Abstract Discusses the problem of the elimination of many hospitals, including short-term acute care hospitals, and how the closures are due to multiple factors, such as financial problems, low occupancy rates, reorganizations, mergers, and bankruptcies.
From the Paper "As far back as 1981, Goldsmith stated that there would be an ongoing decline in the number of successful hospitals as the 20th century progressed. Goldsmith predicted that hundreds of hospitals (both rural and metropolitan) would ..."
Abstract In this article the writer discusses the issue of illegal immigration and health care in the US. The writer notes that one aspect of this issue is that illegal immigration is blamed for the deteriorating quality of health care in the Unites States. Specifically, the writer points out that illegal immigration is often blamed for the closing of hospitals. This essay examines hospital closures in California, an area hard-hit by the influx of illegal aliens. The writer concludes that illegal immigration and its attendant costs played only a minimal role in recent hospital closures, so that the link between immigration and hospital closure is, at best, not proven.
From the Paper "The cost of care that a hospital must provide before it can safely discharge a patient can be very extensive and extremely expensive. In the first case in which the United States Supreme Court dealt with EMTALA, the patient was life-flighted to a hospital. In emergency surgery, doctors removed her spleen. She then remained in acute care, on a ventilator, for some two months. At the point when the hospital was about to transfer her to a nursing home, she developed severe complications and had to be returned to acute care for an additional six months."
Abstract This project plan forecast for the talent management system project provides an overview of the project, including a communications plan, a forecast of the time required to complete the project, descriptions of the project closure process and the project audit process, budget estimates, forecasted project outcomes, three key learning points, and a conclusion. The project closure process is covered in special detail due to its critical function in assuring customer satisfaction.
Tags: project plan forecast, budget estimates, forecasted outcomes, key learning points, project closure, communications plan
Abstract Using the ABI company as a case study, this paper explains that not all the potential risks on a project can be prevented; however, it is practical to implement audit checks to track the project's performance. The author points out that, during the project audit process, project managers should evaluate if the overall goal of the project was delivered, what worked and did not work, how well the project team functioned together and lastly what could be done differently on future projects. The paper relates that a project closure checklist, in addition to identifying outstanding issues, can present a forum to discuss lessons learned and can be used as the official notification that the team is being dispersed.
Table of Contents:
Management Responses
Weighing of Perceived Risks
Looking to the Future
Measuring Project Performance
Project Closure Conclusion
From the Paper "A critical risk manifested in the second month of the implantation process of the Integra project. Employees who were assigned to the Integra project on a part-time basis had ignored their regular duties and missed several internal deadlines. The Integra project manager had the responsibility to manage the project but not the authority to manage the team members assigned. "Project managers are not typically assigned the authority or status to manage their team members, who will still be organizationally attached to functional groups elsewhere in the organization." The crisis was not avoided because leadership qualities that would have ensured both the normal duties and the project duties were being completed."
Abstract This paper describes an experiment designed to determine the fate of Planaria that had been cut in half, while immersed in varying concentrations of MgCl, as Magnesium has been shown to relax smooth muscles, inhibiting wound closure. The experiment had fatal results for the Planaria that were in the two highest concentrations of MgCl. It should also be noted that the experiment had to be halted after just five days, due to another student mishandling and spilling the Planaria. The data gathered leading up to the halt of the experiment showed that Planaria which are in the highest concentrations (provided that the concentration is not high enough to be fatal) of MgCl will have the slowest rate of regeneration and wound closure.
From the Paper "The class of Turbellaria contains the phylum Platyhelminthes, and the family Planariidae to which Planaria belong to. Planaria are free-living flat worms that can be found in marine, aquatic, and terrestrial environments. The planarian has very simple organ systems. It consists of a small brain, perceptual organs and digestive system that comprises of a mouth, pharynx, and an intestine (Pitt-Bradford, 2002). However, it is a planarian's morphogenesis that can be mysterious and is of interest. Planaria have highly robust regeneration systems with the ability to re-grow lost body parts (Brooks and Rodney, 1999). When part of its body is excised, each piece of the part has the ability to regenerate itself (Reddien and Alvarado, 2004). During regeneration, muscle contractions in the Planaria close the wound, followed by the spreading of epithelial cells. Regeneration in planarians depends on a population of adult stem cells called neoblasts that have the potential to turn into any type of planarian cell (Reddien et al, 2005). By studying this process, one can expand their scientific knowledge and perhaps develop ways of helping out other people and animals that have lost their limbs by finding a way of having their body regenerate the missing appendage back."
Abstract This paper discusses Creutzfeldt-Jakob disease (CJD), also known as spongiform transmissible encephalopathis or infectious amyloidoses, is a dementing disease that results from a prion. Specifically, it describes the definition, occurrence, onset, symptoms and fatal outcome of the disease.This paper asserts that by studying the disease as it manifests in various cases, doctors can become familiar with earlier symptoms and diagnosis, and prepare families in advance. With such preparation, families can obtain closure in advance of the inevitable outcome and reach the closure stage sooner.
From the Paper "The case study shows that the onset of more commonly psychiatric systems associated with mental illness precludes the early diagnosis of the disease. Instead, warning factors such as neurological symptoms should also be viewed as a warning sign of the disease. This can be particularly helpful in diagnosing familial cases. A known family history of the disease can be helpful in early diagnosis and also in making decisions regarding the care of the patient.
"According to the Memory and Aging Center (2008), many tools are available today that can be helpful in diagnosing the disease more accurately. The MRI for example can accurately detect the abnormalities displayed by the disease and rule out other possibilities such as mental illness. Because of the existing behavioral and movement manifestations of the disease, this tool often requires sedation or general anesthesia in severe cases, as patients are required to be still during the examination process. FLAIR and DWI images are also useful in showing abnormalities that are caused by the disease."
A discussion of the sense of reality in "The Kiss" by Anton Chekhov, "How to Tell a True War Story" by Joseph Conran and "The Secret Sharer" by Tim O'Brien.
Abstract This paper reviews the above novels and looks at how truthful perceptions are hard won by the characters in each case. It examines how the protagonists in each story do not first perceive themselves or the world in a way that is commensurate with reality and how through the juxtaposition of reality and the character's dreams, a sense of truth is created and a sense of a character's final coming to terms with some self-knowledge is created at the narrative's closure. It looks at how all three protagonists swim in a sea of contradictions between a truth that can never be expressed or known to the outer world and to the strife they feel within themselves. In all three short stories, the true depths of the character's inner turmoil are never completely revealed to all. No one ever understands how much "The Kiss" meant to the soldier, O?Brien's soldiers never say quite what happened to their comrades during the Vietnam War and Leggatt leaves the tale a mysterious "floppy" had on shallow water.
From the Paper "Tim O?Brien's "How to Tell a True War Story" also creates ironic juxtaposition between perceived reality and what is actually true. In this case, the juxtaposition is between the characters? real experience of war and the propaganda the characters were fed before they began to fight the war in Vietnam. As in Chekhov's short story, this juxtaposition ultimately proves embittering to the protagonists. The narrator of O?Brien's narrative states that ?in the end, really, there's nothing much to say about a true war story, except maybe ?Oh.? True war stories do not generalize. They do not indulge in abstraction or analysis.? "
Abstract This paper discusses how the role of instructional supervision is transforming from a conventional top-down executive approach to one that entails and gives power to teachers. It looks at how the spirit of this progress includes a novel visualization for supervision, one that creates and develops teacher leadership. It highlights a well-developed guideline for an instructional supervisor who has the desire to carry out formative classroom supervision. An explication of the rationale for the guideline and a relevant discussion of its merits are also included.
Outline
Introduction
Review of Literature
Reinforcement
Recognizing Attending Behavior
Set Induction
Closure Questioning
Establishing Appropriate Frames of Reference
Conclusion
From the Paper "Therefore, Instructional Supervisors have to be available in educational institutions to help in augmenting the classroom, overall. There are frequent methods accessible for instructional supervisors. First, the instructional supervisor needs to converse with teachers on the subject of novel recommendable ideas in education. Motivating teaching proposals conversed with teachers can certainly help in augmenting the classroom atmosphere. Therefore, an instructional supervisor might converse with teachers the conception of "cooperative learning". The pros and cons of utilizing "cooperative learning" ought to be conversed. Conceivably, the teacher prefers to utilize group work in the classroom, as well as, the conversation on "cooperative learning" supported in implementing a preferred process."
Abstract This paper explains that "truth commissions" are official governmental bodies designed to determine what occurred under previous governmental regimes, and by exposing the truth, often about violence used by the government against its people, to bring about a sense of closure and healing to those who were harmed. The author points out that, sometimes, truth commissions have been effective in bringing about criminal prosecution to those who are found guilty of crimes, but more often, they have existed simply to air the truth, on the principle that acknowledging the truth is, in and of itself, a powerful tool for a society attempting to establish or re-establish the rule of law and an insistence on justice that is available to each person. The paper relates that the promise of the truth commission is the promise of distributive justice, a philosophy based on the idea of a strict or radical equality, which is simply the idea that every person in a society should have the same level of treatment.
From the Paper "The answer to this depends almost entirely upon one's own beliefs about the nature of governance and of human rights. If one were fortunate to believe in the divine right of monarchs, then one argues that it is the monarch alone or the modern equivalent, the military dictator ? guided by God ? who has both the wisdom and the power to institute laws. Those on the progressive left end of the political spectrum argue that only the most democratic institutions possess the wisdom and the right to make decisions for the group as a whole. But as good as this sounds, Maier (2002) reminds us that is is not this simple when trying to bridge the differences between "hot" and "cold" memories and to bring together a population in which most are innocent and a few are horribly guilty but many are not quite guilty but certainly not entirely innocent."
Abstract This paper examines how Christopher Nolan's motion picture, ?Memento,? is structurally in violation of the supposed commandments of filmmaking. At the beginning, the reader is introduced to "Teddy" and ?Lenny,? the latter of whom has no short-term memory and lives in a quest to avenge his murdered wife. In particular, it looks at how the use of memory itself really functions more as an extended joke upon the viewer. It discusses how the film is a skillful deposal of the techniques of filmmaking rather than a truly satisfying narrative of either conflict or closure because it lacks psychological resonance of any kind as a story.
From the Paper "The real drama or contest thus is not whom of these faceless and nameless harlots are the mother of the nameless infant but the one woman's ability to redeem herself. Thus, in this sense "Memento" is unsatisfying in a narrative form. The convoluted nature of how the narrative unfolds suggests that the individuals who "get" what happens at the end are satisfied through intellectual understanding of the questions posed by the clever structure of the movie. But on a deeper and more emotive sense, the movie eschews any connection with the central protagonist. The man's purported feelings for his dead wife are false?Lenny really killed her."
Abstract This paper explains that, to develop a sense of self, the characters in Toni Morrison's novel "Beloved" must discover who they are amidst the tumultuous experience of being a slave. The author points out that this recognition of the past is essential to some kind of closure; in order to heal, these characters must face certain aspects of their past, which can be painful. The paper concludes that another aspect of self-discovery is remembering the past; "Beloved" is an account of slavery, which helps the reader understand the importance of memory and how it contributes to one's sense of self.
From the Paper "It is a history that should not be forgotten because of what it means to every human being. More importantly, it should not be forgotten because, as Morrison demonstrates, it is essential for self-discovery. As Simpson puts it, "By allowing the truth about the past to resurface, Sethe and Toni Morrison bring about the possibility for healing. Morrison creates a parable for twentieth-century readers and serves as a medium so that we will not 'pass' on the experience." The novel indicates the importance of history in many ways."
Abstract The paper explains how the recent decision of the Israeli government to close the Karni Crossing has sparked a great deal of debate within the international community. This paper delves into the tense history precipitating the closure, states the law which the Israeli decision to close the crossing appears to contravene, outlines the facts of the present situation in Gaza (that is to say, what the closure means for Palestinians), provides an analysis of why the closure is clearly a breach of international law (chiefly, the closure constitutes the use of force by an occupying power as per international conventions and protocols) and lastly, looks at what can be done to resolve this troubling situation without further rancor.
Abstract All projects have a point of origin and a point of termination, a beginning and an end. The challenge for the project manager and project implementation team is to accomplish the multiple tasks needed to complete the project within that time frame. Each project evolves from one phase to another. Typical stages include project identification, planning, development, implementation, closure or termination and evaluation. The stages of a project are similar to that of new products entering the market. Projects, just like products, undergo a life cycle. This paper explores all aspects of the life cycle of the Emergency Department Fast Track Project at Acme Hospital System. The paper specifically focuses on the overall project description and history specific to Acme Hospital System, the life cycle process of the project including the determination of a timeline, tasks, schedules, budgets, risk management plan, communication plan, auditing process for the closure of the project and finally, identification of measurable indicators to measure the success of the project. The paper includes many illustrations, tables and figures.
Paper Outline:
Abstract
Introduction
Acme Hospital System
Problem Statement and Proposed Project
AHS Mission and Vision Statements
Project Scope
Project Objective
Deliverables
Project Tasks and Milestones
Technical Requirements
Limits and Exclusions
Review with Customer
Measuring Project Success
Data Collection
Project Management Best Practices
Risk Management
Task Specific Action Plan
Risk Assessment
Risk Mitigation
Change Control Plan
Communications Plan
Time Forecast
Closure Process
Audit Process
Budget Estimates
Project Outcomes
Conclusion
References
From the Paper "The major task in mitigating risks is the ability to change plans quickly in an attempt to minimize the impact of the risk on the overall scope of the project. Although it is highly desirable and preferred by the project manager and team that a project be completed just as planned, this rarely happens. All projects incur risks and all projects sustain some amount of change. It is task of the project manager and team to develop a process and a plan of action to handle those changes."
Abstract The research proposal provides two lesson plans and a survey to assess whether children are learning in a "brain friendly" environment. The paper explores how classroom environments that are conducive to learning are a vital component in the education process. The paper examines how providing students with a "brain compatible" program of instruction - one that appeals to all of the senses, is inviting, playful and happy, feels comfortable and smells great - will result in a regimen that provides nutritious "Brain Food" for these kindergartners to third graders. The paper includes a survey to be administered to both children and adult workshop participants to determine how well they enjoyed the lessons, and what recommendations they may have for future workshops.
Outline:
Lesson Plan No. 1:
Area
Level
Time
Type of Lesson
Ontario Standards
Objective(s)
Materials
Procedure
Development
Summary/Closure Assessment
Reinforcement
Lesson Plan No. 2:
Area
Level
Time
Type of Lesson
Ontario Standards
Objective(s)
Materials
Procedure
Development
Summary/Closure Assessment
Reinforcement
Lesson Plan No. 3:
Area
Level
Time
Type of Lesson
Ontario Standards
Objective(s)
Materials
Procedure
Development
Summary/Closure Assessment
Reinforcement
References
Appendix
From the Paper "The results of this experiment will likely confirm that as people grow older, they begin to lose their sense of smell (the teacher should ensure that the concentration of the first level jar is sufficiently weak that the average adult cannot discern it, while a young person can). Students will be asked why younger people might smell better than older people, and the teacher can explain that this difference in smelling ability could be caused by a lot of things such as being exposed to more pollution in the air, lifestyle habits such as smoking, or maybe just as a result of the aging process itself."
Abstract This paper examines the condition, which is a congenital defect that is present at the birth of a child. It explains that it is caused by problems with early development of the spine, the main defect being the failure of the closure of the vertebral column, that is, the bony column that surrounds the spinal cord. It also shows that, without this closure, the spinal cord is not afforded the usual protection of the vertebrae and is left open to either mechanical injury or invasion by infection.
From the Paper "However, spina bifida may be treated with utero surgery. While this is a risky yet promising procedure, it appears to improve short-term outcomes (Worcester, 2003). Dr. Joseph Bruner, professor of obstetrics and gynecology at Vanderbilt, states that, ?To date, more than 250 surgeries to repair the lesions associated with spina bifida have been performed at centers such as Children's Hospital of Philadelphia, the University of California, San Francisco, and Vanderbilt University.? In utero repair has several advantages over postnatal surgery. They include potentially fewer urinary infections, less gastrointestinal reflux, improved fetal leg function and cognitive development, and less need for shunt placement with careful patient selection."
