; however, the evidence concerning the hand washing and the spread of illness has only been proven in the last 20years (Kumperus, 2010). According to Ignaz Semmelweis and Oliver Wendell Holmes the mid-1800s, found that HAIs, is known to be caused by infectious agents, which are transmitted through hands (Cole, 2007).It was acknowledged healthcare providers the important measure of hand hygiene, which can significantly lower the danger of disease, in particular among vulnerable children in the UK (Trick, 2008). On the contrary , frequency hand hygiene can increase skin dehydration and replace the altered or depleted skin lipids that contribute to the barrier function of normal skin Several studies found that more than 30 times of regular hand hygiene can cause skin damage and irritation (Jenner et al, 2006).Moreover, according to Giuliano et al (2012) stated that alcohol gel hand rubs are more effective to prevent the transmission of potential pathogens from health worker’s hands to patients than hand washing with plain or anti-microbial soap. This statement argued by McGuckin et al (2004) that hand rubs gel is only used as a hand cleaner in some circumstances but washing hand with ati-microbial soap and water is important, especially if your hands are visibly contaminated with blood or body fluids and hand washing techniques will certainly have certainly reduced the contamination rates significantly.Conclusion Healthcare-associated infection remains a problem for the community, hospitals and other healthcare providers. The factors, which have continue to drive, the concerning growth in HAIs are numerous but well known. Particularly with patients, which heightens their susceptibility and vulnerability to HCAIs through weakened immunity. In addition, the cost of healthcare-associated infections in the UK is high which is around ? 1 billion per year.The involvement of healthcare workers in assessing the cost of infection and prevention control programmes will certainly reduce the increasing number of HCAs, which can be benefited in NHS and major savings can be achieved. In addition, the healthcare workers must have clear understanding of the latest infection and prevention control recommendations, which healthcare worker’s advocacy and participation in team efforts can play a vigorous role in preventing the increasing number of HCAIs in patients.The routine data collection of the CAUTIs should be more standardised to determine the scale of the risk associated with CAUTIs , in oder to develop the longitudinal database of catheterised patients and to provide essential data which infection control initiatives in hospital and community care can be evaluated and major obstacles will certainly strengthen epidemiological analysis of impact and risk of CAUTIs. The healthcare workers should have adhered to and shown more positive intentions to comply with hand hygiene guidelines and procedures.Healthcare workers should need to be educated regarding the awareness of skin damage and the value of regular, frequent use of hand hygiene. Hospital trusts and community care should have had procedures and delivered board with agreement that infection and prevention control is the responsibility of all healthcare workers and should have complied with the Code of Practice and should followed with good infection control practice for performance objectives. References Addison, R. , Foxley, S. , 2008. Role in Urinary Catheter Management. London: Blackwell Publishing ltd. Atkins, C. , Greenwood, N. Habibi, R. , Mackenzie, A. , 2011. General practitioners, primary care and support for carers in England. Oxford: Blackwell Publishing Ltd Badoz M. , Berntrand X. , Crouzet, J. , Husson, D. ,2007 Control of the duration of urinary catheterization: impact on catheter-associated urinary tract infection, Journal of Hospital Infection, 67(3), pp. 253-275. Bissett, L. , 2005. Reducing the risk of catheter urinary tract infection. Nursing Times. 22 March 101(12) p. 64 Boyce. M. , Pittet, D. , 2002. Research: The impact of wearing gloves on adherence to hand hygience policy. Nursing Times, 103(38), pp 46–48.Charlett, A. , Pearson, A. , Wilson J. , 2009 Pitfalls in the comparison of the country prevalence of healthcare-associated infections. Hospital Infection Journal, 13 January, 69 (3) pp. 23-48 Creedon, A. , 2008. Hand hygiene compliance: exploring variations in practice between hospitals. Nursing Times, 104(49), pp. 32–35. Cole, M. , 2007. Nurses take a pragmatic approach to hand hygiene. Nursing Times. 103(3), pp. 32-33. Department of Health, 2003. Surveillance of Healthcare-Associated Infections. [online] Available at: [Accessed 30 April 2012]. Department of Health, 2004.Audit tools for monitoring infection control standards 2004. [online] Available at: [Accessed on 14 March 2012] Department of Health, 2006. Infection Control Nurses Association. [online] Available at:http://www. dh. gov. uk/en/statistics/Policy [Accessed on 14 March 2012]. Doebbeling, B. , Flanagan, M. , Hoke, S. , Welsh, C. , 2012. Reducing healthcare-associated infections; Lessons learned from a national collaborative of regional HAI programs. American Journal of Infection Control. [e-journal] 40 (1) pp29-34, Available through: CINAHL [Accessed on 25 April 2012]. Dougherty, L. , Lister, S. , 2011.The Royal Marsden Hospital Manual Clinical Nursing Procedures. 8th edition. Oxford: Wiley-Blackwell El-Masri, M. , Oldfield, M. , 2012. Exploring the influence of enforcing infection control directives on the risk of developing healthcare-associated infections in the intensive care unit. Journal of Hospital Infection. 891), pp26-21. Erasmus, V. , Kumperus H. , Oenema, F. , richardus, C. , 2010. Improving hand hygiene behaviour of nurses using action planning: a pilot study in the intensive care unit and surgical ward, Journal of Hospital Infection, 76(2), pp. 161-164. Gamage, B. , Grant, J. , Schall, S. , 2012.Identifying the gaps in infection prevention and control resources for long–term care facilities in British Columbia. American Journal of Infection Control. [e-journal 40 (2) pp150-154, Available through: CINAHL. [Accessed 25 April 2012]. Getliffe, K. , Newton, T. , 2006. Catheter-Associated urinary tract infection in primary and community health care. Available at: [Accessed 23 April 2012] Hadaway, L. , 2009. Preventing Catheter-Related Bloodstream Infections. Nursing Times, 25 September, 2(5), pp 50-55. Health Protection Ag ency, 2005. Continous Optimism as HAIs Rates. [online] Available at: [Accessed 27 April 2012]Health Protection Agency, 2008. Healthcare-Associated Infections. [online] Available at: [Accessed 27 April 2012] Humphries (2011), Preventing and Controlling the Risk of Post-operative Surgical-site Infections. [online] Available at: [Accessed 30 April 2012] Jeanes, A. , 2005. Putting on Gloves. Nursing Times, 19 July, 101 (29) p28. Loveday, P. , Pellowe J. , Pratt J. , 2007. The epic project for preventing healthcare associated infections. Journal Hospital Infection. 93(5), pp. 47-82. McGuckin, M. , 2004. Evaluation of a patient education model for increasing hand hygiene compliance in an inpatient rehabilitation unit.American Journal of Infection  Control, 32(4) pp. 235-238. National Audit Of? ce, 2006. The Provision of out of hours care in England. [online] Available at: http://www. nao. org. uk/publications/0506/out-of-hours_care_in_england. aspx [Accessed on 25 March 2012] National A udit Office, 2008. Reducing Healthcare Associated Infections in Hospitals in England. [online] Available at: www. nao. org. uk/idoc. ashx [Accessed 25 April 2012] National Audit Office, 2011. National Audit Office Annual Report for 2011. [online] Available at: [Accessed 25 April 2012]. Nicolle, C. 2008, Strategies to prevent catheter-associated urinary tract infections in acute care hospitals, [e-journal] 30(4), Available through: Medline, [Accessed 29 April 2012]. National Health Service, 2004. NHS Professionals Infection Control Policy. [online] Available at: [Accessed 3 may 2012]. National Health Service, 2006. Healthcare-Associated Infections. [online] Available at: [Accessed 25 April 2012]. National Hand Hygiene NHS Campaign, 2007. Compliance with Hand hygiene 2nd Audit. [online] Available at: [Accessed 2 May 2012]. National Healthcare Safety Network ,2011. Data and Statistic NHSN Annual Reports. online] Available at: [Accessed 24 April 2012]. Nursing & Midwifery Council, 2002. The Code of Professional Conduct. [online] Available at: [Accessed 25 April 2012]. Nursing & Midwifery Council. 2004. Code of Professional Conduct, The Scope of Professional Practice, and Guidelines for Professional Practice. [online] Available at: [Accessed 25 April 2012]. Nursing & Midwifery Council, 2008. The code: Standards of conduct, performance and ethics for nurses and midwives. [online] Available at: [Accessed 13 March 2012]. Parliament, 2009. Report on healthcare associated infections. [online] Available at: [Accessed on 20 March 2012]Parliament, 2011. Reducing Healthcare-Assocaited Infections in Hospitals in England. [online] Available at: [Accessed on 28 March 2012] Pellowe, M. , 2004. The evidence-base for national evidence-based for preventing healthcare-associated infections in NHS. Oxford: Blackwell publiching Ltd. Pellowe , C. , 2009. Infection Prevention Guidelines – Best Practice. London: Blackwell publishing ltd. Perry, C. , 2007. Infection Prevention Con trol. Oxford: Blackwell Publishing Pessoa, L. , Silva E. , 2004. Dynamics of bacterial hand contamination during routine neonatal care. Infection Control and Hospital Epidemiology, 25(3) pp. 187-188.Pittet D. , 2002, Glove use and hand hygiene. Nursing Times, 103(38), pp. 46–48. Quan, K. , 2006. The everything new nurse. Massachusetts: Adams Media Rosenthal, D. , 2005. Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina. American Journal of Infection Control, 33(7), pp. 392-397. Royal College of Nursing, 2008. Infection Prevention and Control, [online] Available at: [Accessed 27 April 2012]. Royal College of Nursing, 2011. Essential Practice for Infection Prevention and Control. Available at: [Accessed 5 May 2012]. The Health Protection Scotland, 2009.Reports on emerging infections and other incidents of public health importance. [online] Available at: [Accessed 29 April 2012]. The Kings Fund 2012. Heal thcare-Associated Infections. [online] Available at: [Accessed on 23 March 2012]. Trick, E. , 2003 Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clinical Infectious Diseases, 36 (1), pp. 1383-1390. Wendt, C. ,2004. Differences in hand hygiene behaviour related to the contamination risk of healthcare activities in different groups of healthcare workers. Infection Control and Hospital Epidemiology, 25(3), pp 203-206. Words= 3998

Sunday, September 29, 2019

Mobile Cement Plant Process Flow Chart

Mobile Cement Plant Process Flow Chart The main raw materials used in the cement manufacturing process are limestone, sand, shale, clay, and iron ore. The main material, limestone, is usually mined on site while the other minor materials may be mined either on site or in nearby quarries. Another source of raw materials is industrial by-products. The use of by-product materials to replace natural raw materials is a key element in achieving sustainable development. In the wet process, the slurry is fed to a rotary kiln, which can be from 3. m to 5. 0 m in diameter and from 120. 0 m to 165. 0 m in length. The rotary kiln is made of steel and lined with special refractory materials to protect it from the high process temperatures. Process temperatures can reach as high as 1450oC during the clinker making process. In the dry process, kiln feed is fed to a preheater tower, which can be as high as 150. 0 meters. Material from the preheater tower is discharged to a rotary kiln with can have the same diameter as a wet process kiln but the length is much shorter at approximately 45. m. The preheater tower and rotary kiln are made of steel and lined with special refractory materials to protect it from the high process temperatures. Mobile Cement Bag Packaging Plant Our Mobile Cement Bag Packaging Plant mainly including Mobile Jaw Crusher Plant , Mobile Cone Crusher Plant , Mobile Impact Crusher Plant , the mobile cement bag packaging plant specification :1. Available in 2 – 6 Spouts model 2. Available in Wheel mounted or Fix Models. 3. Auto-weighing system with bag pushing system 4.Pre-assembled with solenoid valve, limit switch etc. 5 Sub-divided in to Heavy duty Air Compressor 6 Capacity : 10- 60 ton per hour. The black, nodular clinker is stored on site in silos or clinker domes until needed for cement production. Clinker, gypsum, and other process additions are ground together in ball mills to form the final cement products. Fineness of the final products, amou nt of gypsum added, and the amount of process additions added are all varied to develop a desired performance in each of the final cement products.Our mobile cement plants are used in Indonesia, Vietnam , Iran, India, Chile, Venezuela, Libya, Angola, Kenya, South Africa, Pakistan , Yeman, Eygpt, Nigeria, Tajikistan , Saudi Arabia , Zimbabwe, Dubai, Vietnam, Philippines, Brazil. Cement Plant Equipment 1. Kilns  : We have manufactured high-quality kilns, made of varied materials, since a long period of time. All kilns are excellent heat exchangers where heat is transferred in a variety of ways. We produce kilns which are made with precision and detailed accuracy.They are highly durable and made with attention to each and every detail as provided by the client. 2. High Efficiency Separators  : We also supply high efficiency separators with our cement plants. High availability, high selectivity, low energy consumption, proper product separation, cooling and drying, and relatively lo w capital expenditure are all the features available in our high-efficiency separator.. 3. Crushers  :A machine to reduce large solid chunks of raw material into smaller chunks.It is widely used in a cement plant. We are manufacturers of a wide range of crushers. We supply all types of crushers and crushing equipment to be used in cement plants. 4. Feeders  : We supply you a range of feeders in varying sizes and shapes. Used in cement plants, the feeders we are offering are efficiently designed for heavy duty applications. Available in different capacities and sizes, our feeders have been well-tested for facilitating uniform flow of materials to the crusher and conveyors. 5.Conveyors  : We offer our customers with premium quality conveyors which are used for transporting products from one end to another. Highly durable and robust, our conveyors are specially designed to handle all types of load and materials in a cement plant. 6. Hoppers  : Our range of hoppers are available in various capacities as required by customers. These hoppers are highly durable and have a rugged performance. Catering to the technological developments, our products have successfully met the industrial standards. Mobile Cement Plant Process Flow Chart Mobile Cement Plant Process Flow Chart The main raw materials used in the cement manufacturing process are limestone, sand, shale, clay, and iron ore. The main material, limestone, is usually mined on site while the other minor materials may be mined either on site or in nearby quarries. Another source of raw materials is industrial by-products. The use of by-product materials to replace natural raw materials is a key element in achieving sustainable development. In the wet process, the slurry is fed to a rotary kiln, which can be from 3. m to 5. 0 m in diameter and from 120. 0 m to 165. 0 m in length. The rotary kiln is made of steel and lined with special refractory materials to protect it from the high process temperatures. Process temperatures can reach as high as 1450oC during the clinker making process. In the dry process, kiln feed is fed to a preheater tower, which can be as high as 150. 0 meters. Material from the preheater tower is discharged to a rotary kiln with can have the same diameter as a wet process kiln but the length is much shorter at approximately 45. m. The preheater tower and rotary kiln are made of steel and lined with special refractory materials to protect it from the high process temperatures. Mobile Cement Bag Packaging Plant Our Mobile Cement Bag Packaging Plant mainly including Mobile Jaw Crusher Plant , Mobile Cone Crusher Plant , Mobile Impact Crusher Plant , the mobile cement bag packaging plant specification :1. Available in 2 – 6 Spouts model 2. Available in Wheel mounted or Fix Models. 3. Auto-weighing system with bag pushing system 4.Pre-assembled with solenoid valve, limit switch etc. 5 Sub-divided in to Heavy duty Air Compressor 6 Capacity : 10- 60 ton per hour. The black, nodular clinker is stored on site in silos or clinker domes until needed for cement production. Clinker, gypsum, and other process additions are ground together in ball mills to form the final cement products. Fineness of the final products, amou nt of gypsum added, and the amount of process additions added are all varied to develop a desired performance in each of the final cement products.Our mobile cement plants are used in Indonesia, Vietnam , Iran, India, Chile, Venezuela, Libya, Angola, Kenya, South Africa, Pakistan , Yeman, Eygpt, Nigeria, Tajikistan , Saudi Arabia , Zimbabwe, Dubai, Vietnam, Philippines, Brazil. Cement Plant Equipment 1. Kilns  : We have manufactured high-quality kilns, made of varied materials, since a long period of time. All kilns are excellent heat exchangers where heat is transferred in a variety of ways. We produce kilns which are made with precision and detailed accuracy.They are highly durable and made with attention to each and every detail as provided by the client. 2. High Efficiency Separators  : We also supply high efficiency separators with our cement plants. High availability, high selectivity, low energy consumption, proper product separation, cooling and drying, and relatively lo w capital expenditure are all the features available in our high-efficiency separator.. 3. Crushers  :A machine to reduce large solid chunks of raw material into smaller chunks.It is widely used in a cement plant. We are manufacturers of a wide range of crushers. We supply all types of crushers and crushing equipment to be used in cement plants. 4. Feeders  : We supply you a range of feeders in varying sizes and shapes. Used in cement plants, the feeders we are offering are efficiently designed for heavy duty applications. Available in different capacities and sizes, our feeders have been well-tested for facilitating uniform flow of materials to the crusher and conveyors. 5.Conveyors  : We offer our customers with premium quality conveyors which are used for transporting products from one end to another. Highly durable and robust, our conveyors are specially designed to handle all types of load and materials in a cement plant. 6. Hoppers  : Our range of hoppers are available in various capacities as required by customers. These hoppers are highly durable and have a rugged performance. Catering to the technological developments, our products have successfully met the industrial standards.

Saturday, September 28, 2019

The Peace Treaty Lab Report Example | Topics and Well Written Essays - 750 words

The Peace Treaty - Lab Report Example His 14 points were aimed at improving the conditions of the European states and had little to do with benefiting America. After the war the European countries had no specific direction or plan on what to do. The major concern to the European Allied forces was the division of the lands and reclamation of their own which had been lost to the enemies during the war. They had no idea on how to ensure lasting peace in the world so such an event would never occur again. At such a time America provided a neutral approach to the war as their entrance in the war had put them in the light of a moral crusader attempting to put an end to war as America faced little direct threat from the enemy and no advantage of territorial advances. So whatever the outcome, America would have had no benefits as compared to the European countries directly involved in the fighting. Perhaps that is why America did not enter the war as an ally but an Associated Power. Wilson wished his country to be a role player in providing peace to the world. (Henig, pp.10, 1995) The 14 points of Wilson could be demarcated into two basic categories. The first category contains those points which were generalized in nature and would require equal participation from all the nations. These policies aimed at establishing equality and a sense of fairness among the victors and the defeated. The other policies were more specific in nature addressing issues related to countries directly; such as the issues relating to Belgium, France, Italy, Austria, Hungary, Turkey and the Balkan states. The generalized policies proposed by Wilson could be seen as attempts to make the superpowers act more humbly and provide the smaller countries less reason to fear them. He proposed the abolition of hidden treaties which were considered the primary cause for the war in the first place. Another proposal was to have open sea travel over international waters. Decolonialization and disarmament of all countries aimed at removing the resentful image of the superpowers who had led many smaller countries to enter the war because of their colonial power over them. These measures aimed to cut down the possibility of the superpowers using other nations to aid them in their conflicts. Finally an open trade agreement was proposed which was very much similar to the WTO being implemented today. This aimed at providing a fair chance to all the countries to do business rather than facing barriers in trade by larger more powerful countries. These policies were not met with much enthusiasm from the Br itish and French as they believed these policies to not recognize the "hard reality of the situation". (Henig, pp.10, 1995) The specific policies were aimed at restoring the lands lost by the warring nations and in introducing an American style of governance in the countries responsible for the war. But probably the most visionary proposal of the Wilson 14 Points was to have a multilateral international association monitoring the nations and ensuring peace and foreshadowing the League of Nations. This proposal could be seen implemented in the form of the creation of the United Nations in 1945. The proposals made by

Friday, September 27, 2019

My Life In film Essay Example | Topics and Well Written Essays - 750 words

My Life In film - Essay Example This will help to construct a connection between my life and the film. It can be very difficult for two people from different cultural backgrounds to form a union when their cultural differences are huge. This is the theme of the movie â€Å"My Big Fat Greek Wedding.† Before watching this movie, I never thought two people from different cultures could really spend a life together. This movie taught me the difference and helped me broaden by mind. Before this movie, I was the kind of person who unconsciously held on to trite cultural stereotypes. But, this movie conveyed this message to me that a rift between two cultures can rapidly stretch into an abyss when people are not willing to abandon certain clichà © stereotypes. Such stereotypes can quite effectively end â€Å"a potential relationship† (Karis & Killian 8). I was also the person who had no value for culture. But, this movie made me realize the importance of my culture knowing there are many immigrants out there for whom the struggle to keep their cultures alive is a never-ending battle as portrayed in the movie. â€Å"Raging Bull† is the name of another movie which casted a deep impression on me and played a role in shaping my life. Before getting the chance to see this movie, I was a very temperamental person who used to act on impulse without thinking of important repercussions. This habit has caused me many losses, but I did not learn my lesson until I watched this movie. This is because this movie presented a lead actor to me who is professionally very good, but destroys his everything at hands of his unbridled rage (Connolly). In the life of that boxer, I saw my life. In his rage, I saw mine and in his failures, I caught a glimpse of mine. This movie made me realize that if I want to escape the end which Jake the boxer meets in the movie due to his uncontrolled temper and

Thursday, September 26, 2019

A Successful Manager Assignment Example | Topics and Well Written Essays - 1500 words

A Successful Manager - Assignment Example I believe success means being able to deliver what is expected of you in your professional line and even better. Many believe that success is being better than your friends or relatives. According to me, success means being better than I was yesterday. Material possession should not be a way of measuring success, but according to how much one has improved from the previous day. To improve personal limitation one needs self-awareness. Some of the elements included in it are goals, values, and abilities. This will help a person become a better manager in future. Self- awareness encourages someone to things they thought they could not. Self-awareness, in turn, helps someone to get to self-actualization. This is where one is able to do any task because they believe in themselves. They may also have the skill that even gives them more confidence. Being hesitant to study abroad, I got motivation from when I saw other student graduates from the English learning school so I studied hard and graduated. To improve a personal and professional relationship, self- closure is important. It also helps improve one’s understanding and concern about a situation. It also improves the quality of communication, collaboration, and performance with others. Trust is a very important element in business. In business, one should be ready to share in case of a problem. It helps to share because one will get help and get different views that they can combine and be unstoppable. A person with self-management skill is very lucky. This means they can manage their emotions, time and stress. Time is one of the most important elements in business, therefore, should be properly managed and used effectively. Management of stress, on the other hand, is very important for effectiveness in the workplace.

Wednesday, September 25, 2019

Explain in the space of one page why the tradition of holistic Coursework

Explain in the space of one page why the tradition of holistic approach to culture has declined on anthropology. Make it sure to tie your answer to the study of the politics of culture (one page only) - Coursework Example The paper will give reasons as to why the traditional holistic approach to culture has continually been declining on anthropology. In the recent study of human beings, the holistic approach to cultural values has declined the popularity. Some of the reasons leading to declining in a holistic approach include; community diversification and differentiation change in educational levels and public institutions, change in peoples lifestyles, modern methods of research, and improved technology. As compared to traditional period where people were concentrated in one region mainly the extended family, people have in modern days moved to different regions making holism difficult. According to the research, many people work individually and live independently. As a result, there has been reduced collaboration among activities and routine duties in human beings in the recent days. The government has a contribution to this in their attempt to change cultural practices. To this end, government link matters of culture with respect to necessity and unity hence altering them positively. Additionally, Change in lifestyle has reduced holistic approach to cultural practices and the study of human beings. People have acquired education and awareness in different areas and pursued different careers. These careers have re-located them in different places far away from their communities. Consequently, the human being has gained a sense of independent making them socially inactive in their new areas of work hence holistic become difficult in the study of human beings. Moreover, advancement in research methods and techniques has contributed to declining holism in anthropology. This is because modern research and analytical tools such as computers are widely used in tallying and analysis resulting to changes in public learning institutions. The modern equipments have made particular study accessible as compared to traditional time when resources were not sufficient

Tuesday, September 24, 2019

The Organizational Structure, Work Culture and Global Business Essay

The Organizational Structure, Work Culture and Global Business Strategies of Google Inc - Essay Example The study is based on the discussion of different management issues faced by Google Inc. in the China market. It will illustrate various challenges faced by the organization to properly run their operation as per the social and ethical norms of China. The main objective of any management is to achieve the ultimate goal of the organization by motivating and directing the workforce. The modern management practices influence managers to focus on different requirements of the stakeholders of various countries. There are a number of management issues faced by global organizations such as economic, political, social and technological. Recession, inflation and currency fluctuation of different countries can provide the significant effect on the business management procedure of global organizations. The difference in the political rules and regulations also affect the decision-making capacity of the managers. Management needs to cope up with the rapid development of technologies in the diffe rent market to attract more customers. International organizations need to focus on the differences in the social structure of their operating countries before introducing any product or services. The decision of product or services design can differ as per locations due to the changing preferences of local people Customized products of local organizations can provide huge competition to the standardized products of the global organizations.

Monday, September 23, 2019

Contemporary issues in management assignment Example | Topics and Well Written Essays - 3500 words

Contemporary issues in management - Assignment Example This paper makes a critical analysis regarding the innovation management practices adopted by two well known companies of the world. The names of these companies include Apple Inc. and Haier Group. These companies are well placed into consumer electronic industry and are known for their innovative practices at workplace. This paper aims at making critical analysis of organisational culture and human resource management practices in these two companies and their influence upon creativity and innovation of both the organisation. When we talk about innovation and management of innovation in the context of Consumer electronics, we cannot help talking about Apple Inc. It is considered as one of the most leading companies in the field of technology in today’s world. Initially, it was started with a scratch and grew rapidly in such a way that became a symbol of innovation in technology. It is known worldwide that no company can sustain in the market without innovation and creativity and when it comes to consumer electronic devices, continuous innovation and creativity becomes a prerequisite in order to survive and succeed in the market. Steve Jobs, co-founder of Apple Inc. and a great innovator once said, â€Å"Innovation distinguishes between a leader and a follower† (Gillam 2012). Apple Inc. has set up itself as one of the most prominent companies in industry of consumer electronics. It has made the most significant position in both hardware as well as software through constant innovation and creativity. It was established in 1976 and since that day, it has been continuously focusing on innovation. It has made a great impact on society through its various major innovative products and features in the field of consumer electronics such as Trackpad, Mouse, GUI, iMac , iBook, iTunes, iPhone, iPod, iPad and so on (OGRADY 2008). Research and development is an integral part of any company especially when dealing in consumer

Sunday, September 22, 2019

Islamic Women Essay Example for Free

Islamic Women Essay At the beginning of the 21st century, many Islamic women are deprived equal rights with men suffered from oppression and family violence. The example of Saudi Arabia, India and Indonesia show that violence and abuse are still the major problems faced by Islamic women. The main problem is that law in Islamic communities does not come into force being violated. In many communities women are not legally protected and have no possibility to protect themselves: sexual, physical and emotional violence are the major weapon of intimidation of women. In some communities, family violence is a result of traditions and values as an integral part of cultural development. In contrast to India and Indonesia, in Saudi Arabia women have no rights and freedom of choice. The main problem is that in Saudi Arabia rights of women are constitutionally granted by most of them do not come into force and violated. â€Å"Like millions of other Saudi women, Munif hoped she would be allowed to vote since nothing in the law excludes it. But after a year of debate, the government told women to wait† (Women Speak Out In Saudi Arabia, 2005). Today, the main rights of women in India and Indonesia concern birth control, civil rights, education and work. Today, individual freedom of American women means much more than the absence of physical coercion but an equal social status. Still, similar to Saudi Arabia women, many women in India and Indonesia suffer from domestic violence and sexual abuse. Indonesian women are the most unprotected category which experiences violence within the institution of marriage. Among this group of women sexual abuse and physical violence are the main forms of humiliation and oppression. Similar to Saudi Arabia, in Indonesia women have constitutional rights, but face discriminated. Similar to India, Indonesians have job opportunities and high social status than women in Saudi Arabia. â€Å"Compared to the lives of their mothers, sisters and even brothers who stayed in the village these factory women have gained a strong advantage in terms of wages and conditions† (Indonesia, n. d). In Saudi Arabia women are not legally protected and have no possibility to protect themselves. Women have no equal opportunities with men in pay and work conditions. Most of them take low administrative positions or considered as common labor. In Saudi Arabia, religion dogmas and values play the dominant role determining the destiny of a woman and her social position. In contrast to Indonesia and India, in Islamic countries women deprived the right to use contraception and safe abortions. The main problem caused absence of freedom and rights is that abuse is the part of the culture. In India, â€Å"among Hindus, polygamy too was rampant† (Bhandare 2004). In contrast to Islamic countries, India accepts liberal laws and regulations which give women more rights and freedoms. The main preventive measures against family violence include social programs organized by women’s organizations, legislative initiatives accepted in the national level, petitions, publicity. In Saudi Arabia, women are still lived under double oppression, cultural and legal. Similar to Indonesian women, Indian women have a right to divorce, but in reality it takes a long time and a long legal battle while men can divorce at will in a short period of time. Also, there is a great threat for a woman not to receive children because she does not have a possibility to earn for living. Women in India and Indonesia are deprived of many rights and freedom, but they are free to choose their work, receive education and divorce. In contrast to these groups, Saudi Arabia women are deprived these rights living under state and family oppression. â€Å"For instance, events like a soccer match are strictly for men. In public, there are separate sections where they eat, where they work, and where they pray† (Women Speak Out, 2005). In sum, Women in India and Indonesia are free to choose profession and work conditions, broad employment opportunities and equitable wages; they have equal rights with men to be promoted and appraised. The examples of women in Saudi Arabia show that specific gender roles determine the way of living and cultural norms of several generations of people and strong enough to be changed in a short period of time. Works Cited Page 1. Bhandare, M. C. Women’s rights and wrongs. 2004. Available at: http://www. expressindia. com/fullstory. php? newsid=34277 2. Indonesia. N. d. Available at: http://www. onlinewomeninpolitics. org/indon/indodoc. htm 3. Women Speak Out In Saudi Arabia. Available at: http://www. cbsnews. com/stories/2005/03/23/60minutes/main682565. shtml.

Saturday, September 21, 2019

Policy issues affecting the police Essay Example for Free

Policy issues affecting the police Essay Just like any other department in the government, the police force is largely influenced by the policy issues that the government adopts. Be it new laws or strategies, they have to adjust their operations so as to fit what the policies dictate. The duty of the police is to maintain law and order and in doing this they have to incorporate policies set by the government. As it will be shown in this paper, these policy issues may affect the activities of the police force such that they may have to completely change their modes of operations to fit the governments requirements. Many policies concerning police conduct, human rights and police duties are have been put forward in many forums and conferences addressing national security. Analysis Unlike in the past where the police had an absolute power, a police officer nowadays may find himself or herself being sued for violation of human rights such as police manhandling or assault (Freund, 2006; Meadows, 2000). There are several policies that have been put forward following revision of several laws which affect the police directly. Policy issues on human rights requiring specific procedures of arrest and handling of suspects have been made. The fourth amendment has limited police power especially with the private law that protects citizens from unwarranted searches and seizures. This means that before a police officer can search or seize private property, there must be a warrant which is given when the need to search premises is of great importance to protect security. Individual liberty and human rights protects citizens from false detention. The fourth amendment comes as a civil liability to the police officers which limits their activities since they have to pay attention to avoid breaking the law (Freund, 2006). This has affected the police in that it has limited their ability to obtain as much information as possible concerning a crime. Some officers have also found themselves in court over what can be referred to as assault during arrest. Perhaps one of the most current policy issues that has affected the police is the governments anti-terrorism policy. A strong policy especially after the 9-11 attacks on the U. S brought out the importance of the need to heighten security to prevent such attacks from happening in future. The government aims at keeping the possibility of any terrorist attack which must involve the police (Pleck, 2004). The involvement of the police force in the war against terrorism has led to the need for more training on the police officers on incident management and terrorism intelligence. As the government noted, the police force was not well equipped to handle such severe incidents hence the need for training on incident management. Again, there the need to develop intelligence skills to counter any form of threats calls for proper training of the police. In order to ensure that the needs of this policy are met, the government has introduced special training schedules for the police which they have to attend to keep updating them on better skills and intelligence on avoiding terrorism attacks as well as how on how to deal with terrorism incidents if by any chance they occur (Pleck, 2004). Community policing is a policy issue that has come up as a result of the need for the community to take part in their own security through reporting any suspicious act to the police. This is because the community is at the best position to identify those that live among them (Palmiotto, 2000). The government requires that the police officers work hand in hand with the community so as to curb crime activities in the society. The effect of this on the police is that there has been need for training to help them be able to deal with the community and aid in identifying between potential danger and normal happenings (Palmiotto, 2000). The police have also been given the extra duty of training and educating members of the public on how to identify potential threats within the community and how they can deal with them in conjunction with the police. The community policing mostly focuses on vulnerable groups such as children and women who are likely to be victims of violence. Policy issues concerning rape have been put forward which has necessitated for trained specialists to handle rape calls as well as interaction between the police and medical practitioners to help in solving such cases (Palmiotto, 2000). The government advocates for advancement in technology for sustainable developments. As a matter of national security, there has been the rising need for the police to upgrade their technology so as to meet the ever increasing crime rates. Technology has been used by criminals to steal from numerous citizens and this has raised an issue of concern. Cyber crimes, phishing and identity theft have been on the rise. The problem with these kinds of crimes is that catching the perpetrators can be quite hard due to the advancement in technology that is used to conduct the crimes. Keeping up with these developments poses a challenge to the police who have to come up with more advanced methods to locate cyber thieves, hackers and identity thieves. More often than not, the police are subject to the laws of prosecution and provision for justice. Policies on the procedures of prosecution highly affect the police. For example, the police are bound by law to only file a prosecution when there is substantial evidence for the occurrence of the crime. Different policies exist for different kind of prosecutions. The juvenile justice for example has undergone many changes and new policies have come up following proceedings from various cases. Juveniles have a wide range of rights and detention of a juvenile can only be under serious suspicions of delinquency. Proof that is beyond reasonable doubt must also be established to ensure that the juvenile offender poses a threat to the community (Rick, 2003). Policies on juveniles also require that they be put under preventive detention according to the standards set by the law (Rick, 2003). This differentiates juvenile offenders from adult ones. The police therefore should pay attention to such details so as to be on the safe side of the law. It is also part of their duties to act according to the laws. Conclusion It is evident that the polices activities are highly influenced by policy issues. The government which also determines the rules of a country constantly comes up with policies for national development. These policies may alter a departments activities or increase its responsibilities depending on how the policy issue is to be tackled. It must also be noted that apart from government policies, each police department has its own policies which guide the officers (Miller, 1997). These include the code of ethics that must be followed by the respective officers. Rules on duties rosters, dress code and punishment for police misconduct within the department are strictly followed. Breaking of these laws may result in serious circumstances and hence the police officers must follow them to the letter. Word Count: 1179 References Freund, E. (2006). The Police Power, Public Policy and Constitutional Rights. New York: Callaghan Company. Meadows, R. J. (2000). A Study of Police Misconduct and Litigation: Findings and Implications. Journal of Contemporary Criminal Justice. 41(2), 77-92. Miller, S. et al. (1997). Police ethics. London: Allen Unwin, 1997. Palmiotto, M. (2000). Community policing: a policing strategy for the 21st century. New York: Jones Bartlett Publishers. Pleck, E. (2004). Police in the fight against terrorism. American Journal of Police, 25(1), 38- 45. Rick, A. (2003). Juvenile Justice. New York: Odhams Press.

Friday, September 20, 2019

Business Aligning And Business Impact Information Technology Essay

Business Aligning And Business Impact Information Technology Essay There are many views on what constitutes business strategy. Definitions for business strategy and its features include the following. A business strategy à ¢Ã¢â€š ¬Ã‚ ¦ à ¢Ã¢â€š ¬Ã‚ ¢ should encapsulate a statement of an organisations mission or vision so that there is a clear and consistent point of focus (King, 1978); à ¢Ã¢â€š ¬Ã‚ ¢ provides a deliberate plan of action (Kaplan Norton, 1996: Henderson Venkatraman, 1993, King 1978); 2)Definition of IS/ IT Strategy Figure 1: IS/IT Strategy. The figure describes the where, what and how of the planning Source: Source: Edwards, Ward Bytheway, 1991; Ward Peppard, 2002, p.41 IS Strategy IS strategy can be defined as a strategy to implement information systems that recognizes organizational requirements, in other words demand for the information and systems to support the overall business strategy and its plan to gain or maintain the advantage (Rackoff, Wiseman Ullrich, 1985; Ward Peppard, 2002; Edwards, Ward Bytheway, 1991). An IS strategy should include the business needs for the future aligned closely to the business strategy. It should also define and prioritize the investments needed to achieve the application portfolio. IT Strategy IT strategy is the supply to the demand created by IS strategy. It outlines the vision of how the organizations demand for information and systems will be supported by technology (Ward Peppard, 2002). They further suggest that the IT strategy is concerned with the IT capabilities and services like IT operations, systems development and user support. Luftman (2003) refers to the IT strategy as a set of decisions made by IT and functional business managers that either enable or drive the business strategy. It leads to the deployment of technology infrastructure and applications, and human competencies that will assist the organization in becoming more competitive. Figure2: Inputs and outputs of IS/ IT strategy Source: Edwards, Ward Bytheway, 1991 Literature on IS and IT Strategy In view of Clarke (2005), The role of Information Systems (IS) has developed during the years. The original formation was of automation of existing manual and precomputer mechanical processes. This (automation of existing manual processes) was quickly replaced by the rationalisation and integration of systems. In both of these forms, IS was regarded primarily as an operational support tool, and secondarily as a service to Management Clarke (2005) further suggests, Information Technology (IT) had been critical to the implementation of an organizations strategy. The dominant sense in which the term is used is that a strategic information system (SIS) is an information system which supports an organization in fulfilling its business goals. Ward and Griffiths (1996, p1) say that it is essential for the organizations to understand how the role of technology based information systems has evolved. With time, organizations have realised that there is a need to approach IS/IT more tactically by understanding the role of IT in business, and making IT a part of business. As suggested by Ward and Peppard (2002, p1) the organizations are looking at the application of technology not only to underpin existing business operations but also to create new opportunities that provide them with a source of competitive advantage and propose a strategic approach for managing their systems. Kearns and Lederer (2003) have supported the critical and strategic role of IS/IT by stating that, Recent surveys of CEOs (Chief Executive Officer) have shown that, despite numerous failed investments, information technology has assumed a critical and strategic role in their organization. If IS/IT is to fulfil its role, the CIOs (Chief Information Officer) need to adopt Strategic Information Systems Planning. SISP began during 1970s and organizations began using IS/IT in ways that changed the functioning of their businesses. Bruns and McFarlan (1987) thought that, Information Technology has done more than just enhancing the existing processes within the organization. IT has provided the spark that caused the managers to rethink their business strategies. The organizations that have changed their control systems and structures have seen a transformation in the effectiveness of the business processes. Bruns and McFarlan (1987) further suggest that, they have found ways to channel the power of information to the muscles of their corporations. IS/ IT- Business Alignment For an organization to achieve competitive advantage it is important that the business use IS/IT to support the main business processes and become dependant on IS/IT. It is also important that there is IT participation in business planning (BP) and vice-versa. Chan and Huff (1993) say alignment of an IS plan and the business plan is very important and it leads to IS efficiency and value. A closer look at the aims for adopting a IS/IT strategy according to Ward and Peppard (2002) suggests that the SISP process is used for aligning IS/IT with business and gain competitive advantage from business opportunities created by using IS/IT. However, not all IT projects are implemented and many factors have been identified that contribute to IT failures. One of the main failures that have been highlighted is that the 14 failure to implement is due to the planning process and its practices (Hartono et al.2003). Another major problem that has been seen in SISP is failure to translate goals and objectives into action plans (Teo Ang, 2001 in Hartono et al., 2003) and lack of support for IT architecture and also the duration of SISP have been viewed as factors contributing to low rate of implementation. According to Reich and Benbasant (1996) is a process. It is unique to each organization and uses both the IT and business knowledge to support business objectives. Thus, it is important to bring IT into the main business stream and let IT function as an entity in the business. For this to happen, the senior executives in the companies must work together and define the business needs and frame an IS/IT and business strategy to support the business goals and objectives. Thus, for an organization to achieve competitive advantage and improve business performance it is important to align its IS/IT plan with the business plan, and IS/IT systems should be used in accordance with the resources and the capabilities of the organization in times of environmental changes. SISP is a way to implement those IS/IT systems not only to achieve competitive advantage but also for proper functioning in the ever-changing business environment. Business Aligning and Business Impact of IS IT Because of the complexity of the strategic information systems planning process and uniqueness of each organization, there is no one best way to tackle it. Vitale, et al. (1986) classify SISP methodologies into two categories: impact and alignment. Impact methodologies help create and justify new uses of IT, while the methodologies in the alignment category align IS objectives with organizational goals. 1) Impact Methodologies Value Chain Analysis: The concept of value chain is considered at length by Michael Porter (1984). According to him, every firm is a collection of activities that are performed to design, produce, market, deliver, and support its product. All these activities can be represented using a value chain. Porter goes on to explain that information technology is one of the major support activities for the value chain. Information systems technology is particularly pervasive in the value chain, since every value activity creates and uses information. A firm that can discover a better technology for performing an activity than its competitors thus gains competitive advantage (Porter, 1985). Thus value chain analysis: (a) Is a form of business activity analysis which decomposes an enterprise into its parts. Information systems are derived from this analysis. (b) Helps in devising information systems which increase the overall profit available to a firm. (c) Helps in identifying the potential for mutual business advantages of component businesses, in the same or related industries, available from information interchange. (d) Concentrates on value-adding business activities and is independent of organizational structure. Strengths: The main strength of value chain analysis is that it concentrates on direct value adding activities of a firm and thus pitches information systems right into the realm of value adding rather than cost cutting. Weaknesses: Value chain analysis suffers from a few weaknesses, namely, (a) It only provides a higher level information model for a firm and fails to address the development and implementation issues, (b) Because of its focus on internal operations instead of data, it fails to define a data structure for the firm. 2) Alignment Methodologies Business Systems Planning (BSP): The methodology focuses on business processes which in turn are derived from an organizations business mission, objectives and goals. Business processes are analyzed to determine data needs and, then, data classes. Similar data classes are combined to develop databases. The final BSP plan describes an overall information systems architecture as well as installation schedule of individual systems. Steps in a BSP study are: Barlow (1990) and Ledrer and Sethi (1988) have discussed strengths and weaknesses of BSP. Strengths: Because BSP combines a top down business analysis approach with a bottom up implementation strategy, it represents an integrated methodology. In top down strategy, BSP develops an overall understanding of business plans and supporting IS needs through joint discussions. Weaknesses: (a) BSP requires a firm commitment from the top management and their substantial involvement. (b) It requires a high degree of IT experience within the BSP planning team. ((e) Major weakness of BSP is the considerable time and effort required for its successful implementation. About the Assignment The past few decades have witnessed major changes in the way we do business. Increased competition and the pursuit of ever-greater performance have forced businesses to focus on quality, efficiency, and productivity, while encouraging innovation and creativity. In addition, there have been significant changes in global economies and in the structure of the business worlds that exist in those economies. As a result, a variety of disparate approaches and methodologies for evaluating and restructuring business enterprises has emerged. The terms reengineering and business transformation have taken on amazing significance. In many company like Dell, those terms mean the complete assessment, restructure and redesign of entire businesses, including information technology (IT) and Information System its Management (IS) In Below assignment we are going to focus on Business strategies and Information strategies of Dell Company, we are also going to look into Advantage and Disadvantage of Business strategies, Information System and Information Technology in general. Company Overview Dell, a Delaware corporation, was founded in 1984 by Michael Dell on a simple concept: by selling computer systems directly to customers, Dell could best understand their needs and efficiently provide the most effective computing solutions to meet those needs. Dell is based in Round Rock, Texas, and conducts operations worldwide through its subsidiaries. Unless otherwise specified, references to Dell include its consolidated subsidiaries. Dell operates principally in one industry and is managed in three geographic segments: the Americas, Europe, and Asia Pacific-Japan regions. Vision Statement: Its the way we (Dell) do business. Its the way we (Dell) interact with the community. Its the way we interpret the world around us-ours customers needs, the future of technology, and the global business climate. Whatever changes the future may bring our vision Dell Vision will be our guiding force. Dell needs full customer satisfaction. In order to become the most successful computer company, they need the newest technology and loyal customers. Mission Statement: Dells mission is to be the most successful Computer Company in the world at delivering the best customer experience in markets we serve. In doing so, Dell will meet customer expectations of: à ¢Ã¢â€š ¬Ã‚ ¢ Highest quality à ¢Ã¢â€š ¬Ã‚ ¢ Leading technology à ¢Ã¢â€š ¬Ã‚ ¢ Competitive pricing à ¢Ã¢â€š ¬Ã‚ ¢ Individual and company accountability à ¢Ã¢â€š ¬Ã‚ ¢ Best-in-class service and support à ¢Ã¢â€š ¬Ã‚ ¢ Flexible customization capability à ¢Ã¢â€š ¬Ã‚ ¢ Superior corporate citizenship à ¢Ã¢â€š ¬Ã‚ ¢ Financial stability http://retailindustry.about.com/od/topusretailcompanies/p/dellincprofile.htm Business Strategy of Dell Dells business strategy combines its direct customer model with a highly efficient manufacturing and supply chain management organization and an emphasis on standards-based technologies. This strategy enables Dell to provide customers with superior value; high-quality, relevant technology; customized systems; superior service and support; and products and services that are easy to buy and use. The key tenets of Dells business strategy are: A direct relationship is the most efficient path to the customer.  A direct customer relationship, also referred to as Dells direct business model, eliminates wholesale and retail dealers that add unnecessary time and cost or diminish Dells understanding of customer expectations. At www.dell.com, customers may review, configure and price systems within Dells entire product line; order systems online; and track orders from manufacturing through shipping. Customers can purchase custom-built products and custom-tailored services. Dells flexible, build-to-order manufacturing process enables Dell to turn over inventory every four days on average, and reduce inventory levels. Dell is the low-cost leader. Dell maintains the lowest cost structure among its major competitors, and to pass those savings to its customers. Non-proprietary standards-based technologies deliver the best value to customers.  Dell believes that non-proprietary standards-based technologies are critical to providing customers with relevant, high-value products and services. Focusing on standards gives customers the benefit of extensive research and development from http://www.sec.gov/Archives/edgar/data/826083/000095013405004423/d22995e10vk.htm Information Systems Strategy of Dell Information systems were critical to Dell. The information systems supported the Dell Direct business model by providing a range of tools from order entry to production integration. Information systems provided the means for delivery of instant information to employees through e-mail or over the intranet. And information systems were a way to connect suppliers to the business, to collect and analyze information collected from the marketplace, and to support decisions on everything from hiring practices to product offerings to pricing. IT is an enabler to make the business model work, The backbone of the information system was an architecture called G2 (See Exhibit 3). Data Engine Message Broker Application Server Wed Based Client Application G2 Model The G2 architecture was an object-based infrastructure, with a web browser front end interface. It had a single point of connection and was built in small pieces. There was local control of functionality but a global view of the business. The primary components of the G2 architecture were commonly available applications such as Microsoft office, database engines, and Internet servers. The G2 architecture was similar in design to the Dell organization structure, which was also built in small pieces, with local control but a global view of the business. The Dell business model resulted in a different production profile than other business models. The direct model implied that every production run is unique in some way, and hence every lot was of quantity one. http://www.kppartners.com/documents/zerotime-dell_case_study.pdf Analysing Business Aligning in Dell To show Business aligning in Dell we will use value chains analysis The value chain in place at most firms assumes a make-to-forecast strategy. That is, standard products are produced from long-term forecasts of customer demand. And in the case of Dell Computer corporation Michael Dell made business model, which allows the company to build each product to order. Dell is well-known for its ability to mass-produce computers that are customized to a customers order. This production and operations process is known as mass-customization or, in a value-chain context, a build-to-order (BTO) strategy. In its build-to-order strategy, Dell assembles the product only after the customer has placed the order, . At Dell, this process depends on computer systems that link customer order information to production, assembly, and delivery operations. BTO frequently requires a change in organizational culture, managerial thinking, and supplier interactions and support. Inevitably, the process begins by acquiring a better understanding of customer demand; then improvements in information flow will produce the ability to increase responsiveness in all areas of the value chain. http://www.calstatela.edu/faculty/msabet/c12_Turban_0471705225.pdf Advantage and Disadvantage Of Business Strategies There are numerous advantages you can extract from the marketplace if you know how. And the marketing plan is an excellent tool for identifying and developing Business strategies for extracting these advantages. 1) Advantages of Business Strategies of Dell: Identifies needs and wants of consumers Determines demand for product Aids in design of products that fulfil consumers needs Dells inventory turnover rate of 60 times per year compares to 12-15 times for most indirect vendor. Dell can develop direct customer relationship. Dell knows who the end user is, what equipment it has bought from Dell, where it was shipped, and how much the customer has spent with Dell. Dell uses that information to offer add-on products and services, to coordinate maintenance and technical support, and to help the customer plan its PC replacement and upgrade cycle. 2) Disadvantages of Business Strategies of Dell: Leads to faulty marketing decisions based on improperly analyzed data Creates unrealistic financial projections if information is interpreted incorrectly Identifies weaknesses in overall business plan http://inventors.about.com/od/licensingmarketing/a/advantages_mark.htm Advantage and Disadvantage of IS and IT 1) Advantages of information technology and Information System Dell Inc Dell Inc company realizes Internet-associated efficiencies throughout its business, including procurement, customer support and relationship management. At www.dell.com, customers may review, configure and price systems within Dells entire product line; order systems online; and track orders from manufacturing through shipping. At valuechain.dell.com, Dell shares information with its suppliers on a range of topics, including product quality and inventory. Dell also uses the Internet to deliver industry-leading customer services. For instance, thousands of business and institutional customers worldwide use Dells Premier Dell.com Web pages to do business with the company online. http://e-learning.dmst.aueb.gr/mis/Cases/Dell/index.htm 2) Disadvantages of information technology and Information System for Dell Inc The Internet has also created entirely new markets and formed the basis for thousands of new businesses and that is biggest disadvantage for Dell Inc. Internet technology is based on universal standards that any company can use, making it easy for rivals to compete on price alone, due to which profits have gone down. Information is available to everyone on internet, due which it raises the bargaining power of customers, who can quickly find the lowest-cost provider http://www.prenhall.com/behindthebook/0132304619/pdf/Laudon%20Feature%203.pdf Barriers in implementation of IS and IT in Dell Company Dell Co business model was unique in its way and the company did not had time to think differently because the company was growing by about $1 billion every 9 weeks. Dell had a limited time for classroom training of new Information systems to employees. The Dell business model resulted in a different production profile than other business models. The direct model implied that every production run is unique in some way, and hence every lot was of quantity one. Dell was not able to have a centralized structure, because the local business units had to have their own IT people. As such, the information systems were highly decentralized. No programmers reported directly to the CIO. Instead, each division and business had some IT people. http://www.kppartners.com/documents/zerotime-dell_case_study.pdf Conclusion Dell has increased the opportunity for revenue and the increased access to information, which potentially translates into new product and service offerings. The advantage to the customer is the traditional one-stop-shopping arrangement for products and services, offloading these tasks from information systems organizations, and freeing the IS management up to concentrate on core business issues rather than procurement and services. http://i.dell.com/sites/content/corporate/secure/en/Documents/FY10_Form10K_Final.pdf Recommendations To get a successful IS and IT Strategy program will rely on (1) Senior managements commitment; (2) The full support and participation of the IT IS team (3) The competence of the IS and IT team, which must have the expertise to apply the specific site and system, identify mission risks, and provide cost-effective safeguards that meet the needs of the organization; (4) The awareness and cooperation of members of the user community, who must follow procedures and comply with the implemented controls to Safeguard the mission of their organization (5) An ongoing evaluation and assessment of the IS IT-related mission risks. http://csrc.nist.gov/publications/nistpubs/800-30/sp800-30.pdf Authors Reference Barlow, J.F., Putting Information Systems Planning Methodologies Into Perspective, Journal of Systems Management, July, 1990, pp. 6-9. Bruns Jr., W. J., McFarlan, F. W. (1987). Information technology puts power in control systems. Harvard Business Review, 65(5), 89-94. Chan, Y. E., Huff, S. L. (1993). Strategic information systems alignment. Business Quarterly, 58(1), 51-55. Clarke, R. (2005). The path of development of strategic information systems theory. Retrieved 24/04/2011, from http://www.anu.edu.au/people/Roger.Clarke/SOS/StratISTh.html Edwards, C., Ward, J., Bytheway, A. (1991). The essence of information systems. London: Prentice Hall. Retrieved from 24/06/2011 http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1000context=unitec_scit_di Hartono, E., Lederer, A. L., Sethi, V., Zhuang, Y. (2003). Key predictors of the implementation of strategic information systems plans. ACM SIGMIS Database, 34(3), 41-53. Henderson, J.C. Venkatraman, N. (1993) Strategic alignment: Leveraging information technology for transforming organisations, IBM Systems Journal, Vol 32 No 1, pp 472-484. King, W.R. (1978) Strategic planning for management information systems, MIS Quarterly, Vol 2 No 1, pp 27-37 Kaplan, R.S. Norton, D.P. (1996) Translating strategy into action The Balanced scorecard, Harvard Business School Press, Boston, MA Kearns, G. S., Lederer, A. L. (2003). A resource-based view of strategic IT alignment: How knowledge sharing creates competitive advantage. Decision Sciences, 34(1), 1-29. Ledrer, Albert L., and Sethi, Vijay, The Implementation of Strategic Information Systems Planning Methodologies, MIS Quarterly, Vol. 12, No. 3, September 1988, pp. 445-460. Luftman, J. N. (2003). Competing in the information age align in the sand (2nd ed.). New York: Oxford University Press. Porter, M.E., Competitive Advantage, Free Press, 1984. Retrieved on 30/04/2011 http://viu.eng.rpi.edu/publications/strpaper.pdf Porter, M.E. and Millar, V.E., How Information Gives You Competitive Advantage, Harvard Business Review, July-August, 1985. Retrieved on 30/04/2011 http://viu.eng.rpi.edu/publications/strpaper.pdf Rackoff, N., Wiseman, C., Ullrich, W. A. (1985). Information systems for competitive advantage: implementation of a planning process. MIS Quartery, 9(4), 285-294. Reich, B. H., Benbasat, I. (1996). Measuring the linkage between business and information technology objectives. MIS Quarterly, 20(1), 55-81. Teo, T. S. H., Ang, J. S. K. (2001). An examination of major IS problems. International Journal of Information Management, 21(6), 457-470. Vitale, M., Ives, B. and Beath, C., Identifying Strategic Information Systems, Proc. 7th Intl Conf. Inf. Sys., San Diego, December 1986, pp. 265-276. Ward, J., Peppard, J. (2002). Strategic planning for information systems (3rd ed.). Chichester: John Wiley. Retrieved on 25/04/2011 http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1000context=unitec_scit_di Ward, J., Griffiths, P. (1996). Strategic planning for information systems (2nd ed.). Chichester: John Wiley. Retrieved on 25/04/2011 http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1000context=unitec_scit_di Website reference http://retailindustry.about.com/od/topusretailcompanies/p/dellincprofile.htm Retrieved on 30/04/2011 http://www.sec.gov/Archives/edgar/data/826083/000095013405004423/d22995e10vk.htm . Retrieved on 01/05/2011 http://www.kppartners.com/documents/zerotime-dell_case_study.pdf Retrieved on 02/05/2011 http://inventors.about.com/od/licensingmarketing/a/advantages_mark.htm Retrieved on 02/05/2011 http://www.smallbusinessbible.org/advan_disadvan_informationtechnology.html Retrieved on 02/05/2011 http://www.kppartners.com/documents/zerotime-dell_case_study.pdf Retrieved on 02/05/2011 http://i.dell.com/sites/content/corporate/secure/en/Documents/FY10_Form10K_Final.pdf Retrieved on 04/05/2011 http://csrc.nist.gov/publications/nistpubs/800-30/sp800-30.pdf Retrieved on 04/05/2011 http://www.calstatela.edu/faculty/msabet/c12_Turban_0471705225.pdf Retrieved on 04/05/2011 http://www.prenhall.com/behindthebook/0132304619/pdf/Laudon%20Feature%203.pdf Retrieved on 04/05/2011 http://e-learning.dmst.aueb.gr/mis/Cases/Dell/index.htm Retrieved on 04/05/2011

Thursday, September 19, 2019

Varieties of Capitalism Essay -- Economics

Introduction Due to the rapid process of globalization, the issue of whether socio-economic institutions and policies are converging or diverging across different nations has become controversial. Various literatures on comparative institutional studies has been developed, in which the Varieties of Capitalism approach by Hall and Soskice (2001) is one of the most significant concepts that is being widely discussed. According to Hall and Thelen (2005), the ‘varieties of capitalism’ is a firm-centered approach where firm is placed as a key actor and is being considered relational. It emphasizes the concept of institutional complementarities, which ‘†¦one set of institutions is complementary to another when its presence raises the returns available from the other’ (Hall and Gingerich, 2004, p.6). Also, the development of relationships between firms and other five domains – industrial relations, vocational training and education, corporate governance, inter-firm relations as well as employees, is essential to ensure coordination to maintain competencies (Hall and Soskice, 2001). According to Knell and Srholec (2005), the varieties of capitalism literature has mainly distinguished and identified two types of coordination - Liberal Market Economies (LMEs) and Coordinated Market Economies (CMEs), in which competitive markets are dominant in LMES while CMEs are mainly based on strategic interaction. Using the UK as an example of LME and Germany as an example of CME, this essay will consider the ‘varieties of capitalism’ (VoC) implications for financial structures as well as labour relations of the respective economies. The definition of institutional complementarities will be outlined in the first paragraph, while the implications w... ...s: Coordinated and Uncoordinated Market Economies in the 1980s and 1990s’ In Kitschelt H, Lange P, Marks G, and Stephens J (eds) Continuity and Change in Contemporary Capitalism New York, Cambridge University Press Sternberg, R. and Kiese, M. and Stockinger, D. (2008) ‘Cluster policies in the US and Germany: varieties of capitalism perspective on two high-tech states’ Environment and Planning C: Government and Policy 2010, 28, pp.1063-1082 Streeck, W. (1992) Social Institutions and Economic Performance, Beverly Hills, Sage Publication Thelen, K. (2001) ‘Varieties of Labour Politics in the Developed Democracies’, in Hall, Peter A.; Soskice, David (eds.) Varieties of Capitalism: the Institutional Foundations of Comparative Advantage, pp. 71–103. New York: Oxford University Press Witt, M. A. (2010) ‘China: What Variety of Capitalism?’ working paper, INSEAD

Wednesday, September 18, 2019

The Atkins Diet Versus Low-Fat Diets Essay -- Health Nutrition Diet Ex

The Atkins Diet Versus Low-Fat Diets   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The Atkins diet and the USDA recommended low-fat diet seem to be on the opposite sides of the diet spectrum. These two diets have many differences and no apparent similarities, other than the goal of losing weight. These differences include the results of the diets, possible side effects, and the theories behind the diets. The Atkins diet recommends reducing carbohydrate intake in order to lose weight. Conversely, the low-fat diet recommends reducing caloric intake to lose weight; especially the calories from fat. The Atkins diet and the low- fat diet differ in the methods behind their diets, the results that participants experience while on the diet and the possible side effects linked to the diet.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The methods behind the Atkins diet and the low-fat diet differ extensively. The Atkins diet is based on the theory that a reduction in carbohydrate intake will lower the dieter’s body weight. The recommended amount of carbohydrates for this diet is 20 grams for the first phase of the diet. During the second stage of the diet, participants are encouraged to increase their carbohydrate intake by 5 grams every week until their weight loss has stopped. Usually the intake of carbohydrates remains under 30 grams a day for the duration of the diet. The rest of the diet consists of an unlimited amount of protein and fat. On the other hand, the low-fat diet restricts caloric intake about 2,000 calories (depending on your age, sex, and height) in order to lose weight. Within the dieter’s restricted amount of calories; 30% of the overall calories can be from fat, 10% from protein, and 60 % from carbohydrates. On a 2,000 calorie diet, this wo... ...n negative side effects due to the lack of fiber through fruits, vegetables and grains; whereas those on low-fat diets have shown the positive side effect of a lowered risk of heart disease.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The Atkins diet and the low-fat diet show differences in their method of weight loss, the short-term and long-term results of their diet and the side effects that are caused by the method of the diet. The Atkins diet emphasizes the reduction of carbohydrates from the diet in order to lose weight; whereas the low-fat diet emphasizes the reduction of calories, especially those high in fat. The Atkins method seems to cause more weight loss than the low-fat diet within the first 3-6 months but shows similar loss after 12 months. But this increased weight loss early in the diet is accompanied by more negative side effects than the low- fat diet.

Tuesday, September 17, 2019

Comparing Frederick Douglass and Sojourner Truth

Question 3 Sojourner Truth and Frederick Douglass two inspirational black figures in black history were very atypical from their fellow slaves. Both figures were disrespected then and even more respected today. There were plenty of trial and tribulations throughout their lives but they preserved to become the icons they are today. For many reasons we can see how they are atypical from there fellow slaves and how we should be thankful for our freedom and take advantage of opportunities just like they did. Sojourner Truth, one of the elite black females in women history is atypical of her slaves because her name alone is still being discuss in today’s society. By changing in her name to Sojourner Truth, her name alone is atypical from the rest of her fellow slaves. It has tremendous meaning because she felt as one of God’s children her words were very moving, powerful and truthful. Another example is that Sojourner Truth stood at 6’0 tall, that’s extremely tall for a woman, and with this height she created a dominant presents. Born a slave, Sojourner Truth couldn’t read and write like most slaves, but her strong mindset and her perseverance were acknowledged early. Only a select few of slaves had a heart of a champion, but Truth’s willingness to stand for what she believed in and what was right ultimately gave her the recognition she proudly deserves. She was involved in many organizations from women’s rights to being a New York Perfectionists (Anthology of African American Literature pg 112). On her quest for women rights, her best well known speech was he â€Å"Address to the Ohio Women’s Right Convention†. This powerful speech moved plenty of African American women to push for equal rights among their gender. Truth was a strong, proud black woman and with amazing antics as such, we can see why she was atypical from her fellow slaves. As much as Sojourner Truth was such of an importance to slavery and women rights, Frederick Douglass had more of an impact in his success of abolition slavery. With a contribution that big we can all see why Frederick Douglass was atypical from his fellow slaves. Just like Sojourner Truth, Frederick Douglass already stood out from the rest of his fellow slaves at a height of 6’4. Frederick Douglass ability to read and write is unbelievable feat by itself but his persuasion with his words was powerful and influential. His demeanor commanded everyone’s attention and when he spoke all eyes were on Douglass. His willingness to show other slaves how to read and write is only part of his determination that is shown. Escaping from slavery and providing for his family shows great determination and pride within himself. His knowledge about slavery, the analogy used in speeches made Frederick Douglass one of the most important figures in history. As Arabram Lincoln asks Frederick Douglass to come to the white House to help Lincoln with his candidacy, shows the impact Douglass has on political views in this era. A gesture so big shouldn’t go unnoticed in history. Also it shouldn’t go unnoticed because a white man is asking for help from a black man to keep his presidency intact. Therefore is goes to show how important Frederick Douglass was and shows that he’s very atypical from his fellow slaves. These powerful figures had outstanding contributions to everything we are allowed to do today for example women voting, equal opportunity and the right to make a difference if you truly worked hard at it. Sojourner Truth was important figure to women without a shout of doubt. Frederick Douglass covered all aspect of justices for blacks