Sunday, October 6, 2019

To Outline a Synthesis or Summary of two Quantitative Research Paper

To Outline a Synthesis or Summary of two Quantitative Articles about Nursing Rounds - Research Paper Example Meade, Amy L. Bursell and Lyn Ketelsen (2006) entitled â€Å"Effects of Nursing Rounds on Patients’ Call Light Use, Satisfaction and Safety† which found that hourly rounds by nursing personnel played a significant role in reducing patient falls as well as increasing their satisfaction while at the same time reducing the use of the call light. This study has been designed in a quasi- experimental like the previous study where hourly rounds are conducted by the nurses from two units namely 4S and 6S. 4S is a control unit where data was collected on an hourly round while 6S has been designed to maintain the current practice where there is no change implemented. Research has shown that falls among patients in the US are a problem given that 2.3 to 7 falls occur in U.S. hospitals every 1000 patient days and about 30-48% percent of these falls result in injury among both old and young patients. However, in this study, it has also been found that hourly nursing rounds can decr ease the rate of falls among the patients by 52 %. The study found that patients admitted in hospitals often require assistance with personal tasks such as the use of the toilet as well as during eating times where they will call for assistance using the call light. This study also found that the level of patient satisfaction is determined by his or her perception of the way a nurse conducts her duties. While the call light offers a lifeline to the patients in hospital, it has also been observed that it can be stressful on behalf of the practicing nurse. It often contributes to issues such as fatigue among the nurses and this negatively impacts on their patient care management which is often compounded by the existing shortage of staff. Therefore, hourly rounds have been found to be effective in this particular study which was carried over a twelve month period. At least, the study has been carried over a long period compared to the previous one. The sampling method employed by the study is non-probability sample on all subjects who are 18 years and over admitted to 4 South (Oncology/OBGYN) or 6 South (Orthopedic/Neurology) at Hospital during the period of the research. This method is ideal given that the results are likely to be reliable since it is inclusive of all subjects. This section also summarizes an article by Tucker, S.J. et al (2011) which is entitled "Outcomes and Challenges in Implementing Hourly Rounds to Reduce Falls in Orthopedic Units.† According to this article, patient falls remain a problem especially in acute care facilities as they have negative impacts such as injury to the affected people. Basically, patient fall can be described as unplanned descent to the floor (Curie, 2003). These range from 1.7 to 25 per 1,000 patient days with approximately 6–44% of these resulting in injury. Thus, patient safety through the reduction of falls is a very important phenomenon in the health care industry and can be derived from implementi ng structured nursing rounds interventions (SNRIs) according to this particular study. This study has been designed to establish the rate of patient fall during the three period intervals namely: baseline, during the 12-week SNRI implementation, and 1-year following implementation. According to this paper, evidence of effective interventions to prevent and reduce patient falls is mixed (Oliver et al. 2007; Currie 2008). However, in some studies like the work of Christine M. Meade, Amy L.

Friday, October 4, 2019

Portfolio Asset Allocation on LEE Pension Fund Research Paper - 1

Portfolio Asset Allocation on LEE Pension Fund - Research Paper Example ate bonds had the lowest correlation (-0.011827), implying it would be a desired asset for risk reduction, among the portfolios, by means of increased diversification. Standard deviations (SD) and means were also calculated in order to give a relative comparison between the different asset classes with regard to return and risk. Before 1970s, real estate never existed as a recognizable and established investment â€Å"asset class.† As an alternative, the portfolios of organizational investors like pension funds entailed almost exclusively of bonds, stocks, and cash. However, this situation was changed as inflation and modern portfolio theory caused the establishment of real estate one institutional investment asset class. The current undesirable performance in equity market implies real estate is progressively registering mixed-asset portfolio. Nevertheless, determining whether the desired return in real estate is one long-term phenomenon or a temporary thing is a concern that remains hugely unanswered. In simple terms, little or no even evidence exist to prove whether real estate ought to play an unswerving function in mixed-asset portfolio across long-term and short-term investment horizons. We intend to explore and give more light with regard to the uncertainty surrounding mixed-asset portfolio. T his was our primary concern as far as this paper is concerned. So as to protect the portfolios from any short-term or long-term fluctuation in the market, the pension systems spread assets across a wide range of asset classes. This allowed each portfolio to uphold stability through the turbulent market cycles. Every systems asset was invested in bonds, stocks, real estate, and global asset allocation strategies, with a small asset allocation to associate partnerships. The assets incorporated in the analysis were given as follows: These investment categories exhibited imperfect correlations since when one category was wavering, another was doing exceedingly well or

Thursday, October 3, 2019

Critical Analysis of Peter Singers Famine Affluence and Morality Essay Example for Free

Critical Analysis of Peter Singers Famine Affluence and Morality Essay In his article â€Å"Famine, Affluence and Morality† Peter Singer gives a seemingly devastating critique of our ordinary ways of thinking about famine relief, charity, and morality in general. In spite of that very few people have accepted, or at any rate acted on, the conclusions he reaches. In light of these facts one might say of Singer’s arguments, as Hume said of Berkeley’s arguments for immaterialism, that â€Å"†¦ they admit of no answer and produce no conviction.†[1] While I do think that Singer’s considerations show that people should do considerably more than most people actually do, they do not establish his conclusions in their full strength or generality. So his arguments admit of a partial answer, and once properly qualified may produce some conviction. In â€Å"Famine. Affluence, and Morality,† Peter Singer stresses the possible revisionary implications of accepting utilitarianism as a guide to conduct. He does not actually espouse utilitarianism in this essay, rather a cousin of utilitarianism. He observes, in the world today, there are many people suffering a lot, leading miserable lives, on the margin, prone to calamity whenever natural disasters or wars or other cataclysmic events strike. Many millions of people live on an income equivalent to one dollar a day or less. What, if anything, does morality say one should do about this? Singer proposes two principles—a stronger one he favors, a weaker one he offers as a fallback. The Strong Singer Principle: â€Å"If it is in our power to prevent something bad from happening, without thereby sacrificing anything of comparable moral importance, we ought, morally, to do it.† The Weak Singer Principle: â€Å"If it is in our power to prevent something very bad from happening, without sacrificing anything morally significant, we ought, morally, to do it.† Consider the Strong Singer Principle. He explains that â€Å"by without sacrificing anything of comparable moral importance† I mean without causing anything else comparably bad to happen, or doing something that is wrong in itself, or failing to promote some moral good, comparable in significance to the bad thing that we can prevent.† From the first principle it follows that whether one should help those who are suffering or dying doesn’t depend on how close one is to them, unles s that makes helping them more difficult, because their distance from one does nothing to lessen their suffering. From both principles together, it follows that one’s obligation to help those who are suffering or dying doesn’t go away if other people who are also in a position to help them aren’t doing anything, because the presence of other people who do nothing is, in moral terms, no different from the absence of people who do something. Singer comments on this argument by adding that he could get by with a weaker version of the second principle, which would have â€Å"something of moral significance† in place of â€Å"something of roughly equal moral importance† (506). He also gives a hypothetical example of the second principle in action: If one is in a position to save a child drowning in a pond, one should rescue the child even though that means dirtying one’s clothes, because that is not a morally significant cost and the child’s death would be an extremely morally bad state of affairs (506).

SWOT Analysis of Honda

SWOT Analysis of Honda Jump to: SWOT Analysis Honda is truly a global company like no other. With 134 production facilities in 28 countries, plus another 31 research and development centers in 15 countries, we are achieving our goal of providing satisfaction to customers around the world. More than 160,000 Honda Associates help more than 23 million customers every year. As of March 2007, the Honda Group comprised 507 companies worldwide. We have developed our global operations strategy based on the principle of manufacturing products close to the customer. Local information is key, and the hiring of Associates and procuring parts and materials is all done close to each Honda centre. However, certain functions such as production planning, customer service and administration are performed on a global scale to ensure optimal, integrated and forward-looking strategies. Honda first established a commercial presence in the UK in 1961 when it opened an office in central London. In 1965 the operation was moved to a larger facility in Cheswick, west London, and sales of Honda vehicles started. First year sales reached 4,000 units with a model range that was initially the S600 and then the S800 sports car. This was followed by the Honda Civic in 1971. In 2000 the business relocated to a purpose-built office in Langley, Berkshire. The building amalgamated the Head Office functions of Honda (UK) with Honda Motor Europe (HME), and subsequent growth of both organizations has led to staff numbers reaching in excess of 600 people. Extending Hondas established policy of building its products close to its customers, Hondas manufacturing presence in the UK began in 1985. Honda of the UK Manufacturing Ltd (HUM) was established in Swindon, Wiltshire. Honda has an extensive dealer network in the UK, with the current total standing at 203 (car), 118 (motorcycle) and 530 (marine, energy, lawn and garden) sites. In excess of 10,000 people are either directly or indirectly employed by Honda in the UK. Annual sales of cars in the UK passed the 50,000 mark in 1995, and in 2007 broke through the 100,000 barrier. HISTORY OF THE COMPANY: Honda of the UK Manufacturing Ltd (HUM) was established in 1985 and began operations in August 1986 with a Pre-Delivery Inspection (PDI) unit in Swindon, Wiltshire. The Engine Plant was the second part of the Swindon site to open, and production of petrol engines for the Concerto began in 1989. Three years later, in October 1992, the first cars start edrolling off the line when Car Plant 1 with a capacity of 150, 000 vehicles per year began manufacturing the Accord. Car Plant 2 was completed in 2001, boosting annual capacity to an impressive 250,000 units. Total investment by HUM in these state-of-the-art, fully integrated Car and Engine Plants currently stands at  £1.38billion. When it celebrated its 20th anniversary in August 2006, Masaaki Kato, Managing Director of HUM, said: HUM has developed into a mature and successful car and engine manufacturing operation, which could not have been achieved without the strong driving force of our dedicated Associates. His comment illustrated perfectly the value we place on all our staff, not just in the UK but globally. Following the creation of 700 new jobs in September 2006, HUM currently employs 5,000 Associates 50% of our total for the whole of Europe. 1986: Honda begins research in Japan on both small aircraft and jet engines. 1993: Honda begins research on composite body aircraft with Mississippi State University (MSU), leading to development of aircraft called MH-02 that is jointly fabricated and tested by Honda and MSU. Research continues until 1996. 1995: Honda begins high altitude testing of its first generation turbofan engine, HFX-01, conducting more than 70 hours of tests through 1996. 1999: Development begins of the HF118 turbofan jet engine in the 1,000 to 3,500-pound thrust class, featuring a compact, lightweight, and fuel-efficient design. 2000: Honda RD Americas establishes a research facility at Piedmont Triad International Airport in North Carolina in October 2000 for the purpose of researching, fabricating and flight testing of Honda Jet. 2002: Honda conducts high altitude tests of the HF118 engine starting in June 2002. Honda publishes and reports its first technical paper in June 2002 concerning technological achievements of the new airframe. Honda continues publishing technical papers, with the most recent paper in June 2005. 2003: Honda Jet takes first test flight, December 3, 2003. Honda makes first public announcement of the achievement days later. 2004: Honda and GE Aviation announce February 16, 2004, an alliance to commercialize the HF 118 engine, and establish a joint venture, GE-Honda Aero Engines, LLC, in October 2004, to pursue the development, production and sales of Hondas HF118 turbofan engine in the light business jet market. In July 2004, Honda establishes Honda Aero, Inc. to manage its aircraft engine business in the U.S. and the Wako Nishi RD Center in Japan to research and develop turbofan jet and piston aviation engines. 2005: Honda Jet makes its public world debut at the EAA (Experimental Aircraft Association) Air Venture 2005 in Oshkosh, Wisconsin, July 28, 2005. 2006: Honda announces that it will commercialize Honda Jet at the EAA Air Venture 2006 in Oshkosh, Wisconsin, July 25, 2006. Honda Aircraft Company, Inc. (HACI) established in August 2006, responsible for Hondas overall airframe business strategy, and the further development, sales promotion and production of the innovative Honda Jet. GE Honda Aero Engines successfully runs a proof-of-concept version of the GE Honda HF120 turbofan engine, exceeding the companys internal development targets for both thrust performance and specific fuel consumption (SFP) on the engines first test run. GE Honda Aero Engines announced that it had secured orders for the new HF120 engine (a higher thrust successor to the HF118), from Honda Aircraft Company, Inc., maker of the Honda Jet advanced light jet; and Spectrum Aeronautical, maker of the Spectrum Freedom business jet. The announcement was made at the National Business Aviation Association (NBAA) convention in Orlando, Florida, October 16, 2006. Honda Aircraft Company, Inc. begins sales of Honda Jet at the NBAA (National Business Aviation Association) annual convention in Orlando, Florida, on October 17. Honda Jet will be powered by the HF120 turbofan engine. Honda Jet is targeted for type certification in 3-4 years with production in the U.S. beginning 2010. 2007: Honda Aircraft Company announces place of its $100 million world headquarters and production facility at Piedmont Triad International (PTI) Airport in Greensboro, North Carolina, Feb. 9, 2007. Honda Aircraft Company breaks ground for new headquarters and production facility, June 27, 2007. Construction of the 219,000 sq. ft. offices and airplane hanger is scheduled for completion in spring 2008. The remaining 150,000 sq. ft. production facility is expected to be completed by fall 2009. Honda Aero announced plans, July 17, 2007, to establish its headquarters and jet engine manufacturing facility in Burlington, North Carolina, beginning with production of the GE Honda HF120 turbofan engine in 2010. Honda Aero conducted an official groundbreaking ceremony, November 28, 2007, for its new headquarters and engine manufacturing facility in Burlington, North Carolina, near the Burlington Alamance County regional airport. Current strategic situation Europe has significantly strengthened its marketing operation to provide greater strategic leadership and expertise to the 27 markets it serves from the companys headquarters at Langley, near Slough. As part of a root and branch reform, Tom Gardner has been appointed to the role of Head of European Marketing, Honda Motor Europe (moving from Head of Marketing, Honda (UK), and Cars). Tom will lead an expanded team, working closely with the in-country marketing departments to build a national media schedule and creative. Toms team is also charged with developing the long range marketing strategy for the business. Starcom Media vest has been appointed as Hondas European media buying agency. Ian Armstrong has moved across to Honda Motor Europe as Manager European Communications from his previous role in Honda (UK), Cars. Ian will oversee a European-wide creative to balance Brand Building Campaigns and Product Launch campaigns. A new version of Hondas Impossible Dream advertisement featuring the voice of Andy Williams will lead the charge. Within the European team, Harry Cooklin and Teresa Rizza will manage motorcycle communications with Lucy Powell looking after comms for Power Equipment. I am excited by the prospect of designing and creating the structures to enable Honda to deliver a consistent and powerful message to consumers in all 27 countries across Europe, said Ian Armstrong. Theres a lot to do in the next few months and I look forward to working with markets and agencies to ensuring we have the best possible presence in the European market. Meanwhile, Martin Moll takes on the role of Head of Marketing at Honda (UK), covering cars, motorcycles and power equipment. This move follows Martins three years as Head of Marketing, Power Equipment. Martin will provide the vital interface between the European strategic function and its tactical implementation in the UK market for all three product divisions. SWOT ANALYSIS: While Honda has abundant backbone to their name, they as well ache from some above weaknesses. The primary weakness of Honda is oftentimes one of their above strengths as well. By afraid to their accouterments as the technology innovator aural their industry, Honda divests abundant of its assets in exploring new methods to enhance their products. However, they generally conduct analysis and accession in fields that accept no applied appliance until continued into the approaching (Corporate Info, nag). Take for archetype their ammunition adeptness research; Honda was the industry baton in ammunition adeptness from 1985 to present (Investor Guide, nag). However, alone until afresh did gas prices accession top abundant to accreditation the ammunition abridgement as a cogent advantage. Had Honda bald added of their assets to added top end upgrades such as aggressive aural the SUV market, they adeptness accept fabricated abundant added profits. Thus, award the antithesis amid approaching analysis and accepted profits is one of the above weaknesses with Honda. Another one of its weaknesses is that Honda relies on its entry first, organizes later action for new bazaar assimilation (Wright Report, nag). Its accumulated action appears to be to access accustomed markets with their avant-garde articles and advance an basement and alignment afterwards they beam how the bazaar reacts. Although this action has formed able-bodied in some cases such as Hondas access into the ablaze barter division, area its Ridgeline won Barter of the Year, about in added cases such as the barrage of Acura success was met aboriginal by years of balloon and error. Acura was launched in the mid 1980s, and it was the aboriginal Japanese produced affluence car, about it lacked abounding of the appearance that barter were searching for in top end cars and Acura went through about 5 years of net losses afore Honda assuredly ample out their architecture and administration methods. Honda depends too abundant on their adeptness and adeptness to acclimatize already a artifact enters the market, and as a result, they generally accomplish hasty and adulterated decisions that they accept to again absorb millions and yea rs to fix. Strengths High RD Innovation Market share leadership Strong brand equity Unique products Exotic interior Unique aerodynamic shape Developed afterwards connected RD with the latest technology Various models targeting assorted chump segments. Honda FCX is the aboriginal ammunition corpuscle car in the world Fuel efficient Revolutionary engine technology Comfortable Road grip Weaknesses Uses of Cutting bend technology gives acceleration to problems Interior design Civic models could cause abashing for the customer High cost structure Honda requires a deposit for higher purchase but Nissan and Toyota dont. They depend greatly on profits coming in internationally, where they need to focus more on domestic sales in case something were to happen with others economies. Opportunities Due to increased interest from consumers into more fuel efficient and lower pollution cars, Honda can use its strength in high RD to develop these kind of cars to suit consumers needs. Emerging markets and expansion abroad Innovation There is an advance of absorption in environmentally affable vehicles, and Hondas RD focus agency that it is able-bodied assertive to capitalize on its ability in this industry. Honda Borough has assorted models that alter in discharge ratings, Honda borough GX NGV is termed as the cleanest car on Earth as far as centralized agitation engines are concerned In addition, Honda is a above amateur in the arising markets like Pakistan. Car leasing in Pakistan is a befalling for Honda borough to become added widespread. Various borough models that ambition altered chump segments. Threats Economic slowdown External changes (government, politics, taxes, etc) Lower cost competitors or imports Price wars Rising oil and raw actual prices in the apple bazaar can advance to decreased appeal for automotive vehicles. In addition, added costs accept led to decreased customer spending and the aggressive animosity is actual top in this industry.

Wednesday, October 2, 2019

Marcuses Account of the Features and Significance of True and False N E

Modern capitalist society is the target of severe criticism in Herbert Marcuse's book, One-Dimensional Man. As one would hope, Marcuse's intent is not merely to point out the shortcomings of the present system. He further hopes to encourage change in the most basic features of society, and with the intent to effect change arises the question of what goals the proposed change is directed towards. Primary among his goals is the "development and satisfaction of human needs and faculties" (xliii). Which of the wide range of human faculties are worthy of development? This question obviously requires value judgments to be made; any answer will be highly subjective or very complex, and probably both subjective and complex. Instead, this paper will focus on the second problem raised by Marcuse's goal: the identification of human needs to be satisfied. In particular, we will examine his own standards for determining what human needs must be satisfied by a rational society. Marcuse assumes that not all of what have been called "needs" at one time or another are real necessities that a rational society need consider. Certain "vital needs" are beyond doubt, however. Those are the needs of human biology without which life cannot continue, and such needs seem clearly to be objectively determined by biological factors. The sheer misery that infects human life when adequate food, water, and protection from the elements are not available in itself would seem to give sufficient reason for a rational society to concern itself first with providing everyone with those bare necessities. It is generally taken for granted that human beings have needs beyond the mere sustenance of biological life. Some of those proposed needs border on the biological, such as "the need for health care." At the other extreme are needs with no physical component at all, such as "the needs for spiritual sustenance." How does Marcuse propose we evaluate these less objectively evident contenders? Overall, he takes an attitude of skepticism towards them. Marcuse writes that "human needs, beyond the biological level, have always been preconditioned" (4). The key concept in this sentence is "conditioned"; the conception of needs of this type are th... ...would rather eliminate upon reflection. For example, one can easily imagine someone realizing that her desire for Gap pants originated in advertisements, and deciding that she did not want this need impressed on her by the advertising industry. This incremental elimination of false needs would go at least partway towards Marcuse's ideal of liberation through the consciousness of one's own servitude. The resources freed up by individuals' abandonment of unwanted false needs could then be used towards satisfying the vital needs of others. This result is less complete of an improvement than Marcuse is arguing for; however, it is probably the greatest shift in individuals' conception of their own needs that can be accomplished given the inherently social nature of non-physical needs. Even with its ambitions diminished in this way, Marcuse's consideration of true and false needs shows how there is room for movement toward "the optimal development†¦of all individuals, under t he optimal utilization of the material and intellectual resources available to man" (6). All citations from: Marcuse, Herbert. One-Dimensional Man. Boston: Beacon Press, 1964.

Game Consoles Comparison :: Video Gaming Games Game Paperes

Game Consoles Comparison Playing games is one of the most popular ways for people to release their stress from work, school, or from other family issues. However, there are a lot of varieties of games: Console games, PC games, Board games, and many more. One of the most famous types of games, though, is console game. Among all consoles, PS2 is the best one. This might be a little direct, but I have my reason for saying this. We will have a discussion regarding this later. But first, what is PS2? Why console games are so popular until now? Here is a little bit of history of why console games have been so popular since the first existing console, Nintendo Entertainment system (NES), by Japanese gaming company in 1985. Nintendo did a good job in marketing the first console game in the past in selling thirty million dollars worth of merchandise in the United States and ninety million dollars worldwide. This successful console game business changed the industry of gaming so that soon, Sony, another big Japanese electronic company, launched its first console called Sony Playstation in 1995. This console dominated the market so that Sony succeeded in selling more than ninety million dollars by 2002. As the battle of console games continued, there was one important fact that was inevitable called â€Å"period of excitement.† After a while, people will get bored with the same kind of machine with the same kind of capability. This is why Nintendo initiated the practice of releasing a new console every 5 to 6 years. It released the latest upgraded Nintendo console called GameCube (2000) following the release of Playstation two (PS2) by Sony in the same year. The popularity of these console games excited Bill Gates, the CEO of the huge Microsoft Company, to participate in the competition of console gaming by releasing the Xbox in the same year. These three consoles have battled each other for 4 years now, and people a lot of times are confused about which console is the best. This is why I am interested in comparing all three consoles based on these three categories: Game Play (the variety of available games, user friendliness, and user’s age orientation), specifications, and price. I put game play as the first priority because no matter how advanced the console is, if it is not playable, then there is no reason for it to exist.

Tuesday, October 1, 2019

Can We Talk Essay

The article Can We Talk? Researcher Talks About the Role of Communication in Happy Marriages† gives us results as related to couples in marriages. In today’s society, many couples are too busy to stop, sit down, and have a meaningful conversation with their significant others. Terri Orbach, research scientist at the Institute for Social Research at the University of Michigan, has studied 373 married couples for more than 20 years. We will examine the findings and explore some of the roles of communication in happy marriages. After reading the text and the required article, I became more aware of what self-disclosure is and how it can affect relationships. Self-disclosure is defined as sharing aspects of yourself with other people. This can be a form of â€Å"showing your true colors†. Sharing areas of yourself that may have been misconceived, showing interest in others, and being more involved are ways that you can open up and form close bonds. In marriages, you assume that couples are already in-the-know about their mate. But this sometimes can be a part of a learning process in the relationship. I can relate to the article because I often find myself at a loss for words. I have been in a few relationships that were on different types of levels; professional, informal and social. Within each of these relationships, there were limited sharing on my part. I would agree that self-disclosure is important in a relationship because it allows you to recognize issues and feelings, and also can help you learn something about self that was unknown. Effective communication promotes a sense of trust, that holds marriages together. Orbach states that by using her 10-minute rule, couples have a good starting point to reconnect with each other. Just 10 minutes to talk about the interests of your mate, areas of conflict, or even about the job made many marriages happier. Because men and women express themselves differently, gender does have a role in communication in relationships. Many believe that some behaviors are masculine and others are feminine. It is often discouraged for men to cry, they are taught to be strong and heroic, while women are allowed to show emotions openly.